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Anal fistula and fissure
I have fissure for last 6 weeks ...my fissure is recurring one . 4 days before it have bump with pus , I did mri my doctor told there is small fistula tract , he told me to go for surgery
But I plan do ksharasutra it will completely heal fistula
How much time for healing ?
Mri report - small sinus tract with blind ending
Tract - 6mm length and 2.5 mm dia at 6 clock position
Answers (12)
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Hello,
It is a good decission to go ahead with kshar sutra. But please do undergo with a licensed ksharpractioner. Regarding your concern only the doctor who has examined you will be able to give an answer to this. on a general note it may take anywhere between 21 days to 2 months.
Next Steps
Please visit an Ayurvedic practioner practicing Ksharsutra near you at the earliest.
Health Tips
Relax and voice your concern to the doctor when you meet them. also follow the diet that is suggested exactly to hasten the procedure of healing.
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For a small fistula tract ,Ksharasutra therapy usually takes a few weeks to heal completely, but the exact duration depends on the tract’s complexity, your body’s healing response, and how consistently the thread is changed. You need to consult an ayurveda anorectal surgeon for physical examination and further evaluation.
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Consult for proper treatment plan.
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Namastey
Based on your MRI findingsâa small sinus tract with blind ending (6 mm length, 2.5 mm diameter at 6 oâclock position)âthis appears to be an early, low anal fistula, likely originating from a recurrent fissure that got infected and formed a localized tract. In such small and superficial tracts, Ksharasutra therapy is a well-established Ayurvedic parasurgical approach and can be very effective when performed correctly. It works by gradually cutting, draining, and healing the tract simultaneously, minimizing recurrence when compared to simple drainage procedures.
For a tract of your size, healing is usually faster than larger or complex fistulas. Typically, the cutting and healing rate is about 0.5â1 cm per week, so in your case, it may take approximately 2â4 weeks for tract resolution, followed by additional time for complete tissue healing. Overall, you can expect 3â5 weeks for recovery, depending on your bodyâs healing response and local care. The success of the procedure depends heavily on proper technique and follow-up sittings.
KsharSutra procedure will cure it completely, but reoccurence can be ensured by avoiding the root cause like avoid constipation and other contributing factors.
Next Steps
You are at a stage where timely intervention can prevent progression into a complex fistula, so delaying treatment is not advisable. For personalized guidance and proper management of your condition, you can connect with us at 9 3 1 5 6 6 1 5 6 5, where you will receive structured care and monitoring for optimal recovery.
Health Tips
Proper local hygiene and bowel habits play a crucial role in healing. Keep the anal region clean and dry, and avoid prolonged sitting or straining during defecation. Ensure that your stools remain soft and well-formed, as hard stools can aggravate both fissure and fistula. Warm sitz baths can be very helpful in reducing discomfort and improving local circulation, thereby supporting healing. Avoid spicy, oily, and constipating foods, and maintain a routine that supports smooth bowel movements and reduces pressure on the anal region. Consistency in these habits will significantly improve outcomes and reduce the chances of recurrence. Thank you
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Based on your MRI findings, the tract described (6 mm length, 2.5 mm diameter, blind-ending sinus at 6 o’clock position) suggests an early, simple fistulous tract.
In such small and uncomplicated cases, both surgical management (like fistulotomy/laser) and Ksharasutra therapy are effective options.
Ksharasutra therapy is particularly useful in early and low-lying tracts, as it allows gradual cutting and healing with a low recurrence rate and minimal risk to sphincter muscles. In your case, healing may typically take around 5-7weeks with weekly thread changes.
Surgical options, on the other hand, provide faster resolution, with healing usually within 3-4weeks,but the choice depends on patient preference, availability of expertise, and comfort with follow-ups.
Since you also have a history of chronic fissure, it is important to manage underlying constipation and local hygiene, as persistent fissure can contribute to recurrence.
I would recommend discussing both options with a qualified surgeon (note-Small risk of recurrence .If not done carefully → sphincter risk (but low in small tracts like yours) or Ksharasutra specialist and choosing the approach based on your convenience and access to experienced care.
Early treatment in such cases generally gives excellent outcomes.
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Kshar sutra is a good treatment . However get it done from a reputed clinic. Also, after the procedure strictly follow HAIP DIET and consume Gut Healing Tea mentioned in HAIP DIET Cookbook. Some herbs and supplements can help for which you can get in touch.
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Healing depend on patient to patient.
Next Steps
eat fibrediet, triflachurnwith lukewarm water at night before sleep for constipation.
Health Tips
do yoga pranayam meditation exercise regularly
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Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine
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Though it's small but carries its own length of cure.
Plz consult ksharsutra expert
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A fissure change into fistula only if fissure occurance ignored many times. I am a panchkarma dr and treated my piles fistula cases through shar sutra but for for this treatment u have to contact Dr shikhesh mittal regarding ur concern at her clinic Niramay ayurveda skin clinic sec 51 near Mall 51 gurgaon. she is available on WhatsApp video call also timings 11am - 1pm. Book her consultation from practo app. Writting her name- Dr. Shikhesh Mittal
Next Steps
take softovac granules 1 tsp daily with luck warm water just before bed time. Don't get afraid if motion increases like going 3-4 times a day bus yes just after 3 days u will feel better. so take deep breath to settle down anxiety, also do yoga Pranayam. eat healthy.
Health Tips
regularly eat one full plate of cucumber and tomato . contact eight zero five nine three zero three four five nine
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Dr. Preeti Paliwal
Ayurveda
14 yrs exp
Gurgaon
Examination is very important.Appox.1cm tract cut in one week of ksharsutra so healing depends on patient to patient. Don’t delay treatment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.