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Anal Sex - 5 Reasons Why it is Not Good for Your Health

India Best Sexologist Clinic, MD - Medicine - HMB, Member of The Royal Society for the Promotion of Health (UK) (MRSH)
Sexologist, Delhi
Anal Sex - 5 Reasons Why it is Not Good for Your Health
In order to spice up their relationship, couples can sometimes consider the option of anal intercourse instead of vaginal intercourse. Some recent studies have suggested that anal sex is actually bad for your health and can also result in severe and life threatening conditions.

Below are a few reasons that will make you aware of the risks of involving in anal sex. They are as follows:

Fissures or piles: The anal tissues are non-stretchable and thereby an insertion of the penis into your partner s anus can lead to tearing of the anus which might make your partner prone to anal fissures or piles. Besides, anal sex can cause severe pain while excretion the morning after, as there can be a significant weakening of the anal muscles.
Increases the chances of anal cancer: If you and your partner frequently engage in anal sex, your partner s chances of getting anal cancer increases as the act can initiate the transmission of the Human Papillomavirus (the virus responsible for anal cancer).
Bacterial infection: Anus is a place designed to hold and facilitate the passing of faeces. This makes it a fertile breeding ground and holding area for bacteria. Through insertion, there is a high chance that you can be infected through your partner s bacteria. Also if vaginal intercourse occurs immediately after anal intercourse, your partner can also get affected by the bacteria that transfer from the anus to the vagina. It can cause UTIs or urinary tract infections at the least and more serious infections as well.
Sexually transmitted diseases: Contrary to popular opinions, having unprotected anal sex can actually increase the chance of getting HIV and other deadly Sexually Transmitted Diseases (STD s). As the anal tissues are extremely fragile, the risk of the transmission of sexually transmitted infections in the bloodstream remains quite high for both the partners involved. Even if you re using a condom whilst engaging in the act, the chances of getting STD s looms large as condoms are more prone to breakages during anal sex.
You can still get pregnant: Engaging in unprotected anal sex does not really mean that you cannot actually get pregnant from it. There is a slight chance of semen leakage from the anus which can seep into the vagina and result in pregnancy.
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Anal Fistula - What Causes It?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal Fistula - What Causes It?
Anal Fistula - What Causes It?
An anal fistula refers to a small infected tunnel connecting the anus to the outer skin. Your body eliminates solid waste products or feces through the anus. When any of the glands inside the anus becomes infected or blocked, an abscess may form, which in turn results in formation of anal fistula. In about 50% of the cases, abscesses develop into fistulae. What are the causes for anal fistula? Anal fistulae occur primarily due to the formation of an abscess or infection in the anus. If the abscess does not heal completely after the pus has been drained away, a fistula can develop.

Other factors responsible for the occurrence of anal fistulae are-

Crohn s disease- a chronic condition where the digestive system becomes inflamed.
Diverticulitis- an inflammation of the small pouches that develop along the intestinal walls.
Hidradenitis suppurativa- a chronic painful skin condition which causes scarring and abscesses on the skin. Apart from these, people with HIV or infected with Tuberculosis disease also develop anal fistulae. If you ve had a surgery around the anus, then post-surgery complications may lead to infection or abscess on the skin.
What are the symptoms to watch out for?
The commonly observed signs and symptoms of anal fistulae include-

Irritation or discomfort on the skin around the anus
Occasional throbbing pain, especially while seated, moving around or having a bowel movement
Nodular swelling around anal region
Intermittent Discharge of blood or pus from an opening near anal orifice.
How does Ayurveda treat anal fistulae?
Ayurveda recommends Ksharsutra treatment for complete healing of Anal Fistula.

