How to Prevent Recurrence of Anal Fistula I Tips To Prevent Recurrence of Fistula I Dr Nitish Jhawar
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- เผยแพร่เมื่อ 15 ต.ค. 2024
- How to Prevent Recurrence of Fistula I 4 Factors to prevent recurrence of Anal Fistula I
Best Treatment options for Fistula I Dr Nitish Jhawar, Navi Mumbai
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For more details About Dr. Nitish Jhawar, General, Laparoscopic, Colorectal surgeon and Surgical Gastroenterologist, Neoalta Clinic Vashi Navi Mumbai and Apollo Hospital Navi Mumbai visit our website www.laparoscop...
TimeLine of video:
0:33 What is Anal Fistula - Anal fistula Kya Hai
1:16 Types of fistula
1:26 Treatment options for Fistula
1:45 Why Anal Fistula Recur
Four important tips to prevent recurrence of Fistula
1:52 -factor 1 - control Patient Risk factors for fistula complications
2:24 - factor 2 - Timely and proper assessment of patient and treatment
• DRE
• Proctoscopy
• Internal opening identification. Side branches pocket, high bilateral
• Imaging MRI or endoanal ultrasound
4:47 - factor - 3. Surgeon dependent factors - During operation factors
4:58 - 3a - Fistula Treatment Options- Depends upon Type and Complexity of Fistula
• Fisulotomy
• Fistulectomy
• Fistulectomy --with sphincter-saving procedures
• Sphincter saving SLOFT and LIFT
• LASER and fixation procedures
6:01 -- 3b - Identification of Internal opening and side branches of fistula
8:15-4th factor - Proper Post-operative Care of the Fistula
Avoid Constipation
Wound care and anal area hygiene - Irrigation and hot-sitz bath
Follow up visits to the surgeon
10:28 - Summarizing all 4 factors to prevent recurrence of Anal Fistula
This Dr deserves a Bharat Ratna..... Beautifully and wonderfully explained... ❤
अब जब इन महोदय ने एकदम सही जानकारी दी तो इनके चैनल को बहुत ही कम लाइक ओर कॉमेंट्स मिले। धन्यवाद जी आपकी जानकारी किसी भी प्रकार भ्रमित नहीं करते है
धन्यवाद 🙏
What a stability in his talk....Soft and smooth...he must be a great Lecturer..
Thank You 🙏
Ek bar Ashish Bhanot sir ka bhi dekho pta chlega achhe doctor kaise hote hain.
you are such a wonderful doctor.
Allah apko jazzaye khair dey. ( Mean App ko khush Rakhey )
Super Explanations
aslamalikum bhai apna contact number do me b Pakistan sy ho bahawalpur say
You are very soft speaking and brilliant Doctor ,
Excellent presention sir. I love your way of EXPELENATION
Thanks 🙏
One of the best video and soft spoken doc। Even my surgeon didn't share this info with me।।kudos sir।। 🙏🙏🙏
thanks 🙏🙏
Very well explained Dr... Many thanks...
In which type of surgery patient lose stool control...
Sir I m done with my fistula now I am feeling much better. Can you guide me which medicine or safety precautions are most important... Which food diet is good for
How are you now?
@@izishan I m very ok 👍 I went through operation for fistula only solution 🙏. Now I recover very well, I m very careful in my diet and life style ❣️... health is wealth...you can't recover fistulas apart from operation because no medicine herbal, allopathic, homeopathic remedies etc is useful for treatment fistula so plz don't be late look for good doctor & do operation! It will recover 99%🌍...God bless you dear
did you take open surgery or laser?
Informative excellent lecture God bless u sir
Good Calm explanation given. Thank you Dr.
🙏
Very well explained, thank you doctor.
Kay major phistula lejar operation treatment hoo sakta hai kay
Greatly Valuable & Important Information 🙏🏻🙏🏻
thanks 🙏
Sir laser surgery ke baad oily and spicy foods kha sakte hai?
i have done unani treatment,,is it effective?
