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Anal Fissure & Fistula Ayurvedic Treatments

Author : Gurnam Saini  

Ayurvedic Insights: Effective Treatments for Anal Fissures and Fistulas


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



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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


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