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Suffering From Intractable Anal Fistula? Safe Homeopathic Remedies for Anal Fistula


An anal fistula is a small tunnel with an internal opening in the anal canal and an external opening in the skin of the perianal area (an area that surrounds the anus). An anal fistula usually results after improper healing of an anal abscess following pus drainage. Homeopathy is an excellent alternative mode of treating many surgical diseases including anal fistula. It is particularly beneficial for treating anal fistula. In most cases, these medicines save a person from undergoing surgical procedures for this painful problem.

Homeopathic Treatment of anal fistula

Homeopathic remedies for anal fistula treat the condition with gentleness and safety, and with no side effects because of their natural origin. With regular use of these medicines, the discharge associated with anal fistula gradually decreases and the symptoms of pain, swelling, and itching are also managed. The natural medicines assist in regularising bowel movements and treating hard stool, which could otherwise lead to a recurrence of symptoms. They are also helpful in cases of anal fistula that re-form even after surgical correction in the past.

Best Homeopathic Remedies For Anal Fistula

The medicines that top the list for anal fistula treatment are Silicea, Hepar Sulph, and Myristica Sebifera. The characteristic features of these remedies are as follows:

1. Silicea – For Anal Fistula With Copious Pus Discharge

Silicea is the most recommended medicine for anal fistula. It is the most widely used medicine for treating anal fistula in homeopathy. It carries a great ability to resolve multiple medical problems where pus formation occurs including anal fistula. The way it controls the process of pus formation is magnificent. It can be given in anal fistula cases with copious pus discharge. Sometimes blood may be present in this discharge. The discharge is also highly offensive and putrid smelling. The discharge is accompanied by perianal swelling. Sharp, stitching pain in the rectum may occur especially while walking. When passing stool, burning and itching at anus may be felt. Silicea is also a 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.

2. Hepar Sulph – For Intense Pain

Hepar Sulph is the most valuable medicine to manage anal fistula accompanied by extreme pain. It works in cases where the area around the perianal region is highly inflamed, hard and swollen, and is very sore and sensitive to touch. The pain, in most cases, gets worse at night. Cold worsens the pain. Other symptoms may include throbbing or beating sensation around the anus. It is indicated when pus is present in the tract but hasn’t begun to discharge. This medicine will aid pus drainage from fistula tract followed by relief in pain. The discharge of pus from the anal fistula may be blood-stained and may smell like decaying matter. The patient may also have fever with chills.

3. Myristica Sebifera – Top Remedy For Fistula

Myristica Sebifera is another primary natural medicine of plant origin and is used for treating many suppurative (pus forming) conditions including anal fistula. This remedy works wonders in expelling the pus readily and in healing anal fistula. It has its most prominent action in speeding up the process of pus drainage and cut short the healing process of anal fistula. Use of this medicine often prevents the need for surgery in anal fistula cases.

4. Calcarea Sulph – For Thick, Yellow Discharges

Calcarea Sulph is beneficial for the treatment of anal fistula with thick and yellow pus discharge. The discharge is often blood stained. It is indicated when the pus is already oozing out of an anal fistula opening on the skin. Calcarea Sulph aids in hastening pus expulsion. Pain is also prominent in the anal region where this medicine is required.

5. Berberis Vulgaris – For Shooting Pain

Berberis Vulgaris works well in cases where there is 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 and is accompanied by itching, which gets worse in the evening.

6Calcarea Phos – For Painless Fistula

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.

7. Paeonia Officinalis – For Pain And Itching At Anus

Paeonia Officinalis is a natural medicine for anal fistula treatment. In cases needing it, there is persistent oozing of fluid from the anal tract. 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 also attend. Burning sensation at the anus is also marked. Apart from anal fistula, Paeonia Officinalis is also a prominent remedy for treating anal fissures and piles.

8. Hydrastis Canadensis – For Anal Fistula With Constipation

Hydrastis Canadensis is highly beneficial for treating anal fistula accompanied by constipation. It helps in healing anal fistula as well as regularizing 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.

9. Causticum – For Pulsating Pain

Causticum works well when in anal fistula cases, pulsating pain is felt around the anus. The pulsations are of high intensity in the perineum. The anal fistula discharges pus, blood, and serum. Along with anal fistula, hemorrhoids may also be present. The hemorrhoids are hard, large and swollen.

