Fistula in ano - FAQ

Pain | Surgery | Recurrence

Which is best treatment ?

FAQ - Piles - Fistula -plonidal sinus - Kshar sutra

Frequently Asked Questions

Anal Fistula

Here is all information related to Ayurvedic treatment for Fistula, precautions, pain, risks, food restrictions, home remedy during treatment; limitations of surgery and Kshar sutra; thread quality, price; cutting and healing.

Table Of Contents

Is a hole boil / pimple on my buttock called fistula?

Such pimple may be an external opening of a fistula or abscess. You should get it confirmed with MRI and examination by your doctor.

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% chance of becoming abscess in to fistula.

Can fistula be healed automatically on it's own?

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 without surgery?

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

Why do fistulas not heal ?

Due to complex structure and stool particles locked in side fistula tube, body can’t heal the area.

Is anal fistula serious ?

Yes. If it is untreated, it will keep on getting infected repeatedly. Also there are chances of complications like cancer, multiple opening and branches..

Is there any home remedy for fistula?

Patient 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. In Spite of very high failure percentage, modern surgical techniques are followed in huge number all over the world.

How Kshar sutra treatment works in Anal Fistula?

See the animated video =>

Part I – Formation of fistula – time slab between 0 sec to 1.20 min.

Part II – Procedure of Kshar sutra treatment can cure in fistula – time slab between 1.20 min to 3.10 min

Which is the best treatment for fistula ?

Kshar sutra treatment is the best option for anal fistula. If someone is using partial surgery, antibiotics and Kshar sutra, he /she may not be confident about the medicated thread or any one of these techniques. That’s why they try all together. As we use our own manufactured threads and technique, we don’t use multiple surgical techniques.

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 required duration for the treatment?

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

Is Kshar sutra treatment effective in active Crohn's?

Yes. We have treated successfully patients with active Crohn’s disease. In these cases Crohn’s must be under control and patient should follow strict diet restrictions.

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 possible reasons for the failure of Kshar sutra treatment in patients with active Crohn's?

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

Are there any fitness requirements before starting Kshar sutra treatment?

Yes. Patient must be physically and mentally fit for anesthesia and pain. This can be confirmed by blood and other tests before procedure. If patient is unfit mentally or physically, treatment will be cancelled.

Is there any anesthesia used during procedure?

The procedure can be done under local anesthesia.

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 21 years research, we have observed that the thread cuts the sphincter slowly and helps body to create 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 there any possibility of any structural change in anal area after the wound healed completely?

The focus of Kshar sutra treatment is to remove fistula, infection and heal the area without functional loss. So when the wound heals by natural way, we can’t order body to heal the area exactly as it was originally. After any surgical attempt (by any technique) in the anal area always leaves some structural changes / marks.

What is the importance of kshar sutra treatment against surgery?

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 create 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 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.

Does the Kshar sutra thread cut sphincters?

Yes. This treatment is based on simultaneous cutting and healing process. Thread doesn’t cut sphincter in one day. So there is no loss of controll.

What is the cost of Ksharsutra treatment?

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.

Why there is so much difference in the cost of Kshar sutra treatment in India?

Many clinics / hospitals in India may run marketing policy to quote low price which may be the cost of the procedure day only. They don’t disclose cost of hospital stay, medicines, duration of treatment, recurring follow up charges, etc. In our clinic, we quote the whole price. So be cautious and always take decision only after the whole quotation.

What food should be avoided in fistula treatment ?

Spicy and fermented food should be avoided. Detail information will be given on the day of treatment. 

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.

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