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Ksharsutra Treatment Fistula Treatment without Surgery

"Ksharsutra treatment is more effective & convenient as compared to surgery in the patients of Anal Fistula"- Indian Council of Medical Research.

Fistula in ano is a disease which is manifested as a small nodular swelling around the anal region, with occasional pus or watery discharges. It has been noticed in some of the patients that swelling & pain has subsided after the pus has discharged out however after a certain interval of time; the swelling and pain may reappear which is again followed by pus discharge and subsequent relief in the symptoms. This cycle goes on. 

However in other cases regular discharges & stickiness in the anal area may be noted. Even today when the modern surgery is at its peek, fistula in ano is still a challenge to the surgeons for its incidence of recurrence after surgery & postoperative complications like stool incontinence, pain and bleeding etc.

The Ksharsutra Therapy devised by ancient ayurvedic surgeon i.e. acharya sushruta is the only fool proof method available to cure anal fistula. The efficacy of this ksharsutra treatment is better than the most recent VAAFT or MAFT techniques advised by modern surgeons for treating this disease.

Indian Council of Medical Research has clinically evaluated this technique. Trials of Ksharsutra therapy has been clinically conducted at four centers including AIIMS New Delhi and PGI Chandigarh. The results of these trials have been released officially. Ksharsutra is more effective and convenient treatment for treating anal fistula.

Ksharsutra - A medicated thread is prepared by applying the coatings of apamarg kshara, haridra churna and many other ayurvedic herbs. All these herbs are mixed with snuhi ksheer that is used as binding agent. Ultraviolet radiation is used for sterilizing the thread. The combined effect of all the these herbs exert strong debridement effect and thus induce healing by the fresh and healthy granulation tissues. The latest concept of Graded Ksharsutra™ {a research product of Sushruta Ano Rectal Institute new Delhi} is more effective than the conventional ksharsutra therapy.

Routine checkup of the patient is done with special reference to other disorders like hypertension, diabetes mellitus, tuberculosis etc. The next step involved in this treatment is identification & evaluation of the fistulous tract. Careful probing with malleable probes helps in the proper assessment of fistula tract regarding its length, depth and branching pattern.

USG or fistulogram emerges as a primary requirement in complicated cases like high anal fistula, recurrent fistula and fistula with multiple openings and branching patterns. After accurately defining the tract, it has to be ligated with Ksharsutra. The replacement of the old sutra with a new Ksharsutra is done every seventh day till there is a finale cut through.

As per observations, the length of the tract reduces by 0.5 to 1 cm per week. But several factors help modify cutting rate of fistula tract. In case of post surgical recurrence, abundance of fibrous tissue is the major factor that reduces the cutting rate.

The Kshar present in Ksharsutra acts as powerful debriding agent & selectively acts on the unhealthy tissues, pus pockets etc. This process of debridement & healing starts from deeper tissues & travels towards periphery in stages.

1. In Ksharsutra treatment, the postoperative complications such as fecal incontinence, recurrence of the disease, bleeding etc. are not seen. 

2. No general anesthesia & no hospitalization is required. 

3. Patient maintains his normal routine activities as usual during treatment period.

Other indications of Ksharsutra
 
Hemorrhoids
Anal fissures
Chronic discharging sinuses with osteomyelitis
Pilonidal sinuses
Non healing wounds
Milk fistula
Tubercular sinuses
Genital warts
 
Other methods of application of Kshara
 
Kshara varti
Kshara pitchu
Kshar pratisaran
 

Fistula Treatment FAQs

Question 1 - What is fistula?
Answer - Fistula-in-ano or anal fistula is a tract lined by unhealthy tissue, which is a seat of chronic infection. The tract on one side is connected to anal canal & the other end opens on the skin. This problem presents it self as a small swelling or cyst in the peri anal region. Some times the swelling increases in size & there may be some pain. However as soon as this swelling bursts the pus & blood discharges come out & there is relief in the pain. But this cycle is again repeated after an interval of few days.

Question 2 - What are the fistula symptoms?
Answer - The most common symptom of fistula is pus , blood or watery discharges through anus or through a mildly painful nodular mass present in the perianal region. When in a inactive form; there may not be any symptoms but may get active at any time with all associated symptoms as already mentioned.

Question 3 - How does it occur?
Answer - It results because of the chronic infection in the anal wall or in the internal gland of the anus. The long periods of infection along with chronic inflammation may be the possible reason. However, it is commonly seen that a chronic fissure may lead to anal fistula. Similarly peri anal abscess may lead to anal fistula after incision & drainage of the abscess. It is not necessary for the fistula to be present only where the abscess is present. It can be present without the same connected just to the skin but precisely located in the anal region and near anal opening.

