This comprehensive guide is based on the educational video by Dr. Kirti Vikram Singh, a practicing homeopathic physician with years of clinical experience treating anal fistula patients.
Understanding Anal Fistula: What Is Bhagandar?
What Happens in Anal Fistula?
Anal fistula, commonly known as bhagandar in Hindi, is a painful condition where an abnormal tube-like connection forms between the inside of your anal canal and the skin near your anus. This creates an opening (or multiple openings) next to the anal area that continuously leaks pus, watery discharge, or mucus.
Think of it like this: Imagine a tunnel forming inside your body that shouldn’t be there—connecting your internal digestive tract directly to your skin surface. This tunnel keeps getting infected, causing persistent discomfort.
Main Causes of Anal Fistula
Dr. Singh identifies two primary triggers based on his clinical observations:
- Recurrent Infections in the Anal Area – The most common cause. Repeated infections in the anal region eventually create an abnormal passage.
- Injury or Trauma – Physical injury leading to an abscess that later develops into a fistula.
How to Differentiate: Fistula vs. Piles vs. Fissure
Many patients confuse these three conditions. Here’s a simple comparison:
| Condition | Key Symptoms | Discharge Type | Pain Pattern |
| Anal Fistula | Persistent opening near anus | Watery, sticky pus/mucus | Dull, continuous discomfort; occasional fever |
| Piles (Hemorrhoids) | Swollen blood vessels | Bleeding during bowel movements | Sharp pain during/after passing stool |
| Fissure | Small tear in anal lining | Minimal bleeding | Severe pain during bowel movements |
Example: If you notice a constant sticky, watery discharge from a small hole near your anus that doesn’t stop—even when not passing stool—it’s likely fistula rather than piles.
Dr. Kirti Vikram Singh’s Two-Combination Treatment Protocol
After treating numerous fistula patients, Dr. Singh developed two specialized homeopathic combinations that work synergistically to eliminate infection first, which then allows the abnormal connection to heal naturally.
Why Two Combinations?
- Dilution Combination: Addresses internal healing and infection at a deeper level
- Mother Tincture Combination: Provides faster relief from external symptoms and boosts healing
Combination 1: Dilution Mixture (Internal Healing Formula)
This combination uses four medicines in 30 potency to target infection, inflammation, and pain from within.
| Medicine Name | Potency | Quantity to Mix | Primary Role in Treatment |
| Nitric Acid | 30 | 10 ml | Reduces burning pain, inflammation, and infection in the anal area |
| Arnica | 30 | 10 ml | Increases blood supply to the infected area, accelerates healing |
| Silicea | 30 | 10 ml | Best medicine for stopping pus/discharge; stimulates natural healing |
| Hepar Sulph | 30 | 10 ml | Treats infection and helps close the abnormal tunnel |
How to Prepare the Dilution Combination:
- Get a 100 ml empty bottle from your homeopathic pharmacy
- Add 10 ml each of all four medicines (Nitric Acid 30, Arnica 30, Silicea 30, Hepar Sulph 30)
- Gently shake to mix
- Label it: “Dr. Kirti Vikram Fistula Combination 1” for easy reference
Combination 2: Mother Tincture Mixture (External Relief Formula)
This liquid extract combination works directly on the infection and promotes fast healing of the fistula tract.
| Medicine Name | Form | Quantity to Mix | Primary Role in Treatment |
| Calendula | Mother Tincture (MT) | 10 ml | Powerful antiseptic; can be taken orally or applied; excellent for fistula healing |
| Hydrastis | Mother Tincture (MT) | 10 ml | Reduces chronic inflammation and recurrent infections |
| Echinacea | Mother Tincture (MT) | 10 ml | Boosts immunity and fights infection |
How to Prepare the Mother Tincture Combination:
- Get another 100 ml empty bottle
- Add 10 ml each of Calendula MT, Hydrastis MT, and Echinacea MT
- Mix gently and label: “Dr. Kirti Vikram Fistula Combination 2”
Step-by-Step Usage Instructions
Dilution Combination Dosage
- When: Twice daily – morning (empty stomach) and evening (empty stomach)
- How much: 2-3 drops directly on your tongue
- Duration: Minimum 2-3 months (this is a chronic condition—patience is key)
Mother Tincture Combination Dosage
- When: Three times daily – morning, afternoon, and evening (empty stomach)
- How much: 20 drops in half cup water (use a regular tea cup)
- Method: Mix 20 drops in half cup water and drink
Critical Timing Rule
⚠️ Maintain at least 30 minutes gap between taking the two combinations. Taking them back-to-back reduces effectiveness.
