The patients of fistula are usually advised surgery for their problem. But this is just a temporary solution as invariably the fistulas recur. Also a lot of complications can occur due to surgery like urinary retention, bleeding, thrombosed hemorrhoids, fecal impaction, incontinence of stool, anal stenosis because of fibrosis, delayed wound healing.
Invariably patients come to a homeopath after many years of suffering and sometimes after going through multiple surgeries. In homeopathy the medicines will first work to control the infection in the area thereby preventing attacks of the abscess formation. Later, the remedies will start new tissue development to close down the tract. When the process of redeposit is complete the opening closes down and the fistula is cured permanently. This is a prolonged process and the time required varies from person to person, depending on the length and depth of the tract.
There are 72 remedies in homeopathy for fistula-in-ano. I choose the best suited remedies for a particular patient by analyzing the case diligently.
For example, Hepar sulphuricum is chosen when the patient complains of a large and extremely painful boil near the anal region. The person has a sense of a splinter. This remedy causes the abscess to open up and the pus drains out. It works like a surgeon's knife while draining abscesses. The skin is extremely sensitive. We use this remedy with good results.
Sometimes we use Silicea when there is a tendency for the pus to form easily and this does not heal completely. Thus, over a period of time, a fistula develops. The patient has chronic constipation. The rectal muscles do not function properly. The fistula problem alternates with chest complaints. In Silicea the abscess and fistula leave thick scars.
Bacillinum may be used as an intercurrent remedy. It is used when other homeopathic remedies fail to completely cure the case. This remedy will improve the vitality and clear up the case.
Tuberculinum koch comes to mind for chronic cases of fistula where there may be more than one opening of the fistula tract. The healing powers of this patient are very poor. He does not respond to remedies as the physician may expect. In such a case one must always think of Tuberculinum. The discharge from the fistula is thick green and blood streaked.
A fistula usually takes almost a year to completely heal. Hence patients should have a lot of patience while on homeopathic treatment in order to achieve a complete and permanent cure.
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Fistula means an abnormal connection or passageway between organs that do not normally connect.
Most commonly fistulas occur near the anus. This condition is termed as fistula-in-ano. A fistula occurs when a boil or an abscess develops in anal glands. If the opening of these glands get blocked then the infection gets confined to that area as it is unable to drain out into the rectum. It balloons up to form a pus boil or an abscess and it will keep growing inwards to form a tract. This tract is called fistula whose primary opening in inside the anal canal and secondary opeining is in the perianal skin.
Every time the opening gets blocked an abscess will develop and the tract will increase in size. Sometimes in a chronic case we may see more than one opening and multiple tracts.
It can happen in 10 out of 100,000 population. It is more common in males. It is usually common in people aged between 30 and 50 years.
