Fistula Treatment without Surgery - Full Process to Heal Fistula

Medically Reviewed by Dr. Saurabh Kumar Goyal

Written by Hexahealth Care Team on Monday, 9 October 2023

Fistula Treatment without Surgery - Full Process to Heal Fistula

Fistula treatment without surgery is possible now. Depending on the severity, there are many non-surgical treatments available for anal fistula. 

If you are thinking about how to heal a fistula without surgery, then you are in the right place. Read the blog to find out all fistula treatments without surgery, India.


What is Fistula?

An anal fistula is a small canal formed between an infected gland near the anal region and the opening on the skin around the anus. Numerous tiny glands that produce mucus are located right inside the anus. These glands can occasionally become clogged and infected, resulting in an abscess. These abscesses may turn into a fistula. Its symptoms include pain and swelling around the anus.
What is Fistula? || image

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Fistula Treatment without Surgery

There are numerous processes of fistula treatment without surgery. The position of your fistula and the number of channels will determine which procedure is best for you. Several fistula treatment without surgery are:

  1. Non-surgical methods
  2. Homoeopathy
  3. Ayurveda
  4. Yoga
  5. Lifestyle changes

Non-Surgical Treatment of Fistula

Non-surgical treatments for fistula may be effective in certain cases, but may not be suitable for all patients. Fistula treatment without surgery includes:

  • Fibrin Glue Injection: Fibrin glue treatment is an effective method of treating fistulae. In this method:
  1. The physician first scans the anorectal area using Magnetic Resonance Imaging (MRI) and locates the fistula. 
  2. After this, the fibrin glue is injected into the tract.
  3. The fibrin glue activates the thrombin to form a fibrin clot, sealing the fistula tract. 
  4. Following this procedure, you will be scheduled for follow-up visits on weeks four, eight and sixteen to check on the closure of the fistula.
  5. Usually, it takes about eight weeks for a fistula to close completely. 
  • Video-Assisted Anal Fistula Treatment (VAAFT): VAAFT is a relatively new and less painful method to treat fistula. In this procedure:
  1. The physician first locates the fistula using a video-assisted probe called a Fistuloscope.
  2. Then, the fistula will be removed using an electrode, with a process called fulguration. 
  3. After fulguration, the dead tissue is removed with a brush.
  4.  After this, the internal opening is stapled close. 
  5. The entire procedure will be performed under video surveillance. 
  6. This is a very simple procedure with no bleeding, where you can go back home the same day, and no wound care is required.  
  • Bioprosthetic plug: Moderate to complex fistulas could be treated using another innovative method that is safe and effective. In this method:
  1. There is an insertion of a customised plug to fit in the fistula tracts.
  2. The bioprosthetic plugs are made up of tubes that are plugged inside the fistula tract by an experienced physician.
  3. In addition, they have discs on the outer surface that place themselves in the small pockets of tissue that may be present in the fistula tract.
  4. The implantation of a bioprosthetic plug to treat complex fistula is advantageous over the surgical options as it can avoid one of the significant side effects of surgery, faecal incontinence.

Homoeopathy Treatment for Fistula

Anal fistula can be treated at home in the early stage. These top 4 natural homoeopathic remedies to treat their fistula:

  1. Myristica sebifera: It has occasionally assisted in the complete healing of the fistula. It can effectively reduce pus discharge and heal the fistula.
  2. Calcarea sulph: It is another best homoeopathic medicine for fistula, especially when there is a thick yellow pus discharge.
  3. Hepar sulfate: It is a medication used to treat severe pain due to a fistula. It aids in healing the skin around the anal area, which is irritated and helps relieve it.
  4. Silica terra: It is one of the most effective homoeopathic treatments for fistula, mainly when there is pus discharge. It helps the dry, itchy skin surrounding the anus.

