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Fistula like dot structure
I had undergone kshar sutra & fissure tissue removal surgery 4 months ago. Now doc told that in the wound area there's a dot like thing more like beginning of fistula. Which is causing incomplete evacuation. I've undergone almost 4 anal surgeries. My body has become weak & lost lot of weight coz of those painful procedures. I really can't undergo another surgery for same. I have other probs & surgeries too.I have no bleeding or discharge.No much pain too. Is there any alternative way. Please suggest any non surgical cure 🙏🙏😭
Answers (11)
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A small dot-like opening in the wound area after kshar sutra and fissure surgery can be a healing scar dimple, a residual sinus track, or the external opening of a recurrent fistula. Since you have no bleeding or discharge and only mild pain, it may well be scar tissue rather than an active fistula, but that can only be settled by an examination and imaging, not by looking at it from a distance.
Next Steps
Please get reviewed by a colorectal or general surgeon with an MRI fistulogram of the perianal region; this will clearly show whether any track remains and would avoid unnecessary repeat surgery. Until then, keep stools soft with a high fibre diet, plenty of water and a stool softener such as isabgol, take warm sitz baths twice daily, avoid straining, and keep the area clean and dry. Also get haemoglobin, blood sugar and a basic nutritional check done, as weight loss and weakness after repeated surgeries need correction.
Health Tips
Get seen sooner if you notice pus discharge, bleeding, fever, increasing swelling or severe pain. Not every dot needs surgery, so please do not agree to another procedure without an MRI first. You can discuss your reports with me on a Practo online consult, or come for an examination at Synergy Multispeciality Hospital, Miraj.
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