Ayurveda Doctor Melbourne Logo for Pure Herbal Ayurved

Improve your life easily with


To visit only with the appointment

Pure Herbal Ayurved

Anal Fissure & Fistula Ayurvedic Treatments

Author : Gurnam Saini  

The fissure in ano is an oval, ulcer-like, longitudinal split in the rectal tunnel. It usually follows with extreme rectal discomfort worsened by hard defecation with the passing of little blood.


Types of Anal Fissures


1. Primary anal fissure:


Primary anal fissures can be categorized into acute and chronic situations. Acute fissures usually react to conventional treatment; if not, they become serious fissures associated with a tag, handled with surgical involvement.


2. Secondary anal fissure:


Secondary fissures are due to actual illnesses such as colitis, Crohn's infection, tuberculosis, past rectal operation, AIDS, syphilis, etc. Secondary cracks have different clinical appearances and thus need a specific line of control.


Ayurveda and Anal Fissure


In Ayurvedic literature, a fissure in ano is not described as another illness. All scholars describe this problem under the title of Parikartika.


Parikartika is happen by imbalance of vata and pitta dosha. Vata causes pain like a cutting feeling, and pitta causes a burning sensation and swelling.


In the same way, it is said that parikartika is a type of injury that happens due to stress caused by hard feces in the rectal tunnel.


There are various kinds of ayurvedic herbal and natural remedies, such as using ashwagandha Sweda (hot sitz bath), jatyadi herbal oil, Guggulu preparations, natural fibers like isabgol, etc., to treat anal fissures. All of these are discussed in detail further down in this article.


Causes of Anal Fissure, Fistula, Sinuses, Abscess


An unhealthy lifestyle is the main reason behind various kinds of anorectal problems. Deficiency of sufficient exercise, junk food, harmful diet, cigarette smoking, liquor, extended seated job, and inappropriate drinking habits make the digestive system (GIT) upset, which result in infrequent intestinal routine.


Changed intestinal routine is a significant aspect of causing piles, fissures in ano, abscesses, sinuses, fistula in ano, and other kinds of anorectal problems.


Alteration of bowel routine is a strong reason behind anal fissures. The passing of hard feces is recommended to result in immediate injury to the rear part of the rectal tunnel. This causes a break at the mucocutaneous joint resulting in severe pain and sometimes blood loss. 


Below are the patterns in the formation of anorectal diseases like anal fissures, anal sinuses, and fistula:


  • changed intestinal habit
  • hard irregular feces or constipation
  • trauma to the mucocutaneous membrane of the rectal canal
  • tear or acute onset of fissure
  • Either treat or turn into serious stasis of fecal matter.
  • or infectious agent in chronic wound
  • results illness of the rectal tunnel
  • The infection moves through the rectal glandular to the external environment, leading to abscesses like sinuses or fistula.


Herbal Ayurvedic Treatment for Anal Fissure, Fistula, Sinuses, Abscess

The main aim of Ayurveda therapy is to ease the sphincter spasm, clean and heal a fissure, relax the rectal tunnel, and reduce the agony sensation.


Hot fomentation sitz baths, nutritional materials like isabgol (psyllium husk), herbal ayurvedic oils, and many guggulu ayurvedic medicines can help heal these fissures.


Natural Remedies of Perianal Fissure, Fistula, Sinuses, Abscess


Avgaha Sweda (hot fomentation-sitz bath)


I was sitting in the warm/hot water tub after each defecation reduces discomfort and calms the spasm of the inner sphincter for some time. It also helps in washing fissure injuries. Sitz shower is impressive in treatments for fissures. It is done for 10 to 15 minutes. Adding Triphala powder to the water helps minimize pain and enhances the healing capacity of the anal colon.


High Fibre Diet


Isabgol (psyllium husk) are seeds obtained from Plantago ovate plant. These are hygroscopic, which allows them to increase and become mucilaginous. These materials are complicated carbs, which hold with standard water in the digestive tract creating bigger, smoother feces. Larger and softer stool expands and restores the sphincter muscle tissue helping the blood to circulate, and it also requires little stress to pass successfully.


Psyllium fiber is commonly used as a fiber complement for treating intestinal problems like hard stool. Also, different medical studies revealed regular use of psyllium husk significantly increases feces' moisture.


