Things to Avoid in Fistula: Habits and Triggers That Delay Healing

Fistula-in-ano, a condition where an abnormal tunnel forms between the anal canal and the skin near the anus, can cause persistent discomfort and disruption in daily life. Pain, discharge, swelling, and the risk of infection are common symptoms — and they tend to worsen if the condition isn’t managed carefully. While treatment is essential, certain lifestyle habits, food choices, and daily activities can aggravate the fistula, delay healing, or even lead to recurrence. Avoiding these triggers is a vital part of effective long-term management.

1. Avoid Constipation and Straining

One of the most critical factors in managing a fistula is preventing constipation. Hard stools and excessive straining during bowel movements put pressure on the anal region, which can irritate the fistula tract and slow down the healing process.

What to avoid:

• Skipping water intake
• Low-fibre diets
• Holding back the urge to defecate
• Sitting too long on the toilet

What to do instead:

• Drink 8–10 glasses of water daily
• Include high-fibre foods like fruits, vegetables, and whole grains
• Take short walks after meals to stimulate digestion

2. Say No to Spicy, Oily, and Heavy Foods

Diet plays a major role in how your body responds to inflammation and digestion. Spicy and oily foods can irritate the digestive tract, aggravate symptoms, and increase the likelihood of painful bowel movements.

Foods to avoid:

• Deep-fried snacks (bhajis, samosas, chips)
• Excessively spicy curries or chutneys
• Red meat and heavily processed non-veg dishes
• Pickles, sauces, and packaged masalas

Safer alternatives:

• Light khichdi with ghee
• Steamed vegetables
• Moong dal or buttermilk-based gravies
• Roti made from whole wheat or millet

3. Avoid Prolonged Sitting or Sedentary Lifestyle

Sitting for extended periods puts direct pressure on the anal region, increasing pain and inflammation around the fistula. Sedentary habits also reduce blood circulation, slowing down healing.

Habits to avoid:

• Long hours at a desk without breaks
• Watching TV or using devices for extended periods without movement
• Driving long distances without cushion support

Better practices:

• Use a donut cushion or soft pad when sitting
• Take short walking breaks every 30–45 minutes
• Incorporate light yoga or stretching to stimulate circulation

4. Steer Clear of Harsh Soaps and Chemical Cleansers

Maintaining hygiene is essential, but aggressive cleaning or the use of harsh soaps can irritate the skin and disturb the healing tissue.

Avoid:

• Strong antibacterial soaps or scented wipes
• Rubbing or scrubbing the affected area
• Using hot water directly on the fistula site

Do instead:

• Use plain lukewarm water to clean the area
• Pat dry gently with a soft cotton towel
• Take warm sitz baths with salt or herbal decoctions

5. Don’t Ignore Symptoms or Delay Treatment

Many people ignore early signs like occasional discharge or mild pain, assuming it will resolve on its own. However, untreated fistulas tend to worsen, deepen, or become branched.

Avoid:

• Self-treating with over-the-counter creams without a diagnosis
• Assuming temporary relief equals permanent healing
• Skipping follow-up visits after surgery or Kshara Sutra therapy

Early intervention not only improves outcomes but also reduces the chances of recurrence or complications like abscess formation.

Lifestyle and Food Chart: What to Avoid vs. What to Follow

Incorporating Holistic Healing

From an Ayurvedic perspective, fistula is identified as Bhagandara, a condition often resulting from poor digestive habits, sedentary lifestyle, and accumulation of toxins (ama). Treatments like Kshara Sutra therapy, when combined with dietary regulation and daily routine balancing, offer a comprehensive solution. Avoiding Pitta-aggravating foods, supporting bowel health with herbs like Triphala, and following Vata-pacifying practices can strengthen the body’s ability to heal naturally.

At Ayurvedic hospitals like Sanjeevanam, patients are guided on not just medication or procedures, but also on the daily choices that can support or sabotage recovery  — making avoidance as important as treatment itself.

Living with a fistula requires awareness and consistency. While the right treatment sets the foundation, avoiding the wrong habits ensures smoother recovery and better comfort. By steering clear of spicy foods, constipation, poor hygiene, and prolonged sitting, you give your body the best chance to heal — naturally and sustainably.