How to Determine if I Have a Fistula? - #47520

Hello You’ve described some really bothersome symptoms – a bump near your anus, it feeling wet like liquid is coming out, a bit of pain, and your bowel movements constantly changing. These kinds of things can be super frustrating.

When you have these symptoms, figuring out exactly what’s going on is key.

Not every bump is a fistula, but fistulas can definitely start with symptoms like yours.

YOUR CONCERN

* A bump or swelling near your anus * Liquid (like water or pus) coming out, or just feeling damp * Mild pain * This has been going on for 1-6 months * Your bowel movements are all over the place

COULD THIS BE A FISTULA?

Common signs of a fistula: * Bumps showing up near the anus over and over. * Watery discharge, pus, or blood coming from the bump. * Liquid oozing out if you press on the bump. * It gets better, then comes back again and again. * Sometimes you might have itching, burning, or a bad smell.

Your symptoms sound a lot like a fistula, but you’ll need to get it checked out by a doctor to be sure.

AYURVEDIC UNDERSTANDING

In Ayurveda, a fistula is called Bhagandar.

Main reasons for it: * Constipation * Weak digestion * Frequent diarrhea or irregular bowel movements * Infection in the anal area

What’s off-balance in the body: * Vata dosha:Can cause the canal to form and constant discharge. * Pitta dosha: Leads to pus, burning, and pain. * Rakta dushti (Unhealthy blood): Causes repeated swelling.

HOW DO YOU CONFIRM IF ITS A FISTULA?

Tests you might need: * A doctor’s physical exam (Per Rectal Examination) * Proctoscopy (a scope to look inside) * MRI Fistulogram (This is the most accurate test) * If there’s a lot of pus, an ultrasound of the area might be done.

You can’t really be 100% sure just by looking or feeling it. You need a doctor to confirm.

WHAT TO DO UNTILL YOU GET TESTED?

Things to do right away:

1. Sitz Bath (This is super important!) * Get some warm water. * Add 1 spoon of Triphala powder OR some neem leaves. * Sit in it for 10-15 minutes, 1-2 times a day. * This helps bring down swelling and keeps the area clean.

2. Absolutely do not get constipated! * Before bed, take 1 spoon of Triphala powder with warm water.

3. What NOT to do on your own: * Don’t squeeze the bump. * Don’t put any creams on it without a doctor telling you to. * Don’t mess with it constantly.

If it is confirmed to be a Fistula, Here’s What Ayurveda Offers:

The most effective Ayurvedic treatment: * Kshar Sutra Therapy (It’s a proven method, no big surgery needed)

Along with medicines like: * Kaishore Guggulu 1-0-1 after food * Triphala Guggulu 1-0-1 after food * Gandhak Rasayan 1-0-1 after food

DIET PLAN

✅INCLUDE * Light, easy-to-digest food * Porridge,(Khichdi) * Buttermilk * Vegetables

❌AVOID * Spicy food * Fried food * White flour items * Alcohol * Super hot chilies

Don’t ignore these symptoms. This could be the start of a fistula. The sooner you find out what it is, the easier it will be to treat.

Warm Regards Dr. Snehal Vidhate

Main aapki baat samajh sakti hoon aur ye bahut hi common problem hai anus ke paas dana ya swelling hona aur usme liquid feel hona usually fistula ya pilonidal infection ki shuruaat hoti hai Fistula tab hota hai jab andar ki infection ya gland bahar ki skin tak nikal aati hai aur ek chhoti nali ya tunnel ban jati hai

Aapke symptoms jaise dana ka hona liquid feel hona mild dard aur bowel me halki changes ye indicate karte hain ki aapko early stage me treatment ki zarurat hai

Ayurvedic taur par is condition me shanti aur infection control bahut zaruri hai

Sit bath garam paani se roz 2-3 baar 10-15 minute

Triphala churna aadha chammach raat ko garam paani ke saath bowel ko regular aur soft rakhne ke liye

Haritaki churna aadha chammach raat ko garam paani ke saath 1 mahine tak

Nimbu pani aur turmeric wali paani se area ko mild wash karna infection kam karta hai

External care ke liye warm sesame oil se halka massage karna ya medicated oil apply karna

Diet me fiber rich food fruits vegetables dal sabzi aur whole grains include karein junk fried aur spicy food avoid karein

Bahut important hai ki aap jaldi se jaldi ek ayurvedic doctor ya proctologist ko consult karein kyunki agar fistula confirm hota hai to herbal treatment ke saath proper cleaning aur occasionally minor procedure ki zarurat bhi pad sakti hai

Ye sab measures early stage me infection control karenge dard aur swelling kam karenge aur healing support karenge

I think this is masa Take abhyaaristha 10 ml with 200 ml water Take triphla 2 bd Apply jatyadi oil for application Do sitz bath Diagnosis vist your near ayurveda centre

