Pilonidal Sinus/ Cyst is Characterized By 
   Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed. 
   It is usually seen in adults of college/ school going age & with hairy skin. 

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst. 

TREATMENT OF CHOICE (AYURVEDA) - 
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra  is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread. 

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra  treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra  is available only at Sushruta Anorectal Institute. 

Pilonidal Sinus/ Cyst Treatment FAQs 

Question 1 - What is Pilonidal Sinus/ Cyst Disease? 

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra , this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.) 

Question 2 - What are the Causes of Pilonidal Sinus Disease? 

Answer -Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible. 

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection? 

Answer -The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem. 

Sensation of pain while sitting or standing in the low back region. 
The cyst appears swollen 
Pus and blood mixed watery discharge from the cyst 
eddened skin near the cyst 
Cyst forming again and again

Pilonidal Sinus - Say No to Surgery!

Common ear infections: What you should know about them

The most common ear infections happen because of bacterial or viral growth in the middle ear, the part which lies just behind the ear drum. Middle-ear infections can be very painful and children are most commonly reported in children. Most of these infections are caused by the blockage of the Eustachian tube, which connects the ear and the throat, causing the build-up of fluids and swelling. Here is a guide to the most common forms of ear infections and their symptoms, ranging from the acute to the chronic.

Acute infections have intense symptoms but can be cured with time and treatment. They generally last for shorter durations.

In Chronic cases of infections, the patient complains of recurrent symptoms multiple times. Chronic ear infections have the potential of causing permanent damage to the ear.

Symptoms reported by most patients with Ear infections:

1. Pain in the ear (Mild to severe):

This is caused due to increased pressure owing to the blockage of the Eustachian tube. Collection of fluid inside the ear would increase the intensity of pain in most cases. Children will keep tugging at their ear and most likely be cranky.

2. Redness and swelling:

Both of these are inevitable accompanying symptoms in case of any infection in the body.

3. Oozing of the fluids:

The blockage leads to the fluid being released from the ear which can be watery, thick yellow or mixed with blood depending on the severity and type of infection.

4. Fever

5. Difficulty in sleeping.

6. In some cases when the infection spreads, difficulty in balancing the body is experienced as body balance is maintained by ears.

7. The patient might also experience increased irritability.

8. Ear infections can also cause a hearing problem if the condition continues to go untreated.

Ear infections should be promptly dealt with to prevent long-term damages. So here is what should be done when you have ear pain symptoms.

1. Consult an ENT who will prescribe pain medication as the first line of treatment.

2. After the necessary tests are done, antibiotics are prescribed in most cases by the doctor. Other medications for palliative treatment (to ease the symptoms) are administered. However in a few rare cases, the infection might be because of non-bacterial causes in which antibiotics might not cure the state.

3. In case the problem keeps recurring, one must visit the doctor again and get further tests and treatment done.

As prevention is always better than cure, care should be taken to avoid all chances of carrying the infection to your ear. Maintain cleanliness in and around, especially in the case of children.

For further queries; we'd be happy to help!

Common ear infections: What you should know about them

Have you tried a host of conventional therapies, taken numerous medications, consulted the best physicians - but a cure still seems elusive?

If you are looking for a faster and completely natural method of healing from these balance disorders, Ayurveda is your best option.

What is Tinnitus?
The word tinnitus is a latin derivative meaning  to ring . In this condition, the person suffers from a disparity of sound in both ears without any external noise present, like hissing, roaring clicking, whistling and others.The ringing can be sporadic or continuous and the volume ranges from minute to blooming to clamourous.

Tinnitus has also been associated with-

Sensorineural hearing loss in people with a vata dominant type of body
Pulsatile tinnitus or rhythmic pulsing, a thumping sound that coordinates with the heartbeat.
Globally, 50 million, which is 10-18% of the total population, suffer from tinnitus.

What is Vertigo?
Vertigo is characterized by a feeling of sudden rush in the head which leads to swaying or spinning. This makes it difficult to stand in an upright position. Ayurveda calls it  brahma .

Causes-
Ayurveda states that vertigo is an outcome of  pitta and vatta dosha .

