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Natural Treatment of Anal Fistula

Anal Fistula

About Anal Fistula

Anal Fistula or fistula-in-ano is the abnormal communication between the epithelial surface of the anal canal and perianal skin. Anal fistula is frequently the result of previous or current anal abscess. Fistula can occur spontaneously or secondary to anal abscess.

Anal fistula is termed as Bhagandara in Ayurveda. It means the condition resulted due to laceration or lesion in guda (anus) bhanga (Pubic region) basti (area of bladder). In Ayurveda Fistula or other diseases classified according to the vitiation of one or more doshas i.e. Vata, pitta, kapha. According to Ayurveda boils that about 2 angula (1.5 inches) around the anus if burst open form a track which is known as Bhagandara. It's a kind of Sanipataja Nadivarna (Complimentary Fistula).

What are the Causes of Anal Fistula?

Anal Fistula usually caused by the previous abscess, infection or trauma to that area. Often it is result of chronic discharge of pus or stool from the opening of the skin.

  • Crohn's Disease
  • Inflammatory Bowel Disease
  • Cancer
  • Diverticulum Disease
  • Radiotherapy
  • Tuberculosis

What are the Types of Anal Fistula?

  1. Transsphincter fistula are the result of ischiorectal abscesses with extension of tract through the external sphincter. It accounts about 25% cases of all fistulae.
  2. Intersphincter fistula are confined to the intersphincteric space and internal space. They result from the perianal abscesses. It accounts about 70% of all fistulae.
  3. Suprasphincter Fistula are the result of supralevator muscle abscesses. It accounts about 5% of all fistulae.
  4. Extrasphincter Fistula Bypass the anal canal and sphincter mechanism, passing through the ischiorectal fossa and levator ani muscle, open in the anal canal. It accounts only 1% of all fistulae.

According to Ayurveda anal fistula (Bhagandara) can be classified as follows:-

  1. Shataponaka - Dominance of vata dosha. Excess intake of dry, astringent, spicy and pungent substances cause vitiation of vata dosha and in turn they cause the boil in the anal region.
  2. Ushtragreeva - Dominance of Pitta dosha. Due to intake of spicy, hot substances and relative habits pitta dosha aggravates and in turn they from blood filled/oozing blisters around the anus and discharge with smell.
  3. Parisraavi - Dominance of kappha dosha. Due to intake of cold, beverages, unctuous food and relative habits kapha dosh severely aggravates in turn there is a formation of bigger boils. They hard, stable and mature gradually. When these boils are burst open the track appear with white discharge (Pus) with mild pain.
  4. Shambookavarta - Dominance of all three dosha Due to aggravation of all three doshas (Vatta, Pitta, Kapha) multiple color blisters formed around the anus and anal region.
  5. Unmargi - Due to injury /external cause this kind of Bhangandara is due to injury or prick of needle, nails and stick over the perianal region. Small abrasions are formed due to this and they get worsen due to bad food habits

What are the Symptoms of Anal Fistula?

  • Pain which is usually throbbing, constant, worsen in sitting position.
  • Discharge of pus and blood.
  • Constipation or pain associated with bowel movement.
  • Fever.

How to Diagnose Anal Fistula?

Usually in clinical examination, digital rectal examination is sufficient to diagnose the anal fistula.

But some Patients requires additional test also:

  • Sexual transmitted infection.
  • Inflammatory bowel disease.
  • Rectal cancer.

What is the Prognosis of Anal Fistula?

According to Ayurveda it is most miserable and critical disease due to bad prognosis. Due to bad prognosis there is a maximum chances of reoccurrence. Among these Sambookavarta and urnmargi is difficult to treat. The fistula which is associated with severe discharge, worms and stool in its discharge is incurable.

Herbal Remedies for Anal Fistula by Planet Ayurveda

Planet Ayurveda offers best combination of effective herbal remedies such as Fistula Care Pack for natural treatment of anal fistula. These herbal remedies are prepared from using best quality herbs and strictly follow the principles of Ayurveda. All these herbal remedies of Planet Ayurveda are 100 percent pure, natural and vegetarian. These are free from chemicals, additives and preservatives. These are safe to use as these are free from side effects.

