Abstract

Nilesh Nivruttirao Chavan* and Amol Somnath Gunjal

ABSTRACT

Bhagandara (Fistula-in-ano) is a track that opens deeply in the anal canal or rectum as well as superficially on the skin around the anus. This track usually develops from a Bhagandara Pidika that bursts spontaneously or due to inadequate incision. Anal fistulas can develop with or without symptoms. In the perineal region, there may be pain, discomfort, pus discharge and intermittent swelling. This track typically does not heal due to the presence of unhealthy granulation and faecal contamination, etc. This is a surgical condition and Ayurveda suggested many surgical interventions for curing this pathological conditions. Fistula in ano is a chronic inflammatory response caused by an abnormal communication between the anal canal or rectum and the perianal skin. The most common cause is almost always an anorectal abscess and infection of the anal gland. Interception of fistulous track and application of Ksharsutra, ligation of intersphincteric fistula tract and laser treatment, etc. are some treatments which suggested along with medications and dietary modification.