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Helping you to cope with the pain of fistulas

Sitz Bath

A sitz bath is a plastic tub that fits over the toilet and can be filled with water, and salt or baking soda. Sitting in the warm water for 15 to 20 minutes can provide relief from the discomfort from hemorrhoids, fistulas, anal fissures, or an episiotomy. This can be done by sitting in a bathtub filled with a few inches of water, but using a plastic sitz bath that fits over the toilet is often more convenient. There are other natural remedies that you can add to the water, such as oil of oregano.

You need:

•Sitz bath

•Clean towel and washcloth

•Salt (if recommended)

  1. A sitz bath can be purchased at pharmacies. If you will need a sitz bath after surgery, ask the staff in the hospital if they can provide you with one before you go home.
  2. Prepare the items you will need so they are near at hand from where you will be using the sitz bath.
  3. Place the sitz bath over the toilet, ensuring that it fits well and will not shift.
  4. Fill the sitz bath with warm water. Remember that the water temperature will feel cooler to your hands than it will to the rest of the body.
  5. Some sitz baths come with a solution bag and a tube. The bag can be used by filling with water and hanging from a hook (in the hospital, typically an IV pole is used) that is higher than the toilet. A tube will run from the bag into the sitz bath to provide a continuous flow of water. Use the clamp provided to stop the water.
  6. Many sitz baths are designed with a vent to prevent overfilling. The water will not overflow when you sit it in, but rather will empty into the toilet bowl. If using a solution bag, the water will run continuously from the bag and out through the vents. If your sitz bath does not have a vent, be careful not to overfill it.
  7. If your doctor has recommended it, add salt to the water.
  8. Sit in the sitz bath for 10-20 minutes, or as recommended by your doctor.
  9. When finished, use a towel to gently pat the affected area dry.

10. Use your sitz bath as often as recommended by your doctor; generally several times a day as needed to ease discomfort.

11. Wash your sitz bath after each use and dry it thoroughly.

30 Responses to “Sitz Bath”

  1. Epsom salt is what I have been using lately and it works wonders.

  2. kindly let me know where can i buy this.

  3. Natasha, you can find it at pharmacies/medical supplies shop.

  4. thank you for the valuable information that is helping so many people. would you know if epsom salt and wild oregano oregano oil should be used together, for good results?

  5. how much oregano oil should be put into the sitz bath?

  6. I think that sitz work well,but I installed a rim side bidet on our toilet for our 17 year old who has 2 fistulas one seaton and one pinrose. His skin and pain is so much better. When he sat on the sitz for 20 min. We would still find stool. Sitting on the bidet for 20 min. there is no stool left anywhere. Our son is a cancer survivor and a 3 time patient. We ordered it off the internet for a little over 100$ USA. best money we’ve spent.

    • Hi Edna…im curios to know about your son..i too have cancer a a large cavity in the perianal area that has swallowed up my vagina and anus. The pain is unbearable.

  7. Do u leave toilet lid up when using sitz bath,marie

  8. At first I was overdosing on epsom salts. Be careful because epsom salt are very detoxing. They are great! Don’t get me wrong I still use mine daily, especially at the moment, but only about a cup at the most once a day.

  9. Why not just use the bath like I do? Apart from the saving on water is there any other benefits of a sitz over a bath ???

  10. can u just have baths in the tub? with or without epsom salt?

  11. Sir (s),

    Two days back I went through Fistulotomy. the tract is completely excised. I take regular sitz baths, four per day. I feel lot of mucus like substance coming out along with blood. Is it normal? And what else could I try to help heal the surgical wound safely.

    Thanks

  12. Sir,
    I have one fistula in Ano at 7 o’clock position diagnosed and operated with KSHAR SUTRA THERAY by an Registered Ayurvedic phyisician on 25th Feb 2014. now i visit him every week for changing thread. i am also talking Sitz bath once in a day and JATYADI oil putting inside the rectum with help of a tube.

    Please let me know weather i am going right or i need to do any thing more.

  13. Hi Ram
    I am thinking to go for Kshar Sutra treatment in India, Bangalore. Now I live in UK, And have one seton. Can you please tell me where did you have your treatment.

  14. https://www.vitaminking.com.au/Oil-of-Wild-Oregano-25ml-by-Solutions-4-Health.html

    Could someone take a look at this link for Oil of Wild Oregano and tell me if I should buy it. Thanks!

  15. how many days a sitz bath may be recommended, after being operated ?

  16. Can i use Rough Salt in my fistula sitzbath the one that have Large particles?

  17. Hi..everyone …i have been operated for fistula…can i apply trolone on wound after sitz bath…

  18. Hi.. I had a fistulectomy some 18 days before but I am still getting pus from near anus .. I don’t have any pain and would Is hearing properly but pus is a concern ..is it normal and how Much time it will take to pus to stop.. I am taking sirs bath everyday.. can we use hot water for sitz bath or should it be warm.. what can I add in water..

  19. Hi,
    I have a recurrent fistula with no apparent discharge. The pain has gone up to 90%. Now the fistula is not going away as it usually does. It’s still hard and thick. Do I need to get it surgically removed. It’s almost 15 days now since it developed. Usually they go away on 7 days by taking all precautions. Please guide me if anyone had same experience.
    Thanks

    • Hi Amir, I have had a recurrent abscess for many years and the swelling became unbearable. I visited a colorectal specialist on 7 Sept, who confirmed it is fistula. I have undergone fistolotomy surgery on 7 Sept and am recovering very well now – please see a colorectal specialist!


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