Question 4 - How is it diagnosed?
Answer - Anal fistula is clinically diagnosed by its typical presentation, however the proper evaluation of the anal fistula w.r.t. its depth, direction & branching pattern is done by M.R.I. fistulogram or clinically by probing.

Question 5 - What are the Causes of Anal fistula?
Answer - 1. Due to infection of anal fissure
2. Due to trauma by passing hard stools, that may get - subsequently infected to develop into anal fistula.
3. The diseases like ulcerative colitis, chrohns disease, diabetes, ca rectum are likely to develop anal fistula.

Question 5 -Where to find best fistula treatment doctor/clinic in Delhi?
Answer - Dr.S.K.Singh (Gold Medalist), M.S.(Ayurveda)B.H.U, is a famous Ayurvedic doctor in Sector-7, Rohini Delhi-110085. He provides best ksharsutra treatment for Fistula without surgery. You can contact him directly at Mob: 9810424324 9810159275

Question 6 - What are the benefits of ksharsutra treatment?
Answer - Before we tell you the advantages and benefits of the ksharsutra therapy, it is first important to understand the basic nature of it. It is one of the therapies that have their origination from the roots of Ayurveda. The therapy is carried out for the treatment of various types of fistula, & pilonidal sinus. 

Being minimally invasive in nature, the technique is rather a very simple one. The success rate of the graded ksharsutra™  involves a good percentage of 99.9 out of every 100 cases. The recurrence rate being zero to less than one percent is far lower than other treatment methods. It does not require to go through hours of surgery but is performed in minimum time using local anesthesia. The best part is the fact that most of the times, the after care does not require a prolong use of antibiotics & hospitalization.


Question 7 - How can we take care?
Answer - There are a number of things that patients need to take care during and after the ksharsutra treatment. The most important one are outlined here -
A. While defecating, it is very important that one does not put extra strain on the system. Take the help of some mild laxatives(stool softeners)
B. Eat food items that are rich in dietary fibers and at all costs avoid fried, spicy foods, junk food that may cause burning, irritation & constipation.
C. Follow light exercise routine and make sure that the morning and evening walks are included in the regime.
D. Avoid sitting for longer hours.
E. Frequent Local applications of sushruta ointment, sushruta oil,& some local anesthetic gels are very beneficial for their soothing effects.
F. Frequent use of sitz bath is also very helpful.

Question 8 - What are the popular modes of treatments available?
Answer - There are many ways which describe the treatment of fistula both in men and women. Depending on the nature and intensity of the problem the doctors suggest medicines and surgeries for the same. The treatment of anal fistula is a big challenge for modern surgery. A large no. of techniques have been developed including the plug therapy & latest VAAFT/MAFT techniques. But these are also associated with fairly high incidence of recurrence.There is a considerable proof that ayurveda graded ksharsutra is much better than these modern methods of surgery as the chances of recurrence are negligible.

Anal Fistula Surgery Complications ?
Answer -Most common complication in Surgery for Anal Fistula are:
Infection: All surgeries carry some risk of infection. In some complex fistula; surgery might be carried out in several stages. In such cases; infection can spread to surrounding tissue.
Bowel incontinence: Fistula surgery has the potential to damage muscles of anal sphincter specially when fistula involves sphincter muscles. These muscles are responsible for controlling bowel movements. When sphincter damage occurs; the strength of muscles is compromised and there can be some loss of control of the bowels leading to leaking of feces from rectum. This is referred to as bowel or fecal incontinence.
Recurrence of Fistula Recurrence rate after surgery for anal fistula is as high as 15-20%; depending upon type of fistula and surgical procedure used to remove fistula.
Pain Anal region is very sensitive area so there can be very intense pain after surgery for anal fistula.
Some other complication after surgery for Anal Fistula include Urinary retention, Heavy bleeding or discharge from surgery site etc.
These possible complications after surgery for Anal Fistula; make surgery a bad choice for fistula treatment.