Jatyadi ghee/oil


Jatyadi oil is described in Ayurvedic texts for external use to heal various wounds and has been mentioned to treat anal rectal injuries. This coconut-based oil is processed with leaves of Jasminum officinale, leaves of Azadirachta indica, Curcuma longa or turmeric, Berberis aristata, Glycyrrhiza glabra or licorice, Picrorhiza kurroa, bee wax, and other vegetation. 

Regional use of jatyadi oil/ghee displays remarkable results in an anal fissure, fistula, and sinus by:


  • Covering the wound with a protective coating
  • relaxes the rectal tunnel and minimizes discomfort by soothing the sphincter's overall tone.
  • It clears injury as well as is a very excellent healing therapy.


Herbal Ayurvedic Medicine For Piles and Fissures


A research paper presented by Ashish Soni emphasizes the importance of jatyadi ghee. It is an ayurvedic concoction prepared with herbs like chameli Patra, nimba patra, and Haridra Patra, among many others. It is beneficial as it forms a protective layer over the fissure wound, soothes the anal canal to relieve pain by relaxing the sphincter tone, cleans the damage, and expedites healing.


Guggulu (Commiphera mukul) preparations


Triphala Guggulu, Kishor Guggulu, Shigeru Guggulu, and lakshadi guggulu are said to have great outcomes in controlling various anorectal problems. Triphala Guggulu also has expertise in bowel problems like constipation.


Kaishor Guggulu will work when dermatitis, itchiness, and extreme burning (increased pitta signs).


Shigru guggulu is given when there is much swelling and discomfort.


Lakshadi Guggulu works in affiliate bleeding hemorrhoids.


In secondary fissures where colitis is the main problem, biwa (Eagle marmelos), Kuta (Holarrhena antidysentrica), and take (buttermilk) can be the first range of therapy.


In the same research mentioned above, Ashish Soni also notes the effectiveness of Guggulu. Guggulu in the form of Triphala Guggulu, Kishor Guggulu, Shigeru Guggulu, and lakshadi Guggulu is useful for this disease. These herbal formulations treat symptoms like constipation, dermatitis (associated with anal fissure), itching, excessive burning, inflammation, bleeding, and pain.


In a research article by Panigrahi Hemanta, the usefulness of guggulu for treating anal fissures has been emphasized. The study was conducted on 40 patients suffering from fissure-in-ano. 500 mg of Triphala Guggulu was administered to these patients for a month, along with other medicines (jatyadi tail) and remedial procedures (Lord's system). After a month, 80% of the patients showed complete remission of the disease.


Ayurvedic Treatment of Anal Fissure, fistula, sinus, and Abscess in Melbourne, Australia


To get the best herbal ayurveda treatment plan for any perianal diseases like fissures, fistula, sinus, or abscess, reach out to Pure Herbal Ayurved Clinic based in Northcote, Melbourne.


Highly experienced Ayurvedic doctors will formulate the best treatment plan according to one's body type.


Ayurvedic diet and lifestyle are important in preventing and treating anal fissures and fistula. 


Contact us at Pure Herbal Ayurved Clinic for more information on Anal Fissure or Fistula Ayurvedic Natural Treatment in Melbourne.




  1. Ashish Soni, 'Fissure in Ano- A Clinical Approach, Journal of Pharmaceutical and Scientific Innovation, https://jpsionline.com/admin/php/uploads/403_pdf.pdf
  2. Panigrahi Hemanta, 'Clinical Evaluation of Ayurvedic Compound and Manual Dilatation of Anus in the Management of Parikartika (Fissure-in-Ano): An Open Perspective Study', Indian Journal of Research in Ayurveda and Pharmacy, https://www.ijrap.net/admin/php/uploads/903_pdf.pdf




