Anal Fistula, Fistula in Ano, Anorectal Fistula, Perianal Fistula

Homeopathic treatment

The patients of fistula in ano are usually advised surgery for their problem. But this is just a temporary solution as invariably it recurs. Also a lot of complications can occur due to surgery like urinary retention, bleeding, thrombosed hemorrhoids, fecal impaction, incontinence of stool, anal stenosis because of fibrosis, delayed wound healing and what not.

Invariably patients come to a homeopathy doctor after many years of suffering and sometimes after going through multiple surgeries.

The medicines will first work to control the infection in the area thereby preventing attacks of the abscess formation. Later, the remedies will start new tissue development to close down the tract. When the process of redeposit is complete the opening closes down. This is a prolonged process and the time required varies from person to person, depending on the length and depth of the tract and most importantly on the susceptibility of the patient to the remedies prescribed.

There are 72 remedies in homeopathy. I choose the best suited remedies for a particular patient by analyzing the case diligently.

For example, Hepar sulphuricum is chosen when the patient complains of a large and extremely painful boil near the anal region. The person has a sense of a splinter. This remedy causes the abscess to open up and the pus drains out. It works like a surgeon's knife while draining abscesses. The skin is extremely sensitive. We use this remedy with good results.

Sometimes I use Silicea when there is a tendency for the pus to form easily and this does not heal completely. Thus, over a period of time, a fistula in ano develops. The patient has chronic constipation. The rectal muscles do not function properly. The problem alternates with chest complaints. In Silicea the abscess and fistula leave thick scars.

Bacillinum may be used by me as an intercurrent medicine in a case of fistula in ano. It is used when other remedies fail to completely cure the case. This remedy will improve the vitality and clear up the case.

Tuberculinum koch comes to my mind for chronic cases where there may be more than one opening of the fistula tract. The healing powers of this patient are very poor. He does not respond to remedies as the homeopath may expect. In such a case one must always think of Tuberculinum. The discharge is thick green and blood streaked.

A fistula usually takes almost one to two years to heal. Hence patients should have a lot of patience while on the treatment in order to achieve a complete and permanent cure.

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What is anal fistula

Fistula means an abnormal connection or passageway between organs that do not normally connect.

Most commonly it occurs near the anus. This condition is termed as fistula-in-ano. It occurs when a boil or an abscess develops in anal glands. If the opening of these glands get blocked then the infection gets confined to that area as it is unable to drain out into the rectum. It balloons up to form a pus boil or an abscess and it will keep growing inwards to form a tract. This tract is called fistula whose primary opening in inside the anal canal and secondary opeining is in the perianal skin.

Every time the opening gets blocked an abscess will develop and the tract will increase in size. Sometimes in a chronic case we may see more than one opening and multiple tracts.

It can happen in 10 out of 100,000 population. It is more common in males. It is usually common in people aged between 30 and 50 years.


  • Anorectal abscess (most common cause).
  • Piles or hemorrhoids.
  • Anal fissures.
  • Surgery for piles or fissures usually give rise to fistula in future.
  • Constipation.
  • Crohn disease.
  • Carcinoma.
  • Anal fissures.
  • Actinomycoses.
  • Chlamydial infections.
  • Radiation therapy.


  • Perianal discharge.
  • Pain.
  • Swelling.
  • Bleeding.
  • Diarrhea.
  • Skin excoriation.
  • External opening.

Lab investigations

  • Fistulography.
  • Endorectal/endoanal ultrasound.
  • MRI.
  • CT scan.
  • A barium enema/small bowel series to rule out inflammatory bowel disease.

*I am suffering from anal fistula which discharges yellow pus with foul smell and soils my under garments. This started one year back with an anal absess which bursted itself and then was dried up with allopathy medicine. At times moist skin around rectum makes a very uncomfortable situation. I am already having high BP for which I take allopathy medicine Amlopres AT.

After 15 days of treatment: Dear Dr. Rohit the pus discharge has reduced up to 60 to 65% and also my itching in the rectum area.

