Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Cassia fistula, commonly known as the golden shower tree, has a long history of use in traditional medicine, particularly in Ayurveda and Unani systems. It is primarily used as a mild laxative and for its purported detoxifying properties. In the context of "blood in stool" (hematochezia), traditional texts occasionally mention its use to address conditions related to constipation, piles (hemorrhoids), and other gastrointestinal disturbances that can sometimes present with rectal bleeding. The rationale is that by softening stools and easing bowel movements, Cassia fistula may help reduce straining and trauma to hemorrhoids or anal fissures, thereby indirectly supporting cases where there is minor bleeding associated with these conditions.

However, there is a lack of direct evidence in traditional literature supporting its use specifically for treating the underlying causes of blood in stool, especially in cases of more serious gastrointestinal pathology such as infections, ulcers, or malignancies. Modern scientific studies investigating Cassia fistula have largely focused on its laxative, antimicrobial, and antioxidant properties, but not on the direct treatment of hematochezia. Thus, while its use for this indication is grounded in traditional practice, the evidence base—both historical and scientific—is limited and indirect, warranting a modest evidence rating.

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