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Questions about Fistula in ano

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♦ Does every abscess always become a fistula?

→ No. There is no perfect way to predict the future of an abscess. There is more than 60% possibility of becoming abscess in to fistula.

♦ Can fistula be healed automatically?

→ No. Due to the structure of fistula, it always holds stool particles and other infection. Though the external opening closes automatically or by any medicine, the infection continues to growth and will burst out from external opening.

♦ Is fistula curable by medicines?

→ Any medicine ( antibiotics, ayurvedic herbal or homoeopathic ) can control the infection but they can't assure to cure fistula permanently.

♦ Is there any home treatment for fistula ?

Patientt should not waste time and money in the hope that there is any home treatment / remedy which can cure fistula automatically. Healthy diet, proper cleaning can help body to heal the wound partly. But can not cure fistula in ano permanently.

♦ Can surgery cure fistula?

→ Search for modern surgical techniques in the world itself tells about the failure rate of their previous techniques. Inspite of very high failuer persentage, modern surgical techniques are followed in huge number all over the world.

♦ Can ksharsutra treatment guarantee 100% cure ?

→ No. Though we have high success rate (more than 90%) for fistula cure, we can't assure 100% cure in each and every case. As most of the patients come after multiple failed surgical attempts, it may not be possible to understand and repair surgical damages done during previous attempts.

♦ What can be the reasons for failure of Kshar sutra treatment?

→ The possible reasons for the failure of this treatment are as follows -

- Wrong insertion of thread failing to cover whole fistula track

- Bad quality of thread

- Patients with low immunity / metabolism or with diseases like HIV, Hepatitis B/C, Tuberculosis, Crohn's, Diabetes, etc.

- Improper cleaning and dressing after removal of last thread

♦ What can be the required duration for the treatment?

→ Duration of treatment depends on the length and cmplexity of fistula. It can be variable from 4 to 8 weeks.

♦ Is there any anesthesia used during procedure?

→ The procedure can be done under local anesthesia.

♦ What is the importance of kshar sutra treatment against surgery in fistula treatment?

→ Ksharsutra treatment in fistula can be done under local anesthesia & patient is discharged within an hour. Here no cut or stitches are taken. Patient must come once in a week to change the medicated thread. The herbal coatings of the thread helps body to remove infection and to creat new healthy tissue. The wound gets healed without antibiotics. Just normal dressing is required. No need of hospitalization or bed rest.

♦ Is kshar sutra treatment similar to seton used by surgeon?

→ Not at all. Don't misunderstand Ksharsutra treatment. Seton is not a treatment. It's just an attempt to avoid blockage of fistula. There is no medication in applying seton. On the contrary, Kshar sutra is a medicated thread which removes the infection and helps body to creat healthy tissue.

♦ Is there any possibility of incontinence after ksharsutra treatment as the thread cuts through sphincters?

→ In our 19 years research, we have observed that the thread cuts the sphinctes slowly and helps body to creat healthy tissue. So due to slow cutting and simultaneous healing, the sphincters will not lose their strength and there is very rare possibility of any damage. Patients with low immunity due to any disease or weak metabolism, may have complications due to slow healing.

♦ Is Kshar sutra treatment very painful?

→ As the medicated thread has cutting and healing action, pain will be there. We have modified traditional Kshar sutra treatment to be a less painful. Our patients say that the pain of Kshar sutra is very less as compared with surgery. This pain is manageable by pain killer tablets.

♦ What is the cost of Ksharsutra treatment?

→ In our clinic, we calculate the cost as per complexity and length of the track. So it can vary from case to case. Doctor will tell you cost after actual examination in our clinic. This can't be discussed on phone call.

♦ Are there any food restrictions during treatment?

→ Yes. All instruction will be informed after procedure.

♦ Can I do swimming or Yoga or any other exercise?

→ Patient should strictly avoid swimming and weight lifting. Patient can do limited Yogic exercises. Walking is highly recommended during the treatment.

We have treated patients from many cities in India like Pune, Nashik, Mumbai, New Mumbai, Satara, Kolhapur, Sangli, Solapur, Panvel, Khopoli, Ahmadnagar, Shirdi, Kankavli, Shrivardhan, Ratnagiri ( Maharashtra ), Kolkata ( West Bengal ), Delhi, Ahmadabad, Rajkot ( Gujarat ), Banglore, Udupi, Hubli, Gulbarga ( Karnataka ), Guntur ( Andhra Pradesh ), Hyderabad ( Telangana ), Panaji ( Goa ), Hisar ( Haryana ), Pathankot ( Punjab ), Chennai ( Tamil nadu ), Jamshedpur ( Jharkhand ). Also patients from Dubai ( UAE ), Toronto, Vancouver ( Canada ), Las vegas ( Nevada ), Atlanta ( Georgia ), San Francisco, San Jose ( California ), Boston ( Massachusetts ), Seattle ( Washington ), Phoenix ( Arizona ), Michigan, New Mexico ( All from USA ), London ( England ), Melbourne, Perth, Canberra ( Australia ), Kuwait, Bahrain, Germany, Sweden, Malaysia, Saudi Arabia, Israel, Singapore, Sri Lanka, Afghanistan, Nepal, Philippines, Sudan are cured.

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