Download FREE Practo app
Get ₹200 HealthCash
Surgery in fissure in teenage
Today I went to doctor for fissure sentinel tag and infection he said infection happened due to hard stool on fissure he said me we have to do minor operation of ksharsutra hybrid is surgery required in these cases in teenage
Answers (20)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Go for surgery
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+107
Go as per specialist opinion
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
surgary is one ready to go option is these cases generally.
but for your age I suggest if condition is bearable, go with the oral medicine and local applications. I think at your age , it can be cured without surgery.
Next Steps
TAKE CONSULTAION. YOU CAN REACH OUT ME.
Health Tips
reach out for video/audio/text consultation.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If it's infected you need to go with the treatment plan.
Next Steps
after the infection is stable, then to prevent recurrence you should follow certain diets and activity
Health Tips
avoid sitting for long hours in toilets
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If doctor has recommended you then go for surgery.take triflachurnwith lukewarm water at night before sleep for 7days.
Next Steps
eat fibrediet dalia seasonal fruits vegetables drink plenty of water avoid spicy food sour fermented processed oilyhotfood eat healthydiet avoid long sitting.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
consult ayurveda physician for proper diagnosis and root cause of ailment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult personally eight four two nine six double seven zero eight six
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You can get it done. However, it prevent recurrence you should follow HAIP DIET
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Thatâs a very good and important question â letâs go step-by-step so you understand clearly.
---
### 𩺠Your current situation
From what you said:
* Youâre **a teenager**,
* You **had fissure before**,
* Now thereâs **infection and a sentinel tag**,
* The doctor advised a **minor operation â Ksharsutra hybrid**.
---
### ð Understanding what this means
A **sentinel tag** (small skin flap near the anus) is a **healed or chronic fissure sign**.
If thereâs **infection, persistent pain, or non-healing**, it means the fissure tract has become **chronic** or partially **infected** â sometimes forming a **small sinus** or **fistulous opening**.
Thatâs when Ayurvedic surgeons suggest a **Ksharsutra hybrid procedure** (combination of Ayurvedic thread treatment + modern minor surgery).
---
### âï¸ Is surgery always required?
Not always. It depends on these factors:
| Condition | Treatment Approach |
| --------------------------------------------- | -------------------------------------------------------- |
| **Fresh fissure, no pus/infection, mild tag** | Heals with medicines, Sitz bath, diet correction |
| **Chronic fissure (non-healing for months)** | Sometimes needs small procedure or tag removal |
| **Fissure with pus/infection or sinus** | Ksharsutra or hybrid method is safest and most effective |
| **Only skin tag, no pain/infection** | Can be left alone or removed later if cosmetic issue |
---
### ð¿ Ksharsutra Hybrid â What it means
This is a **minor daycare procedure**:
* Done under local anesthesia
* No hospitalization usually
* Uses medicated herbal thread (Ksharsutra) to **drain infection and promote healing**
* Safer than cutting surgery; recovery is faster
* Very effective for **infected fissure or small fistula**
---
### ð¡ In teenage cases
Doctors usually **avoid major surgery** unless absolutely necessary.
If your infection is not deep or spreading, your doctor might just:
* Clean the infected area,
* Remove the tag if itâs causing irritation,
* Insert Ksharsutra briefly to heal completely.
So yes â in **some teenage cases**, this *minor Ksharsutra hybrid* is required, but itâs **not a major operation** and **helps prevent recurrence**.
---
### â
What you can do now
1. **Take second opinion** â preferably from an Ayurvedic Shalya (surgery) specialist in a government Ayurveda hospital.
2. **Follow stool-softening diet:**
* Warm water frequently
* Ghee with food
* Cooked vegetables, papaya, banana, and Isabgol husk at night
* Avoid spicy, dry, and fast food
3. **Warm Sitz bath** twice daily (with turmeric + rock salt).
4. **Donât delay treatment** if infection is spreading or pus is forming â early minor procedure is far better than waiting for complications.
---
If you tell me exactly what your doctor found (for example: âthere is pus discharge / swelling / pain / skin flap onlyâ), I can tell you more clearly whether you can avoid the procedure or not.
Would you like to share those details?
Advice- self medication is hazardous, always consult ayurvedic doctor before taking ayurvedic medicine.
Consult me personally for details.
Next Steps
book consultation with us for more details.
Health Tips
kindly follow the advice.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Any consultation can be given after inspection
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Take proper counselling to clear ur doubt
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
“In your age, fissure usually heals well with Ayurvedic management if treated early. Ksharsutra is a safe and effective minor procedure that helps remove the sentinel tag and infected tissue, preventing recurrence. It’s much gentler than conventional surgery.
Along with that, take Triphala Guggulu 2 tablets twice daily after meals, and apply Jatyadi Tail or Pilo Go ointment locally after sitz bath with warm water.
Follow a soft, fiber-rich diet with ghee, warm water, and avoid spicy or junk food. Do not strain during stools — instead, take Triphala powder (½ tsp with lukewarm water at bedtime) to keep bowels soft.
With proper Aahar, Vihar and mild Ayurvedic treatment, recovery will be fast and surgery may not be required in most cases.
If symptoms persist or pain increases, please visit me for personalized Ayurvedic evaluation.”
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Great, the pain lead to authentic Dr plz follow ur dr...
Next Steps
warm buttermilk
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Yes dear you'll have to go through the ksharsutra procedure since theres fissure and infection too that needs to be removed. Although you can apply an ointment called Kulon from Vasu post your surgery that'll prevent future fissures. Also take triphala guggulu ½spoon before bed until you get rid of hard stools.
Health Tips
Eat laxative and soft food,exercise daily.Try to make sure you dont face constipation for that drink more warm water daily.
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Yup
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Rao Sachin
Ayurvedic Endocrinologist & Internal Medicine Specialist
6 yrs exp
Rewari
Seek a proctologist for proper examination and care
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Raghuveer
Ayurveda
4 yrs exp
Hyderabad
In chronic fissure with sentinel tag and infection, surgery or Ksharsutra hybrid is sometimes advised to remove the tag and allow proper healing. However, in mild or early cases, Ayurvedic medicines, diet correction, and local treatments can often heal without surgery. Since youâre young and the infection is recent, a trial of Ayurvedic treatment may be worthwhile before opting for surgeryâif pain, bleeding, or infection persist despite treatment, then a minor Ksharsutra procedure is safest.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Abhilasha Prajapati
Ayurveda
15 yrs exp
Delhi
great to here that you are preferring the ksharsutra. its an ayurveda minor surgery but through ksharsutra only you can get rid off the root no further recurrence. cutting the disease from the root is the best option. go for it best wishes.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Mahalaxmi
Ayurveda
5 yrs exp
Mysore
In case of tag skarasuthra is the best option and it's better to understand what is fissure so that u can avoid reoccurrence.
Ano fissure, a small tear in the lining of the anus, causing pain and bleeding during bowel movements. Symptoms include sharp pain, bright red blood, and spasms.
Next Steps
incase of fissure it's better to understand the severity of fissure and can proceed accordingly for more clarity u can consult me on practo and
Health Tips
avoid spicy,junk and oily food
include fiber rich and Good intake of water and laxatives hence there will be painless smooth defecation helps from your symptoms
sitz bath helps alot and relief from your symptoms.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Rajeev Kumar Verma
Ayurveda
11 yrs exp
Bangalore
Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.