I had vaginal hysterectomy this Dec. But now I'm facing severe problems with fissure. Before this problem was not identified but now the pain is aggravated. Should I go for surgery.

Dr. S K SinghAyurveda31yrs exp

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Surgery is not a good choice for fissure for the reason of recurrence of problem after surgery. Besides this complications like stool incontinence (Inability to hold stool) etc. Are also seen if thee is too much damage to sphincter muscles. How ever this problem can be completely treated by Graded Kshar karma. In this treatment; Graded Kshar - a specialized Ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Pain associated with fissure usually subsides with in a week or 10 days. While complete healing of Fissure may require 4-5 Graded Kshar Karma sittings at weekly intervals. Now you should take Sitz bath (Hot water tub bath) 2-4 times a day followed by application of Sushruta ointment and lekhan powder in anal passage. Put 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel movement; you should take 1 tea spoon of Sushruta Churna in night with warm water. To get these medicines and for further support and appointment; you may call reception at Sushruta Ano Rectal Institute. 

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