Clearly explained , thank you very much doctor
Thank you for valuable imformation sir , my mentor 😍
Very well explained sir.
Huge respect for you sir.
From Pakistan
thank you 🙏🙏
बहुत अच्छी जानकारी सर मेने क्षारसूत्र करा रहा हु एक बात बताई आप फिस्टुला सही होने के बाद क्या कुछ परहेज रहता है या सब कुछ कह सकते है plzzz बताना जरूर सर
After fissure surgery em suffering with hard constipation and itching at anul point..what I can do
Sir laser treatment me khane me kachha paneer le sakte h? Please guide
🙏शुक्रिया डॉक्टर इतनी महत्वपूर्ण जानकारी देने के लिये
Excellent explanation sir thank u so..much
Sir eh operation ke baad koi pad eha gause use karna parta hai kiya????? please muje reply dena or jab use karna hoo toh uska kiya advantage hey
Sir aapka video bahut information wala hai.
Kya aap reason bta skte hai ki ye bimari hoti kyu hai????
Sir what would be the approximate cost of a fistula surgery in your hospital?
sir surgery k kitne din baad wound heal hoga max?
Today taken 2nd surgery sir, which was in between anus and scrotum area,. I will follow your tips sir. Thanks.
Superb Talk & Very Informative Sir 👍
thanks 🙏
Very good explaination Dr
Well explained thank u sir
informative video i am suffering from this condition from a longtime.sometimes..pus comes out and everything becomes nice and sometimes my condition gets worse.. thenn.. i tried planet ayurveda products for my condition and now i feel really fine
Like wqhat
Kya liya aap ne
Please share the doctors details
Good information, thank you.
Sir low fistula m sirf fistolectomy hi best rhti h kya plz reply?
Very nicely explained. You gave me a confidence. I was thinking to go for a ksharsutra treatment. How's that. Shall it be a good alternative please guide me
Ksharsutra is a good treatment in some patients. So it is important to decide whether it will suit you by a through examination.
@@drnitishjhawar Thank you Doctor, I feel you are right person to discuss. I am in Gurgaon and cannot come to Mumbai for a surgery. I have my MRI report with me. I request for sharing your contact details at my mobile number, 8943261321. I can pay for your advise on the same. I will also share my current picture of area and other conditions.
@@MdAnsar-tt6hu where the link? Thank you
Sir I had fistula at 12 O' clock, 6 O' clock and 2 O'clock with 3 Hammeroids, my General surgeon told he will do the surgery two times 1st one is going to held at 1st june and 2nd one after 3 month.
Doc please guide me what should I do.
Are you fine now?
Hi, are you healed now?
@@baishakhimajumdar2494 no
@@sagartripti no
How to avoid fistula/piles for a healthy individual?
Sir after surgery Kitney Dino main Medicine Lena band karsaktey hain
Anal fistula is such a misunderstood condition. Thank you, Planet Ayurveda, for educating us.
Excelent explaination
Hi Sir
Really love the way you explain fistula
I am in newzealand and just had surgery yesterday, it was 0.7mm deep simple fistula, doctors only give me pain killers and laevolac
Do I have to use any cream to get healing faster (woud)
Send ur no plz
Dr... You are GREAT♥️ god bless u
Thanks 🙏🏻... Now am in rest time. Last week finished fistula laser treatment.. I have transpirincher fistula 9 clock right side 4 cm.
Hello sir! I have neither pain nor bleeding while discharging through anul or at any time but after discharging the area of left sight anul skin often swells and it takes some time to be normal..... what is the name of this symptom?? what treatment should I take? please sir help me
Same problem mujhe h
Please suggest me any ..... 🙏🙏🙏
It's starting stage of perinal abscess
it could be an early grade of hemorrhoids, but a proper diagnosis can be made only after clinical examination.
