Considering your history of repeated procedures, I would not advise another surgery merely on the basis of a suspected “beginning of fistula.” First, get the diagnosis clearly established and determine whether there is a definite tract and whether the sphincter is involved. In recurrent or complex cases, imaging such as pelvic MRI can sometimes help map the tract before deciding on another intervention. If a fistula is actually confirmed, there is unfortunately no reliably proven non-surgical treatment that permanently cures a typical anal fistula; however, treatment does not necessarily mean another extensive surgery. Sphincter-preserving options may be considered depending on the anatomy. For better treatment and personalised guidance, you may connect with us at 9 3 1 5 6 6 1 5 6 5 for proper treatment and guidance.

For now, concentrate on maintaining soft, well-formed stools and avoiding straining, because repeated hard stools and excessive pressure can aggravate the previously operated area. Maintain adequate hydration, include fibre according to your tolerance, follow a regular toilet routine and continue warm sitz baths if they provide relief. Avoid repeatedly pressing, probing or squeezing the small opening. Because you have already lost substantial weight, adequate nutrition and gradual recovery of strength are also important. If you develop new swelling, increasing pain, fever, pus/foul-smelling discharge, recurrent abscess-like symptoms or difficulty passing stool, seek prompt medical assessment. With your history, the goal should be “confirm first, intervene only if necessary.” A small postoperative opening does not automatically mean that you need a fifth or another major surgery. Thank you