Fistula

Anal fistula, also known as fistula-in-ano, is a condition wherein a tunnel-like track is developed in the perennial region with one or multiple external openings near the anus area which leads to internal opening in the mucosa of the rectum or the anal canal.

In Ayurveda, anal fistula is termed as ‘Bhagandara’ and is classified on the basis of the site and shape of the fistula track. The complex ischio-rectal fistula also known as the horse-shoe fistula has been referred to and dealt in detail in the classical Ayurveda text – Sushruta tracing back in 300 A.D. Ayurveda suggested the Ksharsutra treatment and is absolutely relevant even today.

The symptoms subside when the abscess or boil bursts spontaneously causing discharge. These boils heal for a short period but recur after a while. There is no definite cause for it but sometimes the fissure in ano gets affected and infection travels down to form a track or fistula and sometimes there is a previous history of ano-rectal abscess.

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