Products Description

1. Triphala Guggul

It is combination of three herbs Amla (Emblica Officianlis), Harar (Terminalis Chebula), Bhaera (Terminalis bellarica). It is a natural supplement usually used in Ayurveda.

Benefits: It acts as anti-bacterial, anti-inflammatory, anti-oxidant and anti-viral agent. It improves the blood circulation in the rectal region. It enhances the flow of bile and peristaltic movements of intestine. It's a safe and non-addictive laxative. It has several wonderful property acts as anti-aging and antibiotic. It works wonderfully to heal anal fistula, piles. It also lowers triglycerides, cholesterol and body weight also. It's an excellent remedy for all type of stomach and liver ailments. It stimulates thyroid and relieves menstrual pain.

Dosage - 2 Tablets thrice a day with warm water.

2. Vara Chruna

Vara Chruna is a mixture of Amla, Haritaki, and Bhibhitaki. Combination of these three herbs are very useful in treating many kind of diseases. It is a traditional formulation for which is mild Purgative and cooling in nature.

Benefits: It acts as a natural colon cleanser and straighten the gastrointestinal tract. It Boosts the Immune system.

Dosage: 1 teaspoon twice daily with warm water.

3. Nirgundi Oil

It is extract from the plant vitex negundo which is bitter, pungent, and astringent. It is also one of the best anti-inflammatory, anti-histamine, anti-biotic and muscle relaxant.

Benefits: It reduces inflammation and pain. It heals fistula and tones the affected area by proper blood circulation. It's also a good remedy for female ailments such as amenorrhea, menopause, menorrhagia and Premenstrual syndrome.

Dosage: Apply locally on the area.

4. Curcumin Capsules

Curcumin is the active compound of haldi which is very effective in treating various ailments. It acts as a blood purifier and metabolism regulator. It nourishes most of the body system such as respiratory system, digestive system and circulatory system.

Benefits: It reduces edema around the anal region. It also beneficial for skin and body pain. It's also helpful in treating asthma, allergies, various type of cancers and Alzheimer's disease. It improves Indigestion and Irritable Bowel Syndrome, Diarrhea & Dysentery.

Dosage - 2 Capsules twice a day with warm water.

To buy Fistula Care Pack, please visit

Diet Recommendations

  • Avoid Junk, spicy, non-veg, oily food, tobacco, alcohol. Do not consume milk products at night.
  • Increase take of low fiber diet which is found in fruits like papaya, plum etc. Choose whole grain like Barley, gram, brown rice, vegetables like bottle gourd, cauliflower. Replace meat with legumes.
  • Use cow's ghee, Olive Oil, groundnut oil for cooking.
  • Include Porridge, herbal tea, brown bread, Sprouts in the Breakfast. Drink Plenty of Water.


Can a Fistula be cured?

As per the modern system of medicine, there is no medication that fixes the condition. A surgical procedure named fistulectomy is done.

As per Ayurveda system of medicine, it can be cured with medications. It depends upon the symptoms and causes. Sometimes it requires ksharsutra, which acts as an antiseptic, and has healing properties. This treatment is more effective and convenient than the modern surgical procedure.

Is a Fistula a sign of cancer?

No, a fistula is not a sign of cancer, but if it is left untreated or if a fistula takes a long time to heal or if it may not be healed properly then it may lead to cancer.

What can happen if a Fistula is left untreated?

If the fistula is left untreated then the glands inside the anus get blocked and it may lead to infection. There may be several complications such as congestive heart failure, thrombosis, necrosis, gangrene.

Are Fistulas hereditary?

No, fistulas are not hereditary.

Is a Fistula dangerous?

No, fistulas are not dangerous. But once they form it depends upon their severity. But they will not heal permanently without surgery.

How do you diagnose a Fistula?