In this procedure; Ksharsutra a medicated thread is placed in Fistula tract. Medicine released from Ksharsutra debrides the fistula tract and induces healing. This medicine remains active for about 5-7 days so this thread needs to be changed with a new thread at weekly interval. No. of Ksharsutra changes required for complete healing of Fistula depends on length depth and branching pattern of fistula. It has been observed that Fistula heals at the rate of 0.5 to 1 cm per Ksharsutra changes so for a fistula tract of 3 cm length about 4-5 weekly thread changes are necessary for complete healing. Clinical trials conducted by Indian Council of Medical Research at AIIMS New Delhi have proved that Ksharsutra treatment is more convenient and more effective than Surgery in case of Anal Fistula. In this way Ksharsutra is the best way to treat Anal Fistula without Surgery.
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How Ayurvedic Remedies Can Help You Treat Anal Fissure?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
How Ayurvedic Remedies Can Help You Treat Anal Fissure?
A tear in the anal canal is called anal fissure. When the skin breaks, it can cause pain and extreme discomfort. Some amount of bleeding during defecation may also be experienced. When the anal aperture is over-strained, it results in a crack leading to fissure. In women, delivery trauma can lead to anal fissure. Ulcer in the anal canal or sexually transmitted diseases too can cause the anal fissure. In children, it is commonly due to injury by passing hard stool. Fissure is usually seen at the anal verge. This being a highly sensitive area; any scratch or tear in this area gives excruciating pain, burning, itching, irritation like symptoms. There may be spasm in the anal region (which is a protective mechanism) and the patients are scared of passing stools. Sometimes patient avoids eating food so as to avoid going to toilet. Usually the pain subsides in an hour or so. However in some conditions where there is underlying inflammation and infection; the pain may persist whole day. Recurrent anal fissure which has not been treated properly give rise to an extra skin growth known as sentinel tag.

Ayurvedic remedies: In the patient suffering from Anal fissure; it is very important to regulate the bowel habits properly. Some mild laxatives may be used to soften the stool. Hot sitz bath and use of some soothing ointments, coconut oil, ghee etc. are helpful as they avoid the irritation. Ayurveda can completely cure the people suffering from anal fissures. The treatment duration differs from one individual to another. This is also based on the severity of the disease. In acute anal fissure; the allopathic doctors usually recommend surgery. The commonest adverse effect of surgery is incontinence where the patient is unable to hold stools. However acute anal fissure can be treated without surgery very effectively using Ayurvedic Kshar Karma. In this therapy; certain medicines are applied in the anal fissure so as to promote the healing. The sittings are repeated after weekly intervals and fissure heals in 3-4 sittings. In this way; this is highly specific, very effective and convenient method of treating anal fissure. In chronic anal fissure with associated Sentinel tag; Ksharsutra ligation is used to remove the tag followed by Kshar Karma sittings.
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Anal Fistula - How Can It Be Treated Using Ayurveda?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal Fistula - How Can It Be Treated Using Ayurveda?
The area in and around anal region is some time affected with pain swelling and pus or watery discharges. This abnormal presentation may be due to anal fistula. It is characterized by a nodular swelling in or around anal region with occasional pain and watery or blood mixed pus discharge. The symptoms might be mild but as the time passes the fistulous tract may become deep and develop multiple branches with multiple openings. This makes the treatment more difficult. Therefore it is always advisable as soon as this condition is diagnosed it should be treated promptly to avoid further complications.

Causes: The causes of anal fistula are many. The major reason is the formation of pus. Incompletely cured abscess, microbial infection, ulcers, inflammation of anus and the region around it, and complications that arise out of a surgery can cause the anal fistula. The individuals suffering with diabetes, ulcerative colitis, malignancies and also individuals undergoing chemo or radiotherapy or having some other immune compromised conditions are prone to develop anal fistula.

Treatment: Practically it has been noticed that any amount of oral medications either from allopathy/ homeopathy or Ayurveda is not of much help. In allopathy the surgeons usually advice Fistulectomy i.e. complete excision of fistulous tract or VAAFT Video Assisted Anal Fistula Treatment. However in both these case a fairly high incidence of recurrence has been noticed. In Ayurvedic surgery; Fistula has been categorized among eight diseases which are difficult to cure. A highly specific Ksharsutra procedure has been advised in Ayurvedic surgery to treat this problem. Subsequently, efficacy of this Ksharsutra therapy was compared with surgery in 1991. This clinical trial was conducted by Indian Council of Medical research at AIIMS New Delhi and PGI Chandigarh. They have clearly reported that Ksharsutra treatment is more convenient and more effective as compared to surgery in the patients of Anal fistula. The recent concept of Graded Ksharsutra has further improved the efficacy of this therapy. Facility of Graded KsharsutraTM is available only at Sushruta Ano rectal Institute Rohini; New Delhi.