Ayurveda to Treat Fistula

The Kshar Sutra technique is evaluated and approved by the Indian Council of Medical Research. It is considered to be the most effective and convenient. The process includes:

  1. Kshar Sutra is an ayurvedic treatment in which a sterilised metallic probe is coated with a specific set of ayurvedic medicines and is inserted by making a small cut at the perianal site. 
  2. Thus, on insertion, the medicines coating the metallic probe are carefully released into the tract of the fistula. 
  3. The collective effect of the coated drugs on the probe cuts the fistula tract and dries the wound. 
  4. The entire healing of the wound usually takes place in 10 days. 
  5. The thread must be replaced with a new one every seven to 10 days.
  6. Complete healing will occur in four weeks as compared to the other two.

Yogasanas to Treat Fistula

Yoga can treat fistula, and there is no need for a subsequent operation. Few yogasanas for treating fistula are:

1. Vajrasana: This activity helps with digestion and constipation thereby, helps prevent fistula. It can be done with the following steps:

  • For comfort, put down a yoga mat.Sit back on your legs and cinch your ankles and knees together.
  • As the big toes of both feet connect, ensure that you are sitting upright with your buttocks resting on your heels and your thighs resting on your calves.
  • Put your hands on your knees and maintain a straight back, relaxed arms, and chin parallel to the floor.
  • As you slowly take breaths in and out of your lungs, try to pay attention to your breathing.
  • It is recommended to hold this position for 5 to 10 minutes at first and then progressively increase it to 30 minutes every day. 

2. Uttanasana: Uttanasana is a yoga pose that relieves pressure on the heart and brain, reducing stress, one of the leading causes of fistula.It can be done with the following steps:

  • Start with your hands at your hips in Tadasana (Mountain Pose) at the front of the mat.
  • Hinge from your hips.
  • Your hands might touch the ground next to your feet.
  • To lengthen your spine, inhale and lift your chest.
  • Exhale and slowly straighten both legs without overextending.
  • Gently spiral your inner thighs back while lifting your kneecaps.
  • Extend your torso downward without curving your back as you exhale.
  • Draw your shoulders down your back toward your hips as you lengthen your neck, stretching the crown of your head downward.

3. Chakrasana: The yoga pose known as Chakrasana is effective for both vaginal and anal fistulas. It can be done with the following steps:

  • Your feet should be flat on the floor, parallel, and about a foot distant from your hips.
  • Firmly plant your feet on the ground.
  • Your fingers should be facing your shoulders when you place your hands on the floor slightly above your shoulders.
  • Lifting your upper body off the mat while lightly resting your head on the mat requires pressing into your hands.
  • To elevate your legs, pelvis, and abdomen off of the mat, press into your feet and engage your inner thighs.
  • Increase your foot pressure so that your palms support more of your weight. It will safeguard your lower back.
  • You can keep your arms strong and stable by continuing to press hard into the mat.
  • Without straining your neck, let your head hang in a natural position.
  • Hold for five to ten breaths.
  • Slowly lower your arms and legs while bringing your spine vertebra by vertebra back to the mat to get out of the pose.

Lifestyle Changes to Treat Fistula

One can make a few lifestyle changes to get rid of the fistula or help alleviate its symptoms. A few modifications include:

  1. Sitz bath: One of the most excellent ways to treat anal fistula symptoms, which include irritation, swelling, pain, and inflammation, is to take a sitz bath. Anal area bathing in simple, warm water is known as a sitz bath. The water should be warm. A fistula patient should sitz bath at least three to four times daily.
  2. Eat a balanced diet: Avoid junk food and increase your intake of whole grains, leafy green vegetables, fruits, lean meats, and fibre.
  3. Keep hydrated: To avoid anal fistula, you should drink enough water throughout the day.  It lowers the need to strain when passing stools by preventing constipation and producing soft stools.
  4. Maintain personal hygiene: Wash your hands after each bowel movement. Maintaining good bathroom cleanliness can help avoid fistula.
  5. Stay active: Mild exercise is good for digestion, stress management, and blood circulation, which in turn helps to alleviate the pain of the fistula.


