Anal fistula herbal treatment with causes, symptoms & home remedies


Anal Fistula is a small channel that develops between the end of the analcanal and the skin near the anus. The end of the fistula can appear as a hole in the skin near the anus. The anus is the opening where waste leaves the body. It is also known as fistula-in-ano,which is a chronic abnormal communication between theepithelialized surface of the anal canal and the perianal skin. It originates from the anal glands. These glands are located between the two layers of the anal sphincters and which drain into the anal canal. If these glands become blocked, abscess can form which can eventually point to the skin surface.


  • Simple or Complex: - It depends on whether there is single fistula tract or interlinking connections.
  • Low or High: - It depends on its position and how close it is to the sphincter muscles.


  • Intersphincteric Fistulas: They are generally confined to the internal sphincter. They may extend downward to the perianal skin, extend in an upwards tract or open into the rectum.
  • Transsphincteric Fistulas: They are known to pass through the internal and external sphincter into the area between the anal canal and perianal skin.
  • Suprasphincteric Fistulas: They are known to cross the internal sphincter and pass upward around the external sphincter above the puborectallis muscle.
  • Extrasphincteric Fistulas: This type represents only 2% of all anal fistulas. It is among most challenging to treat.
  • Superficial Fistulas: They do not cross the internal or external sphincters.


An anal fistula develops after an anal abscess (collection of pus) or when an abscess has not been treated completely. A fistula can also be caused by conditions that affect the intestines, such as inflammatory bowel disease (IBD) ordiverticulitis.

An anal fistula affects:

  • 50% of people withCrohn’s disease.
  • 30% of people with HIV.
  • Approximately 30-50% of people with an anal abscess and is more common in women than men.

One of the cause of anal fistula is anal abscess. It is often unknown, although it is more common in people with immune deficiencies, such as HIV and AIDS. Abscesses are treated with a course of antibiotics. If abscess gets bursts before it has been treated, it will cause anal fistula.

Another cause is Inflammation of the intestines.Crohn’s disease and Diverticulitis comes under this.

  • Crohn’s disease: It is a chronic condition that causes inflammation of the lining of the digestive system.
  • Diverticulitis: It is the infection of the small pouches that can stick out of the side of the large intestine.

Other causes that leads to the development of an anal fistula are:

  • Tuberculosis: It is a bacterial infection that mainly affects the lungs, but can also spread too many different parts of the body.
  • Cancer of anorectum: The rectum is an area at the end of the colon.
  • Syphilis: It is a bacterial infection that is passed on through sexual contact, injecting drugs or blood transfusions.


  • Skin irritation around the anus (the opening where waste leaves the body).
  • A throbbing, constant pain that may be worse when you sit down, move around, have a bowel movement or cough.
  • A discharge of pus or blood when you have a bowel movement.

If the fistula is caused by an abscess and it is still there, you may have symptoms like

  • A high temperature of 38 ^C
  • Fatigue
  • A general feeling of unwell

If the fistula is caused by inflammation of intestines, you may have symptoms like

  • Abdominal pain
  • Diarrhea
  • Loss of appetite
  • Weight loss
  • Vomiting

In simple words, a fistula can be said as a cut that you suffer in your anus. In severe cases, this cut can seep pus and is very painful.Anal fistula can be best treated with herbal remedies along with following a balanced or recommended diet. With herbal treatment, one can avoid surgery also successfully! All these above said points make an excellent non-surgical treatment for anal fistula.


  • Diet plays an important role for the treatment of anal fistula. High fiber diet is recommended. This diet increases the amount of stools in the intestines. Fiber is made up of large carbohydrates molecules. Example of high fiber diet are: - Brown bread, Brown rice,Barley,Banana,Orange,Papaya,Apple,Pear,Broccoli,Cauliflower,Spinach,Carrot,Reddish,Tomato,Onion and Green pepper.
  • Avoid very spicy, hot food items.
  • Eat half cup of raw cabbage juice daily.
  • Drink plenty of water.
  • Many people do have habit of eating food which is prepared from flour with lots of sugar, spices and oil which is very harmful for health.

So to get ridof or to heal fistula one should changehabit of eating by making some simple changes in their lifestyle.


It includes various herbal remedies that helps to manage the condition. Herbal remedies are made from many effective Ayurvedic medicines called herbs. Medicine helpful in fistula are Aloe Vera, Haridra, Amalaki, Haritaki, Babhitaki, Nirgundi etc. All these medicines have anti-inflammatory, analgesic and immunity enhancing properties which are helpful to reduce some pain, bleeding and also throws out toxins from the body.

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