AAPKE LAKSHAN KE AADHAAR PAR ANAL AREA KE PAAS DANA AUR USSE LIQUID AANA FISTULA YA PEHLE ANAL ABSCESS KE BAAD BANNE WALI CONDITION KI OR ISHARA KAR SAKTA HAI LEKIN SIRF LAKSHAN SE PAKKA NISHCHAY NAHI KIYA JA SAKTA

FISTULA ME AAM TAUR PAR ANAL KE PAAS CHHOTA SA DANA YA SURAKH HOTA HAI JISSE PANI JAISE YA PEELA LIQUID NIKALTA REHTA HAI KABHI KABHI HALKA DARD JALAN KHUJLI YA BAAR BAAR GAAND GILA REHNE KA EHSAAS HOTA HAI BAITHNE YA PAIDAAL CHALNE PAR ASUVIDHA HO SAKTI HAI

PAKKA JAANCH KE LIYE PROCTOLOGIST YA ANORECTAL SURGEON SE PHYSICAL EXAMINATION KARANA ZARURI HAI SAATH HI MRI FISTULOGRAM YA ULTRASOUND ANAL REGION KARANE SE ANDAR KA TRACT CLEAR PATA CHALTA HAI BINA JAANCH KE FISTULA CONFIRM NAHI KIYA JATA

AGAR ABHI DARD ZYADA NAHI HAI AUR SIRF LIQUID AATA HAI TO AYURVEDIC UPCHAR SE KAI CASES ME CONTROL AUR HEALING ME MADAD MILTI HAI LEKIN ADVANCED CASE ME PROCEDURE KI ZARURAT PAD SAKTI HAI

ABHI KE LIYE AAP YE SHURU KAR SAKTE HAIN TRIPHALA GUGGULU DO GOLI DIN ME DO BAAR KHANE KE BAAD GANDHAK RASAYAN EK GOLI DIN ME DO BAAR KHANE KE BAAD HARIDRA KHAND EK CHAMMACH SUBAH SHAAM GARM PAANI YA DUDH KE SAATH PANCH TIKTA GHRIT GUGGULU DO GOLI DIN ME DO BAAR

LOCAL CARE KE LIYE ROZANA GUNGUNE PAANI ME TRIPHALA YA NEEM DAAL KAR SITZ BATH KARNA BAHUT ZARURI HAI AREA KO SUKHA AUR SAAF RAKHE

KABJ BILKUL NA HONE DE ISKE LIYE RAAT KO TRIPHALA CHOORN EK CHAMMACH GARM PAANI KE SAATH LE AUR DIN ME PANI AUR FIBER THEEK MATRA ME LE

TEEKHA TALAA HUA BAHUT ZYADA MASALEDAR KHANA BAHAR KA FAST FOOD AUR LAMBE SAMAY TAK BAITHNA ABHI AVOID KARE

AGAR DARD BADHE FEVER AAYE YA PEELA BADHTA HUA PEELA PEELA PEELA NIKALNE LAGE TO TURANT DIRECT CHECKUP KARANA ZARURI HAI KYONKI FISTULA KO LAMBE SAMAY TAK IGNORE KARNA THEEK NAHI HOTA

REPORT AANE KE BAAD TREATMENT AUR CLEAR DIRECTION DI JA SAKTI HAI

🔍 Fistula ke Common Lakshan - Anus ke paas chhota lump ya opening jisme se pus ya liquid nikalta hai. - Repeated swelling aur kabhi kabhi pain. - Skin irritation anus ke aas paas. - Irregular bowel movements ya discomfort. - Kabhi kabhi fever ya fatigue agar infection ho.

Anus ke paas dana, liquid feel hona, mild pain aur bowel habit changes — ye anal fistula ke common lakshan ho sakte hain. Lekin confirm karna sirf doctor ke clinical examination aur kabhi kabhi tests (MRI fistulogram, colonoscopy, sigmoidoscopy) se hi possible hai.

Dana banna, liquid nikalna , fistula ka first stage lag raha hai Phir bhi exactly PR examination by ayurvedic doctor se kara ke confirm kar sakte ho. Aap ka jo problem hai us per yeh ayurvedic medicine 1 month le ke dekhiyae, agar faida huva toh aage continue karna padega. 1) Triphala guggul 1-0-1 2) kanchanar guggul 1-0-1 3) Kishore guggul 1-0-1 All after food with water Kasisadi oil affected area per 3-4 time lagana. Sitz bath , Warm water main betadine drops dalke 1-2 times roj karo. Avoid spicy,heat producing foods like brinjal, pappaya, bajra flour. Nonveg food nahi khana. Constipation nahi hona chahiye Agar hai toh Abhayarist 15ml twice daily after food with water lena. Follow up after 21 days

HELLO,

An anal fistula is an abnormal tunnel like passage that forms between the inside of the anal canal and the skin near the anus.

