I understand your concern. You have already gone through multiple painful procedures, so your worry about another surgery is completely valid. After Kshar Sutra and fissure surgery, sometimes a small dot-like opening or granulation tissue can remain in the wound area, which can give a feeling of incomplete evacuation and may be an early sign of recurrence. Since you have no bleeding, discharge or much pain, it is a good sign, but it still needs proper evaluation by your operating surgeon / proctologist to confirm if it is a residual tract or just healing tissue. For non-surgical support, along with your surgical follow-up you can focus on: 1.  Avoid constipation at any cost: High fiber diet, 2.5-3L water, avoid long sitting and straining. Incomplete evacuation often worsens due to hard stools. 2.  Sitz bath:  Warm water sitz bath 2 times a day for 10 mins helps healing. 3.  Do not self-apply any creams / kshar without examination. In Homoeopathy, we have supportive medicines to help with bowel regularity, wound healing and to reduce tendency of recurrence, but it can only be planned after detailed history and seeing your operative notes. It is not a replacement for surgical opinion in fistula cases.

More details needs. For further assistance please consult me via practo.

Some more details required for proper treatment and diagnosis You can consult me on practo either on eight seven five double zero two double seven one eight

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Take homeopathy treatment

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I understand how difficult and exhausting repeated procedures can be. The small dot-like opening you describe may indicate a residual or recurrent fistula tract. Since there is currently no discharge or significant pain, conservative management may be considered initially. Homeopathic treatment can be considered based on your complete history and present symptoms.

Hi Practo user A homoeopathic treatment will give you best results naturally You can easily take an online consultation for personalised treatment Or click on the calling option over my profile on Practo

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Please try to connect online first and with a proper case analysis your issue will definitely be resolved and you will be more satisfied then.. Consultation timing ➡️ Monday to Friday from 11 am to 2 pm in day and 4 pm to 8 pm at evening.. WhatsApp option ➡️ seven nine eight seven four two nine six four one..😊👍🏻

Since you have already undergone surgery 4 times, a proper clinical assessment is very important before starting any treatment. The cause, location, and extent of the fistula need to be evaluated carefully. Homeopathy may help to reduce pain and improve your gut health and heal internal wounds .. improve over all health Book an online consultation for personalized advice and guidance.

Take proper homoeopathic  treatment  which will help u Consult online with details

Homoeopathic treatment.

It must be so traumatic for you to have gone through so many surgeries . Let’s try and make sure that you don’t need another one ! Please start Homoeopathic treatment asap.

●𝗬𝗲𝘀 𝗶𝘁  𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 . ●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰 ●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳. ●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁. ●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲     𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.

Hello. I completely understand your physical exhaustion and distress after going through four painful anal surgeries at such a young age. Undergoing repeated procedures and experiencing weight loss is exhausting, and it is completely natural that you want to avoid surgery entirely. The encouraging news is that homeopathy offers a deeply effective, gentle, and 100% non-surgical alternative for recurrent fissures and post-surgical fistulas. Instead of cutting or scraping tissue, constitutional homeopathic medicines work internally to heal the tract, improve incomplete evacuation, boost your overall vitality, and restore your body's natural healing capacity without any painful procedures or side effects. For a comprehensive recovery plan tailored to help your body heal naturally, my new case consultation fee is 22000, which completely covers your consultation charges, customized medicine preparation, and secured doorstep delivery. You can view recovery journeys and video testimonials from patients who healed chronic surgical cases on my Instagram page [healthrisebydrkiran]. Please feel free to reach out to me at 915822545 nine to schedule your appointment directly! Warm regards, Dr. Kiran Mate.

Homoeopathy will help.  Kindly consult through practo.

A small **dot/opening near the previous wound** can have several causes, including a healing sinus, scar tissue, recurrent fissure-related change, or an early fistula. The absence of bleeding, discharge, and significant pain is reassuring, but **it does not completely rule out a fistula**. The feeling of **incomplete evacuation** can also occur because of constipation, stool consistency, pelvic-floor spasm, scar-related narrowing, or other anorectal problems. Therefore, it is important to identify the exact cause before deciding on another procedure. Regarding **non-surgical treatment**, the appropriate option depends on whether there is a true fistula, a superficial healing sinus, or another postoperative problem. At **Unicare Homeopathy**, we can review your complete history, previous surgery details, current symptoms, bowel habits, and investigation reports and provide supportive individualized care. We would also recommend continuing appropriate surgical follow-up rather than delaying evaluation because of the fear of another surgery. Please seek prompt medical attention if you develop **increasing pain, swelling, fever, pus/discharge, bleeding, difficulty passing stool, or worsening symptoms**. If you have your latest examination report, MRI/scan, or previous operative report, you can share it so our doctor can understand the situation better.

Yes there are very good homeopathic medicine for fistula .As you are again seeing a dot i would advise to start Homeopathy as soon as possible .It will be easier for even a doctor to stop the progress of disease.You can visit my clinic Heal Health Homeopathy Abids Hyderabad or you can contact Online through practo or through Google business profile.