Fistula in ano is a condition characterized by the presence of an abnormal passage between the anal canal or rectum and the skin surrounding the anus. This passage typically forms due to an infection or abscess in the anal glands.
Types of Fistula in Ano:
1. Simple Fistula: This type of fistula involves a single tract connecting the anal canal to the skin.
2. Complex Fistula: Complex fistulas have multiple tracts, may involve other structures such as the vagina or urinary tract, and often have a higher risk of complications.
Causes of Fistula in Ano:
The most common cause of fistula in ano is an anal abscess, which occurs when the anal glands become infected and filled with pus. When the abscess does not heal properly, it can lead to the formation of a fistula. Other causes include Crohn’s disease, tuberculosis, trauma or injury to the anal area, and certain medical conditions that weaken the immune system.
Diagnosis of Fistula in Ano:
To diagnose a fistula, a doctor will typically perform a physical examination and may also use additional tests such as:
1. Proctoscopy: A procedure where a thin, flexible tube with a camera is inserted into the rectum to examine the anal canal and rectum.
2. Fistulogram: A dye is injected into the fistula tract, and X-rays or other imaging techniques are used to visualize the path of the fistula.
Treatment of Fistula in Ano:
The treatment of fistula in ano usually involves surgery to remove the fistula tract and promote healing. The type of surgery depends on the complexity and location of the fistula.
Common surgical options include:
1. Fistulotomy: The fistula tract is cut open and left to heal from the inside out.
2. Seton Placement: A seton, which is a piece of thread or rubber, is placed through the fistula tract to keep it open and allow for drainage. This is often done in complex or recurrent fistulas.
3. Advancement Flap: Healthy tissue is used to cover the internal opening of the fistula, promoting healing.
Ayurvedic Treatment (Ksharsutra):
Ayurveda, the traditional Indian system of medicine, offers a treatment called Ksharsutra for fistula in ano. Ksharsutra is a medicated thread prepared from various herbal and mineral substances. It is inserted into the fistula tract and gradually cuts and heals the tract over time.
Prevention of Fistula in Ano:
While it may not always be possible to prevent fistulas, you can reduce the risk by:
1. Maintaining good anal hygiene.
2. Avoiding prolonged sitting on hard surfaces.
3. Eating a high-fiber diet to prevent constipation.
4. Treating anal abscesses promptly to prevent the formation of fistulas.
If you’re considering Ayurvedic treatment for fistula in ano in Chandigarh, it’s important to consult with a qualified Ayurvedic practitioner or a specialized clinic like Arogyam Piles Clinic and Research Center in Mohali, Chandigarh, to ensure proper evaluation and treatment.