A fistula is usually diagnosed by a physician by examining the area around the anus. It may be easily visible on the skin but sometimes an instrument is used to examine the fistula.

Is a Fistula life threatening?

No, fistula is not life- threatening. But in rare conditions, if a fistula may not heal properly and becomes chronic that leads to several complications such as perforation, peritonitis, and sepsis. Complication such as sepsis is a life-threatening illness that leads to bacterial infections.

Is surgery necessary for a Fistula?

No, surgery is not necessary for fistula. It can be cured with herbal medicines because herbal medicines work on the root cause of fistula. But in rare cases, ksharsutra, an Ayurveda surgical procedure is required and this is very helpful. It may depend upon the severity of causes and symptoms associated with fistula.

How long does Fistula take to heal?

It will take several weeks or even take several months for the fistula to heal completely. In some conditions, fistula may not heal properly so proper care should be taken.

Do Fistulas ever heal?

Yes, but it depends upon the severity of fistula. Most fistulas are easily treated but in rare cases, they may not heal properly and if it is left untreated for a longer time period there may be a risk of developing cancer in the fistula.

Can Fistula be cured without surgery?

Yes, fistula can be cured without surgery if the causes and symptoms are not severe. In the modern system of medicine, it cannot be completely cured and develop several side effects.

In the Ayurveda system of medicine, it is curable by kshar-sutra.

Is Fistula sexually transmitted?

Yes, fistula is transmitted sexually that leads to an increase in the susceptibility to infection and forms anal fistula and abscess.

What is the best treatment for a Fistula?

As per the modern system of medicine:

  • Fistulotomy
  • Ligation of intersphincteric fistula tract (LIFT)
  • Fibrin Glue: Create fibrin clot for wound healing.

As per Ayurveda system of medicine;

  • Herbal medicines
  • In rare cases, Ksharsutra is required.

What are the home remedies for a Fistula? How can I treat Fistula at home? / How to get rid of Anal Fistula naturally?

  • Maintain proper hygiene.
  • Take a sitz bath:Fill the tub with warm water and add a decoction of neem leaves in it.
  • Intake of high fiber diet (carrot, apple, strawberry, almonds)
  • Drink plenty of water.
  • Intake of radish leaves and its juice

Are Fistulas painful / Is Anal Fistula painful?

Yes, fistulas are painful. But it also depends upon the severity of causes and its symptoms.

Is Fistula surgery painful?

Yes, fistula surgery is painful. But with the help of herbal medicines fistulas can be cured permanently.

Are Fistulas common?

Yes, fistulas are common. Their common location is around the anus.

Is Fistula completely curable?/ How to cure Fistula permanently?

Yes, fistula is completely curable with Ayurvedic medications and also curable by a surgical procedure known as Ksharsutra in Ayurveda.

Can Fistula heal itself?

No, fistula cannot heal itself. A recurrent abscess may develop if the opening of fistula heals.

Can Fistula recur?

Yes, fistula can recur and it depends upon the particular surgical technique utilized. Proper care should be taken.

Can Fistula be cured by medicine?

Yes, fistula can be cured with Ayurvedic medications.

Can a Fistula come back?

Yes, a fistula can come back. It usually depends upon the surgical procedure utilized. Proper care should be taken by the patient.

How do I stop itching down there?

  • Use water and a plain unscented soap regularly to clean the external genital area.
  • Avoid using toilet papers, creams, sprays, and scented pads.

Can Colonoscopy detect Fistula?

Yes, colonoscopy detects fistula. But it is usually diagnosed with the help of a computed tomography (CT) scan.

Is Fistula curable?

Yes, fistula can be curable with Ayurvedic herbal medicines.

How do you take care of a Fistula?

  • Keep the fistula clean.
  • Wash the hands with soap and warm water regularly.

Can Anal Fistula lead to cancer?

Yes, fistula can lead to anal cancer. It is more likely to develop in smokers than nonsmokers.

What happens when an Anal Fistula ruptures?

