1. Lay-open of fistula-in-ano: In this procedure; an operation is carried out to cut the fistula open. After that, it is regularly packed on daily basis to ensure proper healing of the wound. It left’s behind a scar tissue and depending upon the location of Fistula in relation to sphincter muscles there might be some risk of stool incontinence and if it is not healed properly; there are chances of recurrence.
2. Cutting seton: This treatment involves inserting a tube in fistula tract and tying it outside the body. Seton is tightened on regular basis to ensure cutting the fistula tract. So it is the tightened seton which causes cutting of tract. This procedure might involve too much pain and in some cases, there might be incontinence especially of flatus.
3. Fistulectomy: It is a surgical procedure where complete Fistula tract is excised (cut out). In certain cases; there might be more than 1 surgery. Recurrence of fistula and stool incontinence are the possible post-treatment complications.
4. Colostomy: In this procedure; an opening is made by drawing part of the colon through an opening to the anterior wall of the abdomen. A Stoma appliance is fixed to this opening to make an alternate way for stool to leave the body. This procedure is done to avoid contact with the faecal matter with Fistula assuming that it will lessen the chances of infection and fistula will heal easily. Along with recurrence of fistula and incontinence, there are certain other complications in this procedure like the formation of hernia near Stoma opening, Stomal blockage; another fistula formation near Stomal opening etc.
5. Fibrin glue injection: In this procedure; biodegradable glue is injected into the fistula tract which is supposed to close the fistula and let it heal naturally. The recurrence rate in Fibrin glue injection is as high as 30-35%.
6. Fistula plug: This treatment involves plugging the fistula tract from inside with a plug made up of intestinal tissue. The complication in this treatment involves treatment failure, plug extrusion, abscess at the site of plug etc.
7. Endorectal advancement flap: In this procedure; an internal opening of Fistula is identified and a mucosal flap is cut around the opening and opening is closed with this flap. After that external opening is cleaned and sutured. The main complications in this treatment are the failure of treatment and recurrence of fistula.
8. LIFT Technique: Ligation of Intersphincteric Fistula tract procedure; involves the closure of internal opening of Fistula tract and removal of infected tissue. Recurrence of Fistula is the main complication in LIFT procedure.
9. VAAFT (Video-Assisted Anal Fistula Treatment): With fistuloscope fistula tract is visualized and location of an internal opening is confirmed. After that internal opening is closed using stapler or flap made from a layer of skin and the internal layer of the intestine. Disadvantages of VAAFT include reopening of the internal opening leading to failure of treatment and recurrence of fistula.

In case you have a concern or query you can always consult with us & get answers to your questions. Book An Appointment for Fistula Treatment!

• Take plenty of fluids; 
• Take adequate fiber-rich food items; 
• If needed you can take some laxative occasionally (under supervision of Ayurvedic physician)
• Do not go for defecation if you are not feeling urge for defecation
• Do not strain too much while defecation
• Do not sit for long during defecation. Maximum of 5 minutes for defecation.
• Maintain active daily routine.

In case you have a concern or query you can always consult with us & get answers to your questions. Book An Appointment for Piles Treatment!

1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Fistula which include Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have a pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Fistula.
2. There are symptoms you can look out for: Some of the symptoms that indicate Fistula include appearance of a nodular swelling in area surrounding stool pass area. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and the patient feels relief. But after a certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of Fistula.
3. Medication can only provide temporary relief: Antibiotics and painkillers might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding stool pass opening. 
4. Anal Fistula can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Fistula.
5. Anal Fistula treated by Graded Ksharsutra does not recur: Ayurvedic treatment for Fistula is known as Ksharsutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induce healing of the Fistula tract. In a few weekly sittings of Ksharsutra change; Fistula gets healed completely and it does not recur. Patient can maintain his normal routine life during the treatment period.
6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection.
7. Oily and spicy foods should be avoided: When dealing with Fistula, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Piles also known as hemorrhoids, are dilated, engorged veins carrying blood in the anal canal. In simpler words, these are dilated blood veins that are located near the areas of the anus. Piles are mainly of two types in nature namely:

• Internal Hemorrhoids
• External Hemorrhoids

The internal ones are more common in occurrence in the human body than the external ones. Most often, these appear around two centimetres above the opening of the anal canal.

As the name suggests, the external piles occur on the outside area of the anus.

Whereas the internal piles are present inside the anal canal. Here are different stages of internal piles.

• 1st stage- The patient complains of painless bleeding during defecation.
• 2nd stage- There is painless bleeding along with mass protruding out per rectum during defecation which gets reduced by itself or manual reduction is necessary.
• 3rd stage- Pile mass could not be reduced back or if reduced by force; these come out even on coughing, walking or sitting
  Some classify piles differently as when the manual reduction is required; it is the 3rd stage while when pile mass is not reducible; it is the 4th stage of internal piles.

Some classify piles differently as when the manual reduction is required; it is the 3rd stage while when pile mass is not reducible; it is the 4th stage of internal piles. 

Patients suffering from fissure may experience a sharp itching or burning sensation in the anorectal region after passing stool. This may be accompanied with visible cracks in the skin around the rectal area, spasms and a sentinel pile. Sentinel pile is a tag of skin that develops if the problem of Fissure persists for a longer duration of time. In a few cases, patients may notice some amount of bleeding.