After Kshar Sutra follow these instructions for successful treatment of Piles Fistula

Before Kshara sutra treatment : Important things to remember
Why there is recurrence of Fistula in ano after Surgery?

What thingsO to do and don’t after kshara sutra treatment : Piles, Fistula, Fissure, Pilonidal sinus

Instructions after kshar sutra treatment

Article by:

Dr. Naveen Chauhan

BAMS, CCYP, ROTP, CRAV (Kshar sutra)

Consultant Ayurveda Proctologist

Founder-Director,

Shri Dhanwantari Clinic, Ghaziabad

Many patients seek correct information that what to do after Surgery or kshar sutra procedure to have a quick and healthy healing. Here I am presenting some useful information for such patients

  • Take light diet like Moong daal Khichri on procedure day and next one day
  • Keep the anal area properly clean. You can take a normal bath daily. Use lukewarm water in winters. Wash the anal region with a mild soap during bathing.
  • Take Sitz bath with lukewarm water 2 to 4 times a day. 3-4 gms of Alum powder can be added to the Sitz bath tub containing 4-5 litres of lukewarm water
  • Do the daily morning and evening dressings as explained by your doctor
  • Cover the operated site/wound by a sterilized gauze pad in day time
  • Pain killer medicines can be taken 2-3 times a day after consulting with your doctor if you are feeling pain in excess
  • There may be pus discharge from Fistula or Abscess.  Discharge may be in excess quantity in some cases. Don’t get panic, this is absolutely normal, Just keep the part clean
  • After kshar sutra procdure especially in Fistula or Pilonidal sinus, patient is advised to remain ambulatory and physically active. A brisk walk in morning or evening or any time as per your convenience, is recommended. It helps in draining of pus and relieves the pain
  • A healthy protein and carbohydrate rich diet is recommended. Dairy products like Milk, Buttermilk, Dahi, and vegetables are to be consumed for a faster recovery

Don’t do this after kshar sutra treatment :

  • There is no need of pulling or moving the kshar sutra thread in any operated case of Piles, Fissure or Fistula or Pilonidal sinus
  • Do not strain or give pressure during passing of stools
  • Don’t go for passing stool without sufficient pressure. Drink lukewarm water in morning to get pressure and smooth evacuation of bowels. If you are not feeling sufficient pressure in morning you may go to toilet in afternoon or evening or at anytime when there is sufficient pressure. This will prevent unnecessary straining and thus diseases like piles or fissure.

**Author is a qualified Ayurveda Surgeon and is practicing Kshara sutra treatment since past 12 years. The above article is for patient education and not a substitute for a medical advice. Dr. Chauhan can be contacted through email nchauhan.dr@gmail.com or by phone +91-9818069989

Before Kshara sutra treatment : Important things to remember
Why there is recurrence of Fistula in ano after Surgery?

24 comments

  • I went through a surgery for piles through thread litigation 2 weeks ago.. I don’t have much pain in general nor any issue in stoll passing.. Just little discomfort after stool passing for few hrs… Doctor has started putting cotton inside the rectum, says it will keep the area bigger and heal soon, whereas I’m completely fine with very little pus discharge.. When he puts the cotton it aggrevates the area and the pain increases. Is this cotton inside normal?

  • Is it normal to have hardeneaa under skin along fistula tract after kshar sutra treatment and how to get rid of the hardness

  • Is it common to get pus discharge in track area after removing threads for fistula(horse shoe shaped) treatment

  • I have a chronic fissure problem in anus is there any medicine for getting rid of fissure

  • I completed the treatment of ksharasuthra 5 days ago. But pus discharge was observed every time. Is there any chance of reoccurring?

  • I have been taking kshar sutra treatment from past two months now. I have some questions regarding the diet. Do we have to avoid potato and rice in kshar sutra treatment? And does consuming these two products cause the abscess in the fistula tract? Or may be increase it?

  • I am under treatment of kahar sutra. I was 10 cm long track now thread is moved to original plaxe at 10 cm to 3 cm but still pus discharge happening from the old opening. And lota of time air also coming from the opening. I am confused that after 3 months still opening is the same as before.

  • i underwent kshara sutra procedure for fissure in ano with 1st stage piles. It is six days that my sutra has been removed and the wound is healing. The problem of piles and fissure is gone. But i am having severe itching and getting wet issues. I am taking sitz bath several times a day with betadine and applying soframycin cream. Please suggest how to speed up the healing process.

  • I have done my ksharsutra operation 4days ago,my stool is very hard,is there any risk if I give pressure on passing stool.

  • I have done my ksharsutra operation 12days ago,but still I feel pain when passing stool and a little blood also seen in my stool .Is it normal.

  • 2 days i have undergone ksharsutra operation for fistula. After that i am going for stool. Is it harmful at wound are after washing.

  • Thanks for the blog.Nice treatment of piles fistula fissure information.You can also check.
    piles fistula fissure

  • Sir I had an anal fistula kharsutra surgery on 30th August with mild chronic anal feature. It has been almost a week since the surgery but the rectal pain is still there. and severe pain after defecation. What should I do now?

  • Sir I had an anal fistula kharsutra surgery done on 30th August along with mild chronic anal fissure. It has been almost a week since the surgery but the rectal pain is still there. and severe pain after defecation. What should I do now?

  • Neelkanth jangale

    Hello sir,
    I have internal pilea grade 3 and A week ago i have done kshar sutra surgery but my stool is leakage.stool can’t pass onetime and small amount of stool is leaked out.. Is it normal sir? Plz rpl

  • Its been 1 and half month after my kshar sutra treatment. I had full recovery but now my stool was very hard and had bleeding again.. why is that?

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