Patient Overview
- Age/Gender: 36-year-old male
- Chief Complaints: Chronic pus discharge from the perianal region for 3 years, perianal swelling, and mild discomfort while sitting.
- Medical History: Recurrent constipation over the last 2 years; history of cholecystectomy (gallbladder removal) 2 years ago. No known drug allergies or systemic co-morbidities (e.g., hypertension or diabetes).
Diagnosis & Clinical Examination
Upon clinical examination:
- External Finding: Swelling in the right perianal region with an active external opening at the 7 o’clock position (approx. 3 cm from the anal verge).
- Digital Rectal Examination (DRE): Active pus discharge observed from the internal anal channel.
Diagnosis: Fistula-in-Ano
Treatment Plan & Management
The patient was treated using Kshara Sutra Therapy, a minimally invasive Ayurvedic parasurgical procedure known for its high success rate and low recurrence in treating complex fistulas.
- Procedure: Application of a specialized medicated thread (Kshara Sutra) into the fistulous tract.
- Follow-up Care: Regular weekly follow-ups for thread changes, wound dressing, and hygienic care over a period of 3 months.
Outcome
After 3 months of continuous treatment, the fistulous tract healed completely with full resolution of pus discharge, pain, and swelling. The patient achieved complete relief from the fistula-in-ano without any surgical complications or incontinence.
Key Takeaway
Kshara Sutra therapy offers an effective, safe, and reliable alternative to traditional surgery for long-standing perianal fistulas, ensuring complete healing with minimal downtime.