Yeah, fistula in Kannada is commonly known as “ಭಗಂಡರ” (Bhagandara), though people might use “ಕುಂದು” (Kundu) here and there. Fistulas can be quite tricky, with types ranging from anal, rectal to pilonidal varieties.
In Ayurveda, we see fistula as Kapha dosha vitiation often combined with an imbalance of Pitta, causing pain and inflammation. Now, the Ayurvedic approach to treating an anal fistula largely revolves around balancing these doshas and involves therapies like Kshar Sutra, an age-old surgical procedure using a medicated thread that helps in healing the tract gradually.
Herbal remedies can be a big part too. Triphala, a traditional mix that involves amalaki, bibhitaki, and haritaki, can be used as it supports digestion and reduces inflammation. Guggulu formulations, especially Kachnaar guggulu, help in reducing the mass and inflammation too. Consuming Turmeric milk, like a daily ritual, can aid in reducing inflammation and promoting healing. But remember, with any blend or remedy, it’s critical to consult an Ayurvedic practitioner to tailor the treatment specifically to yur constitution.
About Panchakarma, yup, Basti is definitely used to cleanse and balance - it helps reduce body toxins and restores function but it needs to be precision administered under supervision.
Regarding diet, Ayurveda always proposes a Sattvic diet - light, fresh, simple. Yes, avoiding spicy foods, fried items, alcohol can take a load off your Pitta dosha, while favouring cooling, nurturing foods like fresh veggies, soups, and teas can soothe the system. Aloe Vera juice, coriander tea are good options.
As for side effects or surgery interference, you gotta be vary meticulous here. Take care with dosage and combinations, and clarify with your health practitioner how it can sync with any ongoing treatments or surgeries. Sometimes herb-drug interactions can be tricky, so medical supervision stands solid!
From people I’ve talked with, they’ve seen improvement over weeks to months depending on severity - patience is key. Always ensure you’re blending traditional wisdom with understanding of modern medicine.



