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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 🙏🙏😭
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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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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Consult superspecialist like general surgeon
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General surgeon physically
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Please book a consultation for an examination and appropriate tests.
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Don’t strain too much at stools.Take fiber rich diet avoid red meat and drink more water.if severely constipated use a laxative once in a while.Try to eat vegetables and fruits more.avoid too many eggs
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Need a few more details please consult for further evaluation and treatment
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.