When these  doshas  becomes overactive, it imbalances the entire functioning system and causes irritating sensations like ringing in the ears.
 Vestibular imbalance  in the inner portion of the ear is another reason causing vertigo
When adequate oxygen flow to the ear is disrupted, it also causes abnormal ringing in the ears
Treatment-
Panchakarma is a five (pancha) therapy (karma) which makes use of complete ayurvedic techniques in detoxification and body-mind healing. It eliminates diseases from their roots by examining individual needs like the body constitution, pitta dosha, age, digestive fire, and other factors. It is a proven therapy to restore the optimal health of the body, vitality and inner balance.

This rejuvenating program believes in two major treatment methods-  shodhana  and  shamana . Shodhana is cleansing of the body and Shamana refers to treatment with medications.

1. Panchakarma to treat Tinnitus

Nasya or errhine medications- Nose drop oils like vacha calms and balance the prana vayu. The oil is warmed, put in one nostril and it flows out of the other. This removes excess vata from the head and the neck area.
Abhyanga is of two types- Shiroabhyanga is a head massage and padabhyanga is a foot massage. In padabhyanga the soles of the feet are rubbed with warm sesame oil which calms the prana vayu. The oil penetrates deep into the skin, relaxes the body, nourishes every starved cell and removes excess waste products. It propels arterial and lymphatic circulation.
Karnapoorna or ear drops are used to relax the vata in the ears. Approximately ten drops of sesame oil is applied and allowed to stay for five-ten minutes. The ear is cleaned and the process is repeated for the other ear.
Kawala and Gandush is the gargling of specific medicated oils or kawath (liquid). It provides strength to the nerves of the ears and appeases the vata gandush.
2. Panchakarma to treat Vertigo
The science of Ayurveda does not state vertigo as a chronic disease. Rather it is a disorder of the nervous system. The vitiated pitta is responsible for causing the spinning sensation. This is where the Ayurvedic method of Panchakarma benefits the human body by balancing the pitta and purifying it. The healing techniques include-

Abhyanga or regular oil massaging
Swedana or treatment by applying herbal steam
Lymphatic massage
Basti or medicated enemas
Nasya or administering oils through the nostrils

Tinnitus And Vertigo Management With Panchakarma!

Remember how Shrek literally pulled out a candle from his ear for the dinner table? Ever tried doing it yourself? Well, the stuff in your ears may be called wax, but it can t really be used to make a candle. However, it certainly can signify a lot about your health. Though the idea of discussing earwax is rather disgusting, it actually plays a pivotal role in keeping your ears healthy and functioning. Earwax protects your eardrums by barring the entry of insects, fungi, bacteria, dust and bacteria. In clinical terms, earwax is also known as cerumen. 

Studies indicate that children typically produce more earwax than adults. The earwax in your ear is a combination of alcohol, shed layers of the ear, unsaturated and saturated long-chain fatty acids and squalene. In order to clean earwax, you should not insert objects too deep in your ear, instead, you can just wipe it off with a cotton swab.  The color and texture of the earwax removed can actually indicate your overall health condition, stress level, genetic ancestry, etc.

Know what your earwax color says about your health 
Pale yellow to yellow earwax: It is the most common type of earwax and indicates overall good health. Children typically produce soft, pale yellow earwax and in case of adults, the color should remain the same, but the texture tends to be sticky. 
Wet vs. dry earwax: Wet and dry are the genetically determined earwax types, wherein, the 'wet type' is dominant and the 'dry type' is recessive. A research, conducted on Biologic variation in health and illness: race, age, and sex differences (1985) by Overfield, Theresa, established that dry-type earwax indicates East Asian and Native American ancestry, while wet-type indicates African and European. 
Thick, dark and black colored earwax: The production of earwax is also influenced by your stress level i.e. when you are stressed out, the glands that are responsible for the production of earwax work overtime and produce excess amount of earwax. As this earwax collects, it can turn thicker and darker thus, this type of earwax is a sign of increased stress level. And, black colored earwax indicates that it has been accumulating in your ears for quite some time and has not been cleaned. To avoid this, it is essential to clean your ears from time to time and in the right way. 
Dry, gray earwax: The gray color of the wax is an indication of dust build-up and must be cleaned properly at regular intervals. However, if your earwax suddenly seems dry and brittle, it could be the sign of a skin infection. Dry earwax accompanied by itchiness in the ear is usually a sign of eczema.
Bloody earwax: Blood in the earwax should never be ignored. This could be caused by an ear infection or can be a sign of ruptured eardrum and you must consult your doctor immediately. 
Thus it is important that you take proper care of your ears so as to ensure that your hearing is maintained and although earwax protects your ears against infections and problems, it must be cleaned from time to time. It is advisable that you get your ears cleaned professionally, in case you are suffering from certain ailments such as Diabetes.

