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Frequently Asked Questions


Is there a cure for Anal Fistula without surgery?

Yes, if the diagnosis is done within stage 1 of Anal Fistula, the disease can be cured by following a fiber & nutrition rich diet and drinking a lot of water. Additional antibiotics or oinments may be prescribed by the doctor. Dietary correction and medication help flush away the fistula naturally. At Ayu Health, our intent is to find the most optimal cure for our patients. The doctor will only recommend a surgical procedure if needed.


Can an anal fistula be cured permanently?

Yes, it can be cured permanently through laser surgery.


What preparation needs to be done before the surgery?

The doctor will explain the procedure and the precautions to be taken before the surgery. Some of them may be: Quit smoking , Not to eat anything 6 hours prior to the surgery, Diagnostic tests for heart rate, BP and urine samples


What is a Fistula?

A fistula is a small tunnel in the skin of the anal region. Whenever there is an infection inside the anus, a tunnel is formed to drain the pus which is the fistula.


What causes a fistula to form?

In majority of the cases, a fistula is formed when there is an infection in the anal region. Sometimes, it also forms because of sexually transmitted diseases, tuberculosis or any illness that affects the bowels. Some fistulas also form during childbirth.


What are the symptoms of anal fistula?

You must reach out to your doctor if you have:

  • Pain

  • Swelling and bleeding

  • Discharge of pus from the anal region


How is it diagnosed?

Fistulas can be easily diagnosed by a physical examination. To understand if there are any other complications, the doctor might ask for an X-ray, CT scan or a colonoscopy report.


What are the dietary restrictions after surgery?

It is best to have simple, bland, low-fat food like rice, toast, yoghurt etc after the surgery. Increasing the intake of fibre rich food and water is recommended.


What are the types of treatment available?

The two types of treatments available for anal fistula are:

  • Laser surgery

  • Traditional surgery


What are the different traditional procedures to treat fistula?

There are several procedures that involve cutting through the anal region to seal the fistula. Some of the procedures are:

  • Fistulotomy: The entire length of the fistula is cut and opened so that it heals like a cut

  • Seton Technique: A cut is made in the anal region and a surgical thread is placed in the fistula to help it to drain out slowly and heal on its own

  • Flap Procedure: A cut is made in the fistula through which it is drained. A flap is used to cover the fistula to help it heal. The flap is made of tissue taken from a healthy part of the rectum.

  • LIFT procedure: The fistula is cut and sealed at both ends and the rest of it is kept open to heal


How many days does it take to recover from traditional surgery?

It takes 2-4 days to recover from traditional surgery for fistula.


What are the risks involved with traditional surgery for fistula?

As the procedures involve cutting through the anal region. So, some of the risks associated may be:

  • Injury to the anal area

  • Excessive bleeding

  • Infection of the surgical wound

  • Faecal or urinary incontinence

  • Blood clots

  • Risks of general anaesthesia


Does laser treatment for fistula involve any complications?

There are very less risks involved with laser treatment for fistula. Some of the risks of the procedure may be:

  • Allergic or adverse reaction to anaesthesia or other drugs

  • Bleeding

  • Blood clots

  • Damage to blood vessels

  • Incontinence




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Top Doctors for Anal Fistula Treatments in Kalka

Consult with top doctors in Kalka

  • Dr Nasir Ahmad Bhatt

    MS GENERAL SURGERY 2009, Sheri- Kashmir Institute of Medical Sciences, Srinagar, J&K MBBS 2003, Govt Medical College Srinagar, J&K 13th Basic and Advance Instructional Course in Colo-Proctology, ACRSI, 2009 General & Minimal access surgery training at Sir Ganga Ram Hospital, New Delhi 2010 Fellowship in laparoscopic and Robotic surgery Galaxy Care Laparoscopic Institute, Pune, 2012 Preparatory course for trainers and examiners - NBE RCS of Edinburgh 2014 at Delhi FIAGES COURSE 2015 at SKIMS Srinagar AIIMS Breast Course, at AIIMS, New Delhi S2S training program in Fortis Hospital Vasant Kunj for Laparoscopic G I and Bariatric Surgery in 2018

    12 years

     clinical experience

  • Dr. Pankaj Bhalla

    MBBS, DNB

    19 years

     clinical experience

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