Ksharsutra Therapy: It is a highly specific and most effective amongst all available treatments for the patients of Anal Fistula. In this treatment; the first step consists of proper identification of fistulous tract with respect to depth, direction and branching pattern. This is usually achieved by careful probing or taking the help of MRI Fistulogram, Ultrasound etc. One the tract has been defined Ksharsutra is placed in the tract with the help of malleable probes under local anesthesia. Since there is no injury to the soft tissue hence no pain or bleeding is expected after this treatment. Patient can continue his routine activities as usual from the very first day. The Ksharsutra medicated thread is changed at weekly interval. Usually the Fistula heals @ 0.5 to 1 cm per sitting. Therefore the anal fistula which is 4-6 cm long they usually heal in 8-10 sittings. After Ksharsutra Treatment the sphincter control remains normal and the fistula heals completely.
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Fistula-In-Ano (Say No to Surgery) - 7 Important Things You Must Know!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Fistula-In-Ano (Say No to Surgery) - 7 Important Things You Must Know!
Anal fistulas or fistula-in-ano generally cause discomfort due pus or watery discharges and sometimes pain. This is a condition where a nodular swelling appears in area surrounding the anal opening. Intermittent pus discharged is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes for this condition. Here are ten things you should know about these anal fistulas:

It is curable through Ayurveda only: Till date many treatment options are tried to cure Anal Fistula which include Anal Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Anal Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Anal Fistula.
There are symptoms you can look out for: Some of the symptoms that indicate anal fistulas include appearance of a nodular swelling in area surrounding Anal opening. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and patient feels relief. But after certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of anal fistula.
Medication can only provide temporary relief: Anti biotics and painkiller might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding anal opening.
Anal fistulas can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Anal Fistula. .
Anal fistulas treated by Graded Ksharsutra do not recur: Ayurvedic treatment for anal fistulas is known as Kshar sutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induces healing of Fistula tract. In few weekly sittings of Ksharsutra change; Fistula gets healed completely and it do not recur. Pt. maintains his normal routine life during treatment period.
Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection.
Oily and spicy foods should be avoided: When dealing with anal fistulas, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided.
Comparative Study:

Ksharsutra vs Surgery in Anal Fistula Patients-

Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia.
Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding.
No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must.
In Ksharsutra; patient can continue his normal daily routine Surgery may require bed rest.
Complications like incontinence (inability to hold stool) and recurrence are seen after surgery
Ksharsutra is a safe procedure and these complications are not seen.
Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.
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Fissure - Effective Non-Surgical Treatments That Can Help!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Fissure - Effective Non-Surgical Treatments That Can Help!
If you observe a small tear/crack or ulcer in the thin, moist tissue that lines the anus in yourself or your child, then it might be an anal fissure. Fissures are characterized by needle pricking sensation, burning sensation and sometimes extreme pain during defecation. An anal fissure is a medico-surgical disorder prevalent among teenagers which can also affect people of any age. But there is no need for concern as the same can be treated using Ayurveda.

Symptoms: Patients suffering from anal fissure may experience a sharp itching or burning sensation in the anorectal region after passing stool. This may be accompanied with visible cracks in the skin around the rectal area, spasms and a sentinel pile. Sentinel pile is a tag of skin that develops if the problem of Anal Fissure persists for longer duration of time. In few cases, patients may notice some amount of bleeding.

Causes: There are several factors that can cause anal fissure. However, constipation is the most common medical condition that may lead to the development of anal fissure. Constipation results in hardening and formation of large stools, which strain the rectal muscle. Other causes include persistent diarrhea, Crohn s disease, anal sex, and childbirth. In rare cases, anal fissures can also be caused due to anal cancer, HIV, tuberculosis, syphilis, and herpes.

Ayurveda in the Treatment of Anal Fissure:
Ayurveda is a well known ancient Indian medical system which also deals with the different surgical disorders including Anal fissure using specialized surgical and para surgical treatment modalities. Surgical specialist of Ayurveda focuses on debridement of the fissures by Kshar Karma and using medicines to improve blood circulation in the affected areas, alleviate pain, prevent infection, treats constipation and relieve anal spasm. In the acute condition, ayurvedic treatment involves Kshar Karma application of specialized medicines in affected area; applying herbal ayurvedic oil in the rectal area and herbal medicines to relieve constipation. Sitz bath with lukewarm Triphala kwath is also advised. This is a simple procedure which involves filling up a plastic tub of appropriate diameter with lukewarm Triphala kwath. The patient should sit in such a way that his/her anal region and buttocks remain submerged in the warm medicated water.