Sir Mera incisonal hernia huwa tha
Mere petme 15/25 ki jali hai
Aur abhi muje fistula hogaya hai iska treatment kese ho Sakta hai plz reply me
Kya fistula ki treatment ke Liye jali naklna padega?
Hello sir,recently I got to know that i have fistula..in scan report it stated that internal opening of the tract is closed..but the surgeon said it may opens again..now the external opening of the perianal abscess tract is closed on the skin near the anus..I wanted to know whether its healing automatic or will it be recurring in next few days??
Hows it now?
My surgeon had shared exactly same info 🙏🏻
Its my 4th week, post surgery ( fistulectomy and anal advancement flap repair).
Initial phase was horrific 👻
Hi Choden ! hope you are feeling better now. im also looking forward to meet a surgeon soon. too scared.
Hey Devendra, Pls don’t worry!
As doctor explained here, everything will be fine with proper post surgery care. May god bless us 😇
Anyhow my case went like this 😊
I noticed a soar bump on my left side bum, 2 months ago. It wasn’t so painful but went straight to hospital. Receptionist directed me towards general surgeon. I was told about fistula and given some antibiotics. Painless bump disappeared and reappeared several times in a month duration so went for ultrasound where a tract was seen and did MRI which showed a thicker, 3rd grade track. Then I was told to go for fistulectomy and anal advanced flap repair according to my diagnosis. Took bed rest for almost 2 weeks . Something kept oozing after surgery.
Surgery was done with spinal anesthesia and sleep sedation I believe.
Only downside was some fear I had to undergo after surgery as it’s my first surgery in life. Holes were kept opened to dry naturally. It’s healing but seems like it will take many more weeks to heal completely.
I resumed work last week & the Gauze underwear from Amazon saved my life😂 maybe you can try as well
@@siddhantkashyap282 not so much, just can’t control any farts after surgery 🙈 before surgery fart was not so often in my life! Hope you feel better soon 🙏🏻
@@tsheringchoden6123 can relate ..o had mine 10 days back ..initially was suffering from fissure.but didn't wanted to undergo LIS so .continued with conservative treatment but that had turned into a anterior low line transsphincteric fistula ..having 11 O clock internal and 12 O clock external opening. Now i had underwent surgery (lay open fistula +sphincterotomy) ..horrified till now ..
@@tsheringchoden6123 hii after surgery I will notice white sticky pus type material you have also have this problem please reply me I am tensed very much
खूप छान माहिती
Sir I am from Manipur.I would like to come in your hospital.But no means because no person to follow me
Can anyone summarize the video as I do not understand the language he is speaking. Thanks.
Thanks for very important information giving us
thanks 🙏
Until and unless you are closing the internal opening it has to re occur.... That's it
Sir mujhe complex fistula ho gaya hai
Mujhe kya karna chahiye
Kindly advise sir urgently
How I understand wheather laser surgery for fistula is successful or not.
When your wound heals and there is no discharge.
Sir mujhy 3 sal sy h lekin us m pas wgira nie h operation k ley gya tu unhu ny kaha k medicine sy thek hu jai ga ap kuch help krskhty h please reply me
Great explanation sir.. thanks a lot
🙏🙏 thanks !
You are the best Doctor
1.2cm tract simple low intersphinteric fistula. laser is suggested or not?
My tract is 2.2 cm ,Bro please give me your number I really want your suggestion, please bro🙏🙏
Hi! Did you get surgery ?
@@tarsemsingh-qj7uzhi! Did you get surgery ?
@@PriyankaMadan-l2o yes ,laser surgery
After surgery it takes 40-45 days to heal, now pus discharge stopped. Feeling relieved now. Doctor suggested for simple homemade food with fiber rich diet for 5-6 months after surgery.Now what will happened in future, can't say. But now I am feeling ok.
Yes. Only option is operation
Very informative!
