An anal fistula is a small tunnel with an internal opening in the anal canal and an external opening in the skin of the peri-anal area (an area that surrounds the anus). An anal fistula usually results after improper healing of an anal abscess following pus drainage. It may also appear as a result of a surgery near the anus. Other causes for anal fistula are Crohn’s disease, Diverticulitis, Syphilis, Tuberculosis and sexually transmitted infections.
The predominant symptom of anal fistula is fluid/pus discharge from the opening near the anus. The discharge may even be bloodstained. The attending features are peri-anal swelling and pain. The pain could vary in nature from throbbing, pulsating, sharp and tearing, to a stitching pain. The pain usually gets worse during bowel movement. Other attending symptoms can include burning and irritation or itching in the peri-anal area. Fever may also be present in a few cases.
The homeopathic medicines that top the list for anal fistula treatment are Silicea Terra, Hepar Sulph, and Myristica Sebifera. The characteristic features of these remedies are as follows:
Silicea Terra is a useful homeopathic medicine for anal fistula with copious pus discharges. Sometimes blood may be present in the purulent discharge. The discharge is also highly offensive and putrid smelling. The discharge is accompanied by peri-anal swelling. Silicea Terra is also a homeopathic remedy for anal fistula with brownish fluid discharge and/or accompanied with constipation. Silicea is also applicable to treat hardness/indurations left around the anus after the healing of an anal fistula.
Hepar Sulph is very effective homeopathic medicine for treatment of anal fistula accompanied with extreme pain. It works in cases where the area around the peri-anal region is highly inflamed, hard and swollen, and is very sore and sensitive to touch. The pain, in most cases, is worse at night. Cold worsens the pain. Other symptoms may include throbbing or beating sensation around the anus, discharge of pus from the anal fistula that may be bloodstained and smell like decaying matter. The patient may also have fever with chills.
Myristica Sebifera is another primary homeopathic medicine for anal fistula treatment. It is a natural medicine of plant origin and is used for treating many suppurative conditions including anal fistula. This remedy works wonders in absorbing the pus and in healing anal fistula. Use of this medicine often prevents the need for surgery in anal fistula cases.
Apart from the above three medicines, there are many other significant remedies frequently used in Homeopathic treatment for anal fistula. A few of them, along with their prominent characteristic features, are as below:
Calcarea Sulph is beneficial for treatment of anal fistula with thick and yellow discharge. The discharge is often purulent and in some cases, blood may also appear. Pain is also prominent in the anal region.
Berberis Vulgaris is a homeopathic medicine for anal fistula with shooting pain around the anus. In addition to this, a stitching pain around the anus also points towards the use of Berberis Vulgaris. The skin around the anus is very sore in such patients and is accompanied by itching. The itch is mostly worse in the evening.
Painless anal fistula points towards the use of Calcarea Phos. In these cases there is blood and pus discharge from the anal fistula. These discharges can be accompanied by warm or burning sensation around the anus. Another striking indication for using Calcarea Phos is anal fistula alternating with chest complaints. Calcarea Phos hastens the healing process of anal fistula resulting in speedy recovery.
Paeonia Officinalis is a natural homeopathic medicine for anal fistula treatment. Persistent oozing of fluid from anal track recommends the use of Paeonia Officinalis. The fluid is extremely offensive in smell and there is also much pain in the anus region. Sitting makes the pain worse. Itching and biting sensation around the anus may also accompany. Apart from anal fistula, Paeonia Officinalis is also a prominent homeopathic remedy for treating anal fissures and piles.
Homeopathic medicine Hydrastis Canadensis is highly beneficial for treating anal fistula accompanied by constipation. Hydrastis Canadensis helps in healing the anal fistula as well as regularizing the bowel movement. Patients with chronic obstinate constipation (i.e. those who often have a number of days without passing stool), those with severe pain following the passing of stool, those for whom the pain lasts for hours following stool, and those with smarting and burning pain in the rectum and around the anus, are typical candidates for Hydrastis Canadensis.
Causticum is a homeopathic medicine for anal fistula when pulsating pain around the anus is present. The pulsations are of high intensity in the perineum. The anal fistula discharges pus, blood, and serum. Along with anal fistula, haemorrhoids may also be present. The haemorrhoids are hard, large and swollen.
Thuja Occidentalis is a beneficial homeopathic medicine for anal fistula accompanied by burning pain around the anus. Soreness around the anus also appears. The burning and soreness lasts all day. Stitching pain, as from needle pricking in the peri-anal region may also attend. Peri-anal pains are worse after walking. Offensive sweat around the anus may also be there along with the above symptoms.
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