Managing pain caused by anal fistula requires a combination of medical, lifestyle, and surgical interventions. Here’s how Dr. Samrat Jankar and his team at Kaizen Fistula Care Clinic recommend handling it effectively:

Keep the Area Clean and Dry:

Maintaining hygiene is crucial to decreasing infection and irritation in the anal area. Use lukewarm water to clean the area gently after each bowel movement. Avoid using harsh soaps or wipes that contain alcohol or chemicals. Instead, pat the area dry with a smooth cloth.

Use Sitz Baths:

A sitz bath is one of the most advised home remedies to ease anal fistula pain. Soaking the anal area in warm water for 15–20 minutes, 2–3 times a day, permits:

• Decrease inflammation
• Promote drainage
• Soothe pain and itching
• Speed up healing

Dr. Jankar often recommends adding antiseptic solutions like Betadine to the water to control bacterial growth.

Apply Topical Pain Relievers:

Prescription-based or over-the-counter topical anesthetics and ointments can provide temporary relief. These may include lidocaine-based creams or herbal soothing gels. However, they should be used under the guidance of a specialist to avoid long-term skin sensitivity.

Take Prescribed Painkillers or Anti-Inflammatories:

For moderate to severe pain, oral medications like NSAIDs (e.g., ibuprofen) may be prescribed. Antibiotics are often required if there’s an active infection or pus formation. Dr. Jankar advises avoiding self-medication, as improper use of antibiotics can worsen the condition or cause resistance.

Manage Constipation and Bowel Movements:

Hard stools and straining during bowel movements can worsen fistula pain. To reduce this:

• Increase fiber intake (vegetables, fruits, whole grains)
• Drink 2–3 liters of water daily
• Use stool softeners or mild laxatives as prescribed
• Establish a regular bowel routine

Patients at Kaizen Fistula Care Clinic often receive dietary guidance to keep the digestive tract healthy and control recurrence.

Avoid Prolonged Sitting:

Sitting for long periods, specifically on hard surfaces, increases pressure on the anal region and worsens discomfort. Use a soft cushion or a donut pillow to ease pressure while sitting. Take frequent breaks to walk around.

Use Appropriate Clothing:

Wear loose, breathable cotton underwear and clothing. Avoid tight jeans or synthetic materials that may trap moisture and cause friction around the anal area.

Seek Expert Evaluation and Treatment:

If conventional methods fail to provide relief, it’s essential to consult a fistula specialist. Chronic fistulas rarely heal on their own and usually require medical or surgical intervention.

At Kaizen Fistula Care Clinic, Dr. Samrat Jankar offers advanced, minimally invasive treatments tailored to the patient’s fistula type and severity. These include:

• Laser Fistula Treatment (FILAC): A safe, quick, and minimally invasive method using a radial laser probe to seal the fistula tract. It involves less pain, faster recovery, and minimal damage to surrounding tissues.
• VAAFT (Video-Assisted Anal Fistula Treatment): This innovative method allows direct visualization and cleaning of the fistula tract using a fistuloscope. It’s highly effective in complex and recurrent fistulas with minimal risk of recurrence.
• LIFT Procedure: Ideal for transsphincteric fistulas, this sphincter-saving procedure involves ligating the internal opening and cleaning the tract. It helps in preserving continence while curing the disease.

Dr. Jankar’s expertise lies in identifying the exact location and path of the fistula using diagnostic imaging (like MRI or 3D endoanal ultrasound) and then selecting the most suitable surgical option for long-term relief.