In case the condition becomes chronic and sentinel tag forms, surgical intervention is necessary. This Ayurvedic surgical procedure is called Ksharsutra ligation. It involves ligation of sentinel tag with Ksharsutra. The specialized medicated thread is tied at the root of sentinel tag, which obstructs the blood supply to sentinel piles and causes necrosis resulting in falling of the tag within 5-10 days. Ksharsutra is also least invasive compared to conventional surgery.
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Anal Fistula Can Now Be Completely Cured Without Surgery!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal Fistula Can Now Be Completely Cured Without Surgery!
Anal fistula, a challenge for modern surgery, but can be cured with grade ksharsutra in Ayurveda (Indian system of medicine). Anal fistula is a disease for which different methods of treatment have been advocated time to time, even today when we are talking about robotic surgery, this disease has no satisfactory method of treatment in modern surgery. The latest method of video assisted anal fistula treatment (VAAFT) is not satisfactory due to high incidences of recurrence after the surgery. But at Sushruta Anorectal Institute New Delhi; with the help of Graded KsharsutraTM all these patients of complex Anal fistula are being successfully treated.

In Ayurveda about 2000 yrs ago Acharya Sushruta has indicated ksharsutra treatment to treat fistula-in-ano. Late professor P J Deshpandey at the faculty of Ayurveda Institute of Medical Sciences B H U; had done extensive research in this field and established a treatment module to cure this disease. In 1990 Indian council of medical research has clinically evaluated this Ayurvedic treatment module at four premiere institutes in our country including AIIMS Delhi & PGI Chandigarh. Subsequently, it was concluded by I.C.M.R. that in the patients of fistula in ano, ksharsutra treatment is more effective& convenient as compared to modern surgery.

Ksharsutra is a thread coated with certain Ayurvedic medicines known for their antiseptic, debridement & healing properties. After u v sterilization this medicated thread (ksharsutra) is used under complete aseptic precautions in the patients. The patient is routinely investigated with special reference to any other associated disorder like hypertension, diabetes mellitus, tuberculosis etc. The next step lies in the proper identification& evaluation of the fistulous tract. It is mandatory to define the fistula tract wrt its depth, direction & branching pattern. This may be achieved by careful probing under expert hands using malleable probes& if required help may be taken from other investigations like x-ray fistulogram or MRI fistulogram.

Once the tract has been clearly defined the Ksharsutra is placed in it with the help of certain instruments, under local anesthesia. This entire procedure is usually completed in ten to fifteen mins. As there is no cutting of tissues hence no bleeding, no pain & patients can go home after half an hr rest in the daycare room. The medicine-coated on the thread is gradually released in the tract. The cumulative effect of the coated drugs exerts a powerful debridement effect on the fistula tract & induces healing by the fresh & healthy granulation tissues. Thus Ksharsutra is the mechanism of drug delivery precisely at the tissues involved.

Every seventh or tenth day the old sutra is replaced with a new Ksharsutra till there is a final cut through. It has been observed that the tract heals @ 0.5-1 cm per week. The post-operative complications like recurrence of the disease, fecal incontinence, bleeding is not seen with Ksharsutra treatment. Further, this therapy is performed as an OPD procedure. No general anesthesia & no hospitalization is required. Patient maintains his normal routine activities as usual during the treatment period.

At Sushruta Anorectal Institute; Rohini - New Delhi, we have been working on this disease including piles fissures & pilonidal sinus for the last 30 yrs. Here we have developed the concept of Graded KsharsutraTM which has given us a more effective & convenient way to treat anal fistula. At Sushruta Anorectai Institute we have treated on record thousands of patients of anal fistula from different states including overseas patients. We have records to prove that the patients of high anal complex fistula, those have been operated two or three times but failed to heal were successfully treated at this institute.
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How Ayurveda Can Help Manage Piles & Fissures?

BAMS, MD - Alternate Medicine
Ayurveda, Vadodara
How Ayurveda Can Help Manage Piles & Fissures?
Piles, fistula and fissures are the most common problems affecting the rectum and the anus. Both the rectum as well as the anus has a very rich vascular supply. There could be swelling of these blood vessels or tearing which can lead to the above conditions. Read on to know additional details about each of these conditions.

Piles: In simple words, swollen blood vessels of the anal region are called piles. It can be internal or external, depending on how far it is from the anal canal. If it is located farther inside the anal canal, it is called internal piles.


Chronic constipation, where the person has to strain to pass stools
Smoking and genetics can also lead to piles.
Symptoms: Starts off as painless bleeding, which happens in drops after bowel movement; the swelling happens much later. They can continue to grow and develop blood clots.


In the early stages, once identified, simple topical medications for symptom relief are sufficient.
Diet should be rich in fiber, with fruits and vegetables
Increased water consumption
Surgery if the disease has reached the stage of blood clots
Prevention is advised if there is a family history by consuming a fiber-rich diet and maintaining hydration
Fistula: When an infected anal gland bursts into the anal canal, it constantly discharges pus into the anal canal and becomes a fistula. Hygienic toilet habits can help in preventing fistulas.


