How to know if my non-healing fissure is a normal healing process or a fistula? - #55666
Sir Mujhe 18 April 2026 ko fissure with senitenal tag aya Mai ek khar sutra dr ke pass gaya usne mera ek pile with khar sutra kiya aur fissure ka without khar sutra treatment kiya uske 10 days bad unhone mera senitenal tag cut karke nikal diya and 03 may 2026 ko mera dusra piles ka treatment khar sutra se kiya uska thread 3 din me nikal gaya. After 13 days Mere annal area se toda toda fluid discharge ho raha jo ki smalles hai. And Mera fissure abhi tak heal nahi hua.maine ultrasound and colonoscopy karwaya sab report normal hai. Kya yah normal healing process hai ya koi fistula ka track hai..please suggest me.but abhi tak mera fissure heal nahi hua aur toda toda chipchipa rahata hai..
How long has it been since your last treatment for the fissure?:
- More than 4 weeksHow would you describe the fluid discharge?:
- Clear and minimalHave you experienced any pain or discomfort in the anal area?:
- No painDo you have any associated symptoms like fever or chills?:
- No symptomsHow is your bowel movement consistency?:
- Occasional constipationHave you made any dietary changes since the treatments?:
- Reduced spicy foodsHave you been following any specific post-treatment care instructions?:
- Yes, strictlyDoctors' responses
●These herbal remedies are prepared from using best quality herbs and strictly follow the principles of Ayurveda for treat anal fissure. ●Nirgundi Oil-It reduces inflammation and pain. It heals fistula and tones the affected area by proper blood circulation. It’s also a good remedy for female ailments such as amenorrhea, menopause, menorrhagia and Premenstrual syndrome.Apply locally on the area. ●Vara Chruna- It acts as a natural colon cleanser and straighten the gastrointestinal tract. It Boosts the Immune system.1 teaspoon twice daily with warm water. ●Triphala Guggul-It acts as anti-bacterial, anti-inflammatory, anti-oxidant and anti-viral agent. It improves the blood circulation in the rectal region. It enhances the flow of bile and peristaltic movements of intestine. It’s a safe and non-addictive laxative. It has several wonderful property acts as anti-aging and antibiotic. It works wonderfully to heal anal fistula, piles. It also lowers triglycerides, cholesterol and body weight also. It’s an excellent remedy for all type of stomach and liver ailments. It stimulates thyroid and relieves menstrual pain.2 Tablets thrice a day with warm water. ●Pile OFF Capsules – 2 capsules twice daily with warm water after meal. ●Arshkuthar Ras – 1 tablet twice daily with warm water after meal. ●Fig Water Soak 2 dried figs in water overnight. Eat them on an empty stomach in the morning. Relieves constipation and eliminates the root cause of piles. ●Eat Fruits (except Banana, it causes constipation) Green leafy vegetables,Potato,Tomato,Ginger,Beans,Carrot Beetroot▪︎Juices Fruit juice,Aloe Vera Juice,Vegetable juice Radish leaves and its juice Herbal tea mixed with honey Drink plenty of water ●Avoid Yogurt-Cheese,Tea,Biscuits,Fatty foods,Spicy and Junk food,Alcohol,Tobacco.
Pranam. Ek Ayurveda practitioner ke nate aapki takleef aur chinta ko mai puri tarah samajh sakta hu. Ano-rectal procedures ke baad thoda sa bhi aswabhavik (unusual) discharge hona chinta paida karta hai, par sahi samay par ise samajhna aur sambhalna zaroori hai. 1. Discharge ka Vishleshan: Healing Fluid vs Fistula Aapko jo halka, bina smell wala, chipchipa (serous or mucoid) discharge ho raha hai, uske do mukhya kaaran ho sakte hain: Normal Healing Process (Ropaṇa Kriyā): Aapke do Ksharsutra procedures hue hain aur hal hi me (lagbhag 2-3 hafte pahle) sentinel tag cut karke nikala gaya hai. Kisi bhi open wound ya ksharsutra track se healing ke dauran serous fluid (jo chipchipa aur bina badbu ka hota hai) nikalna 100% normal hai. Yeh sharir ka apna tarika hai wound ko saaf rakhne ka. Fissure ka Na Bharna: Fissure ka matlab hai anal canal me ek cut. Jab tak fissure poori tarah heal nahi hota, wahan ke mucus glands thoda extra secretion bana sakte hain, jisse wo area chipchipa rehta hai. Kya yeh Fistula (Bhagandara) ho sakta hai? Aapka yeh sochna swabhavik hai, kyunki ksharsutra ke baad secondary fistula ka risk hota hai. Halanki, fistula hone ka chance abhi bohot kam lag raha hai kyunki: Aapka discharge “smell-less” (bina badbu ka) hai. Fistula me aamtaur par thick, foul-smelling pus (peeb) nikalta hai. Aapki Colonoscopy aur Ultrasound (USG) reports bilkul normal hain. Agar koi active ya bada fistula track hota, to wo USG (ya specialist Perianal USG/MRI) me pakad me aa jata. 2. Piles Thread ka 3 Din Me Nikalna Aur Fissure Ka Na Bharna Thread ka 3 din me nikalna: Piles mass agar chota ho ya uspar ksharsutra tight bandha gaya ho, to kabhi-kabhi tissue jaldi cut jata hai. Par agar mass poori tarah slough off nahi hua aur thread nikal gaya, to wahan residual tissue ya non-healing ulcer reh sakta hai, jo discharge ka kaaran ban sakta hai. Fissure abhi tak heal kyu nahi hua? Parikartika (Fissure) ke heal na hone ka sabse bada kaaran hota hai Anal Sphincter Spasm (wahan ki muscles ka tight hona) aur Constipation (Vibandha). Agar aapka pet halka sa bhi saaf nahi hai ya stool hard hai, to wo fissure ke wound ko baar-baar chheel deta hai, jisse healing ruk jati hai. 3. Agla Kadam: Aapko Kya Karna Chahiye? (Management Plan) Aapko darna nahi hai, par is healing ko promote karne ke liye kuch zaroori steps lene honge: A. Sthanik Chikitsa (Local Wound Care) ••Sitz Bath (Avagaha Sweda): Din me 2 se 3 baar gungune paani me Sphatika Bhasma (Alum powder) ya Panchvalkal Kwath dalkar 10-15 minute baithein. Yeh sphincter muscles ko relax karega, dard kam karega aur fissure ko jaldi heal karega. ••Jatyadi Taila / Ghruta: Sitz bath ke baad anal area ko dry karein aur Jatyadi Taila ko halka sa andar aur bahar lagayein (syringing ya cotton se). Jatyadi taila Ayurveda me Vrana-ropana (wound healing) ke liye sabse best mana gaya hai. Yeh chipchipapan bhi kam karega aur fissure ko heal karega. B. Abhyantara Chikitsa (Internal Ayurvedic Herbs) ••Mridu Virechana (Stool Softener): Fissure ko jaldi bharne ke liye stool ka makhan jaisa soft hona zaroori hai. Iske liye raat ko sote samay 1-2 chammach Triphala Churna ya Gandharva Haritaki Churna gungune paani ke sath lein. ••Triphala Guggulu / Saptamrit Loha: Apne doctor ki salah se inflammation kam karne aur healing badhane ke liye shuru kar sakte hain.
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