Non- Surgical Management of Low Anal Fistula in an Infant with Udumbara Ksheerasutra - A Case Study

Background: Fistula in ano (Bhagandara) is an age old disease affecting all age group of individuals, with incidences recorded as early as in infantile period. The treatment of fistula in ano has various approaches among which surgery is usually the preferred one. Aim: The present endeavor was to provide an effective way of management for a low anal fistula in an infant of ten months of age by a non-surgical method. Materials & Methods: Udumbara Ksheerasutra a modified version of well-established Ksharasutra (Ayurvedic Seton) was used in the present case study. Under aseptic precaution the Seton was applied through the fistulous tract after initial probing (Eshana Karma). Results: In a total of 4 sittings (weekly once) the Seton was changed and by the 5th week the tract was completely cut and simultaneously healed with formation of healthy tissues. Conclusion: The procedure throughout the course was effective in healing the tract, safe, non- irritant and well tolerated by the child.