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Should I consider surgery for my fistula issue?
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General Medicine
Question #40714
2 hours ago
47

Should I consider surgery for my fistula issue? - #40714

Client_046d03

Man age is 51 year old have fistula 8cm inner and 4 CM outer and one opening have problem very long have problem regarding sitting have sitting job and there is pus filled in that track cause problems in sitting fever anxiety eating triphla guggulu, vadiwakabati.... Go for surgery or treatment?

How long have you been experiencing symptoms related to the fistula?:

- More than 6 months

What is the severity of the pain or discomfort when sitting?:

- Severe

Have you noticed any specific triggers that worsen your symptoms?:

- Prolonged sitting
300 INR (~3.51 USD)

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Doctors' responses

Hello I completely understand how distressing and uncomfortable your condition must be — especially since you have been struggling with a long-standing fistula that causes pain, pus discharge, fever, and makes sitting difficult. But dont worry we are here to help you out😊

✅AYURVEDIC PLAN OF TREATMENT

✅SHODHANA CHIKITSA (Purification Therapy)

For chronic or long tract fistula, Shodhana is essential to remove accumulated pus, infected tissue, and to allow healthy granulation.

The best method for your case is:

👉 Ksharasutra Therapy (Ayurvedic Para-surgical Procedure)

Medicated alkaline thread (Ksharasutra) is inserted through the fistula tract. It slowly cuts, drains, and heals the tract simultaneously. Requires weekly thread change till complete healing (usually 4–6 sittings). High success rate (>90%) and minimal recurrence. You can continue routine work after initial recovery.

👉 This is highly recommended in your case instead of open surgical procedure, as it preserves sphincter control and ensures long-term healing.

✅INTERNAL MEDICATION

1 Triphala Guggulu 2 tabs twice daily after food with warm water (Reduces pus, heals tract)

2 Kankayan Vati 1 tab twice daily After meals
(Controls infection & supports digestion)

3 Gandhak Rasayan 1 tab twice daily After food (Antimicrobial, promotes healing)

4 Erand Bhrisht Haritaki Churna 3 gm at bedtime With warm milk (Softens stool, prevents constipation)

5 Abhayarishta + Punarnavasava 20 ml each twice daily With equal water after meals (Improves bowel health & reduces swelling)

✅LOCAL. MANAGEMENT

Sitz bath (Avagaha Sweda): Use warm Triphala kwatha twice daily for 15–20 minutes.

Local application: Apply Jatyadi Ghrita gently on the external opening after cleaning and drying.

If excessive pus: Add a pinch of Haridra Churna (turmeric) in lukewarm water and clean the area twice daily.

✅DIET MODIFICATION

✅ Include

Eat light, freshly cooked meals. Include moong dal khichdi, lauki, tori, karela, dudhi, buttermilk. Drink warm water infused with triphala or cumin seeds. Take regular meals at fixed times. Use cow ghee in moderation – it aids wound healing.

❌ Avoid

Avoid spicy, sour, deep-fried, and fermented foods. Avoid non-veg, alcohol, bakery items, and cold drinks. Avoid sitting continuously for long hours — use a ring cushion for sitting comfort. Avoid constipation — never strain during defecation.

✅Lifestyle & Home Remedies

Practice light yoga like Pawanmuktasana, Vajrasana (after meals), and deep breathing. Avoid cycling or heavy exercise that strains pelvic region. Maintain proper hygiene. Apply aloe vera gel or neem paste around the area to soothe inflammation. Drink Triphala water at night to keep bowels soft.

Since your fistula is long, chronic, and pus-filled, complete recovery through oral medicines alone is unlikely. You should go for Ksharasutra therapy under an expert Ayurvedic Shalya Tantra specialist.

It’s safe, natural, and provides permanent healing without major surgery. Post-procedure, follow internal medicines and local care to prevent recurrence.