A constant wet feeling in the anal area, due to pus discharge.
This would be intermittent, and there would be periods with no discharge.
There could be a foul smell due to pus discharge.
Diagnosis and Treatment:

Identifying the exact location is important as surgery may be required.
An ultrasound scan or an MRI is usually done.
Newer techniques like Video Assisted Anal Fistula Treatment (VAAFT) are used. This locates the piles accurately and uses electric current to seal it with staples and surgical glue.
Conventional surgery is also used for economic or accessibility reasons.
Fissures: These cracks anywhere in the length of the anal canal are extremely common.

Very painful and the person may not want to go to the toilet
Rarely bleeding is also seen, maybe in very small amounts

Over 90% of the fissures do not require surgery
Switching to a high-fiber diet and improving hydration will help in managing these symptoms.
Topical relief can be provided by medications.
When they are recurrent, a procedure known as lateral sphincterotomy is done. This is an outpatient procedure and provides immediate relief.
Though one condition can lead to another, in most people, there is a strong genetic component, and working towards prevention is highly recommended.
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Fistula - Ways It Can Be Treated!

N.D.D.Y, Bachelor of Ayurveda Medicine & Surgery (BAMS), Specialist In Ayurvedic Ksharsutra Therapy
Ayurveda, Delhi
Fistula - Ways It Can Be Treated!
The anal area is a highly vascular area, and if not maintained hygienically, it can lead to health issues including infection. The anal canal can get infected quite easily and if these infected parts begin to discharge pus, it could leak through the anal canal. This is known as anal fistula, and can be caused due to:

Unhygienic toilet habits leading to infected anal region, which can pass up the anal canal
Can be caused due to excessive straining, which can be due to constipation
Post-surgical effect, where an existing anal abscess was drained

The fistula could be constantly draining pus or blood, producing a constant moist feeling in the anal region
In some, it could be intermittent draining with full dry spells in between
There could also be pain, which is constant and throbbing and worse with sitting
Pus discharge can produce a foul smell
The skin around the anus can be itchy and irritated
Tenderness and swelling of the area
Constipation and painful bowel movements
Fever and chills, due to generic infection
Management: Prevention and treatment are both essential in managing anal fistula.

Prevention is mainly achieved through healthy toilet hygiene habits, as this is the main cause for filstula formation
Treatment would include para-surgical therapy ( non-invasive ), which should be followed by healthy toilet habits and good diet habits including fibrous meals to avoid constipation.
The following are two well-established surgical corrective measures.


Ayurveda has a well-established technique known as ksharsutra wherein a medicated thread is used to drain the fistula and to prevent further fistula formation.
A linen thread is smeared with latex, curcuma longa, and Apamarg Kshar which are known for their multiple healthy benefits anti-hermorrhoidal, anti-inflammatory, and coagulatory properties.
The linen thread is smeared with these herbs in layers and takes a few days to prepare.
This thread is then allowed to stay in the fistula tract, which allows for healing and prevents pus accumulation and/or closure
This is followed by a complete liquid diet, which is gradually moved to a semi-solid diet and if required sitz baths
Ayurvedic gugglu ksharsutra therapy:

Ayurveda is a thousands of years old system of holistic healing through herbs. It is not only based on drugs but a healthy diet, good lifestyle, staying happy and different Ayurvedic treatments which have no side effects and are absolutely safe to use. According to Ayurveda a body suffers from a disorder because of disparity in the 3 Doshas. Ayurveda deals with balancing the Doshas and healing the body. Synchronizing the body, lifestyle with nature and its paradigm.

The Doshas have to be balanced, one dominant or other ignored causes disorders, as a result the person falls sick. Here, we will talk about fistula in Ano and Ayurvedic treatments for fistula in Ano.

Anal Fistula is a two-sided canal. One end of tube opens up inside the anal canal and the other opening is near the anus on the skin. This leads to leakage of stool from the other opening, oozing of pus leading to discomfort, pain, and sometimes fever as well.

Ayurvedic herbs are especially known for keeping the digestive system in good shape by maintaining the right balance of the Pitta element that maintains the right balance of the digestive fire. According to Ayurvedic principles, any disorder in the body is a result of a faulty digestive fire that manages its functions. It is very important to restore the imbalance of digestive physiology to heal the anal fistulas.
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Know More About Anal Fissure

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
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Anal fissure - Symptoms and treatment
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