Charsutra karaya Dr sahab but bahaut dard hota samj mai nhe araha hai kya karu laser se kara laita to sahi tha
Sir fistula treatment fee approx kitni hoti
Mai gaaw Sai belong karta hun mujhe isskai bahut dar lag rha hai please reply sir
What should avoid to eat after fistula operation.sir?
Any food item which can cause either constipation or loose motion is to be avoided. A balanced high fiber diet is recommended.
will post a detail video on post surgery diet and a series of videos on anorectal health soon.
Hi,
Have you gone through the surgery ?
After How long it took to heal ? And how long you were able to sit properly without any pain ?
@@pranayanuj002 yes
@@sabenrai9273 HOW ARE YOU NOW
Video consultation available?
Yes, video consultation is available. To book an appointment, please call or WhatsApp 9322229159
Sirji Maine abhi fistula ka opration karwaya hai lekin kafi dard hota hai doctor sahab ye bimari dushman ko bhi na hoye
4.45 important
Sir general operation main fistula thik ho sakta hai ki nahin.
Great informative video. Thx doctor
Very nice Sir.
My mother is also suffering with recurring fistula after got surgery 10 years ago so what to do for a bte & pmnt solution
Fistulotomy krai thi kya bhai aapne apni mother ki. Ab kese h mom
Its called denovo
Hello sir!
Mai bihar se hoon mujhe mujhe 5 sal pahle motion ke raste me motion ke samay aur motion hone ke baad lagbhag 2 ghante tak jalan rahta fir dawa liya aur khan pan me control kiya thik rahata
kabhi kabhi tail masala zyadah hone se takleef badh jati lekin fir fiber yukt food sat isabgol pikar control kar leta tha
Lekin is sal ke shuru me mujhe kafi dard hua baad me wo ek bade zakhm ka roop leliya intibiotic dawa lene par bhi nahi thik hua
Kuchh din baad wo jhakhm bah gaya
Uske baad continue intibiotic dawa khata raha lekin us zakhm ka mooh band nahi hua bich bich me do char din ke liye band hota hai fir se discharge hone lagta hai
Aur discharge me pas kam aur pani zyada rahta hai
Us jagah ek lamba ganth bana hua hai
Mai pichhle 10 mahine se continue homeopathic medicine le raha hoon lekin thik nahi ho raha hai
Kya laser treatment karwane se mai poori tarah thik ho jaunga
please reply sir!
Sir i had two operations for my complex fistula in Medanta Gurgaon , 1st one is fistuloctomy with seton placement , other one to remove the seton . Now wound is almost completely healed , but i can see a very tiny pus area on the healed part which keeps coming at top of skin , is it just normal due to healing or some underline problem ?
Sir plz tell me how many times its come back ? i hav already two operations but
@dewesh Tiwari are completely healed now ? I'm now in the same case
Did you heal completely now tiwari shb
@@MdAnsar-tt6hu kya aapko b fistula tha . Agar tha tou aap ne kya kiya.
Get it examined by the treating doctor may be a small slow healing tract should heal on its own after thorough cleaning and granulation removal by your surgeon
Em using constipation medicine for about 1 yr before surgery...know after surgery em suffering again constipation..em very worried
Hi sir.. I have done with my fistula surgery. But after that 4-5 days.. Stool passed very hard sir.. I am taken 3ltrs water in a day.. But still not ok.. Please help me on that..... Even I am taking creamaffin syrup 3 cup of bottle in night everyday.. But still... Today I also get the same....
Watch Rajiv Dixit Ji video (diet, homeopathy) for constipation and fistula but surgery is recommended
Same problem how many days your facing this problem now how are you man
@@eeasubshaik5313 ho abhi aap kese ho ...fistula kesa h aapka
@@RakeshYadav-hu4sf apko pain kitna din hai
@@eeasubshaik5313 mujhe pain nhi h abhi...aapka fistula thik ho gya kya.....
