Before Your First Visit

Bring:

  • Any previous medical records, operative notes, or imaging
  • List of current medications
  • A companion for the day of procedure if you wish

Preoperative Evaluation:

  • Blood tests (haemoglobin, blood sugar, coagulation profile)
  • Imaging (fistulogram or MRI) if complex or recurrent
  • General health assessment

Day of Application

Timing: usually morning slot Duration: 30 to 60 minutes including preparation Anaesthesia: local anaesthesia; occasionally short spinal for complex cases Discharge: same day, typically within 2 to 4 hours after the procedure

During procedure:

  • The tract is identified and cleaned
  • The medicated Ksharsutra thread is passed through
  • Thread is tied loosely
  • A small dressing is applied

After procedure:

  • You will feel some soreness, generally mild
  • Rest at home for the rest of the day
  • Take prescribed medications as directed
  • Sitz baths begin from the next day

Week 1 Between First and Second Visit

Comfort:

  • Mild soreness for the first 24 to 48 hours
  • Some discharge from the tract is normal (part of the healing process)
  • Discomfort usually eases significantly by day 3

Care:

  • Warm sitz baths 2 to 3 times daily
  • Keep the perianal area clean and dry
  • High-fibre diet, adequate fluids
  • Stool softener if constipated
  • Avoid heavy lifting

Return to work:

  • Desk jobs: 1 to 2 days
  • Physical jobs: 3 to 5 days

Weekly OPD Visits

Each weekly visit takes 10 to 20 minutes. The doctor:

  • Inspects the tract and thread
  • Tightens or replaces the thread as needed
  • Assesses healing progress
  • Answers your questions

Between visits, continue normal activities and aftercare.

Signs of Normal Healing

  • Gradual reduction in discharge
  • Reduction in tract length week over week
  • No new external openings
  • No fever or spreading redness

When to Contact Us Immediately

  • Heavy bleeding
  • Severe unrelenting pain
  • Fever above 100.4°F / 38°C
  • Rapidly spreading redness or swelling
  • Any new opening or discharge point

Emergency line: 9405404492 (24 hours)

Completion

When the tract has healed completely and the thread has fallen away, treatment is complete. A final examination confirms healing. Follow-up appointments at 3 months and 6 months monitor for any recurrence.

Diet and Lifestyle During Treatment

Include: high-fibre foods, adequate fluids (2 to 3 litres daily), regular light physical activity (walking).

Avoid: very spicy foods, excess alcohol, prolonged sitting, straining during defecation.

After Complete Healing

  • Continue high-fibre diet and adequate fluids
  • Manage any underlying conditions (diabetes, IBD, chronic diarrhoea)
  • Report any new symptoms promptly
  • Attend scheduled follow-up