10. Thuja Occidentalis – For Fistula With Burning Around the Anus

Thuja Occidentalis is a beneficial medicine for anal fistula accompanied by burning pain around the anus. Soreness is felt around the anus the whole day, along with burning sensation. Stitching pain, as from a needle pricking in the perianal region may also attend. Perianal pains get worse after walking. Offensive sweat around the anus may also be present along with the above symptoms.

11. Lachesis – For Anal Fistula With Fullness Sensation In Rectum

This medicine is indicated when a person suffering from anal fistula complains of sensation of fullness in the rectum. Other than this, there is a feeling as if little hammers are beating the rectum. Burning and cutting pain in the rectum may also occur.

Signs And Symptoms Of Anal Fistula

1. An opening (hole) on the skin near the anus and fluid/pus dischargefrom that opening. The discharge may even be blood stained. The discharge may be foul smelling. Rarely, faecal discharge may occur.

2. Perianal swelling, redness, inflammation 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 and also while sitting or walking. There may be tenderness around the opening of fistula. After fistula drains, the pain may decrease.

3. Burning and irritation or itching in the perianal area are other attending symptoms

4. Fever and chills may also be present in a few cases

5. A feeling of weakness can accompany the above symptoms

Anal Fistula: What Causes It?

An anal fistula arises from a clogged anal gland, followed by an infection in anal gland. Anal glands are present in the the wall of anal canal that secrete fluid. These may sometimes get clogged by foreign matter like faecal bacteria that may cause infection in anal glands. Due to the infection, an abscess is formed which drains by itself or via surgery through a skin point around the anus. Anal fistula refers to a tunnel that develops along this tract running from the anal gland to a hole in the skin surrounding the anus.

Some of factors that increases risk of anal fistula are as follows:

1. An infection or trauma to anal region

2. An improper healing of an anal abscess (pus filled mass) following pus drainage

3. A surgery near the anus

4. Having IBD means inflammatory disease, which includes Crohn’s disease and ulcerative colitis. It is an autoimmune disease that causes inflammation in gastrointestinal tract, diverticulitis (infected pouch in colon), tuberculosis and certain sexually transmitted infections (eg HIV, syphilis)

5. Radiation treatment of anal cancer

6. Chances of anal fistula are more in males as compared to females

Diagnosis Of Anal Fistula

To diagnose anal fistula, a physician examines perianal area where a hole is seen in anal fistula (denoting its external opening) that in most cases is draining fluid or pus. To detect internal opening and the entire tract of anal fistula, the following tests are recommended:

1. Anoscopy: The doctor views inside the anus and rectum using an instrument

2. MRI and an ultrasound of anal regionto see complete path of fistula tract

3. Anal Fistulogram: It is an X-ray process (taken after injecting a contrast) to view fistula

4. Colonoscopy: If ulcerative colitis is also suspected

Complications Of Anal Fistula

If anal fistula is not treated rightly, then recurrence of abscess near anus is possible and there are chances of developing a complex fistula. Faecal incontinence (inability to hold stool), and cellulitis (skin infection) are other complications. The surgery of anal fistula also carries complications like faecal incontinence and recurrence of anal fistula.

Write To Dr . Sharma

Write to Dr. Sharma and get a reply on how homeopathy can help you in treating your disease condition .



  1. Sathianarayanan says:

    Dear sir,
    Greetings. I am sufferer from anal fistula for the past one year. A small hole is near the anus and pus like liquid is comming out. Some times blood is also coming 5 or 6 drops. Kindly suggest me good medicines to come out from this issue. I am a diabetic patient.

