Bhagandara - #7472

For the past few months, I’ve been experiencing recurring pain and swelling near the anal region, along with occasional pus discharge. After consulting with a doctor, I was diagnosed with a fistula in ano, which I later learned is referred to as bhagandara in Ayurveda. While surgery has been suggested as a definitive treatment, I’m keen to explore Ayurvedic options to manage or possibly heal this condition naturally. From what I’ve read, bhagandara is considered one of the eight major diseases (ashtamahagadas) in Ayurveda due to its complexity. The condition arises due to an imbalance in vata and pitta doshas, leading to tissue damage and chronic infection. Are there specific Ayurvedic remedies or formulations, like Triphala guggulu or ksharasutra therapy, that are effective for treating fistulas? How do these work in controlling infection, reducing inflammation, and promoting healing? I’ve also come across mentions of panchakarma treatments, particularly virechana (purgation therapy) and basti (enemas), for managing dosha imbalances associated with bhagandara. Are these therapies effective in providing long-term relief, or are they primarily focused on symptom management? Another aspect I’m curious about is dietary and lifestyle changes. Does Ayurveda recommend avoiding certain foods, like spicy or oily items, that could aggravate pitta? Are there specific dietary inclusions, like buttermilk, fiber-rich foods, or herbal teas, that support healing and reduce infection? If anyone has managed bhagandara through Ayurvedic treatments, I’d love to hear about your experience. How effective were the remedies, and how long did it take for the symptoms to subside? Did you combine Ayurveda with modern treatments, like antibiotics, for better results? Are there any challenges or precautions to keep in mind while following Ayurvedic treatments for bhagandara?