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Fistula-in-ano Treatment Diagnosis Classification Symptoms

Fistula-in-ano Classification Symptoms Treatment

WHAT IS AN ANAL FISTULA? Anal fistula, or fistula-in-ano, is an abnormal connection or channel like structure, between the surface of the anal canal and the exterior perianal skin.

Fistula-in-ano: An Ayurvedic Perspective

Bhagandara (Fistula-in-ano): An Ayurvedic Perspective

Definition of Bhagandara (Fistula-in-ano):

(Bhaga= Vagina, Darana= tear, spitting)

 

ते तु भगगुदबस्ति प्रदेशदारणाश्च ‘भगंदरा’ इत्युच्यन्ते ।

 अभिन्ना: पिडका:, भिन्नास्तु भगंदरा: ।। (Su. Ni. 4/3)

 

This creates a tear in the area of Bhaga (Vagina), Guda (Anal canal & rectum) and Basti (Urinary bladder), so this is called Bhagandara.

Particularly, in the earliar stage when this is not open, called ‘Pidakaa’ (furuncle). Later on it will get burst and forms the Bhagandara (Fistula-in-ano).

 Probable Causative Factors:

  • Obesity
  • Heavy diet
  • Indigestion
  • Suppression of natural urges
  • Trauma
  • Unhygienic condition
  • Infection of the anal glands
  • Worm infestation
  • Ingestion of foreign bodies
  • Excessive horse  riding or bicycle riding
  • Abrasion by stone, cloth and ground
  • Constipation
  • Excessive drinking of alcohol
  • Straining
  • Excessive coitus

Classification:

  • According to Dosha Involvement:
  •  Ayurvedic classical texts have classified Bhagandara mainly in eight entities according to doshik involvement.
  • शतपोनक भगंदर (Shatponak Bhagandara)- Vāta dosha dominance
  • उष्ट्रग्रीव भगंदर (Ushtragriva Bhagandara)- Pitta dosha dominance
  • परिस्रावी भगंदर (Parisravi Bhagandara)- Kafa dosha dominance
  • शम्बूकावर्त भगंदर (Shambukavarta Bhagandara)- Tridosha dominance
  • उन्मार्गी भगंदर (Unmargi Bhagandara)- Aāgantuja /Traumatic
  • परिक्षेपी भगंदर (Parikshepi Bhagandara)- Vāta  Pitta dosha dominance
  • ऋजु भगंदर (Rhiju Bhagandara)- Vāta Kafa dosha dominance
  • अर्शो भगंदर (Arsho Bhagandara)- Pitta Kafa dosha dominance

According to opening:

  •  Sushruta (School of Ayurvedic Surgery) again classified each type of Bhagandara according to its opening whether presents externally or internally. He used the terms,
  • पराचीन (Parachina) or  बहिर्मुखम् (Bahirmukham) – blind external and,
  • अवाचीन (Avachina) or  अंतर्मुखम् (Antarmukham) – blind internal.

According to modern contrive:

  •  According to modern texts, fistula-in-ano can be divided in two groups broadly, on whether the internal opening is below or above the ano-rectal ring respectively.
  • Low level fistula
  • High level fistula
  • Low level fistula can be further subdivided into subcutaneous type, submucous type, intersphincteric type, trans-sphincteric type and supra- sphincteric type.
  • High level fistula can be further subdivided into extrasphencteric or supralevator type, trans-sphencteric type and pelvi-rectal fistula.

Symptoms of Bhagandara (Fistula-in-ano):

  • The main symptoms are boil around the anus, anal discharge and pain in anal region.
  • Management (treatment) of Bhagandara (Fistula-in-ano):
  • Local treatment:
  • Aālepa (Paste of Ayurvedic herbal drugs)- for local application
  •  Upanāha (Warm poultice)- for local application
  •  Pariseka (Pouring of Ayurvedic decoctions)- for local application
  •  Swedana (Hot fomentation)- for local application
  •  Rakta vistravana (Blood letting)
  •  Varti application (Application of wick of cotton cloth mix with Ayurvedic herbal oils)
  • General treatment:
  • Follow the ‘Ayurvedic life style’ (look forward on the home page of this site)
  •  Apatarpana (Making the body thin by fasting)
  •  Vamana & Virechana (Ayurvedic Panchkarma Therapy/Ayurvedic Detoxification Programme)

