Anal Fistula – Know Its Ayurvedic Treatments!

Anal Fistula – Know Its Ayurvedic Treatments!


By Dr. S K Singh, Ayurveda

Sometimes, one of the glands of the anus forms an abscess which may drain out spontaneously or may require surgical treatment. This may develop into a fistula, which is a small tunnel that connects anal canal with outer skin.

What causes Anal fistulas?
In most cases anal fistulas are caused by abscess around anus. Abscess results from infection of gland in anal region. Fistulas can also be a resultant of –

  1. Crohn’s disease
  2. An infection of tuberculosis.
  3. Complications of surgery in the anus.


  1. Nodular swelling around anal opening
  2. Intermittent discharge from nodular swelling.
  3. When there is collection of pus there will be swelling and pain
  4. Pain is relieved by discharge of pus and swelling subsides

Ayurvedic Treatment for Anal Fistula: 
Usually, Surgery is recommended to treat Anal fistula. But it is not a good choice for the reason of high rate of recurrence seen after surgery/ VAAFT, fecal incontinence and other complications. In about 20% of cases Fistula recurs after surgery/ VAAFT. Whereas Ayurveda recommends Ksharsutra treatment for Anal Fistula.

In this treatment, Ksharsutra – a medicated thread is placed in fistula tract. Medicine released from Ksharsutra debrides the Fistula tract and induces healing. This medicine remains active for about 5-7 days so this needs to be changed with a new thread at weekly interval.

No. of Ksharsutra changes required for complete healing of Anal Fistula depends on length, depth and branching pattern of Fistula. It has been observed that Fistula heals @ 0.5 to 1 cm per Ksharsutra change. So a fistula tract of 3 cm usually requires 4-6 Ksharsutra changes for complete healing.

Ksharsutra Treatment is an OPD treatment and there is no need for hospitalization or bed rest. Patient can continue his routine work as usual during Ksharsutra treatment. Complications like recurrence, stool incontinence, post-operative bleeding etc. are not seen in this treatment. Ksharsutra ensures complete healing of Anal fistula.

Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS New Delhi have also confirmed that Ksharsutra treatment is more convenient and more successful than Surgery in case of Anal fistula. Hence Ksharsutra treatment is the best treatment to treat Anal fistula without surgery.