Bhagandara (Fistula-in-Ano) in Ayurveda What is Fistula (Bhagandara)? In Ayurveda, fistula-in-ano is called Bhagandara, meaning a chronic, pus-draining tract between the anal canal and the skin. It usually results from an untreated abscess, leading to persistent infection and pus discharge. Causes (Nidana) of Bhagandara According to Ayurveda, fistula is caused by an imbalance in the Tridoshas (Vata, Pitta, Kapha) and accumulation of Ama (toxins), leading to inflammation and infection. Common causes include: Chronic constipation (leading to anal gland blockage) Untreated anal abscess Recurrent anal infections Low immunity and poor digestion Excess intake of spicy, oily, or heavy foods Prolonged sitting or sedentary lifestyle Symptoms (Lakshana) of Fistula
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