Kshar Sutra Thread

Question

I was recently diagnosed with a perianal fistula, and my Ayurvedic doctor suggested undergoing Kshar Sutra therapy. I learned that this treatment involves the use of a medicated thread called the Kshar Sutra thread to gradually heal and remove the fistula tract without surgery.

From what I understand, the Kshar Sutra thread is coated with herbal alkaline substances like Apamarga Kshara and Snuhi latex, which have anti-inflammatory, antimicrobial, and tissue-healing properties. Over time, this thread cuts through the fistula, drains the pus, and promotes healing while reducing the chances of recurrence.

I’m very curious to hear from anyone who has undergone Kshar Sutra therapy. How painful is the procedure, and what is the experience like during and after the treatment? Did you feel any discomfort when the thread was replaced or tightened?

Additionally, how long does it take for the fistula to heal completely with the Kshar Sutra thread? My doctor said the duration depends on the depth and complexity of the tract, but I’d like to know what others have experienced.

Are there any precautions to take during recovery, such as dietary changes or hygiene practices, to avoid infections? I’ve been advised to eat soft, fiber-rich foods and drink plenty of water to prevent strain during bowel movements.

If you’ve undergone Kshar Sutra therapy with the medicated thread, please share your experience. Was it successful, and did it prevent recurrence?

Dr. Harsha Joy · Accepted Answer

Kshar Sutra therapy is a popular Ayurvedic treatment for perianal fistulas, where a medicated thread coated with herbs like Apamarga Kshara and Snuhi latex is used to gradually heal the fistula by cutting through the tract, draining pus, and promoting tissue healing. Many people find the procedure to be uncomfortable but not extremely painful, though there may be mild discomfort during the thread tightening or replacement. The healing process can take anywhere from a few weeks to several months, depending on the severity of the fistula. To support recovery, it’s important to follow dietary advice such as consuming soft, fiber-rich foods and staying hydrated to avoid strain during bowel movements. Hygiene practices are crucial, including regular cleaning and care of the treated area to prevent infection. While success rates are generally high, there’s always a possibility of recurrence, so careful monitoring and follow-up are essential. Overall, Kshar Sutra therapy is effective for many, offering a non-surgical alternative for fistula treatment.

Dr Sujal Patil · Answer

Kshar Sutra therapy is a popular Ayurvedic treatment for perianal fistulas, where a medicated thread coated with herbs like Apamarga Kshara and Snuhi latex is used to gradually heal the fistula by cutting through the tract, draining pus, and promoting tissue healing. Many people find the procedure to be uncomfortable but not extremely painful, though there may be mild discomfort during the thread tightening or replacement.

The healing process can take anywhere from a few weeks to several months, depending on the severity of the fistula. To support recovery, it’s important to follow dietary advice such as consuming soft, fiber-rich foods and staying hydrated to avoid strain during bowel movements.

Hygiene practices are crucial, including regular cleaning and care of the treated area to prevent infection. While success rates are generally high, there’s always a possibility of recurrence, so careful monitoring and follow-up are essential. Overall, Kshar Sutra therapy is effective for many, offering a non-surgical alternative for fistula treatment.

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