Question 9 - Types of Fistulas?
Answer - Fistula can be divided into subcategories which are as follows
Inter-sphincteric fistulas - These are the ones that are confined to the internal sphincter. There is also a strong possibility that these extend till the perineal skin.
Trans-sphincteric fistulas - These pass through external, internal sphincter in areas located between perianal skin and anal canal.
Supra-sphincteric fistulas - These pass upward around the external sphincter after crossing internal sphincter right above the puborectalis muscle.
Extra-sphincteric fistulas - These are the ones that are rare to find and also the most tough ones to be diagnosed. In this type of fistula, the tract bypasses both the anal canal and sphincter, then pass from the levator ani muscle and ischiorectal fossa before exiting its way into the rectum.
Superficial fistulas - These types of fistula neither cross the internal sphincter nor the external ones. There is strong possibility that the fistula is present because of the crohns disease.

Question 10 - Is it possible to treat fistula without undergoing any sort of surgery?
Answer - Yes; Ayurveda offers treatment to the fistula with the help of herbs and its own practices. There have been cases where people have been relieved completely of the problems and its symptoms using Ayurveda. Ksharasutra is one of the most important means used in the process to treat Anal fistula. Best thing with Ksharsutra treatment (as discussed above) is that there are negligible chances of recurrence after Ksharsutra treatment.

Question 11 - Can Ayurveda treatment cure 100% fistula disease?
Answer - Yes! Ayurveda has the potential of treating fistulas completely from its roots. It has been scientifically proved by Indian council of medical research (I.C.M.R.) through the clinical trials (1990) conducted at AIIMS New Delhi, PGI chandigarh etc. It was concluded in this research that in the patients of fistula-in-ano, kshar sutra treatment is more effective & convenient as compared to surgery. Complex multiple Fistula in ano, High anal fistula, Recurrent fistula with surgical failures, Fistula treated with MAFT/VAAFT technique but with recurrence. Finally, these patients were successfully treated by graded ksharsutra™ treatment.

Home remedies for Anal Fistula ?
Answer - Anal Fistula is an infective condition. As such there is no home remedy for anal Fistula. So instead of wasting time in searching for home remedies for anal fistula you should plan for complete treatment i.e. Ksharsutra Treatment for Anal Fistula as soon as possible

Dr. S.K. Singh M.S. (Ayurveda) Gold Medalist (B. H. U.)

*Best ayurveda surgeon award by Ajmal khan society new delhi

*Doctor of the year award by DAV Rearch Society new delhi

*Member-National Academy of Ayurveda, Govt. of India

Ex. Senior ano-rectal (ayurveda) specialist MOOLCHAND HOSPITAL, DELHI

Ex. Senior kshar sutra specialist-maharishi ayurveda arogyadham Delhi, India

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Dr.S.K.Singh(Gold Medalist)
M.S.(Ayurveda)B.H.U

sushruta ano-rectal institute pvt ltd.
A-3/97, Sector-7, Rohini
Delhi-110085 (India)
Mob:9810424324  9810159275
Tel 91: 011- 27053357 ,91- 011-47595537 

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The opinions expressed on the Site and by The Doctors are published for educational and informational purposes only, and are not intended as a diagnosis, treatment or as a substitute for professional medical advice, diagnosis and treatment. Please consult a local physician or other health care professional for your specific health care and/or medical needs or concerns.
The Site does not endorse or recommend any commercial products, medical treatments, pharmaceuticals, brand names, processes, or services, or the use of any trade, firm, or corporation name is for the information and education of the viewing public, and the mention of any of the above on the Site does not constitute an endorsement, recommendation, or favoring by The Doctors and/or Stage 29 Productions LLC.
© 2013 - 2014 | Ayurcure | All Rights Reserved Design By : Zoom HKG

Social Links

team
team
team
team

Links

team
team
team

Address

Dr.S.K.Singh(Gold Medalist)
M.S.(Ayurveda)B.H.U

sushruta ano-rectal institute pvt ltd.
A-3/97, Sector-7, Rohini
Delhi-110085 (India)
Mob:9810424324  9810159275
Tel 91: 011- 27053357 ,91- 011-47595537 

The opinions expressed on the Site and by The Doctors are published for educational and informational purposes only, and are not intended as a diagnosis, treatment or as a substitute for professional medical advice, diagnosis and treatment. Please consult a local physician or other health care professional for your specific health care and/or medical needs or concerns.
The Site does not endorse or recommend any commercial products, medical treatments, pharmaceuticals, brand names, processes, or services, or the use of any trade, firm, or corporation name is for the information and education of the viewing public, and the mention of any of the above on the Site does not constitute an endorsement, recommendation, or favoring by The Doctors and/or Stage 29 Productions LLC.
© 2013 - 2014 | Ayurcure | All Rights Reserved Design By : Zoom HKG