What Is Kshar Sutra ?

Kshara is a caustic, alkaline in nature obtained from the ashes of medicinal plants. It is a milder procedure compared to surgery and thermal cautery. ... Kshara Karma is useful as the substitute of surgical instruments, because they can be used safely on the patients who are afraid of surgery

Kshar Sutra: Treatment, Procedure, Cost And Side Effects

What is the treatment?

It is an ayurvedic parasurgical treatment which involves management of Anorectal disorders for treating haemorrhoids, fistula-in-ano, Anal Fissure and Pilonidal Sinus. Pilonoidal Sinus (PNS) is a condition that occurs mainly in men, in young adults and in those who does a sitting job wherein a small hole or tunnel develops on the skin that gets filled with fluid or pus and forms an abscess or a cyst. This occurs in the cleft at the top of buttocks and the cyst mainly contains a foreign body like some debris, hair or dirt causing infection and severe pain, oozing out blood, pus and a bad odour. Anal fissure is a condition which is characterised by a small crack in the skin in the anal lining causing bleeding and severe pain during and after bowel movements. This condition happens due to hurting bowel movements, or during childbirth, or due to constipation. Anal fissure can occur in people of any age and usually in not a serious condition. Fistula-in-ano is a chronic condition where a tunnel forms connecting the epithelialized surface of the anal canal and the perianal skin. It mainly occurs in people with an anal abscesses history and forms when the abscesses or cyst has not healed completely. It can be very painful and irritating. The therapy roots from Ayurveda by Charak, Sushruta and Vagbhata and its efficacy was established again by BHU’s Shalya Tantra Department. The treatment is absolutely effective, very safe and affordable. The technique is practised widely in India as well as other countries. The technique basically uses a specially prepared thread to treat the diseases.

Benefits of Kshar Sutra treatment over modern surgery

1:- This treatment is mostly performed under local anaesthesia and normally takes around 20-50 minutes to perform whereas modern surgery normally uses general anaesthesia and takes around 1-2 hours to complete.


2:- Hospital stay does not extend beyond 5-6 hours and the patient can go back to their normal lives within 3-5 days. In case of modern surgery, the patient needs around 1-2 weeks to fully recover.


3:- Kshar sutra treatment is more cost effective than modern surgery.


4:- Possibility of it coming back after Kshar sutra ligation procedure is quite unlikely.

5:- The biggest benefit of Kshar Sutra treatment over modern surgery is that the muscles which support the anus and works towards regulating the bowel movements are not affected, which ensures that the patient doesn’t have to suffer from anal incontinence.


After the Kshar sutra procedure, it is very important to follow a fibre rich diet and avoid any kind of food that would cause constipation. Patients are also advised to keep the anal region clean and do proper dressing.