Fistula in Ano, known in Ayurveda as Bhagandar, is one of the most complicated anorectal diseases. Unlike piles or fissures that show obvious symptoms, fistula often starts silently and remains undiagnosed for a long time. By the time patients seek medical help, it has usually grown complex, with multiple branches, fibrosis, and recurrent abscesses.
Why Diagnosis Gets Delayed
Many patients fail to identify fistula in its early stage. Initially, it may appear as a small boil, swelling, or abscess near the anus. The pain reduces when pus drains out, so patients ignore it thinking it’s a temporary problem. But in reality, an internal tract (tunnel) remains open, leading to repeated infection and pus discharge.
Causes of Fistula
Although reasons vary from person to person, the most common cause is infection of the anal crypt glands inside the anus. Other contributing factors include:
- Long sitting hours – IT jobs, drivers, or office work increase risk
- Unhygienic conditions – sweat and moisture around the anal area
- Excess body heat – spicy/oily food, alcohol, and irregular digestion
- Abscess – untreated anal abscess almost always leads to fistula
- Ignoring swelling or pain – delays diagnosis and worsens disease
How Fistula Becomes Complicated
If neglected, fistula does not heal on its own. Instead, it grows and branches out:
- Rapid spread of tracts inside and outside the anus
- Fibrosis (hardening of tissues) making healing difficult
- Formation of multiple branches, sometimes horseshoe-shaped fistula
- Repeated pus discharge, foul smell, and pain
- Recurrence even after surgery if not treated properly
The longer it is ignored, the more difficult it becomes to treat.
Complications of Untreated Fistula
A simple fistula can turn into a life-changing problem if not treated on time:
- Recurrent Abscesses – repeated pain, swelling, and pus discharge
- Complex Fistula – multiple internal and external openings
- Horseshoe Fistula – tracts spreading around the anus in a circular shape
- Incontinence Risk – if surgery damages anal muscles, stool control can be lost
- Fistula-associated Cancer – very rare but possible in long-standing, untreated fistula
This shows why fistula should never be ignored or misdiagnosed.
Dr. Kamthe’s Expertise – Modern + Ayurvedic Hybrid Care
At Dr. Kamthe’s Piles Clinic & Research Centre, Pune & Mumbai, fistula is treated with a hybrid approach – combining modern advanced laser treatment with Ayurvedic methods like Kṣārakarma.
With huge experience in managing:
- Repeated and recurrent fistula
- Complex and high-level fistula
- Horseshoe fistula
- Failed surgeries from other hospitals
Dr. Kamthe’s clinic focuses on:
- Precise diagnosis with advanced imaging (MRI, USG)
- Laser procedures for minimal pain and faster recovery
- Ayurvedic therapies to enhance healing and prevent recurrence
- Lifestyle and diet guidance to stop future complications
Normal Care and Self-Precautions
Whether you are at risk or already under treatment, these self-care tips are essential:
- Maintain hygiene – wash with lukewarm water, keep area clean and dry
- Avoid constipation – take fiber-rich diet, fruits, vegetables, and plenty of water
- Balanced diet – avoid spicy, oily, junk food, and excess alcohol
- Exercise daily – walking, yoga, and movement improve digestion and circulation
- Do not ignore swelling, pus, or pain – consult a specialist immediately
- Avoid quacks and wrong treatments – only expert care can cure fistula effectively
Conclusion
Fistula in Ano (Bhagandar) is not just a small infection; it is a progressive and complicated disease. Ignoring it means inviting repeated abscesses, multiple surgeries, and even the risk of cancer. Timely diagnosis and expert treatment are the only safe solutions.
With advanced modern laser techniques combined with Ayurvedic hybrid care, Dr. Kamthe in Pune and Mumbai has successfully treated many complicated, recurrent, and horseshoe fistulas.
Your body deserves the best care in safe hands – never ignore symptoms, never delay, and always choose the right doctor for your health.