In Ayurveda, fistula (Bhagandara) is considered a result of imbalanced Vata and Pitta doshas, where aggravated Pitta causes inflammation, infection, and pus formation, while disturbed Vata leads to pain and dryness, making the condition chronic. Poor digestion, chronic constipation, excessive intake of spicy and processed foods, and straining during bowel movements contribute to the development of anal infections, leading to abscess formation and fistulas. Early signs like itching, swelling, and discomfort after passing stool indicate rectal imbalances and should be addressed promptly. Ayurvedic treatments focus on reducing inflammation, improving digestion, and healing the fistula naturally. Triphala churna is beneficial for regulating bowel movements and preventing constipation, while Haritaki and Turmeric help in reducing infection and promoting tissue healing. Sitz baths with Triphala or neem-infused water help cleanse and soothe the affected area. Kshar Sutra therapy, a specialized Ayurvedic procedure, is highly effective in treating anal fistulas without surgery by gradually cutting and healing the tract. Consuming a fiber-rich diet, staying hydrated, and including cooling herbs like Amalaki and Ghee in daily meals can prevent further aggravation. Practicing regular bowel habits, avoiding heavy and oily foods, and incorporating yoga postures like Malasana and Pawanmuktasana can improve digestion and reduce rectal strain, preventing future complications.
Fistula disease, particularly anal fistula, is indeed a significant concern, and in Ayurveda, it is primarily classified under the categories of Pitta and Vata disorders. Your symptoms, including mild anal itching and discomfort after bowel movements, could indicate an underlying irritation or inflammation, possibly related to your dietary choices and digestion. The consumption of spicy and hard-to-digest foods, coupled with insufficient hydration, can aggravate Pitta and Vata doshas, leading to inflammation and potential fissure formation.
To manage and prevent fistulas in a natural way through Ayurveda, focus on improving your digestion (agni) and avoiding foods that can worsen your symptoms. Start by increasing your water intake to at least 2-3 liters a day, which will help soften your stool and reduce strain during bowel movements. Incorporate more whole, unprocessed foods like whole grains, fresh fruits, and vegetables, and avoid overly spicy or fried foods that can irritate the digestive tract.
Herbs such as Haritaki and Triphala can support bowel regularity and detoxification. Take Triphala powder (1 teaspoon) mixed with warm water before bedtime to promote digestion. Turmeric can be used to reduce inflammation; aim to include it regularly in your cooking or take it as a supplement (1-2 grams daily) for its anti-inflammatory properties. Additionally, regular sitz baths with warm water can soothe the anal area and reduce discomfort.
Lifestyle changes are also crucial. Practice stress-reducing techniques such as yoga or meditation, as stress can further aggravate digestion. Ensure you avoid long periods of sitting and incorporate light physical activity daily to promote circulation and digestion.
Overall, these Ayurvedic approaches focus on balancing your doshas, improving digestion, and reducing inflammation. However, if your symptoms persist or worsen, it’s essential to seek professional medical advice to rule out any serious conditions.



