Patient Profile
- Age/Gender: 31-year-old male
- Past History: No history of hypertension, diabetes, COPD, thyroid disorder, food/drug allergy, or addictions (tea, tobacco, smoking).
- Bowel History: History of constipation on/off
- Presenting Complaint:
- Persistent itching in the perianal region
- Serosanguineous discharge from a perianal opening
- No history of bleeding per rectum
Clinical Findings
- Inspection: External opening at 7 o’clock position.
- Palpation: cord-like structure felt along the track.
- Digital Rectal Examination (DRE):
- sphincter tone normal
- internal pit at 6 o’clock position
- finger not stained with pus/stool
- Discharge: Pus observed from the external opening
Diagnosis: Fistula-in-ano
Treatment Given
- Procedure:Kshar Sutra (Shara Sutra) Therapy performed by Dr. Preeti Paliwal
- Kshar Sutra tied through the tract from 7 to 6 o’clock position
- Regular Kshar Sutra changes carried out until the tract was healed
- Dietary & Lifestyle Advice:
- High-fiber diet
- Adequate fluid intake
- Avoid straining during defecation
- Sitz Bath with lukewarm water
Outcome
- The patient responded well to treatment
- Discharge and symptoms resolved completely
- Fistula tract healed successfully
- Patient resumed normal duties without any discomfort
Conclusion
This case highlights the effectiveness of Kshar Sutra therapy in the management of anal fistula. Under the expert care of Dr. Preeti Paliwal, the patient achieved a complete recovery without complications.