Ayurvedic treatment for fistula
A fistula is defined as an abnormal connection between two body parts, such as an organ or blood vessel and another structure. They are usually the result of an injury or surgery. This condition can develop anywhere between the vagina and the rectum, an intestine and the skin, and other places. Commonly the most chances of fistula are having around the anus.
The World Health Organization (WHO) estimates that there are commonly 50,000-100,000 new cases of fistulas every year and occur due to lack of obstetric care.
What are the Causes of Fistula?
Commonly anal fistula occurs due to anal abscess, although there are several other possible causes of the condition which are given below –
- Due to Crohn’s disease (an inflammatory disease of the intestine)
- Radiation (treatment for cancer)
- Sexually transmitted diseases.
- Pain with bowel movements
- Diverticulitis (a disease in which small pouches form in the large intestine and become inflamed)
What are the Signs and Symptoms of Fistula?
The patient suffering from anal fistula should suffer from the given below symptoms –
- Frequent anal abscesses
- Pain and swelling around the anus
- Foul-smelling around the anus
- Skin irritation around the anus from drainage
- Fever with chills and a general feeling of fatigue
What is the Ayurvedic View of Fistula?
A disease or condition causing severe referred pain to Bhag (perineum), and Guda (anal area), is called ‘’Bhagandar’’. According to Ayurveda, the manifestation begins with the boil (abscess) around the perianal region, if it is not treated properly it can burst and converts into a discharging tract known as Bhagandar.
According to the Acharya Sushruta, when a person indulged in Mithya Aahar-vihar (un salutary lifestyle and food habits), Vata dosha in the body gets aggravated and localized in the anal canal. Further, it vitiates the muscle and blood, giving rise to Pitika (boil), and if this condition is not treated in time, the boil suppurates and burst resulting in a discharging track which leads to the formation of Bhagandar.
What is the Ayurvedic Treatment of Fistula?
Ayurveda has numerous amounts of natural herbs to treat fistula that are proven to be very effective in the management of all diseases of its root cause. In the case of fistula, Chandigarh Ayurved Centre had made a specialized kit named ‘’Fistula Care Kit’’, that mainly composed of those medicines which work to cure the fistula and further prevent it from re-occurring. The kit has a total of 5 products – Detox premium powder, Pranda gutika, Triphala syrup, Arshofit capsules, Jatiyadi lepam. The kit is made up of natural herbs for fistula with no side effects.
All Products Description in Detail:
1. Detox Premium Powder –
This is the herbal medicine made up of bhasma and natural herbs that are very beneficial to treat this condition. The powder is prepared from Gandhak rasayan, Akik pishti, Jahar mohra, Parwal pishti, Giloy satv, etc. This medicine has wonderful effects in relieving pain, swelling, redness, itchiness, discomfort, etc.
Recommended Dosage – Take 1 sachet twice daily with normal water.
2. Piles Soft Tablets –
The symptoms of anal fissure became more severe when a patient passes a hard stool. Thus to provide relief from such condition piles soft tablets are widely used. The tablet is made up of Reetha chhilka (Sapindus mukorossi) that further purified in Cow’s milk. It acts as a laxative, anti-inflammatory, anti-oxidants, etc.
Recommended Dosage – Take 2-3 tablets twice daily with normal water.
3. Triphala Syrup –
Triphala has been used in Ayurveda for many years to treat many diseases. As it is used to detoxify the body and also supports the immune system. It is the best anti-inflammatory, anti-bacterial, anti-viral properties. The syrup is made up of Bibhitaki, Haritaki, Amalaki. Each fruit is thought to positively impact’s the body’s three doshas.
Recommended Dosage – Take 2 teaspoonfuls thrice daily.
4. Arsh Care Tablet –
Arsh care tablet are pure Ayurvedic formulation. These tablets contains pure extract of Reetha Chhilka (Sapindus mukorossi) purified in Cow’s milk. The herb used for formulation of these tablets show antioxidant, anti-inflammatory, laxative properties. It makes your stool soft and help prevent constipation. It is effective against bleeding piles and reduce the pain, burning sensation,irritation while defaecation, treat Fissures, Fistula.
Recommended Dosage – Take 2 tablets twice daily.
5. Jatiyadi Ghrita Lepam –
It is the best ayurvedic herbal remedy that can be used externally to get relief from the swelling, redness, discomfort, itchiness of the piles. It is very effective in calming the imbalance pitta. This lepam is formed from Patola, Nimba patra, Tuttha, Jati patra, etc. It possesses excellent antimicrobial activity and is very effective in controlling piles and fistula.
Method of Application – Apply the lepam on the affected area.
6. Triphala Guggulu –
These are pure ayurvedic tablets that are prepared from ingredients such as Amla, Haritaki, Bibhitaki, Pippali, Guggul that maintains healthy liver cells. The extra fats accumulated in the liver are treated with the regular use of these tablets. Triphala guggulu shows carminative, digestive stimulant, anti-inflammatory, analgesic, anti-flatulent, & mind laxative properties. These herbal tablets give good results to fistula.
Recommended Dosage – Take 1 tablet twice daily with plain water.