Wishing you a good health😊

Warm regards, Dr Snehal Vidhate

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FOR FISTULA GO FOR KSHAR SUTRA THERAPY… ITS ANCIENT AYURVEDIC THERAPY USED MEDICATED THREAD FOR NATURAL CUT THE AFFE TRD AREA AND ALSO HALEALING PROPERTY…

IF YOU GO FISTULACTOMY ITS CHANCES TO HAPPEN AGAIN …

SO MY ADVICE GO FOR KSHAR SUTRA FOR THAT… ITS VERY LESS CHANCE TO HAPPENS AGAIN …

THANKS

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Hello dear, This is Dr. Vinayak Since the fistula is chronic and length of the tract is also more.

Only Oral medications will not help you as much.

I suggest you to undergo kshara sutra therapy under a Shalya Tantra expert / Ayurvedic surgeon.

Until then,what u can do is Triphala guggulu BD after food Gandhaka rasayana BD after food

Have warm water for drinking. Have fibrous, warm and freshly cooked food. Avoid heavy foods like meat, Maida, soft drinks, chips etc.

Sitz bath with panchavalkala solution for at least 3-4 time a day.

Take care. Thank you.

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Hello thanks for contacting me in ask ayurveda You had fistula and if u had severe pain and having fever Then I will recommend to meet general surgeon because some times it will become complicated. You may get sepsis. Meanwhile ayurvedic medicines 1) triphala guggulu two times a day 2) arogya vardhni Vati three times a day 3)abayha arista 4sp with warm water after meals twice a day 4) Hinguvstak churna 1 spoon with warm water before bed time 5) take high fibre diet 6)avoid spicy , sour , cold foods

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Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
1 hour ago
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Should be gor dor ayuevedic ksharasutra terapy it’s have less recurrence,less bleeding,less pain no hospital stay and affordable last no sphinter damage should be consulting ayuevedic surgeon

Dr RC BAMS MS (shalya) Ano rectal surgeon

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A fistula that is 8 cm internal and 4 cm external with one active opening pus discharge pain while sitting, fever episodes and long-standing duration is considered a complex fistula in the state medicines alone-Ayurvedic Cure Alpa cannot close the track Triphala guggulu and vriddhibhadika vati or helpful for inflammation and digestion, but they cannot eat or drink and already for long fistulous tract

A long track with person, fever means infection is active. If this continuous the track becomes deeper and branching can start because he has sitting job and the area is continuously pressed, natural healing becomes even more difficult

The safest and most effective option for this type of fistula is surgical management In ayurveda, the preferred procedure is ksharasutra because it gradually cuts and heels the track without damaging the spinchter In modern surgery, options include Fistulotomy or fistulectomy depending upon contract position Both approaches have good success when done by an experienced surgeon Medicines can support recovery, but cannot replace surgical removal or lsharasutra a track of this size

If you delay intervention risk, recurrent abscess formation new openings, more pain while sitting and chronic infection affecting general health

You can share his MRI fistulogram report that will confirm the exact type of fistula and guide, which procedure is safest

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1.Triphala Guggulu 2 tab twice daily with water after meals 2.Vaidyanath Vati (Vati Vaka) 2 tab twice daily with water after meals 3.Gandhaka Rasayan 2 tab twice daily with water after meals 4.Jatyadi Taila-Apply gently on the openings

Panchavalkala Kwath (for Sitz bath)-for 15-20 mi in warm decoction twice daily

Adv: Visit a near by Ayurvedic Surgeon for Kshara sutra

Ksharasutra Therapy (Ayurvedic Parasurgery) - What it is: A medicated thread inserted into the fistula tract to gradually cut, heal, and disinfect. - Why it helps: Minimally invasive, outpatient-based, and effective for long tracts like yours (8 cm).

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Amelia
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Really appreciate the detailed breakdown of my symptoms and the suggested remedies! Feeling more hopeful about managing this now. Thanks!
Really appreciate the detailed breakdown of my symptoms and the suggested remedies! Feeling more hopeful about managing this now. Thanks!
Victoria
7 hours ago
This answer was super helpful! Really appreciate the detailed guidance and dosage info. It's a relief knowing how to properly use these herbs for my kid.
This answer was super helpful! Really appreciate the detailed guidance and dosage info. It's a relief knowing how to properly use these herbs for my kid.