How Painful Is a Fistula, and Can Ayurveda Help with Healing? - #15630

Dealing with a fistula sounds incredibly stressful, especially with the uncertainty about surgery. Your understanding is correct—a fistula is essentially a tunnel that forms due to an untreated infection or abscess, creating an abnormal connection between the rectum and the skin. It can cause persistent pain, swelling, and discharge, and in some cases, even lead to recurrent infections and fever. Many doctors recommend surgery because fistulas don’t usually heal on their own, and without proper treatment, they can worsen over time. However, I completely understand why you’d want to explore less invasive options before committing to surgery.

Kshar Sutra therapy is one of the most well-known Ayurvedic treatments for fistulas, and it has shown promising results. It involves using a medicated thread coated with herbal alkaline substances, which is gradually tightened to cut and heal the fistula tract while continuously removing infection and promoting tissue regeneration. The treatment is minimally invasive, doesn’t require major surgery, and has a lower recurrence rate compared to traditional surgical methods. However, it does take time—some people see improvements in a few weeks, while for others, complete healing can take a few months, depending on the complexity of the fistula. If you’re considering it, it’s important to consult an experienced Ayurvedic practitioner to see if it’s suitable for your condition.

As for diet, chronic constipation is a major risk factor for fistulas because straining puts pressure on the rectal area, making infections and inflammation more likely. Ayurveda emphasizes a fiber-rich diet with plenty of warm, easily digestible foods. You might benefit from incorporating Triphala (a natural digestive tonic), ghee, and warm herbal teas like cumin-coriander-fennel tea to support gut health. Avoiding spicy, fried, and processed foods can also help reduce irritation and inflammation. Keeping your bowels regular with hydrating foods like soaked raisins, papaya, and flaxseeds can prevent further complications. While natural methods can support healing and improve symptoms, advanced or deep fistulas often need medical intervention. If symptoms persist or worsen, a combination of Ayurvedic and allopathic treatments might be the best approach. Whatever you choose, you’re not alone in this—many people have successfully managed fistulas, and with the right care, you can too!