Consult for better treatment plan.eat triflachurnwith lukewarm water at night before sleep for constipation.

Please consult for better treatment plan.

Since you have already undergone multiple surgeries, I understand your concern about undergoing another procedure. As there is no bleeding, discharge, or significant pain, we can first assess whether the small opening is actually a fistula or just healing/granulation tissue. From an Ayurvedic perspective, we can initially focus on keeping the bowel soft, preventing constipation and straining, improving digestion and strength, and promoting local wound healing through appropriate medicines and diet.

I understand your concern, particularly after undergoing several anal procedures and experiencing significant weight loss and weakness. A small “dot” in a previously operated wound does not by itself confirm that a fistula has formed. A fistula usually represents a tract connecting the anal canal to the skin, and the diagnosis is based on examination and, when necessary, imaging rather than appearance alone. Your absence of pus, bleeding and significant pain is reassuring, but the feeling of incomplete evacuation should also be assessed separately because it can occur from postoperative scarring, altered bowel habits or pelvic-floor/sphincter dysfunction and does not necessarily mean a fistula.

Noted ur pain n concern surely with Ayurveda approach u will emerge as tough person holistically

Hello, Dr. Arpan from Kolkata. I have read your problem and would like to connect with you for better understanding and making a health plan for you. Dr. Arpan Saha BAMS (WBUHS)

“I understand your concern, especially after undergoing multiple painful procedures. Since you have no bleeding, discharge or significant pain, do not rush into another surgery without confirming whether there is an actual fistula. In recurrent or complex cases, a proper examination and imaging such as MRI may help define the problem. If an active fistula is confirmed, treatment depends on its type; some minimally invasive or sphincter-preserving options may be considered. Please consult me with your previous reports so I can guide you regarding the safest possible approach.”

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