Explained all the aspects very well. But why recurrance chances are not nil?? You referring again and again chances are very less.
This is the nature of the disease that it recurs and we have to try our best to prevent the recurrence.
Thank you Dr
You covered all the points pre, during & post surgery very nicely 🙏
Will be helpful if you can also comment on the diet, hygiene habits esp post operation to be taken care of
thanks.. sure, will cover it in the next video
@@drnitishjhawar appreciate your response Dr
May I seek one more response to my query please.
Post fistulectomy op, how do we determine for sure if the wound has healed properly & there are no further signs of any infection/ internal opening near the wound?
may someone please summarize ?
Kya chronic fissure wapas aatay hai surgery k baid plz tell me sir
Chances are very less.
Ausman kad say hu jayga sir
Sir mera operation hua kya muje dubara too nhi ho jayega sir g
which type of operations sir fistula reoccurring
Laser is good option, please consult a surgeon to understand if its good for you.
Sir have done everything before going for surgery but even after that my fistula has again reoccurring sir please reply back what can i do at this situation 🙏😢
Where did you get operated
Helo sir 9 yer bacha ku fistula huva hum na surgire bi karve o fir sa hova hi esk liya kuch tu bolea sir plzz
sir maine festolotomy laser wala opration karbaya tha 9 month ho gaya abhi esme koi pen nhi h ghab bhi ghar gaya h but esme thoda yello colour jaisa pani a raha h kya kare pls sir give me advise
Same bhai par Mujhe bich bich me thoda pain hone lgta h 😢 fistula reoccur toh nhi hoga na bhai ? Abhi app Thk ho kya bhai
dr shb mera opertion hoa 1 month phle .. fistula tar bana hoa abi tk tar nkla nhi h .. rozana suba tar khenh kr tapeing krta ho..
After having fistula surgery , doctor there was a scar over the healed wound of fistula. Why it is happening and whether it is the reoccurring but after having sitz bath for 3 day it became normal.can I plz tell doctor?
Ab theek hai
Aap
Sir mere bete ko fistula hua hai 3 to 4 year ho gaya hai..bete ki age 7 year hai..uske liye kya best hoga
तुरंत Gastroenterologist से अच्छे से जाँच और IBD के बारे में जाँच करवायें .. इस उम्र में fistula बहुत common नहीं है इसलिए कारण का पता करना पहले ज़रूरी है.. उसके बाद इलाज का निर्णय हो पाता है!
Koi mehta open surgery karvai koi kehta hai homeopathic medicene lo koi laser treatment aap batao lon sa saji rahega
thank you sir nice expalined
🙏🙏
Sir how to know which treatment suits my fistula pls reply
To decide clinical examination by surgeon is required. please visit nearby surgeon or consult me online over this app
apollo247.onelink.me/MGY5/c8ebf4f2
you can also book appointment by sending what’s app message on 9833290590
Allah ne mera fistula thik kr dya aneen
Alhamdulillah bhai konsi surgery hui thi?
@@turismoride6617 fistulectomy open surgury.
@@izajulhoque9619 abhi kaise hai puri tarah thik ho gaya?
@@izajulhoque9619 mera bhi fistulectomy open hua 2 week pehle Allah ka shukar hai pain bhot kam ho gaya lekin discharge hota hai aur kabhi kabhi stool bhi nikalta hai wound se hi… aapne wound ki care aur cleaning kis tarah ki
@@izajulhoque9619 bataiye?
Respected 😊...............
Hi sir,I have a fistula in ano.I have done MRI and now I have abcess in the opposite side which I just drained and fistula is still there and sir they have put a big cut to drain the puss.kindly tell how that cut will heal now.please help sir.thanks
@@ShahbazKhan-zb1pp hanji sir,it is paining
It is important to know the exact extent of fistula by MRI and a clinical examination of the fistula to for proper medical adwise.
