Piles Unveiled: Know the Symptoms and Causes

Living with a chronic anal condition like a fistula can be physically painful and emotionally draining. The constant discomfort, occasional discharge, and fear of recurrence—even after surgery—can severely affect one’s quality of life. If you’ve tried multiple rounds of antibiotics or undergone surgical procedures only to see the problem return, you’re not alone.

Ayurveda, the ancient science of holistic healing, offers a gentle yet profoundly effective approach to managing Fistula-in-Ano—known in Sanskrit as Bhagandara. At Dhanvantari Ayurveda, we specialize in authentic, non-surgical Ayurvedic solutions, including the acclaimed Ksharasutra therapy, which has shown remarkable success in providing long-term relief from fistula and related conditions.


What is Fistula-in-Ano (Bhagandara)?

In Ayurvedic terms, Bhagandara refers to an abnormal channel or tract that forms between the rectum or anal canal and the skin around the anus. This condition is known medically as fistula-in-ano, and it typically results from an infection of the anal glands. When the infection doesn’t heal completely, it leads to an abscess that drains and forms a persistent tract—resulting in recurring pain, swelling, and discharge.

Ayurvedic texts like Sushruta Samhita have categorized Bhagandara as one of the Ashta Mahagada (eight major diseases) due to its complexity and tendency to recur if not treated from the root.


Symptoms and Chronic Discomfort

Fistula-in-ano is more than just a physical issue. Its symptoms often lead to emotional and social distress:

  • Pain and swelling near the anal area

  • Frequent discharge of pus or blood

  • Itching and irritation

  • Foul odor from the infected site

  • Fever and general discomfort during flare-ups

  • Difficulty sitting or walking

These symptoms may come and go, misleading some into thinking the condition is resolved—only to resurface unexpectedly. The chronic nature of the disease makes it especially difficult to manage with conventional treatments alone.


Why Modern Treatments Often Fail

Conventional medicine typically treats fistula with surgical procedures like fistulectomy or fistulotomy. While these methods may offer temporary relief, they often fail to address the underlying causes such as infection recurrence or tissue inflammation. Moreover, surgery comes with potential complications:

  • Risk of incontinence

  • Wound healing issues

  • High recurrence rates

  • Repeat surgeries causing scarring

These challenges can leave patients feeling hopeless, especially after undergoing multiple procedures without lasting results.


Ayurvedic Approach to Healing Fistula

Ayurveda views Bhagandara not just as a physical tract but as a doshic imbalance, usually involving Pitta (heat/inflammation) and Kapha (mucus/blockage). Poor digestion, sedentary lifestyle, untimely eating, and suppression of natural urges can contribute to the accumulation of Ama (toxins), which weakens immunity and leads to chronic infections.

The Ayurvedic line of treatment focuses on:

  • Shodhana (detoxification): Removing accumulated toxins to restore internal balance.

  • Srotoshodhana: Cleansing the channels and preventing pus or fluid accumulation.

  • Dosha pacification: Using herbs and formulations to calm aggravated Pitta and Kapha doshas.

  • Local healing therapies: Application of herbal pastes, oils, and medicated fumigations.

This root-cause healing approach strengthens the body’s ability to fight infection, promotes natural tissue regeneration, and prevents future recurrences.


Ksharasutra: A Time-Tested Ayurvedic Procedure

One of the most acclaimed Ayurvedic treatments for fistula is Ksharasutra therapy—a unique para-surgical procedure documented extensively in classical Ayurvedic texts and validated by modern clinical studies.

What is Ksharasutra?

Ksharasutra is a medicated thread prepared with layers of herbal alkaline compounds such as Apamarga Kshara (Achyranthes aspera), Haridra (Turmeric), and Snuhi latex (Euphorbia neriifolia). This special thread is inserted into the fistula tract and gradually cuts, cleanses, and heals the tract without the need for deep surgical excision.

Benefits of Ksharasutra:

  • Promotes controlled healing of the fistula tract

  • Effectively drains pus and toxins

  • Prevents infection by maintaining antiseptic conditions

  • Minimally invasive with minimal risk of recurrence

  • Avoids damage to sphincter muscles, preserving continence

  • Encourages granulation and healthy tissue regeneration

This technique is conducted under medical supervision and tailored to the individual’s constitution and fistula type.


Benefits of Ayurvedic Treatment at Dhanvantari Ayurveda

At Dhanvantari Ayurveda, we combine centuries-old Ayurvedic wisdom with modern diagnostic precision to offer a comprehensive and compassionate approach to chronic anal disorders like fistula, fissures, and piles.

Here’s why patients choose us:

  • Expertise in Ksharasutra and para-surgical Ayurveda: Our practitioners are trained in classical procedures and have years of experience handling complex and recurrent cases.

  • Personalized treatment plans: Every treatment is based on your Prakriti (body constitution) and Vikriti (current imbalance), ensuring better outcomes.

  • Holistic healing: Along with local therapies, we emphasize Ahara (diet), Vihara (lifestyle), and Aushadha (herbal medications) for full-body wellness.

  • Post-treatment care: We guide you through diet, hygiene, and follow-up routines to prevent recurrence and build long-term health.


A Natural Path Toward Complete Relief

If you’re living with the discomfort and uncertainty of a chronic fistula, Ayurveda offers a gentle yet powerful alternative. You don’t need to rely solely on repeated surgeries or chemical-based treatments. With time-tested techniques like Ksharasutra, supported by detox, herbal medicine, and lifestyle care, true healing is within reach.

Let Dhanvantari Ayurveda be your partner on this path. Our mission is not just to treat, but to restore your comfort, dignity, and daily joy through authentic Ayurvedic healing.

🌿 Ready to explore a non-surgical, root-cause solution for fistula?
📞 Book your consultation today with Dhanvantari Ayurveda’s expert physicians.


Dhanvantari Ayurveda – Where tradition meets trust for lifelong healing.

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