After 5 months of treatment: I have sucessfully completed the remedies which you suggested. The discharge is more or less around 10-15% only. Please suggest me next course of action. May be the alteration of power of medicine or any thing you think better.

- Mr. Raj Misra

Gaziabad, UP, India

*I have completed first 21 days of the treatment and below are the observations made after completing 21 days. 1. No swelling near the abcess 2. No pain/very less pain 3. No irratation near the abcess 4. Pus is draining less frequently without efforts to squeeze it out which is a relief for me Could you please suggest the next steps for the treatment? I shall send you the next month's consultation fee in a day/two.

- Mr. Sharath Chandra Patil

Hydrabad, AP, India

*DISCLAIMER: There is no guarantee of specific results and the results can vary. None of the remedies mentioned including services, mentioned at, should be used without clearance from your physician or healthcare provider. We do not claim to cure any disease which is considered 'incurable' on the basis of scientific facts by modern medicine. We assure you of the best possible efforts for those who apply for online treatment. However, please note that we do not claim to cure each and every case, nor do we guarantee any magical cure. The website’s content is not a substitute for direct, personal, professional medical care and diagnosis.

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Dr. Rohit Jain

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Dear Sir, i have been suffering from fistula from last 4 years. I have gone through 3 surgeries for the same but no relief. Currently a very small amount of puss is discharging and a foul smell is also coming. Pls suggest me the homeopathic medicine. My age is 34 years.

Ganesh Bhoir
Jul 22, 2020 7:55 pm Reply

I have fistula for 4 years. I did surgery one time not cure yet.i need help please

Asefaw Kifle
Jun 3, 2020 7:13 pm Reply

My son 8 yr old has got left perianal fistula at 1 o clock position...he was on homeopathic treatment since last 3 yrs..but not cured..plz guide...I am a cardiologist

Dr Ashish Kumar Agarwal
Apr 7, 2020 9:23 pm Reply

Danger case Sir

Dec 11, 2019 3:15 pm Reply

Fistula in Ano last 1yr

Sumit Kumar
Dec 8, 2019 11:00 pm Reply

Dear Sir, I am suffering from fistula last 3 years. There is two external opening on the right side anus and pus discharge in there. i felt shooting pain and itching sometimes. kindly suggest your kind advice in this regard By Rajkumar

Rajkumar R
Oct 8, 2017 7:50 pm Reply

Age 38 years. Fistula since 8 years. Recurrence for last 2 years. Medicine taken silecea 12x .. Calcarea sulf. On improvement. Pls suggest.

Sumit Chatterjee
Sep 3, 2017 10:52 am Reply

Hello sir, I am 24 years old belongs to kanpur. While passing the stool, a small swelling skin come out from anus and sometimes blood come with lots of pain. I don't understand what is it. Before somedays it go back after latrine but now a days it's don't go back, swelling and pain remain constant hole a day. So can you told me that what is this problem. Are it is fistula or piles? And it can be treated my medicine or not? Thank You

Rahul Kumar
Aug 18, 2017 7:30 pm Reply

???? ????? ?? ??? ?? ?????(fistula) ??? ?? ?? ?? ?? ??? ??, ??? ?? ??? ?????? ?????? ?? ?????????? ???? ?? ??? ???? ?? ?????? ?? ???? ???? ?? ??, ?? ????? ??? ??? ?? ??? ??? ???? ?????????? ???? ?? ??? ????- nux vomica-30, ?? sulphar-200, ?? ???? ?? ??? ???? ??? ????? ???? ?? ???? ??? ??? ???? ??? ???? ??, ????? ??? ?? ?????? ?? ?????-????? ?? ???? ????? ?? ??? !! ????-37 ???? ??????-91

Sanjay Kumar Morya
Aug 13, 2017 10:09 am Reply

I'm 50 years male. Suffering from annal fistula from June end. Taken antibiotics but pus coming out . Please advice . Thanks . Regards.

