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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 (14)
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I understand how tiring repeated anal surgeries must have been for you. Since you currently have no bleeding, no discharge and not much pain, there is no urgency for another operation - a small "dot like" area after kshar sutra is often just healed scar tissue or a skin tag, not always an active fistula. What decides it is whether there is a real internal opening; that is best confirmed with a clinical examination and, if needed, an MRI fistulogram or endoanal ultrasound rather than jumping to surgery. Conservative care helps a lot in the meantime: sitz baths in warm water twice a day, a high fibre diet with 2.5-3 litres water so stools stay soft, a stool softener like isabgol (psyllium husk) at night, avoiding straining and prolonged sitting on the toilet, and keeping the area clean and dry. For the sense of incomplete evacuation, pelvic floor exercises/biofeedback under a physiotherapist works well, as this is often dyssynergic defecation after multiple surgeries. Also get a haemoglobin, vitamin B12, vitamin D, thyroid profile and blood sugar checked - your weight loss and weakness need correction with protein rich diet, and uncontrolled sugar is a common reason fistulas recur. Please seek prompt review if you develop pain with swelling, fever, pus discharge or bleeding, as that would mean an abscess needing drainage. I would be happy to discuss your reports on a Practo consult or in person at Synergy Multispeciality Hospital, Miraj.
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Eat high Fibre diet
Avoid Meat and junk oily spicy food
Drink 3 litres water daily
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Eat a fibre rich diet
Avoid eggs and red meat
Exercise
Hydrate well and
Eat more fruits and vegetables
Avoid spicy fried food and junk food and avoid constipation
Eat food on time
Next Steps
By following a healthy lifestyle you can prevent constipation and straining at stools which will cause worsening of the fistula
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Consult your treating doctor
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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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Please consult a gen surgeon physically
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Do consult
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you can consult me and we can review your symptoms properly, assess whether any tests or medicines are needed.
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in fissure surgery recurrence are very common
with proper medicine and precautions it is me treatable you can consult me in procto for this
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Mr. Sajin Santhosh
General Physician
4 yrs exp
Hyderabad
I can suggest you non surgical cures , but i need a complete detailed history of your surgeries and ailment , as a genrel surgery resident i want to help u out as much as i can.
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general surgery consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
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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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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