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Lower abdominal pain radiating to legs
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 😭🙏
Answers (10)
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Consult for better treatment plan.eat triflachurnwith lukewarm water at night before sleep for constipation.
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add fiber in diet, drink plenty of water avoid spicy food junkfood processed oilyhotfood nonveg sugar fried food
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hot sitsbath for15 min daily.avoid long sitting and standing position.
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âI 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.â
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Please consult for better treatment plan.
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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.
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Personalise consultation with ayurvedic practitioner..
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Noted ur pain n concern surely with Ayurveda approach u will emerge as tough person holistically
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Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine
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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)
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Dr. Asmita
Ayurveda
1 yrs exp
Indore
Consult
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Dr. Jyoti Arora Monga
Ayurveda
26 yrs exp
Delhi
Since you have no pain, swelling, bleeding, or active discharge, this is not an emergency. A tiny "dot" at the surgical site is very often normal scar tissue or exuberant granulation tissue—not necessarily a recurring fistula.
Before considering any further procedures, insist on an MRI Pelvis (Fistulogram protocol). This will objectively show whether an actual tract exists or if it is just superficial scar tissue.
Once you have your MRI report, we strongly recommend visiting our clinic for an in-person assessment. If the scan shows any localized issues, we focus on safe, effective non-surgical management—including specialized tissue-healing protocols, sphincter-relaxing therapies, and restorative treatments—so your body can heal naturally without enduring another painful surgery.
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Dr. Tinkle Rani
Ayurveda
9 yrs exp
New Delhi
I understand your concern, particularly after undergoing several anal procedures and experiencing significant weight loss and weakness. A small âdotâ 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.
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I would suggest a careful clinical evaluation to determine whether there is an actual fistulous tract or simply a postoperative healing change. If a fistula is confirmed, the appropriate approach depends on its type, location and involvement of the anal sphincter. In selected cases, conservative management and minimally invasive or sphincter-preserving approaches may be considered; therefore, another major surgery should not be decided upon merely from the appearance of a small opening. 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
Keep your bowel movements soft and regular, avoid straining and prolonged sitting on the toilet, and maintain adequate hydration and a balanced, nourishing diet to support recovery after your previous procedures. Warm sitz baths may be continued if they provide comfort. Avoid repeatedly touching, squeezing or probing the suspected opening. If you develop new swelling, increasing pain, fever, pus/discharge, foul-smelling drainage or difficulty passing stool, seek prompt medical evaluation. Given your history, the priority should be accurate diagnosis and conservative, sphincter-preserving management wherever appropriate, rather than automatically proceeding with another surgery. Thank 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.