Satyen Sinha
Aug 3, 2017 7:44 pm Reply

I am suffering from fistula last 1 years. There is one external opening on the left side anus and pus discharge in there.i felt shooting pain and itching sometimes.kindly suggest your kind advice in this regard

Sarbani Mishra
May 7, 2017 12:27 pm Reply

I am suffering from anal fistula for the last six months. Abcess forms on left buttock. Drains light yellow pus. No odour. New abcess forms and this has continued. A homeopathy doctor friend started with Merv Sol. Changed to hepar and now on silicea. Much better. Please tell me if this course of treatment is correct. I am 77,yes old pensioner and cannot afford ur treatment. I will be grateful for your assjdvice.

N P Sinha
May 1, 2017 1:24 pm Reply

Sir I was suffering from severe pain in anal and there was the discharge of pus in anal. I went through laser operation but after 3 months there is again the discharge of pus from anal. But there is no opening for fistula yet. I'm totally confused please suggest me sir.

Nirmal Harihar
Apr 24, 2017 12:36 am Reply

I am suffering from fistula last 7 months and continually take treatment of homeopathy but no improvement

Apr 18, 2017 10:07 pm Reply

sir im suffring from anol fistula since one year and done operation but it recurr after a month what should i do?

Feb 11, 2017 8:27 am Reply


Jan 6, 2017 2:12 pm Reply

I am suffering from anal fistula. Sometimes pus with tissue parts with blood comes out through other ending near the anus.

Jan 4, 2017 1:25 pm Reply

dear doctor, I have been suffering for the last one year from fistula in ano

Oct 20, 2016 11:46 am Reply

Hello Dr, This is Akshay Singh suffering from Anal Fistula since 6 months. Allopathic doctors has adviced for Surgery. Please let us know the perfect solution to get cure from this disease. It will be thankful. Regards Akshay Singh

Sep 24, 2016 3:13 pm Reply

Hello sir i have a problem of fistula from last one yr. Before that I was problem of external piles and that was operated by doctor(before 4-5 yrs) there is sensation and pain after stool passing and draining pus i was taken so many medicines ayurvedic and homoeopathic also ,check up by doctors they told me for operation bt I don't. Sir there is no external opening just pus is drained from my ano. I m too much irritated and tensed by this problem pls suggest me proper medicine to complete cure.

Devesh Katre
Sep 9, 2016 11:22 am Reply


Aug 14, 2016 6:16 pm Reply

respectet sir . i am suffering from anal fistula which discharge yellow pus with foul smell my under garment.this startet 4month backanal absess which brustet it self .i take homeopatic medicin Adel 2 10drop two time daily and fistulin tab 2tab once a weak from 3month. but recovery 20-30 percentis only. can i take other medicin of homeopatic healing perfetly

Raju Das
Aug 1, 2016 11:01 am Reply

I'm suffering fistula from 2 year.. My surgeon done 2 time surgery.. But now it discharge pus and blood... Now what can I do?

Bangsi Kumar
Jul 28, 2016 10:18 pm Reply

Fistula in ano dieses treatment

Dhiraj Kumar
Jun 26, 2016 7:39 pm Reply

I have developed small growth just beside anal opening which is red and sometimes yellowish in color.most of the time it is very painful whilepassing stool and which last for hr oe so sonectimes area is very itchy usually when i tried using soframycin cream i get releif but itsvery itchy all over anus.pls guide me for this ailment seems like i have developed fistula,pls guide me with best homeopathy medicine.waiting for ur reply

Rajeev Mishra
Jun 10, 2016 4:44 pm Reply

I am suffering from anal fistula which discharges yellow pus with foul some blood smell and soils my under garments. This started two year back I want to take online treatment

Vishal Jaiswal
Jun 5, 2016 3:13 pm Reply

Perianal fistula with abccess for 4 years

May 31, 2016 11:20 am Reply

I developed an absess on my right inner butt check a few cm. off my peremum. became too painful so i went to a university doctor. he sliced it open and drained it. It never healed continuing to ooze and puss. Over the last three year i have developed two other openings that ooze, puss and bleed with occasional internal pin-pricks. the area around the abscess is tough and red. i do notice an increase of puss from sugars, oily foods, alcohol, overall low quality food.

Lee Drake
May 31, 2016 11:15 am Reply