Perinial fistula acute - #817

Perianal fistula can be a challenging and painful condition, especially when paired with diabetes. In Ayurveda, this condition is referred to as Bhagandara and is often linked to an imbalance in the Pitta and Kapha doshas, causing inflammation, infection, and tissue build-up around the anal area. For effective management, Ayurveda combines diet, herbal medicines, local treatments, and lifestyle practices to reduce infection, promote healing, and address underlying imbalances. A vegetarian diet high in fiber is particularly beneficial, as it eases bowel movements and reduces strain. Include warm, light foods such as cooked vegetables, whole grains like rice and barley, and plenty of fluids to help detoxify the body. Avoid heavy, spicy, oily, and processed foods, as well as refined sugars, as they can increase Pitta and exacerbate inflammation, which may interfere with wound healing. Herbal treatments are highly recommended in Ayurveda for promoting wound healing and reducing infection. Guggulu-based preparations like Kaishore Guggulu and Triphala Guggulu can help reduce inflammation, support tissue repair, and detoxify the blood. Kanchanar Guggulu is also beneficial for its properties in reducing abscesses and clearing blockages. Turmeric (Haridra) and Neem (Nimba) are valuable for their antiseptic and anti-inflammatory properties and can be consumed as part of the diet or in herbal formulations to prevent infection. Topical treatments such as applying a Jatyadi Taila or Nirgundi oil compress to the affected area can reduce pain and help with local healing. Regular warm sitz baths with Triphala decoction or a pinch of turmeric in warm water can further soothe inflammation and promote healing of the fistula site. Managing blood sugar levels is essential as diabetes can slow down the healing process. Ensure that your diabetes is well-controlled, as this will support recovery. Practicing Pranayama and gentle physical activity like walking can help with both digestion and circulation, aiding the healing process.