Kumar Rishank

In the rural districts of Bihar , from Vaishali to Saran and Muzaffarpur, advertisements for "100% Guaranteed No-Operation Fistula Cure" are plastered on walls and poles. For many suffering from the embarrassment of Bhagandar (Fistula), these local "Jhola-Chaap" practitioners seem like a cheap and easy escape. However, at Ashirvad (Dr Binod Healthcare) , we frequently see the aftermath of these treatments: patients arriving with severe infections, permanent muscle damage, and...

At Ashirvad (Dr Binod Healthcare) , we often tell our patients that a successful surgery is only 50% of the cure. The remaining 50% depends on your plate. In Bihar , our traditional diet is naturally rich in fiber, but modern habits of eating spicy "Litti-Chokha" with too much oil or fried snacks can lead to chronic constipation ( Kabz ). For someone suffering from Bhagandar (Fistula), constipation is the biggest enemy. Hard stools put pressure on the healing "Nali" (tunnel) and can cause...

There is nothing more discouraging for a patient than undergoing a painful procedure for Bhagandar (Fistula), only to see the pus and pain return a few months later. In Bihar , we see many patients at Ashirvad (Dr Binod Healthcare) who have had 2, 3, or even 5 failed attempts at treatment elsewhere. The question they always ask is: "Doctor, why does my Bhagandar keep coming back?" The answer lies in the complex anatomy of the fistula and why partial treatments—often provided by local...