fistula perianal - #19279

For the past few months, I have been struggling with recurring pain and swelling near my anal area. At first, I thought it was just a hemorrhoid, but after seeing a doctor, I was diagnosed with a fistula perianal, a condition where an abnormal tunnel-like connection forms between the inside of the anus and the outer skin. The doctor suggested surgery, but I want to explore whether Ayurveda offers a natural, non-surgical approach to managing and healing fistula perianal. From what I read, fistula perianal often develops due to an untreated anal abscess, repeated infections, or inflammation in the digestive system. Since Ayurveda connects most health problems to Agni (digestive fire), does it view anal fistulas as a result of poor digestion or toxin buildup in the body? Could excessive Pitta and Vata dosha be responsible for the recurring infections and inflammation in my case? One of the biggest challenges I face is the pain and discomfort that comes with fistula perianal. It often worsens when sitting for long periods, and sometimes I notice pus or fluid discharge. Does Ayurveda offer any topical herbal treatments or external therapies, such as Kshara Sutra (medicated thread therapy), to heal the fistula naturally without surgery? How effective is Kshara Sutra, and what can I expect from this Ayurvedic approach? Another concern I have is whether dietary habits play a role in the formation and recurrence of fistula perianal. I eat a lot of spicy foods, fried snacks, and processed meals, which I suspect might be worsening the inflammation. Does Ayurveda recommend specific dietary modifications, such as an anti-inflammatory diet or fiber-rich foods, to improve healing and prevent further complications? Are there certain foods that should be strictly avoided? Since infections are a common issue with fistula perianal, I am also looking for natural ways to boost my immune system and prevent bacterial buildup in the anal area. Are there Ayurvedic herbs like Neem, Triphala, or Haritaki that help fight infection and support faster wound healing? How should they be used for the best results? Another thing I’m worried about is the long-term impact of this condition. If left untreated or poorly managed, can fistula perianal lead to more serious complications? Does Ayurveda offer any preventive measures, such as detoxification therapies like Panchakarma, to cleanse the system and reduce the risk of recurrence? I want to find a sustainable, natural way to manage and possibly heal my fistula perianal without resorting to invasive surgery. What are the best Ayurvedic treatments, dietary changes, and lifestyle modifications that can help with this condition and prevent it from coming back?