Why Does Bhagandar (Fistula in Ano) Keep Coming Back? The Importance of Complete 'Nali' Removal

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 quacks or inexperienced practitioners—simply do not work.

1. The 'Root of the Weed' Problem (Incomplete Removal)

Think of a Bhagandar like a weed in your field. If you only cut the leaves above the ground but leave the root, the weed will grow back.

• The 'Nali' (Tunnel): A fistula is a tunnel with an internal opening inside the anus and an external opening on the skin.

• The Failure: If the surgeon removes the outer part but leaves even a small piece of the internal track or the internal opening, the infection will stay trapped inside. Within months, it will form a new tunnel, and the pus will start leaking again.

2. Undetected Branches (Secondary Tracks)

Not all Bhagandars are a straight line. Many are complex, with branches like the roots of a tree.

• The Challenge: If a surgeon does not use advanced imaging (like an MRI or specialized ultrasound) before surgery, they might miss these hidden branches.

• The Result: Even if the main "Nali" is removed, the hidden branch remains infected, leading to a "new" fistula in the same area.

3. The Risk of 'Jhola-Chaap' and Unverified Ksharsutra

In rural Bihar, many patients try local thread treatments or powders provided by unverified practitioners.

• The Danger: While traditional Ksharsutra is a recognized therapy, when done by untrained hands, the thread may not follow the correct track or may cause severe scarring without actually curing the infection. This makes future surgeries much more difficult.

4. Poor Post-Op Hygiene and Constipation

Recovery doesn't end in the operation theater. Chronic constipation (Kabz) and poor local hygiene can lead to new infections in the delicate healing tissue.

How Ashirvad (Dr Binod Healthcare) Ensures a Permanent Cure

At Ashirvad (Dr Binod Healthcare), we don't just treat the symptoms; we aim for a Zero Recurrence goal. Our approach includes:

• Mapping the Tract: We identify the exact path of the "Nali" and all its branches before we begin.

• Complete Excision/Closure: Whether using Laser Surgery or Minimal Access Excision, we ensure the internal opening is sealed and the entire infected track is addressed.

• Expert Follow-up: We provide clear diet and hygiene plans to ensure the area heals perfectly from the inside out.

Stop the cycle of recurring Bhagandar. If your fistula has come back, it’s time to move away from temporary fixes and choose a specialist who understands the importance of complete removal.

Contact Ashirvad (Dr Binod Healthcare) today for a definitive, permanent cure for Bhagandar.

Book Appointment:

Whatsapp - 9934034444

Patna - 9835240597

Biharsharif - 06112-233502