7. Stop Bleeding tablets –
Stop Bleeding tablet is a pure herbal formulation that works as an anticoagulant. It helps to stop or reduce heavy bleeding and thus reduce the excessive unwanted bleeding. These tablets have anti-inflammatory, Analgesic, anticoagulant properties. It also pacifies pitta doshas and helps in detoxification of rakta dhatu (blood tissue). The Ingredients present in these tablets are Nagkesar, Laksha , Moch ras, Swarn gairic, Kehrwa pisthri. These tablets Helps to stop bleeding from nose and mouth, used in thrombocytopenic purpura, Bleeding disorder, Heavy menstrual bleeding, Ulcerative colitis, Peptic ulcers, Wounds& cuts.
Recommended Dosage – Take 1 tablet twice daily.
What is the Panchakarma Treatment of Fistula?
In Ayurveda, a special procedure is done to cure the fistula by Kshara Sutra. Chandigarh Ayurved Centre had performed this procedure by an experienced therapist under the guidance of an expert Doctors.
This procedure is done by specially seton thread medicated with organic alkalis such as Apamargakshara (Achyranthes aspera), Arkakshara (Calotropis gigantea) or Snuhikshara (Euphorbia lingularia). The alkali is repeatedly coated on the seton thread for about 15 – 21 times. We can also use natural antibiotics like Haridra powder, guggulu, etc to make Ksharasutra. The chemical action of the drugs coated and mechanical action of the threads are collectively working of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. This procedure acts both as the antiseptic and fibrotic agent to induce healing. The mechanism of healing starts from deeper tissues and moves towards the periphery.
Kshara sutra is done under local anesthesia, the sutra is inserted into the tract and the two ends of the thread are tied forming a loop. The threads which are coated by alkali are continuously released throughout the length of the track thereby cutting, curetting, draining cleansing and healing the track. The therapeutic action of the thread lasts for seven days. After seven days, the old thread is then replaced with a new thread following the same procedure.
Healthy diet and Lifestyle
The patients should follow the given measures that are very beneficial to prevent fistula.
- The patient should exercise for at least 30 minutes most days to keep your digestive system moving and in good shape.
- Keep the anal area dry.
- Gently clean yourself after each bowel movement.
- Use dye-free, soft and scent-free toilet paper or wipes.
- Eating about 25 to 30 grams of fiber daily can keep stools soft and improve fistula healing. Fiber-rich foods include fruits, vegetables, nuts, and whole grains.
- Increase the consumption of brown rice, barley, wheat bran, oatmeal, cereals, peas, beans, broccoli, spinach, cauliflower, banana, apples, orange, papaya, etc.
- Avoid spicy and oily foods that may aggravate the symptoms including pain, swelling, burning sensation, etc.
- Have a light and small meal at a time that it can easily digestible. This also provides relaxation to the intestine and maintains the proper metabolism.
- There a lot of yoga poses or asanas which you can regularly do to ensure that your fistulas get cured easily. These asanas also prevent the fistula from returning once it has been cured. The patient should perform the following mentioned yoga regularly to ease the symptoms of fistula – Uttanasana, Sarvangasana, Kakasana, Sirasana, Vajrasana, Uttanpadasana, etc.
Diet Chart for Anal Fistula
Anal Fistula is a worst condition that creates tunnel running from inside the anus. It forms an infection that not heal the right way. When it happens it create a small pocket of liquid and swollen infected tissues. The most common symptoms that are seen in anal fistula patients are pain, swelling around the anus, & redness. Patients having anal fistula faces problem like fever, bleeding, painful urination, foul smell liquid that oozes through holes, & painful bowel movements.
In developing anal fistula diet also plays an important role. Because your diet & lifestyle is the reason for creating anal fistulas.
|Foods to be Consumed||Foods to be avoided|
|Fruits||Apple, Banana, Papaya, Peach, Pear, Grapes, Blueberries, Figs, Avocado.||Orange, Mango, Guava, Lemon.|
|Vegetables||Bottle gourd, Bitter gourd, Ridge gourd, Carrot, Broccoli, Cabbage, Cauliflower, Spinach, Fenugreek, Pumpkin, Beetroot.||Garlic, Ginger, Brinjal, Ladyfinger, Taro roots, Elephant yam.|
|Grains||Wheat, Brown rice, Whole grains, Corn.||White rice, White bread, Refined flour.|
|Dairy Product||Cow’s milk, Cow’s ghee, Curd, Yogurt, Buttermilk.||High-fat milk, Cheese, Butter, Mayonnaise.|
|Legumes||Yellow lentil, Pink lentil, Green gram, Chickpeas.||Kidney beans, Soybeans, Black gram, White split gram.|
|Nuts||Almonds, Figs, Raisins, Walnuts.||Cashew nuts, Peanuts, Dates, Pistachio.|
|Oils||Olive oil, Coconut oil, Mustard oil, Sunflower oil.||Refined vegetable oil, Sesame oil.|
|Spices||Cumin, Coriander, Fennel, Carom, Fenugreek, Turmeric & Black pepper (in small quantity).||Excessive salt, Red chili.|
|Beverage||Green tea, Herbal tea, Coconut water, Fresh juices, Pomegranate juice, Carrot juice.||Tea, Coffee, Alcohol, Cold drinks, Carbonated drinks.|
Dr. Vaidya Karanvir Singh is the younger Vaidya in Chandigarh Ayurved & Panchakarma Centre. He is the fourth generation in his family who is practicing as a general consultant in Ayurved & Panchakarma treatment at Chandigarh. In his practice, he had treated more than 1 Lakh Plus patients worldwide.