BOOK AN APPOINTMENT 0414 714 072 Authentic Ayurveda Centre on the Sunshine Coast [email protected]

Ayurvedic Management of Anal Fistula


Anal fistula is a common condition that involves the formation of an abnormal tunnel-like tract between the anus and the skin surrounding it. It can cause discomfort, pain, and discharge of pus. Ayurveda, the ancient Indian system of medicine, offers a comprehensive approach to managing anal fistula by addressing the underlying imbalances and promoting natural healing. It is essential to consult with a qualified Ayurvedic practitioner, such as the experts at Sunshine Ayurveda Wellness Centre, for a personalized treatment plan.

What is Anal Fistula?

Anal fistula is a condition characterized by the presence of an abnormal tract or tunnel that forms between the anal canal and the surrounding skin. It usually occurs as a result of an infection or abscess in the anal glands, leading to the development of a small opening called a fistula. This condition can cause pain, discomfort, swelling, and discharge of pus or fecal matter.

Ayurvedic View of Anal Fistula:

According to Ayurveda, anal fistula is primarily attributed to an imbalance in the Pitta and Kapha doshas. Pitta represents the fire element and governs digestion, metabolism, and inflammation. Imbalanced Pitta can contribute to the formation of abscesses and infections. Kapha represents the earth and water elements and is responsible for lubrication and healing. Imbalanced Kapha can impair the natural healing process and contribute to the persistence of the fistula tract.

Causes of Anal Fistula:

  1. Infection or abscess in the anal glands.
  2. Chronic constipation or diarrhea.
  3. Poor anal hygiene.
  4. Trauma or injury to the anal area.
  5. Inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis).
  6. Sexually transmitted infections.
  7. Tuberculosis.

Symptoms of Anal Fistula:

  1. Pain and discomfort around the anus, especially during bowel movements.
  2. Swelling and redness around the anal opening.
  3. Persistent or recurrent discharge of pus, blood, or foul-smelling fluid.
  4. Itching or irritation in the anal area.
  5. Formation of an external opening or lump near the anus.

Ayurvedic Treatment Approach for Anal Fistula:

Panchakarma Therapy:

  • Virechana (Therapeutic purgation): Detoxifies the body, reduces inflammation, and improves digestion.
  • Basti (Enema therapy): Helps in healing the fistula tract and reducing inflammation.
  • Kshara Sutra Therapy: A specialized Ayurvedic treatment involving the application of a medicated thread to the fistula tract to promote healing and closure.

Herbal Remedies:

  • Triphala (a combination of three fruits): Supports digestion, detoxification, and healing of the anal area.
  • Guggulu (Commiphora mukul): Possesses anti-inflammatory properties and aids in wound healing.
  • Haridra (Turmeric): Known for its antimicrobial and anti-inflammatory properties, it helps in reducing infection and inflammation.
  • Nimba (Neem): Possesses antibacterial and antifungal properties, promoting healing and preventing infection.

Lifestyle and Dietary Recommendations:

  1. Maintain proper anal hygiene by keeping the area clean and dry.
  2. Include fiber-rich foods in your diet to promote regular bowel movements and prevent constipation.
  3. Drink an adequate amount of water and herbal teas to stay hydrated.
  4. Avoid spicy, oily, and fried foods that can aggravate inflammation.
  5. Practice stress management techniques like yoga, meditation, and relaxation exercises.

Home Remedies for Anal Fistula:

  1. Apply a paste of turmeric and ghee (clarified butter) to the affected area to reduce inflammation and promote healing.
  2. Take a warm sitz bath by sitting in a tub of warm water mixed with a few drops of essential oils like lavender or tea tree oil. This helps in soothing the anal area and reducing pain.

Disclaimer: The management of anal fistula should be done under the guidance and supervision of a qualified Ayurvedic practitioner. Please consult with the experts at Sunshine Ayurveda Wellness Centre or a local Ayurvedic practitioner for a personalized treatment plan based on your specific condition.

Note: The information provided here is for informational purposes only and should not be considered as medical advice.

Dr. Ram Mani Bhandari
Dr. Ram Mani Bhandari


Registered Member of AAA

Disease We Manage