Usually soaking the affected area in warm water (hot- sitz bath ) and daily dressing helps in healing of wound over a period of 3-6 weeks.
@@drnitishjhawar thanks for your advice sir.sir could you please tell the treatment of fistula please, for which treatment should I go sir
Same mujhe b hua
Mujhe fistula hai lekin jab operation k liye gaya to ascess ka karana pada operation.. 3..4 din hua hai... I m in lot of pain. Aur mujhe bole abi 3..4 mahine baad fir fistula operation karna padega
@@drnitishjhawar thank u 7 weeks after surgery my wound close but have a small present it is ok ? I'm allways dressing hotsitbatz
I had 4 times rectal abscess surgery. First one 1993, Second one Oct 2022, Third on May 2023 and got infection due to infection/pus was not cleared out perfectly afterward started drainage took antibiotic Ciprofloxacin 500mg and Metronidazole two rounds afterwards about 4 months continue drainage and pain finally after 4 months cured - stop drainage and pain - back to normal life, control foods intake no egg and chicken. But Fourth one back in March 2024 this time Surgeon Foothill Hospital, Alberta, Canada cleared out all infection perfectly my understanding only little pain outside anus surgery area made a hole to get into abscess no other pus related pain I believe - all of them required Incision and Drainage to remove infection/ pus. I do not know why abscess recurrence- it could be GI infection, IBD (inflammatory bowel disease) or Fistula tract - I have bowel movement 2-4 times per day extreme case no constipation since child hood, now I am 60 age. This time they recommend to put Seton but in not permanent solution this is time being pus drainage system. Please recommend what is the permanent solution.
Sir in India the ayurvedic surgery done and it's called sharsutra and after surgery it will never recurrence again..
@@annuvlog1930Ksharsutra treatment is not successful in complex cases because it's difficult to identify the actual openings
Sir i did operation perianial abcess but after 5 week later its low fistula in anu,.. Doctor suggest to repeat opration....but my anul side no bleeding,
Please suggest me sir.
Will i operation
Hii bhai kya aapne repeat operation kraya kya.
Fistulotomy krai thi kya
Abhi 20 din hua hai mera operation karke fir bhi thoda thoda pus aata hai toh kya kare
Hi sir how can i connect you?
Pls call helpline Number 9322229159 to book an appointment
I have done fistula Laser Surgery on 20.10.2022.
After 2 months.
Yellow pus discharge is coming.
I am worried.
Is it normal??
What to do now??
Same problem I have, and it stinks so badly
Kitna kharch laga bhai laser surgery mai
Bro Mera bhi same problem hai apka thik hua
Bhai aapka thik hua
Thank you sir apne information dekar darr hata dia
thanks 🙏🙏
Helo sir
I had surgery fistula 4 days ago, but now Stool has been come opt track is it will be fine after Few days. ।।Reply plesse
How are you now
if they don’t reply they are most likely & hopefully fine
I had fistula surgery last week feeling much better, don't get fear of you will lose bowel control, but make sure surgeon has good feedbacks don't go blind to any doctor!
Hi how r ur bowel movement?
Sir,Kin see surgery karvai aap ne
Which type of surgery you have done.
Hi,
How are you doing now ?
How much time it took to heal completely?
And, after how many days you were able to sit properly ?
And after how many days you were able to resume daily work without pain and started normal food ?
Nicely explained.
Sir one question. I had under gone Fistulectomy 40 days back. There are stitches inside anal canal. My outside wound is recovered almost 80 % . How do i know if my internal wound is healing.? Are there any symptoms that i will get to know that my internal wound healing is going correctly? Please do reply sir.
Thanks
How are you now? Healed fully?
@@sagartripti yes I am fine. No inside pain after stool passing. But dr said the internal stitches will take time to heal. Around 90 days from the day of operation
@@vickyshevade oh no. 90 days to heal. my treatment can avoid surgery.