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Living with a fistula — the continuous pain, swelling, and discharge drain your energy every day. But you don’t have to suffer in silence. As a doctor, I want to reassure you that your fistula can be effectively treated and healed from the root using Ksharsutra therapy — without any major surgery or long bed rest. You are in safe hands here.
What’s Fistula:
In simple terms, a fistula (commonly known as Bhagander) is like an infected tunnel that forms between the inside of your bottom (anal canal) and the skin outside.
It usually starts when a small gland inside gets infected and blocked. This trapped infection creates pus, which slowly carves out a small track—leaving one opening inside and another opening on the skin outside.
Causes:
Fistulas often develop due to underlying issues such as perianal abscesses, chronic fissures, long-term constipation, or inflammatory conditions like ulcerative colitis.
Symptoms:
Symptoms of a fistula commonly include pus discharge from an opening in the perianal area, persistent anal pain, and swelling near the anus. Many patients also experience recurrent abscesses.
Diagnosis:
A precise diagnosis is crucial because fistula symptoms can easily be mistaken for piles or fissures. At Ano CureVeda Clinic, Dr. Preeti Paliwal uses a gentle, systematic approach:
Physical Examination: A careful physical check to identify the external opening, tract thickness, and skin health.
Proctoscopy Assessment: Painless, quick evaluation using a specialized instrument to look inside the anal canal and find the internal source of infection.
MRI (If Required): For deep, complex, or recurrent fistulas, an MRI helps create a clear 3D map of the entire tract before treatment begins.
Treatment Options:
When treating a fistula, the goal is not just to close the wound, but to minimize the risk of recurrence while protecting your bowel control.
Option A: Ayurvedic Ksharsutra Therapy (Gold Standard)
Ksharsutra is a time-tested, minimally invasive procedure using a specially prepared herbal thread (coated with natural healing extracts).
How it works:
The medicated thread is placed precisely into the fistula tract. Over time, it cuts, cures, and drains the infected tissue while simultaneously healing the healthy skin behind it.
Why Patients Choose Ksharsutra:
-
- No Major Cuts or Stitches: Minimal invasiveness with no open surgical wounds.
- Low Recurrence Rate: Thoroughly cleanses the fistula tract to significantly reduce the risk of relapse.
- Protects Bowel Control: Safely protects the sphincter muscles that control bowel movements.
- No Hospital Stay: Performed as a daycare procedure—you can walk out the same day and resume light daily activities.
Option B: Surgical Procedure
Standard surgical procedures (like laser treatments or traditional open surgery) focus on cutting, burning, or sealing the tract. While they may offer quick initial relief, they often seal the tract externally without completely cleansing deep internal infections—leading to a higher risk of recurrence compared to specialized Ksharsutra therapy.
What to do:
- Regular exercise
- Regular sleep
- Yogasan
- Avoid constipation
- Maintain personal hygine
What not to do:
- Suppression of urges
- Anger
- Prolonged sitting
- Avoid straining during motions
- Irregular day naps / Daytime sleeping
- Using phone on the toilet seat (prevents prolonged straining)
FAQ:
CAN FISTULA BE CURED WITH MEDICINES ALONE?
No. you can get relief in symptoms for some time, but not cured.
HOW OFTEN KSHARSUTRA CHANGED?
Within 7 to 10 days. The properties of thread cutting, healing, debridement works in this duration only.
IS KSHARSUTRA PROCEDURE PAINFUL?
No. patient can experience mild discomfort for the minute of time.
IS KSHARSUTRA TREATMENT IS SUCCESSFUL IN FISTULA?
Yes. 99% Ksharsutra can be performed in any fistula (low anal, high anal, complex fistula).
HOW LONG DOES IT TAKE TO HEAL FISTULA?
It totally depends on the tract i.e. distance between two openings or length of Kshar Sutra inserted.
This medicated thread usually cut 1 cm of tract within 1 week.
CAN A FISTULA COME BACK AFTER SURGERY, AND WHY IS KSHARSUTRA BETTER?
Yes. Traditional surgery often closes the tract from the outside without fully cleaning the deep infection inside, which can make the fistula return. Ksharsutra is better because the medicated thread cleanses, drains, and heals the entire tract from the inside out—removing the infection from the root.
Meet Dr. Preeti Paliwal
Ayurvedic Physician & Surgeon (BAMS, MS — AIIA, Govt. of India) at Ano CureVeda Clinic, Gurgaon. Backed by 11+ years of experience, she combines authentic Ayurvedic Ksharsutra therapy with modern clinical practices to ensure root-cause healing with minimal recovery time.
Patient Stories & Trust
What Our Patients Say
Read real experiences and recovery stories from patients treated by Dr. Preeti Paliwal.
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Amit Gupta
9 months ago
“I truly appreciate Dr. Preeti’s deep knowledge of Ayurveda and her patient-centric approach. She listens carefully, explains the root cause clearly, and suggests treatments that are practical and highly effective. Thank you for your dedicated care.”
Nisha Aggarwal
9 months ago
I consulted Dr preeti for knee joint pain and her treatment is so good I got relief in few days best ayurveeic doctor
Divyanshi Mishra
9 months ago
"I took treatment from Dr. Preeti Paliwal for my fistula problem, and I got quick and effective relief. She is experienced, caring, and explains everything clearly. I highly recommend Dr. Preeti Paliwal for safe and reliable fistula treatment."
Kapil Verma
9 months ago
I am very happy with the treatment given by dr.preeti paliwal. I was suffering from fissure and with intense pain at anal region . My friend took the treatment from her and he told me to visit her clinyin gurgaon. I got relief with the surgery in 2months . Lots of thanks
Sahila S
9 months ago
I was suffering from kidney stones and a lot of weakness. I searched on Google and found Dr. Preeti’s clinic. After taking an appointment and starting treatment with her, I got great relief — my kidney stone is now out, and I’m feeling much better. Dr. Preeti is a very humble and experienced doctor. She also guided me with the right diet and lifestyle advice. I’m really thankful to her and highly recommend her to anyone looking for genuine care and effective treatment
ANURAG
9 months ago
Doctor was humble and sweet
Asha Rani
10 months ago
I am very thankful to Dr. Preeti Paliwal for the fissure treated. I came to know her by online mode. I was suffering from fissure last 2months and was very depressed. The best treatment for fissure in gurgaon.
sumit semwal
10 months ago
I take fistula treatement from dr preeti paliwal and now i got relief .thanks doctor