The likelihood of treating an anal fistula is easier when it is acute. Consulting a doctor is always advised. You will have the best chance of having your anal fistula treated if you visit a medical professional. 

For anal fistula, you can get in touch with HexaHealth professionals or receive online advice from proctologists or general practitioners. We have skilled medical professionals who offer individualised solutions to give patients hassle-free care.

Frequently Asked Questions

How to heal a fistula without surgery?

You can treat fistula without surgery by:

  1. Eat healthy
  2. Keeping hydrated
  3. Maintain good hygiene
  4. Use pillows while sitting on a hard surface
  5. Stregthening immune system
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Can fistula be cured without surgery?

No, anal fistulas typically do not heal on their own and require surgery to be treated. Although there are home remedies that can help with fistula symptoms, surgery is necessary to treat fistula permanently.
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What is the main cause of fistula?

Fistula can develop from inflammation or infection in addition to trauma or surgery. Fistula are channels with pus that can occur when the lining of the intestine becomes ulcerated.

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How I healed my fistula naturally?

The effective antibacterial substance is turmeric. It strengthens your immune system and is regarded as one of the best natural treatments for fistulas. To prepare a healthy drink, boil turmeric powder with milk and add honey.
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What food should be avoided in fistula?

Food items to avoid during fistula are:

  1. High-fat dairy items
  2. Red meat
  3. Fried foods and fast food
  4. spicy dishes containing chilli powder
  5. Alcohol
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Is fistula serious?

Fistulas can cause a lot of discomfort, and if left untreated, may cause serious complications. Some fistulas can cause a bacterial infection, resulting in sepsis, a dangerous condition that can lead to low blood pressure, organ damage or even death.
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How long does non-surgical treatment for a fistula take?

The length of non-surgical treatment for a fistula will depend on the specific treatment option being used and the severity of the condition. In some cases, non-surgical treatment may be able to resolve the fistula within a few weeks, while in other cases, it may take several months or longer.

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Are there any risks associated with non-surgical treatment for a fistula?

There are some potential risks associated with non-surgical treatment for a fistula, including:

  1. Infection: Non-surgical treatment options that involve draining an abscess or opening the fistula may increase the risk of infection.
  2. Failure: Non-surgical treatment options may not be effective in all cases, and the fistula may need to be treated with surgery.
  3. Complications: Some non-surgical treatment options, such as stenting, may carry their own specific risks and complications, such as stent blockage or migration.
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Who is a candidate for non-surgical treatment for a fistula?

Not all patients with a fistula are candidates for non-surgical treatment. The best candidates for non-surgical treatment are typically those with a small or shallow fistula, no evidence of infection, and no underlying conditions that increase the risk of complications.

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How do I know if non-surgical treatment is right for me?

The decision to pursue non-surgical treatment for a fistula should be made in consultation with a healthcare professional. Your healthcare provider will consider factors such as the size and location of the fistula, the presence of infection or underlying conditions, and your overall health and medical history when determining the best treatment option for you.

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Are there any long-term effects of non-surgical treatment for a fistula?

The long-term effects of non-surgical treatment for a fistula will depend on the specific treatment option being used and the success of the treatment. In some cases, non-surgical treatment may be able to resolve the fistula completely, while in other cases, the fistula may recur or require additional treatment in the future.

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Updated on : Monday, 9 October 2023


Dr. Saurabh Kumar Goyal

Dr. Saurabh Kumar Goyal

MBBS, MS General Surgery

16 Years Experience

Dr Saurabh Kumar Goyal is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic. He has 16 years of experience in general and laparoscopic surgery and worked as an expert Surgeon in ...View More


About Authors

HexaHealth Care Team

HexaHealth Care Team brings you medical content covering many important conditions, procedures falling under different medical specialities. The content published is thoroughly reviewed by our panel of qualified doctors for its accuracy and relevance.

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