Example Daily Schedule:
Morning (7:00 AM – Empty Stomach)
- Take 2-3 drops of Dilution Combination directly on tongue
- Wait 30 minutes
- Take 20 drops of Mother Tincture Combination in half cup water
Afternoon (2:00 PM – Empty Stomach)
- Take 20 drops of Mother Tincture Combination in half cup water
Evening (8:00 PM – Empty Stomach)
- Take 2-3 drops of Dilution Combination directly on tongue
- Wait 30 minutes
- Take 20 drops of Mother Tincture Combination in half cup water
Important: If you’ve eaten, wait at least 30 minutes before taking any medicine.
What to Expect: Realistic Timeline & Results
Dr. Singh emphasizes: This is NOT a 7-10 day fix. Anal fistula is a chronic condition requiring sustained treatment.
| Timeframe | Expected Progress | Action to Take |
| First 15 Days | Reduction in pain, burning, and discharge | Continue medicines |
| 1-2 Months | Significant improvement; fistula may start closing | Continue until fully healed |
| 3+ Months | Complete healing for most patients | You may stop when no symptoms remain |
Patient Variation Examples:
- A 30-year-old with recent fistula (6 months) may heal in 1-2 months
- A 50-year-old with 10-year-old chronic fistula may need 4-5 months
- Some patients feel relief in just 1-2 days; others take 15 days to notice change
Golden Rule: If you feel improvement within 15 days, DO NOT STOP. Continue until the problem resolves completely.
Critical Dietary & Lifestyle Guidelines
Your diet plays a crucial role in healing. Spicy and oily foods can reignite infection.
Foods to STRICTLY AVOID:
- Oily foods (fried items, greasy curries)
- Spicy foods (chilies, hot sauces, masala-heavy dishes)
- Processed junk food
Foods to EAT:
- Simple, home-cooked meals
- Plain dal, rice, roti, vegetables with minimal spices
- High-fiber foods to ensure soft stools
Example Meal Plan:
- Breakfast: Plain porridge or poha with minimal spices
- Lunch: Simple dal, rice, steamed vegetables
- Dinner: Roti with lightly cooked sabzi (no heavy masalas)
Where to Buy the Medicines
All medicines mentioned are easily available at:
- Your local homeopathic pharmacy/medical shop
- Reputable online homeopathic stores (verify authenticity)
Cost Estimate: These are inexpensive generic homeopathic medicines. The entire month’s supply should cost very reasonably.
Conclusion: Your Path to Recovery
Dr. Kirti Vikram Singh’s two-combination protocol offers a natural, non-surgical alternative for anal fistula treatment. The key takeaways are:
- Patience is mandatory – minimum 2-3 months of consistent use
- Both combinations work together – internal healing + external relief
- Diet control is non-negotiable – no spicy/oily foods
- Beware of scams – only use the official email for contact
- Monitor progress – if 15 days show improvement, you’re on the right track
Share Your Experience
Dr. Singh encourages patients to share their results in the comments section of his YouTube videos. Your feedback helps others make informed decisions.
To watch the original video: Search “Dr. Kirti Vikram Singh” on YouTube along with “anal fistula” or “bhagandar” to find his complete visual guide.
Original Credit:
This comprehensive guide is based on the educational video by Dr. Kirti Vikram Singh, a practicing homeopathic physician with years of clinical experience treating anal fistula patients.
All medical recommendations and insights belong exclusively to Dr. Singh, and this blog serves as a repurposed resource to help English-speaking audiences benefit from his expertise.