Para-surgical  procedures:

  • Kshāra- sutra Therapy (Application of Alkaline Herbal Seton)
  •  Rakta mokshan (Blood letting)
  •  Agni karma (Thermal cauterisation)
  •  Kshāra karma (Application of Ayurvedic herbal caustics)

Surgical procedures:

  • Bhedana karma- Fistulotomy
  •  Chhedan karma- Fistulectomy

Anal fistulae originate from the anal glands, which are located between the two layers of the anal sphincters and which drain into the anal canal. If the outlet of these glands becomes blocked, an abscess can form which can eventually point to the skin surface. The tract formed by this process is the fistula.

Ancient Ayurveda surgeon, Susruta has described five types of Bhagandara(Sataponak, Ustragriwa, Parisrabi, Sambukawarta, Unmargi). They have been classified according to the vitiation of the three doshas and the shape & site of the fistula tract.

CAUSES OF FISTULA?

  • Anal fistulas commonly occur due to an anal abscess.
  • An abscess is a collection of pus and infected fluid. An anal abscess usually develops after a small gland, just inside the anus, becomes infected with bacteria.
  • A fistula may occur if an abscess has not completely healed, or if the infected fluid has not been entirely drained away.
  • An anal fistula may also develop as a result of:
  • a growth or ulcer (painful sore)
  • a complication from surgery
  • a congenital abnormality (a health problem that you were born with)
  • Anal fistulae are also a common complication of conditions that result in inflammation of the intestines. Some of these conditions include:
  • Irritable bowel syndrome (IBS): a chronic (long-term) disorder that affects the digestive system, causing abdominal pain, diarrhoea and constipation.
  • Diverticulitis: the formation of small pouches that stick out of the side of the large intestine (colon), which become infected and inflamed.
  • Ulcerative colitis: a chronic condition that causes the colon to become inflamed and can cause ulcers to form on the lining of the colon.
  • Crohn’s disease: a chronic condition that causes inflammation of the lining of the digestive system.

SYMPTOMS OF FISTULA

  • Anal fistulae can present with many different symptoms such as:
  • Pain
  • Discharge – either bloody or purulent
  • Pruritus ani– itching around the anus
  • Systemic symptoms if abscess becomes infected

DIAGNOSIS OF FISTULA

  • Diagnosis is by examination, either in an outpatient setting or under anaesthesia. The examination can be an Anoscopy.
  • Possible findings:
  • The opening of the fistula onto the skin may be seen
  • The area may be painful on examination
  • There may be redness
  • A discharge may be seen
  • It may be possible to explore the fistula using a fistula probe (a narrow instrument) and in this way it may be possible to find both openings of the fistula

Fistula Bhagandara best Treatment By Kshar Sutra

Fistula is a deadly disease which occurs most commonly on the rectum.

A yellow liquid gets formed on the area which is very painful.

Bhagandara is the name by which fistula is known as in Ayurvedic practice. Three kinds of the disease are recognised with different treatments. One of the important therapies for curing fistula in Ayurveda is Kshar Sutra.

This involves cutting up some tissues and these take time to heal. Before performing this procedure, several herbs are given to the patient such as Kadali Kshar, Apamarg Kshar, Nimb Kshar, Papaiya Kshar and Snuhi Kshar.

 

Anal fistula is generally treated through surgery but it is known to recur after some time.

You need to be very conscious of this fact when looking to get your condition treated.

Ayurvedic remedies for fistula are known to cure the disorder for good. Several techniques and therapeutic procedures are available in Ayurveda that eliminate the problem from its root.

 

 

 

Although Kshar Sutra is a slow process on the whole but it is getting global recognition gradually as a very effective treatment for fistula. The great advantage in undergoing this treatment is that the patient does not need to be admitted to a hospital. He can carry on with his regular everyday work without any trouble.

and most of all 100%  treatment without any recurrence.

Agnikarma is another treatment for fistula in Ayurveda. This involves use of hot iron or caustic agent for destroying the affected tissues.

Another Ayurvedic treatment for fistula is known as Enema. In this treatment, hot bath is given to the patient suffering from it. Lower body parts are involved in this therapy. A few other types of fomentation is also recommended. The patient needs to be constantly checked for any signs of suffering for diseases such as hypertension, diabetes, TB or any other.

