By Dr Harsh Sharma, DHMS, BHMS
Published March 23, 2018, Last updated November 17, 2018
One of the common conditions affecting the anal tract is the anal fistula. It is also often referred to as the fistula-in-ano. It is often difficult to differentiate between the fistula and other conditions affecting the anal region like haemorrhoids and anal fissure.
What is anal fistula or fistula in ano
An anal fistula or fistula in ano is an abnormal or infected tube shaped canal or tract that opens on one side in the anal canal and the perianal skin on the other side. A small or narrow tunnel is formed. There are a number of small glands in the anal canal. These anal glands are located between the internal anal sphincter and the external anal sphincter. These glands drain into the anal canal. At times, a gland or its outlet may become blocked. This blockage causes an infection to develop and an abscess is formed. Such an abscess may point towards the perianal skin. The tract formed in such a manner is known as a fistula.
Causes of anal fistula or fistula in ano
Most of fistulas occur spontaneously or on their own. An abscess may form due to an infection and then later develop into a fistula. In some cases, a fistula may develop after drainage of an abscess. Some diseases like Crohn’s disease or Tuberculosis can also cause anal fistulas. Trauma or injury to the tissue may also cause an anal fistula to develop. This trauma may be due to the presence of a foreign body too. Cancer or radiation therapy may also cause an anal fistula to develop.
Types of fistula in ano or anal fistula
There are 4 types of anal fistulas –
Symptoms of fistula in ano or anal fistula
The common symptoms of fistula in ano or an anal fistula are as under –
- Pain- there may be intense pain in the fistula.Usually the pain is constant and is aggravated while passing stool or sitting. The pain may be throbbing in character.
- Pus discharge- there may be discharge of pus from the fistula. This pus or the discharge is usually foul smelling.
- Blood- there may be bloody discharge or even frank blood coming out of the fistula
- Swelling – the area involved may have some swelling due to the presence of infection or abscess.
- Fever –there may be fever which again is a sign of presence of infection
- Irritation of skin – there may be constant irritation of the area involved due to discharge of pus and blood.
Treatment of anal fistula or fistula in ano
When it comes to treating anal fistula or fistula in ano, the common first line of treatment suggested by allopathic doctors and surgeons is to get it treated surgically. Allopathy does not have any medical treatment for fistula in ano or anal fistula. That is why patients are advised to get a surgery done.
Is surgery effective for treatment of fistula-in-ano
It has been seen time and again that patients who go in for surgery report recurrence of the problem sooner or later. This can be a big setback for a patient. After all, getting a surgery done is not child’s play. One cannot afford to get repeated surgeries done for the same problem. This is not feasible because of the costs involved as well as the other logistics and emotional distress that one undergoes while getting a surgery. All said and done, the fact remains that surgery is not at all a permanent cure for anal fistula.
Homeopathic treatment for anal fistula or fistula in ano
The success rate of homeopathic treatment for anal fistula or fistula in ano is very good. That is because homeopathic medicines are able to cure the abscess or the infection completely. The body’s own immunity is able to deal with the infection with a little help of the homeopathic medicines. These homeopathic medicines for anal fistula not only root out the infection or the abscess but also help in forming normal tissue to completely close the fistula once and for all.
5 Best Homeopathic medicines for anal fistula or fistula in ano
There are a number of medicines that are used for the treatment of an anal fistula or fistula in ano. All these medicines are equally useful, effective and can completely cure a fistula-in-ano when they are indicated in a patient. The medicines being given below are the ones that are more commonly indicated in patients. All these medicines have been personally tried and tested on hundreds of patients. That is how I can vouch for their efficacy.
These 5 best homeopathic medicines for anal fistula are –
Berberis Vulgaris – best medicine for anal fistula with itching
Causticum – best remedy for anal fistula with pulsating pain
Silicea – best homeopathic medicine for anal fistula with pus formation
Aurum met – best medicine for fistula-in-ano with depression
Calcarea Phos – best treatment for anal fistula alternating with chest symptoms
A brief description of the symptoms of the above mentioned medicines is being given below-
1. Berberis Vulgaris – One of the best homeopathic medicines for fistula -in-ano with itching
When there is itching in the anal region along with other symptoms, Berberis Vulgaris is the best homeopathic medicine for anal fistula or fistula in ano. There may be a constant urge to pass stool. The stool may be clay colored. Burning, itching and smarting is felt in the anus as well as the perineal region. There may even be some tearing pain in and around anus.
2. Causticum – The best homeopathic medicine for anal fistula with pulsating pain
In case there is pulsating pain in the fistula, Causticum is the best homeopathic medicine for a fistula in ano. Often there is constipation and the stool is soft and small. The stool may be covered with mucous and shines like grease. Rectum is sore and there is burning pain. The stool is evacuated after much straining or only when he is standing up.
3. Silicea – Best homeopathic remedy for fistula in ano or anal fistula with pus formation
If pus formation or an abscess is the prominent symptom, Silicea is the best homeopathic remedy for fistula in ano or an anal fissure. There seems to be a spasm in the anal sphincter. Constipation is often present. Stool is partly expelled and then recedes back. There is a feeling that the anal sphincter closes upon stool and does not allow it to be passed. The patient is usually chilly and cannot tolerate cold weather or low temperature.
4. Aurum Met – One of the best homeopathic remedies for anal fistula with depression
When there is a feeling of sadness or depression along with other symptoms of anal fistula, Aurum Met is one of the best homeopathic remedies for a fistula in ano. The sense of depression may be so severe that the patient often has suicidal thoughts. The stools are hard and knotty. There may be diarrhoea at night. A feeling of burning is often felt in the rectal area.
5. Calcarea Phos – The best homeopathic medicine for fistula in ano alternating with chest symptoms
In case there are chest symptoms that alternate with the anal fistula, Calcarea Phos is the best homeopathic medicine for fistula in ano. There may be bleeding after a hard stool. The stool may be greenish in color and hot or slimy. Often undigested food particles are present in the stool. There is lot of flatulence and foetid flatus passes.