Disclaimer: The information on any of the Ayurveda Products, Ayurveda treatment, Ayurvedic Medicines, or any other services mentioned on the Pure Herbal Ayurved clinic website is for educational purposes only and not for self-diagnosis or self-treatment. Ayurveda products should only be taken after Full Ayurveda consultation with a Registered Ayurveda Practitioner. On the website, if any of the Ayurveda Products mention heavy metals or some prohibited/restricted plants, the reader should not assume that these products are used, prescribed, or sold by Pure Herbal Ayurved Clinic in Australia. Pure Herbal Ayurved Clinic does not take liability or responsibility for accidental adulteration or contamination of any unwanted material in the Ayurveda products. Readers should not assume that all of the products mentioned on the website are available for prescription in Australia. The website purely describes the uses and indications of herbal products based on Traditional Ayurvedic textbooks.  These are not for self-medication or online purchase. Pure Herbal Ayurved Clinic does not claim or guarantee to cure any disease or health condition or terminal illness. Ayurveda treatment plans should be supplemented with an appropriate diet and lifestyle to get beneficial effects. Ayurveda medicine is generally safe if taken under the strict supervision of a qualified Ayurveda Practitioner, but it may also cause adverse reactions in rare cases. We suggest that you discuss your Ayurvedic treatment plan with your Medical Practitioner to ensure safe and effective use.

Please Contact Us Other Treatment

Author Bio:

Gurnam Saini has over 15 years’ experience in Ayurvedic naturopathy treatments in Melbourne, Australia. He has completed his bachelor degree in Ayurvedic Medicine and Surgery from Baba Farid University of Health Sciences, India. He has done MD in Alternative Medicine and certificate courses in Panchakarma Detox, Pulse diagnosis and skin care. He is also a member of the Australasian Association of Ayurveda (AAA). He has won awards for ground-breaking work in Ayurveda globally. Read More


Google Reviews



  • I have been suffering from IBS for quite a few years. My last resort was to see the doctor in Pure Herbal Ayurveda Clinic. Dr. Saini has helped me get my gut back to a itself. I am able to eat Gluten now and my gut issues have reduced quite a lot. I have more energy now.

    Karthik Rajappan

  • I am writing this review so that everyone gets to know about the most capable Ayurvedic doctor of Melbourne, Dr. Saini and could reach out to him for almost any condition they might be suffering from. I was suffering from Migraine headache almost everyday but after taking the medicines prescribed by Dr. Saini, my headache almost vanished. These Ayurvedic medicines helped me in controlling my stress magnificently. I hope my review could help others who are suffering from anxiety and stress or any other chronic disorder. Please try the Ayurvedic(herbal) medicines for once as they don't have any side effects. They also have the facility of Ayurvedic massage which can definitely help the hard-working professionals out there. I hope everyone could get this miraculous treatment of Ayurveda.

    Yatin Pandey

  • Dearest Dr Gurnam, thank you many times over for your treatment I feel very balanced and cured. You have been kind, compassionate and very knowledgeable in what you do. I highly recommend Dr Gurnam and his work in Ayurveda.

    F.A.J Bakari

  • I saw Dr Saini in July 2019 for “acid reflux” after suffering of months. I tried different medicines but didn’t work. There was a time I started believing that there was no permanent cure to this disease. Dr Saini is an authentic Ayurvedic doctor. He can do miracles for you. I honestly believe he’s a blessing for the city of Melbourne otherwise it would have been very hard to physically see an Ayurvedic doctor like him. My heart burn got worst with the time & became just unbearable. I couldn’t eat anything or sleep at all. Finally, I found him via google and peoples reviews convinced me to give him a call. He’s an angel & listens everything. He gave me a three month’s plan which I completed happily. But unbelievably my acid reflux reduced 80% within three days & completely gone in five days & it never came back since then. I’m so happy & enjoying my life like I used to. God bless Dr Saini & God bless those who wrote reviews which convinced me to give him a call first time.

    Talented Skull

  • I was suffering from ibs from a long time urgency to go to toilet and mucus in stool . Even I ordered medicine from India but it wasn’t work and proper guidelines there, they just there for sale the medicine only . Dr shani only one months medicine improved 80% of my gut problem . If anyone suffering from symptoms like ibs or gut issue I will definitely recommend to visit dr shani clinic .

