Symptoms are usually a purulent discharge and pus coming around opening of asshole anus. It can irritate the outer tissues causing itching and discomfort. Pain occurs when fistulas become blocked and abscesses recur. Gas may also escape from the fistulous tract. A fistula-in-ano is diagnosed when a probe has been passed between the opening on the skin’s surface and the interior opening.

• If the treatment is not done, the pus inside the fistula can spread further leading to formation of multiple tracts and several opening in the skin around the anus. This makes the fistula more complex and further difficult to treat.
• Anal Fistula treatment is associated with high recurrence rate. Anal fistula treatment requires a lot of planning and each patient require expert handling. Therefore, Anal Fistula should always be treated by an expert Colo-Rectal Surgeon who has special interest in dealing with Anal Fistulas.
• Another important issue is that each and every fistula is different one cured with one modality may not be useful for other. It has to be understood by patient and surgeon that each patient will require a customised treatment as per status of his disease. There are different procedures to treat Anal Fistulas and none of these procedures is perfect. Therefore, different procedure should be done in different patients, depending upon the type and complexity of that patient’s fistula.
• There is a risk, though low, of cancer formation in the long standing Anal Fistulas. Therefore, Fistulas should always be treated at the earliest.

“Kshar Sutra” (क्षारसूत्र) is a sanskrit phrase in which Kshar (क्षार) refers to anything that is corrosive or caustic; while Sutra(सूत्र) means a thread. It is one among popular Ayurvedic treatment modality in the branch of Shalyatantra followed by Susruta.
The Ksharsutra was first mentioned by the “Father of Surgery” in his text named SUSHRUT – SAMHITA for the treatment of Nadi Vrana(sinus),Bhagandara (fistula- in – ano).How kshar sutra works is common question what is chemical of ksharsutra are commonly questioned but its a chemical seton which mainly help in drainage of pus and chemical cauterization.

Diet for fistula patient is a common question.Healthy foods without spices and low salt no chilies help in quick recovery. Diet should be rich in fibre.

Gentle walk and yoga is helpful in good bowel habits which also play key role in treatment of fistula.

Anal sex is not recommended in persons with anal fistula and it should be avoided till complete recovery from fistula.

As such there is no definitive treatment without surgery though antibiotics only help in suppression of infection

No specific medicines are helpful except antiobiotics help in resolution of infection but until source of infection is removed cure can not be expected.

Medical Control of Crohn’s disease is must be treated with medicine once it is controlled vaaft helps in good control of fistula

Good local hygiene is the key of fistula treatment with surgery. No herbal drugs for fistula alone work it needs to be combined with one or other surgical modalities. Control of constipation and inflammatory  bowel disease  is very important in fistula treatment.

Best is to take proper diet with combination of Speicific Carbohydrate Diet also know as SCD diet. SCD is reported to be helpful in patients of crohns Disease, Ulcerative colitis and fistulas associated with inflammatory bowel disease.

Cost of procedure varies from hospital to hospital and room category of patient and deping upon complexity of situation and disease and length of stay LOS in hospital

There is no vaaft surgery for piles VAAFT (video assisted anal fistula treatment) for fistula treatment.

There is no major complcations associated with VAAFT risk of injury to anal control mechanism is lowest in this technique. Recurrence of disease is possible which is possible in any other modality.