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How to treat a fistula in ano with active discharge and a 7.2 cm track?
General Medicine
Question #54118
42 days ago
432

How to treat a fistula in ano with active discharge and a 7.2 cm track? - #54118

Dharmendra
$3

Perianal region shows external opening of sinus at 3 o'clock position with active discharge on naked eye inspection. - Under proper aseptic precaution about 20 ml of contrast is instilled through external opening and radiographs are taken in prone and left lateral positions. Findings: Left perianal region shows an irregular fistulous track of about 7.2 cm long passing anteromedially and superiorly from the external opening to communicate with lower part of anal canal. Contrast is freely passing into lumen of anal canal. No side branching from the track seen. IMPRESSION: F/S/O Fistula in Ano shows an irregular fistulous track of about 7.2 cm long in left perianal region, passing anteromedially and superiorly from the external opening to communicate with lower part of anal canal.

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

- 1-4 weeks

How would you describe the discharge from the fistula?:

- Clear and minimal

Have you noticed any pain or discomfort in the area?:

- Mild discomfort

Are there any other associated symptoms?:

- No other symptoms

How is your digestive health?:

- Occasional bloating or gas

Have you previously undergone any treatments for this condition?:

- Antibiotic treatment

What is your current diet like?:

- Unsure

How is your stress level currently?:

- Moderate — some stress
Writing an explanation of your symptoms through Ayurveda...
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Doctors' responses

Immediately consulting the ayuevedic surgeon and go for ksharasutra terapy and minimal invasive method less reoccunrnce and complications


0 replies

In Ayurveda, Bhagandara (fistula-in-ano) is considered a chronic tract disorder caused by vitiated Vata + Pitta + Kapha affecting the anal region. A 7.2 cm tract with active discharge indicates a developed fistula that needs definitive treatment, not only medicines. Most effective Ayurvedic management: Kshar Sutra Therapy (para-surgical) Medicated thread is placed in the tract to gradually cut, drain, and heal from inside Safe, minimally invasive, and low recurrence rate Track of 7.2 cm may take 6–10 weeks (or more) depending on healing


0 replies

The Recommended Gold Standard Treatment For a fistula with a track of this length, doctors on the platform strongly advise against relying solely on medicines. The most effective Ayurvedic management is: Kshar Sutra Therapy:---- This is a para-surgical procedure where a medicated thread is placed in the track. It gradually cuts, cleanses, and heals the fistula from the inside out. Why it’s recommended: It has a very low recurrence rate compared to conventional surgery and is minimally invasive. For a 7.2 cm track, the process may take 6–10 weeks or more, as the thread is changed weekly to facilitate gradual healing. Supportive mediciens- 1.Triphala guggulu 2 tab twice daily with water after meals 2.Saptavismshati guggulu 2 tab twice daily with water after meals 3.Abhyaraishta 20 ml with 20 ml water twice daily after meals Vital Lifestyle & Digestive Care Since you mentioned occasional bloating and an “unsure” diet, stabilizing your digestion is critical to prevent pressure on the anal canal: Sitz Bath: Soak in a tub of warm water with a pinch of salt or Triphala Churna for 10–15 minutes twice daily. This reduces discomfort and maintains hygiene. Dietary Fiber: Increase intake of leafy greens, papaya, and whole grains. Avoid spicy food, non-veg, and refined flour (maida), as these cause constipation and aggravate the fistula. Hydration: Drink at least 2.5–3 liters of water daily to keep stools soft.


0 replies

Hello, Your report clearly confirms a fistula in ano with a 7.2 cm tract connecting to anal canal This is not a simple piles issue - it is a track infection, so proper treatment is essential Good thing -no branching -mild symptoms -> This is early/manageable stage Ayurvedic view First truth (important) -fistula rarely heals with medicines alone -best Ayurvedic treatment= ksharasutra therapy (non surgical) -highly effective -minimal recurrence -recommended in your case Internal medication 1) Guggulutiktakam kashaya tablet= 2 tabs twice daily before meals =reduces infection and inflammation 2) Kaishor guggulu= 2 tabs twice daily after meals =helps healing of tract 3) Triphala tablets= 2 tabs at night with warm water =keeps stool soft very important External care (daily must) -Jatyadi taila =apply locally after cleaning= promotes healing and reduces discharge Sitz bath (compulsory) -warm water + turmeric or triphala -10-15 min daily =reduces infection and pain Diet -fiber rich diet -vegetables, oats -warm water -ghee small amount Avoid -spicy, non veg heavy food -fried/ junk food -constipation biggest enemy Lifestyle -don’t sit for long -avoid straining in toilet -walk daily Recovery expectation -symptoms relief= 2-3 weeks -complete healing = difficult with kshrasutra= proper cure in few weeks Medicines will control symptoms but for permanent cure, you should consult for ksharasutra therapy Do follow Hope this might be helpful Thank you


1 replies
Dharmendra Kumar
Client
40 days ago

Thank you for helpful advice.

Follow some simple lifestyle changes and dietary changes and you will see results for your problem. ??Do’s?? Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. ?Don’ts:? Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake. ??Medication ?? Tab. Ampachak Vati 2 tabs twice a day before food. Tab.Gandhak Rasayan 2 tabs twice a day before food. Tab. Kutaj parpati vati 1 tab twice a day before food. Syp. Abhayarishta 2 tsp with half a cup of warm water after food. Castor oil 2 tsp at bed time with a cup of hot water.


2 replies
Dharmendra Kumar
Client
40 days ago

Follow above advice and Precaution, My fistula will heal without ksharsutra?

Not completely heal. As it is a big tract you should go for ksharsutra for better result. A combo of kshar sutra and the above mentioned medicines and changes will help your recovery quick.

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