HOW DOES IT USUALY START? -It often begins as a small infection or abscess (boil) near the anus -The abscess may burst or drain -Instead of healing completely, a small channel remains -This channel keeps producing liquid, pus or discharge

This is why you feel -A small lump or opening near the anus -Persistenct wetness or discharge -Mild pain or discomfort -Changes in bowel habits

In Ayurveda, this condition is called Bhagander

WHY DOES THS HAPPEN? MODERN VIEW -Infection of anal glands -poor drainage -Recurrent abscess -chronić bowel problems

AYURVEDIC VIEW This condition develops due too -Imbalance of pitta and kapha dosha -Weak digestion -Repeated constipation or loose stools -Accumulation of toxins -Local tissue weakness Unless the root cause is corrected, the fistula tends to persist or recur

TREATMENT GOALS -control infection and discharge -heal the fistula tract from inside -prevent further abscess formation -improve digestion and bowel regularity -avoid recurrence -improve local tissue strength

INTERNAL MEDICATIONS These medicines work on infection, inflammation, digestion, and healing

1) GANDHAK RASAYANA= 1 tab twice daily after meals for 8 weeks =natural antibiotic, promotes wound healing, reduces discharge and infection

2) TRIPHALA GUGGULU = 2 tabs twice daily after meals for 3 months =cleans the fistula tract, reduces swelling, improves bowel movement, prevents constipation

3) KAISHOR GUGGULU= 2 tabs twice daily after meals for 8 weeks =reduces inflammation, purifies blood, useful when pus and pain are present

4) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =maintains soft stools, prevents pressure during defecation, essential for healing

EXTERNAL TREATMENT

1) SITZ BATH -warm water + triphala/ neem/ panchavalkal decoction -sit for 10-15 min -once or twice daily =reduces pain, improves blood circulation, promotes drainage and healing

2) LOCAL APPLICATION -Jatyadi taila or Nirgundi taila -apply gently around external opening =heals skin, reduces burning and irritation, prevents secondary infection

3) KSHAR SUTRA THERAPY (if fistula is confirmed) This is the most effective Ayurvedic treatment for Anal fistula

WHAT IS KSHAR SUTRA? -A medicated herbal thread placed inside the fistula tract -gradualy cuts and heals the tract simultaneously

WHY IT IS PREFERRED: -minimal recurrece -no major surgery -gradual and complete healing -safe for chronic cases Healing time depends on length of fistula (usually weeks)

DIET -high fiber foods= vegetables , fruits papaya, pear -whole grains -buttermilk with roasted cumin -warm water -small amounts of ghee

AVOID -spicy and oily foods -junk food -red meat -alcohol and smoking -very dry or constipating food

Diet directly affects healing and recurrence

LIFESTYLE CHANGES -do not suppress urge to pass stool -avoid prolonged sitting -maintain anal hygiene -keep area dry and clean -avoid straining during bowel movement

YOGA ASANAS -pawanmuktasana -malasana -vajrasana after meals

PRANAYAM -anulom vilom -bhramari -deep abdominal breathing

BENEFITS -improves digestion -reduces stres (stress worsens gut health) -improves circulation

HOME REMEDIES -warm water intake in morning -sitz bath regularly -turmeric milk if tolerated -adequate hydration

Your symptoms strongly suggest a fistula, but confirmation is necessary Early treatment gives best results Ayurveda treats the root cause, not just symptoms Kshar sutra offers excellent long term success when needed Ignoring the condition may lead to worsening or multiple tracts With proper diagnosis, disciplined treatment, and lifestyle correction, complete healing is possible

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Yes – your symptoms strongly suggest fistula-in-ano (Bhagandara): Lump (abscess/fistula opening) near anus Liquid/pus discharge Mild pain Bowel changes (common in fistula)

See a Proctologist / Colorectal Surgeon immediately – they will do: Digital rectal exam Proctoscopy Fistulogram / MRI (gold standard to see tract)

Do NOT ignore – fistula can worsen, spread infection or become complex.

While Waiting for Doctor Warm Sitz Bath – hot water + 1 tsp Triphala powder for 15 min, 2–3 times daily (reduces pain & swelling). Keep area clean & dry – use soft tissue after motion. Avoid constipation – eat moong khichdi + ghee, drink 2–3 L warm water, take Triphala Churna 3 gm night with warm water (gentle laxative).

Ayurvedic Support (safe until doctor visit) 1 Triphala Guggulu – 2 tablets morning + night after food (reduces inflammation & infection). 2 Jatyadi Ghrita – apply locally on lump after sitz bath (heals & dries discharge).

Regards Dr Gursimran Jeet Singh MD Panchakarma