The main reason for rise of this disease these days is the unhealthy lifestyle which people have started to lead. It is expected that with Ayurvedic remedies for fistula treatment becoming popular, the lifestyle recommended by the holistic system of medicine will also gain ground.

Fistula-in-ano By Ayurveda

What is Fistula-in-ano as Ayurvedic View

Bhagandara (Fistula-in-ano): An Ayurvedic Perspective

Definition of Bhagandara (Fistula-in-ano):

(Bhaga= Vagina, Darana= tear, spitting)

ते तु भगगुदबस्ति प्रदेशदारणाश्च ‘भगंदरा’ इत्युच्यन्ते ।

 अभिन्ना: पिडका:, भिन्नास्तु भगंदरा: ।। (Su. Ni. 4/3)

 

गुदा के मुकाम पर या रेक्टम के मुहाने  पर या near to ANUS wall के आस पास  यह बीमारी या तकलीफ होती है / सबसे पहले जब इस तकलीफ का आगाज होता है तो पाखाने के मुकाम पर पहले बड़ी खुजली होती है , जिसे खुजलाने में बड़ा मजा आता है और खुजलाने की न इच्छा होये हुये भी बार बार हाथ गुदा तक खुजलाने के लिये पहुच ही जाता है / कुछ दिन बाद इसी खुजली वाली जगह पर एक छोटी सी फुन्सी हो जाती है , जो पहले लाल हो जाती है फिर पकती है और पस से भरा हुआ एक छोटा सा बिन्दु बन जाता है / इसमे दर्द भी होता है, किसी किसी को दर्द नही होता है / अर्थात यह बिना दर्द के ्भी होता है , लेकिन ऐसा देखने में कम ही आता है /

 

दर्द के होने पर लोग उपचार लेते हैं और फिर लापरवाह हो जाते हैं , इसलिये यह छोटा सा घाव धीरे धीरे जगह बना हुआ गुदा के अन्दरूनी छोर तक जा पहुचता है और फिर तकलीफ देन शुरु करता है / कई बार यह देखा गया है कि जैसा इस  घाव का मिजाज बाहर से अन्दर के रुख की वजह से बनता है तो ठीक उल्टा यह गुदा से बाहर की तरफ भी बनता है  / लोग इस स्तिथि मे अक्सर भ्रम में पड़ जाते हैं और वे समझते हैं कि शायद गुदा में दर्द अन्दरूनी बवासीर के कारण हो रहा है , जबकि यह भगन्दर के घाव के कारण होता है /

 

बहर हाल भगन्दर का इलाज जैसे ही पता चले, शुरू कर देना चाहिये / आयुर्वेद का इलाज   के समन्वित चिकित्सा व्यवस्था से भगन्दर अवश्य ठीक हो जाते हैं / लेकिन इसके लिये चिकित्सक चाहे वह अकेला हो जिसे तीनों चिकित्सा विग्यान का अनुभव हो या यह न हो सके तो  तीनों चिकित्सा विधाओं के experts से तालमेल करके चिकित्सा व्यवस्था अगर करते हैं तो भगन्दर अवश्य ठीक हो जाता है /

Surgical intervention से भगन्दर ठीक भी होते हैं और नही भी / कई बार कुछ साल ठीक होने के बाद फिर दुबारा तकलीफ हो जाती है , इसलिये सरजरी कराने का निर्णय मरीज की अपनी इच्छा पर निर्भर है /

Only and Only Kshar-Sutra is 100%  for fistula-in-ano.

आयुर्वेद का क्षार सूत्र अथवा क्षार कर्म द्वारा भी भगन्दर का सटीक इलाज हो जाता है, इसके लिये किसी expert क्षार सूत्र चिकित्सक की सेवायें लेना चाहिये

or just visit our clinic MsArogyam Contact Us for Details and get the Final solution for Fistula In Ano .

 

Yoga and Exercise For Piles (Hemorrhoid)

Best Yoga and Exercise for Piles Treatment ::

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Yoga, Exercise For Piles (Hemorrhoid) Cure 2

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Yoga, Exercise For Piles (Hemorrhoid) Cure 1

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Diet control

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Treatment —

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