A fistula is a Surgical entity, wherein an abnormal tract is formed from an infected anal gland and extends around the anal canal, and usually opens into the skin through which discharge of pus, blood and sometimes fecal matter occurs. Since the lining of the tracts is made of unhealthy bad granulation, self-healing is impossible.

Ayurvedic Perspective

Bhagandara is the name by which fistula is known as in Ayurvedic practice.  One of the important therapies for curing fistula in Ayurveda is Ksharasutra. This involves cutting up some tissues and these take time to heal.


Most anal fistulas develop after an anal abscess.

Less common causes of anal fistulas include:
1. Crohn’s disease
2. Diverticulitis
3. Hidradenitis Suppurativa
4. Sexually Transmitted Diseases
5. Complication of surgery near the anus
6. Tuberculosis


  1. Skin irritation around the anus
  2. Constant, throbbing pain that may become worse with movement
  3. Smelly discharge from near your anus
  4. Passing pus or blood when you poo
  5. Swelling and redness around your anus
  6. Difficulty controlling bowel movements in some cases


In Ayurveda, Acharya Sushruta has indicated ksharasutra treatment to treat fistula. Ayurveda offers a wholesome treatment to fistulas. The cure not just heals the sore but also attacks the underlying causes, thereby, restricting the re-occurrence of the disease.  The great advantage of undergoing this treatment is that the patient does not need to be admitted to a hospital. He can carry on with his regular everyday work. Although it is a slow process, on the whole, it is getting global recognition gradually as a very effective treatment for fistula.

Medicines are prescribed by the doctor after a thorough examination of the patient. Treatments must be done under the supervision or advice of a certified Ayurvedic Doctor and not based on self-judgment.