Piles (Hemorrhoids), Anal Fissure, and Fistula are among the most common anorectal conditions affecting adults today. Due to modern lifestyle habits—such as prolonged sitting, constipation, lack of water intake, and spicy or junk food consumption—these problems have increased significantly. Although many people feel embarrassed to discuss them, early understanding and proper treatment can prevent complications. Ayurveda offers a holistic approach that focuses not only on symptom relief but also on correcting root causes.
What are Piles, Fissure, and Fistula?

Piles (Hemorrhoids / Arsha)
Piles occur when veins inside or around the anus swell and become inflamed. They may cause bleeding, itching, and discomfort during bowel movements.
Fissure (Parikartika)
A fissure is a small tear in the anal lining, often caused by hard stools or constipation. It leads to sharp, cutting pain and burning after passing stools.
Fistula (Bhagandara)
A fistula is a small abnormal tunnel between the anal canal and surrounding skin. It causes repeated infection, pus discharge, and severe discomfort.
Common Causes
- Chronic constipation
- Sitting for long hours
- Low-fiber diet
- Eating excessive spicy, oily, and junk food
- Less water consumption
- Excessive tea, coffee, or alcohol
- Straining during bowel movement
- Pregnancy and obesity (pressure-related factors)
- Repeated infections (especially in fistula cases)
Symptoms to Watch For
| Condition | Major Symptoms |
|---|---|
| Piles | Painless bleeding, itching, swelling, heaviness |
| Fissure | Sharp pain, burning sensation, blood stains on stool |
| Fistula | Pus discharge, pain, swelling, foul smell, repeated infection |
Ignoring these symptoms may worsen the condition over time.
Ayurvedic Perspective and Approach

According to Ayurveda, these disorders occur due to imbalance of Vata and Pitta, along with poor digestion and weak intestinal function. The Ayurvedic approach includes:
✅ Regulating bowel movements
✅ Reducing inflammation and swelling
✅ Healing tears and tissues
✅ Preventing infection and recurrence
Ayurveda focuses on Ahara (diet), Vihara (lifestyle), and Chikitsa (treatment).
Ayurvedic Treatment Approach

- Internal Herbal Formulations
Used to improve digestion, soften stool, reduce swelling, and support natural healing. - Local Applications and Sitz Bath
Warm sitz baths help reduce pain, itching, and burning sensation. Herbal applications support healing of anal tissues. - Detoxification Therapies (Panchakarma)
Based on the condition, therapies like Basti and Virechan procedures may be recommended to correct root causes. - Lifestyle Correction
Routine improvement, stress management, and proper sleep help prevent flare-ups.
Experience-based holistic therapies are available at Shukratara Ayurved, providing natural relief without dependency on long-term medication.
Diet and Lifestyle Advice (Pathya-Apathya)
Recommended (Pathya):
- Warm water
- Fiber-rich food (vegetables, fruits)
- Cow ghee in food (for smooth bowel movement)
- Regular walking and light exercise
Avoid (Apathya):
- Spicy, oily, and junk food
- Excessive tea, coffee, and alcohol
- Dry, packaged snacks
- Long sitting without breaks
Why Choose Ayurveda?
- Addresses root cause
- No harsh chemicals
- Improves digestion and lifestyle
- Prevents recurrence
- Holistic healing of body and mind
Conclusion
Piles, fissure, and fistula can be effectively managed when treated early with the right approach. Ayurveda not only reduces pain and discomfort but also helps restore digestive balance and prevent recurrence. If you are facing any symptoms, consult an Ayurvedic expert and choose a natural path to long-term healing.
Connect Dr Chaitali Tushar Shelar and Dr. Tushar Hemant Shelar on +91 7507 933 933 and get your treatment done with the help of renowned Ayurvedic Practice.










