What causes an Anal Fistula?

Anal fistulas typically occur when an anal abscess fails to heal completely and leaves behind a tract. However, other conditions can also contribute, such as:

• Chronic anal abscesses
• Inflammatory bowel diseases (e.g., Crohn’s disease, ulcerative colitis)
• Tuberculosis (rare, but possible)
• Radiation therapy in the pelvic area
• Trauma or injury to the anal region
• Infections like sexually transmitted diseases

What are the symptoms of an Anal Fistula?

The most common symptoms of Anal Fistula include:

• Persistent pain or irritation around the anus
• Swelling, redness or a lump near the anal opening
• Recurrent discharge of pus or blood
• Skin irritation or itching in the anal area
• Fever or fatigue (if infection is present)
• A visible opening or hole near the anus that leaks fluid

How is an Anal Fistula diagnosed?

Anal fistulas typically do not heal on their own and require medical intervention. While sitz baths and antibiotics may provide temporary relief, complete healing usually involves a surgical procedure such as fistulotomy, seton placement or laser treatment. For those seeking natural solutions, Ayurvedic therapy like Kshar Sutra offers a minimally invasive, effective alternative. The choice of treatment depends on the fistula’s complexity, location and the patient’s overall health.

What are the surgical treatment options?

Surgery is the most effective and reliable way to treat an anal fistula. The choice of procedure depends on the fistula's depth and complexity.

• Fistulotomy – The most common treatment, where the entire fistula tract is opened and allowed to heal naturally.
• Seton placement – A surgical thread is placed to keep the tract open and drain infection slowly over time, used in complex or high-risk cases.
• LIFT Procedure (Ligation of Intersphincteric Fistula Tract) – A sphincter-preserving surgery that targets the internal opening of the fistula.
• Laser Fistula Treatment (FiLaC) – A minimally invasive option using laser energy to seal the tract with faster healing and minimal discomfort.

Is ayurvedic treatment available for Anal Fistula?

Yes. Ayurveda offers a holistic, natural approach for managing anal fissures, focusing on detoxification and healing:

• Kshar Sutra therapy: Kshar Sutra involves the use of a medicated thread that is inserted through the fistula tract and gradually cuts, heals and cleanses it over time.
• Herbal formulations and lifestyle modifications are also recommended to support internal healing and prevent recurrence.

Ayurvedic treatment is less invasive and especially beneficial for patients seeking a non-surgical option for simple fistulas.