What Is Fistula Disease, and How Can It Be Treated Naturally?

Question

I recently heard about fistula disease, and I was surprised to learn that it can be a chronic and painful condition. I don’t fully understand what causes it, so now I’m wondering—what exactly is fistula disease, and how can it be treated naturally?

From what I understand, fistula disease occurs when an abnormal tunnel forms between two body parts, most commonly near the anus (anal fistula). But what causes this to happen—does it always result from an untreated abscess, or can it develop due to digestive disorders like Crohn’s disease?

I also read that symptoms of fistula disease include pain, swelling, pus discharge, and difficulty sitting. How do doctors diagnose and treat it? Are surgery and antibiotics the only options, or can lifestyle changes and home remedies help in healing?

Since I prefer natural treatments, I looked into Ayurveda’s approach to fistula disease. Are there Ayurvedic remedies, herbs, or therapies that can help manage or cure fistula disease naturally? I found that Kshar Sutra therapy, Triphala, and turmeric are commonly recommended—do these actually help in reducing infection and promoting healing?

For those who have experienced fistula disease, what treatments or lifestyle changes worked best? Did medical treatments, dietary changes, or Ayurvedic remedies provide the most relief? I’d love to hear real experiences on managing fistula disease naturally.

Dr Sujal Patil · Accepted Answer

Fistula disease occurs when an abnormal tunnel or passage forms between two body parts, most commonly near the anus (anal fistula). It is often caused by an untreated abscess that fails to heal completely, leading to a persistent infection. Other contributing factors include chronic digestive disorders like Crohn’s disease, tuberculosis, prolonged constipation, and poor hygiene. The condition can be painful and recurrent, with symptoms such as swelling, pus or blood discharge, discomfort while sitting, and occasional fever due to infection.

Doctors diagnose fistulas through a physical exam, imaging tests (MRI, ultrasound), or a fistulogram. Treatment depends on severity—mild cases may be managed with antibiotics and hygiene measures, but chronic or deep fistulas often require surgical intervention, such as fistulotomy or advanced procedures like LIFT (Ligation of Intersphincteric Fistula Tract). Surgery is often necessary to prevent complications, but lifestyle changes like a high-fiber diet, warm sitz baths, and proper hydration can aid healing and reduce recurrence.

Ayurveda offers natural approaches for managing fistula disease, with Kshar Sutra therapy being a well-known treatment. This minimally invasive procedure involves using a medicated thread coated with herbal alkaline substances to gradually heal and cut through the fistula. Herbs like Triphala (for digestion), turmeric (for its antibacterial properties), and neem (to prevent infections) can support healing. Dietary changes, such as increasing fiber intake and avoiding spicy, oily foods, also help maintain gut health and prevent complications. Many individuals find that a combination of medical and Ayurvedic treatments provides the best relief, reducing the chances of recurrence.

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