This report details the clinical profile and management of a patient presenting with Fistula-in-Ano, treated using the Kshara Sutra technique.
Patient Profile and History:
| Clinical Data | Details |
| Age / Gender | 22 years / Female |
| Chief Complaint | Pus discharge from the anal region. |
| Associated Complaint | Pain in the anal region. |
| Duration | 15 days. |
| Gastrointestinal History | Intermittent constipation for the preceding 3 months. |
| Prior History | Documented history of an abscess at the 6 o’clock position in the lower anal area. |
| Systemic Review | No history of diabetes, hypertension, thyroid disorder, or other systemic illness was noted. |
Clinical Findings and Diagnosis:
The patient underwent a focused examination, yielding the following findings:
- Inspection: A localized external opening was observed at the 6 o’clock position on the anus, with active pus discharge.
- Digital Rectal Examination (DRE): Sphincter tone was within normal limits. Palpation identified an internal pit consistent with the fistula tract opening, also located at the 6 o’clock position. No evidence of bleeding was noted.
Diagnosis: Fistula-in-ano at the 6 o’clock position.
Management:
The treatment protocol involved the application of the Kshara Sutra procedure.
- Procedure: Kshara Sutra ligation was performed.
- Treatment Duration: The total duration of the procedure and follow-up was 2 months.
Outcome:
Upon completion of the treatment period, the fistula tract showed complete resolution. Clinical assessment confirmed full healing of the wound.
Result: The patient was declared fit to resume normal daily duties.
Post-Procedure Recommendations:
The patient was advised to adhere to the following dietary and lifestyle modifications for long-term maintenance of gastrointestinal health:
- Increased fluid intake to maintain correct hydration.
- Adoption of a high-fiber diet.
- Avoidance of straining during bowel movements.
Patient Perspective:
The patient whose case is detailed in this report shared her experience regarding the treatment and recovery process.
View Patient Testimonial:
Conclusion and Consultation:
For those seeking consultation or detailed information regarding Ksharsutra therapy for anorectal conditions, please contact Dr. Preeti Paliwal and her team at their clinic in Gurgaon.
To inquire or schedule an appointment: https://www.drpreetipaliwal.com/contact