Understanding Fistula and Its Challenges

A fistula-in-ano, known in Ayurveda as Bhagandara (भगन्दर), is a chronic condition where an abnormal tract forms between the anal canal and the skin around the anus. It is considered one of the Ashta Mahagada, the eight major diseases in Ayurveda, highlighting its complexity and tendency to recur.

Definition of Bhagandara

• Bhaga refers to the perineal area, the space between the anus and genitals.

• Darana means tearing or bursting.

• Together, Bhagandara signifies a tearing, breaking, or abnormal tract in the anal region.

Causes of Bhagandara in Ayurveda

Ayurveda identifies several causes of fistulas, including:

• Chronic constipation or frequent diarrhea

• Untreated boils or abscesses near the anus

• Poor hygiene

• Suppression of natural urges

• Excessive intake of spicy, oily, or heavy-to-digest foods

• Prolonged sitting

• Sexually transmitted infections

Understanding these causes is key to prevention and effective treatment.

Conventional vs Ayurvedic Approaches

Why Some Fistulas Do Not Heal with Conventional Surgery

Fistulas are always considered surgical conditions and cannot be effectively managed with oral medications alone. Conventional surgeries may leave large wounds, cause post-operative complications, and have a chance of recurrence.

Comparing Kshar Sutra and Open Fistulotomy

Kshar Sutra, also called the Ayurvedic Seton, is a minimally invasive treatment. A medicated thread is passed through the fistulous tract to clean, cut, and heal the tract gradually. In comparison, open fistulotomy is a more invasive surgical procedure with longer recovery times and higher discomfort.

Benefits of Kshar Sutra Therapy:

• Minimally invasive and outpatient-friendly

• Cuts and heals from the base, addressing the root cause

• Less tissue injury and lower post-operative complications

• Almost nil chance of recurrence

• Compatible with all age groups

• Quick recovery; patients can resume daily activities the next day

6 Simple Steps to Heal Anal Fistula Faster in 2025

1. Kshar Sutra Therapy: Medicated thread heals and removes infection

2. Ayurvedic Herbs: Turmeric, Triphala, Kutki, and Guggulu reduce inflammation and aid recovery

3. Fibrin Glue: Seals the fistula tract and promotes healing without surgery

4. Seton Placement: Flexible material helps drain complex fistulas and aids natural healing

5. Maintain Proper Hygiene: Gentle washing, avoid harsh soaps, pat dry, and use soothing wet wipes

6. Diet and Lifestyle Adjustments: High-fiber foods, regular routines, stress management, and adequate sleep

For personalized guidance and treatment options, visit Healing Earth for expert Ayurvedic care.

Holistic Healing with Ayurveda 

Ayurvedic treatments focus on healing the root cause rather than just alleviating symptoms. No-side-effect therapies and lifestyle adjustments make it a safe and natural choice.

Dietary Recommendations

• Avoid foods that aggravate Vata, such as dry, spicy, and processed foods

• Include fiber-rich foods, fruits, vegetables, and whole grains

• Stay hydrated to prevent constipation and aid digestion

Lifestyle Modifications

• Practice yoga and meditation for stress management

• Maintain a regular daily routine

• Get adequate sleep

• Avoid prolonged sitting and strenuous physical activity

Ayurvedic Herbs for Fistula Healing

• Triphala: Supports digestion and bowel regularity

• Turmeric: Anti-inflammatory properties

• Kutki and Guggulu: Reduce inflammation and promote tissue healing

What to Avoid During Recovery

• Avoid sitting for long periods

• Refrain from heavy lifting and vigorous exercises

• Avoid harsh soaps and chemicals

• Never skip follow-up appointments

Conclusion

Fistulas and fissures can be painful and challenging to manage, but Ayurvedic treatments offer a natural, safe, and effective path to healing. With therapies like Kshar Sutra, supported by herbal remedies, dietary guidance, and lifestyle adjustments, patients can experience faster recovery, minimal discomfort, and a lower risk of recurrence.

Focusing on the root cause rather than just symptoms, Ayurveda ensures holistic healing—helping you regain health, comfort, and confidence. Consulting a qualified Ayurvedic specialist is the first step toward effective recovery and long-term well-being.

FAQ Section

Q1: What is a fistula?
A1: A fistula-in-ano is an abnormal tract between the anal canal and the skin around the anus, often causing pain, discharge, or infection.

Q2: What is Kshar Sutra therapy?
A2: Kshar Sutra is an Ayurvedic minimally invasive procedure where a medicated thread is placed in the fistula tract to clean, cut, and heal it gradually.

Q3: Can Ayurvedic medicine help with fistula healing?
A3: Yes, herbs like Triphala, Turmeric, Kutki, and Guggulu support inflammation reduction, tissue healing, and digestion, complementing Kshar Sutra therapy.

Q4: How soon can I resume daily activities after Kshar Sutra treatment?
A4: Most patients can resume their normal activities the very next day, as it is minimally invasive and outpatient-friendly.

Q5: Is Ayurvedic treatment safe for all age groups?
A5: Yes, Ayurvedic treatments, including Kshar Sutra therapy, are generally safe for all age groups and cause minimal discomfort.