Rupturing of anal fistula leads to spreading of residual infection in different directions and also there is a formation of a complex fistula.

What are the signs of Anal Fistula?

  • Bleeding
  • Fever
  • Pain and redness
  • Painful bowel movements
  • Swelling around the anus
  • Bloody or foul-smelling drainage (pus)
  • Irritation around the anus

What are the reasons for an Anal Fistula?

  • Crohn’s disease
  • Sexually transmitted diseases
  • Cancer
  • Tuberculosis
  • Trauma or any injury
  • Diverticulitis

How do they check for an Anal Fistula?

It is checked by examining the area around the anus, it is on the external opening on the skin. The colonoscopy procedure is done under conscious sedation.

How does a doctor diagnose Anal Fistula?

A doctor can diagnose anal fistula by examining around the anus. It includes other diagnostic studies such as blood tests, x-ray, and colonoscopy.

What foods irritate Anal Fistula?/ Which foods are bad for an Anal Fistula?

  • Yogurt
  • Cheese
  • Tea
  • Biscuits
  • Fatty foods
  • Spicy and Junk food
  • Alcohol
  • Tobacco

What to eat to reduce Anal Fistula? / What should I eat in Fistula? / Which foods are good for an Anal Fistula?

  • Fruits (except Banana, it causes constipation)
  • Green leafy vegetables
  • Potato
  • Tomato
  • Ginger
  • Beans
  • Carrot
  • Beetroot


  1. Fruit juice
  2. Aloe Vera Juice
  3. Vegetable juice
  4. Radish leaves and its juice
  5. Herbal tea mixed with honey
  6. Drink plenty of water

Can exercise reduce Anal Fistula?

Yes, regular mild exercise can reduce the anal fistula. A good position opens up the rectum and passes the stool easily.

Is ginger good for an Anal Fistula?

Yes, ginger is good for anal fistula. It has an anti-infective, anti-inflammatory, and antibiotic property. It also acts as the best blood purifier and regulates metabolism.

What is the best medicine for an Anal Fistula?

Planet Ayurveda provides the best combination of herbal remedies for the treatment of anal fistula.

  1. Triphala Guggul : It consists of Triphala- acts as a bowel movement regulator and Guggul- provides a defense mechanism.
    It eliminates the waste products and tones the GI tract (Gastro-intestinal tract). It improves the blood circulation in the rectal region and is also useful in liver functions.
  2. Curcumin Capsules : Curcumin acts as an antibiotic, anti-infective and anti-inflammatory. It purifies the blood and eliminates the waste products from the body. It also regulates metabolism and heals the ulcers and wounds. It reduces the pain and inflammation of the fistula.
  3. Vara Churna : It contains haritaki (Terminalia chebula), bibhitaki (Terminalia bellerica) and amalaki (Emblica officinalis). It rectifies constipation and eliminates the waste products from the body. It gives strength to the body and improves liver functions. It also boosts the immunity of the body.
  4. Nirgundi oil : It is made from the plant Vitex negundo. It is the best antibiotic, anti-inflammatory, and analgesic. It relaxes the muscles and heals the fistula. It also maintains the blood circulation in the body.

Does Anal Fistula cause bleed?

Yes, anal fistula causes bleeding. The patient will report local irritation, perianal drainage, and bleeding.

Can a Fistula be treated with antibiotics?

Yes, a fistula can be treated with antibiotics. But it is not a life-long treatment and can be recurred and has many side effects. It also requires surgery. But with Ayurvedic herbal medicines it can be completely cured and with these herbal medications, the cause of fistula is treated.

Is Crohn’s disease a cause of Fistula?

Yes, Crohn’s disease is a cause of fistula. It can spread throughout the whole bowel wall and can cause small leaks and there is a formation of abscesses.

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Author Bio:

Best Ayurvedic Doctor - Dr. Meenakshi Chauhan

Dr. Meenakshi Chauhan


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Reviewed By:

Best Ayurvedic Doctor in Mohali - Dr. Vikram Chauhan

Dr. Vikram Chauhan


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