Earwax - Did You Know Its Color Can Say A Lot About Your Health?

What makes your nose bleed in the summer season?

Nosebleeds are a common occurrence, and may indicate a severe medical condition. The rupture of the blood vessels within the front and back of the nose can cause such bleeding. These blood vessels are very tender and, thus, bleed easily.

There are two kinds of nose bleeds: namely anterior and posterior nosebleeds.

An anterior nosebleed occurs when the blood vessels at the front of the nose break or rupture, giving rise to bleeding. A posterior nosebleed is when the rupture takes place in a deeper part of the nose. The latter is more dangerous because blood can flow down the back of the throat.

Some of the causes of nose bleeding are:

- Trauma to the face, such as a punch on the face
- Repeated bouts of nose picking or irritation can also cause nosebleed
- Although rare, inability of the blood to clot can also cause the nose to bleed
- High blood pressure can also be a contributing factor

According to some people, cold can cause your nose to bleed. This holds true to an extent. Among the many reasons that can cause the nosebleed, summers serve as one.

This is because:

- Summer months are dry and hot, both of which are bad for your nose. The protective coating of mucus present within the nasal cavity can get dry due to low humidity in the hot months. The loss of the mucus causes your nasal cavity to be prone to dryness, leading to subsequent bleeding.

- The heat also has another damaging effect, as summers tend to intensify allergy, and an allergic reaction can cause nosebleeds.

Washing your nose with cool water and avoiding being subjected to direct sunlight may help to prevent nosebleeds.



What makes your nose bleed in the summer season?

Sore throat can have many kinds of manifestations and the extent of soreness varies as well. Homeopathy offers multiple remedies for the varying degrees of an inflamed throat. These are some of the best homeopathic drugs in accordance with their symptoms:

Aconitum: This medicine should be taken at the early onset of a sore throat. When there is redness of the throat and in addition to it swelling and burning, this can be the ideal remedy.
Apis: This medicine is advisable when children have inflamed, red throat along with tonsils which become swollen with the consumption of hot food and beverages. In such instances, the child can t swallow without experiencing recurring pain. The inflamed outer and inner throats are accompanied by a feeling of something being stuck in the throat due to an enlarged uvula.
Belladonna: Acute tonsillitis is best treated with belladonna. Preferably it should be used at the onset of a sore throat. The tonsils appear scarlet red. Even though swallowing is painful, there is a desire to do so nevertheless. The throat feels constricted. In such cases the extremities are very cold despite the head feeling hot.
Arsenicum: This is again a wonder drug for children experiencing pain in the larynx that is relieved when hot drinks and food are consumed, and worsened by any cold edibles. The right side of the throat generally experiences greater pain. This pain is accompanied by a dry mouth and an increased thirst.
Ferrum Phos: This is an effective remedy for nonviolent and acute tonsillitis. The pain is often bearable and the onset of the inflammation is gradual. Swallowing often becomes difficult and leads to pain whereas cold brings relief to the throat.
Lachesis: This drug is usually prescribed when the child has throat pain on the left side. The right gland of the throat is less swollen than the left. There is also a constant tickling sensation. The throat becomes extra sensitive to any kind of touch or pressure and these children hence dislike wearing tight clothing and collars.
Hepar Sulph: This medicine is advisable for children when they start experiencing a sore throat right after they have been out in the cold, for way too long. The tonsils swell up and there is a constant throbbing pain. This pain tends to fluctuate and it also radiates to the ears when the child swallows. Some relief is experienced when consuming hot drinks. These children tend to be highly irritable.

Sore Throat - 7 Effective Home Remedies for it!

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