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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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Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine
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Consult for proper treatment plan personally on practo.
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In such a scenario examination and assessment play a vital role to plan and take control to lead authentic healthy out.
Gut brain axis u need to keep calm
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I understand your concern, especially after multiple anal surgeries, Kshar Sutra and fissure surgery, along with significant weight loss and weakness. A small âdotâ or opening at a previous surgical wound does not by itself confirm an anal fistula. A fistula is an actual tract connecting the anal canal to the surrounding skin, and it needs proper clinical assessment to establish this. The absence of discharge, bleeding, significant pain or recurrent swelling is reassuring, although it does not completely exclude a small fistula.
Next Steps
Considering your history of repeated procedures, I would not advise another surgery merely on the basis of a suspected âbeginning of fistula.â 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.
Health Tips
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 âconfirm first, intervene only if necessary.â A small postoperative opening does not automatically mean that you need a fifth or another major surgery. Thank you
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âI understand your concern, especially after multiple painful procedures. Since you have no bleeding, discharge or significant pain, please do not rush into another surgery based only on a âdot-likeâ finding. A recurrent fistula should first be properly assessedâMRI/appropriate imaging can help define whether there is an actual active tract. If confirmed, the treatment depends on its type, and some sphincter-preserving/minimally invasive options may be possible. Please consult me with your previous reports so I can guide you regarding non-surgical or less-invasive options appropriately.â
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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.