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The process is usually slow in standard Kshar Sutra therapy. The thread is typically changed once a week, and the healing time can take up to 2 months, depending on the length of the tract. It is commonly caused by anal gland infection, chronic constipation, poor hygiene, diabetes, Crohn’s disease, or tuberculosis. You should visit our clinic for a proper evaluation. We will examine you, assess your condition, and then decide the appropriate procedure along with medication and dietary advice. This condition is treatable with Ayurvedic management.

Ayurveda is good for this condition provided you are getting it done from a reputed centre. Also keep in mind, this is just localised treatment which will not address the underlying cause.  To deal with it you need to first do HAIP DIET Root Cause Analysis. Based on the findings proper diet and herbs can be advised.  You can contact on whatsapp to get to know the next step

What are u querying? Follow ur Dr ... Infection in body takes time to resolve. Body need to tough n resistant for infection for that ayurved help

Consult me on practo or my number on whatsapp eight four zero one one eight four one two one.

Consult with your doctor.

Namastey A transsphincteric fistula (Anal fistula) is commonly managed in Ayurveda with the Kshar Sutra therapy, where a medicated thread is placed in the tract and changed or tightened at intervals so it gradually cuts, drains, and heals. Traditionally, the process is stepwise and relatively gradual, with periodic changes (often weekly) allowing controlled cutting and simultaneous healing. A very rapid schedule—multiple tightenings within the first week and completion in about 10–12 days—can be used in selected cases, but it is not the standard pace for most transsphincteric tracts, especially when the tract has a measurable length. The concern with an overly fast approach is that it may not allow adequate time for healthy tissue healing alongside cutting, potentially increasing discomfort, local irritation, or risk of incomplete resolution. However, the “right speed” also depends on factors like tract characteristics, tissue response, and the treating surgeon’s technique and experience. Close monitoring for pain, discharge, swelling, or any difficulty with bowel control is essential during such accelerated protocols.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

For a transsphincteric fistula, Ksharasutra treatment is usually done gradually with periodic tightening over weeks, not very rapidly. A very fast approach (within days) may increase pain, tissue damage or complications. The pace should be decided based on tract depth, response and patient comfort. Please consult me with details so I can assess whether the treatment plan is appropriate and safe.

ksharsutra is very effective i this as recurrence rate is negligeble moreover it is minimum invasive and highly recommend. consult asap for expert advice

Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine