Is Kshar Sutra Painful

Question

I was recently diagnosed with a fistula, and my doctor suggested undergoing Kshar Sutra therapy, a minimally invasive Ayurvedic procedure to treat fistulas and hemorrhoids. While I’m relieved that surgery can be avoided, I’m very nervous about whether Kshar Sutra is painful during and after the procedure.

From what I’ve researched, Kshar Sutra involves placing a medicated thread coated with alkaline herbs into the fistula tract to gradually cut through and heal it. It’s said to be less invasive than modern surgery and has a lower recurrence rate. However, the idea of a thread being inserted and tightened over time sounds quite painful to me.

Has anyone here undergone Kshar Sutra therapy for a fistula or piles? How much pain did you experience during the procedure, and how did you manage it? Was the recovery process painful as well, especially when the thread was replaced or tightened?

I’ve also read that the pain can be reduced with Ayurvedic medications and lifestyle changes, like eating fiber-rich foods and avoiding spicy, hard-to-digest meals. Did you find any such tips helpful during your recovery?

If you’ve had Kshar Sutra therapy, I’d love to hear about your experience – how long did it take to heal completely, and was the pain manageable? Your insights will help me prepare mentally and physically for this procedure.

Dr Sujal Patil · Accepted Answer

Kshar Sutra therapy is generally considered a less invasive and effective alternative to surgery for fistulas and hemorrhoids, but it can be uncomfortable, especially during the thread tightening process. Pain varies by individual, but many report mild discomfort during the procedure and some soreness afterward. The pain is typically manageable with Ayurvedic pain relief medicines and topical treatments like Sitz baths or medicated oils.

Recovery time can vary, but many people experience gradual healing over weeks. The thread is replaced or tightened at regular intervals, which can cause brief discomfort but doesn’t usually require full anesthesia. Adopting a high-fiber diet and avoiding spicy or heavy foods can help with healing and prevent additional irritation.

Overall, the process is less painful than traditional surgery and generally has a lower recurrence rate. If you’ve consulted with an experienced Ayurvedic practitioner, they will guide you through pain management and healing.

Dr. Harsha Joy · Answer

Kshar Sutra therapy is an effective Ayurvedic treatment for fistulas and hemorrhoids, offering a less invasive alternative to surgery. While the process involves inserting a medicated thread into the fistula tract, many patients report minimal pain during the procedure, especially when done under local anesthesia. The discomfort generally arises during the thread tightening process, which can cause mild to moderate pain, but it is typically manageable with Ayurvedic pain-relieving remedies, such as turmeric, neem, and warm Sitz baths. Post-procedure, some pain or discomfort might occur, especially when the thread is replaced or adjusted, but this usually subsides within a few days. Recovery time can vary, with most people noticing improvement within 4–6 weeks, depending on the severity of the fistula. Following a fiber-rich diet and avoiding spicy or heavy foods can support the healing process and reduce discomfort. Overall, the pain is usually manageable, and the treatment has a lower recurrence rate compared to surgery. It’s always helpful to communicate with your Ayurvedic doctor to ensure proper care during recovery.

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