    Tara prasad Bhattarai

  • After struggling for years with energy levels, food intolerances and sleep issues with our daughter, we tried Dr Saini. The results for her have been outstanding. Her food intolerances (she was on a strict FODMAP diet) have all but disappeared. Her sleep is consistent and better. Her ability to regulate herself across an entire day (without falling into a heap) has improved her life quality 100 fold. His approach is thoughtful and considered. We always feel like he listens to all aspects of her health and adapts his methods to what she needs next. I would highly recommend working with Dr Saini to anyone considering it.

    Christine Medley

  • I would highly recommend Dr Saini for the treatment of Arthritis.I had pain,stiffness and numbness in my fingers and joints.Its been a year now and I have noticed 80% improvement in my condition.Thank you Dr Saini.

    Uma Kaur

  • I have had a fantastic experience with Dr Saini at Pure Herbal clinic. The herbs I have taken as well as some dietary/lifestyle changes have brought me back into balance - my sleep has improved, my mental state has also improved I have more energy and am managing stress better. I would recommend going here for sure. Thanks Dr Saini! Kat

    S G

  • Since September 2018, I have been in and out of hospital with consistent bowel and rectal issues. Three weeks after my last surgery this year, I literally stumbled across Pure Herbal. Dr Saini, (Ayurvedic Doctor) has been an absolute God send. I have worked closely with him since March. I have been extremely commited to the daily herbal regime, detox and treatments provided at Pure Health. At 46, I have never felt better physically, mentally and spiritually. What were constant symptoms, are now a thing of the past. I will continue this cleansing journey and with Dr Saini's expertise, I know my health will continue to improve. 🙏

    Inga Spyrou

  • Thank you Dr Saini for the remarkable improvement in my health since first seeing you only 3 months ago. With herbal supplements, herbal teas and a single panchakarma treatment I have already experienced the following benefits that western medicine had not been able to assist: * Lower blood pressure permitting a reduction in medication. * Reduced anxiety. * No dizziness or fainting following sudden exercise such as climbing stairs. * Eye floaters gone. * Persistent (2 year) cough almost gone. * Frequent reflux gone. With continued treatment and lifestyle changes I am looking forward to: * normal blood pressure without medication, * weight loss without strict diets, * cough gone!

    Ray Dempsey

  • I cannot recommend highly enough. This has been my first experience with Ayurvedic medicine and the Panchakarma cleanse and I can finally say that after years of striving for better health and wellbeing, I finally understand what is going to work for me moving forward. Having experience a traumatic event and subsequent PTSD 5 years ago, my gut and my body became increasingly compromised. In this time I have been diagnosed with fibromyalgia, complex regional pain syndrome and various ailments of the gut. I came to see Dr Saini and Pooja at a time that I felt frustrated with my years of work to see some more obvious progress with my healing. Having completed the Panchakarma cleanse, I am feeling fully renewed. Awake. Settled. I no longer struggle to wake each morning and get through each day. My appetite feels steady and all cravings have completely ceased. I now have some tools under my belt to fall back on when I know my digestive system needs a break. This cleanse has been a complete game changer. Thankyou Dr Saini and Pooja for you incredible guidance and support. Liz

    Lizmo 29

  • I started to get depressive mood and nightmares since diagnosed with varicocele and hydrocele. Specialist recommended me getting coil embolization to block the veins. I was hesitant with the idea of it and ignored his advice. I thought I would try with natural approach to deal with my health issues. After reading online I started to make healthy changes in my life-style and food regime e.g. avoiding inflammatory and junk food, energy drinks etc. Also reduced smoking and alcohol for 3 months. But my pain and swelling in the scrotal area did not improve. More over I started to get lack of libido, premature ejaculation and erectile difficulties. Due to that I started to remain frustrated and angry most of the time. My relationship with my family members, friends and partner started to get difficult. Finally came across Dr Saini ayurvedic medicine clinic in Melbourne. Had a detial consult with Dr Saini. His Ayurveda approach for varicocele and its related problem worked like magic for me. First month he modified my life-style and food, based on my ayurvedic makeup. He also introduced some his own blends of organic herbs and spices with daily breathing exercise. In second month I did panchakarma detoxification. Now there is no pain or swelling in my scrotal area. My manpower is back to normal (even better than earlier), having grounded emotions and sound sleep with best physical and mental health. I highly recommend everyone to follow ayurvedic life style and its natural way of healing your body. Dr Saini is best in his job.

    Jeff raj