  2. Noshad Ahmed says:

    Sir need fistula treatment

  3. Hi my name is maani, I am suffering from anal fistula since 8 to 9 years. At start I consulted a homeo physician and he suggested some medicine, I used for several months and wound became normal and fistula finished just a painless point available a size of less than 5mm. Now I am again getting some pain and feels a canal is appearing near anus same like before. Now same homeo physician is not available. I have read the calc phos is good remedy. I used 5 tablets 3 times a day. In 1 week now fistula has some pain and seems that wound will appear in few days. Is it good to continue this medicine. Need guidance

  4. My father has a long medical history, but recently he had anal fistula open surgery with seton, colostomy done, now he has another perennial fistula with abcesses in scrotum, all drained, urethra is damaged so they have attached a urine colostomy to his abdomen, a lot of pain when he was weeing and in abdomen. I want to try homeopath remedy he is 79 and can’t undergo more surgery

  5. ajit kumar nandi says:

    But you do not reply. Having anal fistula diagnosed by a ayurvadh doctor and now taking homoeo medicine from local doctor. Pus and blood has come out one night and now feeling relief for last 3 days. Total 10 days the problem is there.

    I do not want surgery. Can homoeopathy get me relief. Please help and guide

    • ajit kumar nandi says:

      But you do not reply. Having anal fistula diagnosed by a ayurvadh doctor and now taking homoeo medicine from local doctor. Pus and blood has come out one night and now feeling relief for last 3 days. Total 10 days the problem is there.

      I do not want surgery. Can homoeopathy get me relief. Please help and guide


  6. shaik Riyaz says:

    sir I am suffering from fistula for last 10 years
    then tha pain was minimal but not for. last two weeks pain is unbearable

  7. Pravesh says:

    Recurring abcess due to the fistula closed on external end ,


  9. Hi dr Sharma
    I have a Amal fistula from 6 months
    Want to take homeopathic medicine
    Can you please reply which one is better
    Having pain sometimes and pus is coming out

  10. Can fistula increases during homeopathy treatment

  11. Aman Methi says:

    Hello sir. I am suffering from anal fistula from past 6 months. Pus and blood is still discharging from external wound. I had a surgery 5 months ago. But still it is not healing. I’m taking ho.eopathic medicines from past 2 months but I didn’t see any changes in wound. When I sit in toilet blood comes from the wound. Does homeopath helps in complete curing?

  12. Hi Sir,

    I have anal fistula. It occurred every 5-6 month regularly.
    Please suggest homeopathy medicine to cure permanently.


  13. Hello sir
    I am suffering from fistula for last three months
    Earlier i was having a fissure I have some discharge
    With pus and some time blood comes when stool is hard I feel pain and iching after passing stool

  14. Arokia Dass says:

    Hello Dr I am suffering from fistula from 5 year I operate once but still pus is coming from the wound and I have pain I have taken many Ayurveda medicine but still not working what are the remedy
    From arokia Dass

  15. I am also patient of fistula for last 7 years. Please suggest suitable hemo medicine.

    • Ashutosh sawhney says:

      Respected Doctor I m suffering from Anal fistula from last 3 years and on homeopathic medicine from last one year. Sometime medicine works wonderfully but other time things got worse. At present I m in immense pain especially after passing still and great amount of puss discharge accompanied by blood.

  16. One year with anal fistula.
    Consult and got treatment with four homeopathy doctor for almost a year. Got surgery done twice still suffering can any remedy or help available?

  17. Biswadip Das says:

    I’ve been suffering from pain and inflammation in anus. Some swelling are there inside the passage and after evacuation feeling pain which sometimes sustain for hours. But no discharge or blood seen. Using lignocaine 2% but not felling much relief.

  18. Rasheed Ahmed says:

    I need anal fistula treatment right now pls suggest medicine

  19. SANTANU GHOSH says:

    Is anal fistula completely curable??
    I was suggested for surgery on 13th Nov 2021….so I was looking for alternative

    • I have intersphincteric fistula and small opening in anal canal sometime pus and blood mixture also seen and feel pain in bowel‏. Pls recomend some homoeopathic medicine

  20. Hello feeling hopeless for my husband. He has the most complex fistula the colon surgeon has never seen. He had a horseshoe abscess that was left untreated for two long and now has 3 setons and a rosepen in place for drainage. He is constantly in pain due to this and there is no hope. The dr says he can’t cure him and will have to live with setons in place with a life expectancy of no more than 10 yrs or he will be left inconsistent. He is awaiting a surgery to change the setons as they have been in for almost a year. The rose pen was put in September. Our only hope is to find a natural remedy and diet that can possibly cure him because the dr cannot remove the setons or he will die. Any help will be greatly appreciated.

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