Anal fissure is a condition that is caused when the skin surrounding the anus tears due to excessive strain. Generally, constipation causes the condition, as people have to put a lot of strain during bowel movements. Here is a look at some simple ways to prevent anal fissure.

Natural Ways to Prevent Anal Fissure-
Since the primary cause for anal fissure is constipation, the preventative methods involve reducing constipation.

Increasing fibre content in the diet, with the help of fruits and vegetables can help against constipation.
Staying hydrated and drinking plenty of fluids throughout the day, can also ease stool passage and make it softer.
Avoid straining excessively during bowel movement.
Avoiding spicy foods and chillies in the diet is vital, as such foods can aggravate the difficulty during defecation.
Avoid eating excessive meat and non-vegetarian products.
Drinking buttermilk can also provide relief from the constipation.
Ayurvedic Remedy for Anal Fissure-
Medications for the condition include both oral remedies, which deal with the underlying constipation, as well as topical medicines that can be applied at the site of the problem. Two main Ayurvedic treatment for anal fissure include-

Kshar sutra ligation: In this specialized procedure, a string is attached around the affected region. However, before the string is tied, it is coated in a mixture of healing herbs and natural products. After the string is tied tightly, the benign tissue falls off after 5-10 days. The underlying tissue also gets repaired in a couple of weeks.
Sitz bath: Another easy and effective Ayurvedic remedy for anal fissure is to fill warm water inside a tub. Add a splash of antiseptic liquid in the water and sit inside the tub in such a manner that the anus and buttocks remain submerged in the water. This treatment reduces the pain and discomfort associated with the diseases and keeps the anus hygienic.

Anal Fissure - Ayurvedic Treatment Options For It! 

There are glands inside the anus that secrete fluids. Sometimes these glands can get clogged. Pus builds up in the blocked clogs, which get infected. This is called an abscess. Unless the abscess is treated right away, it will keep growing. It eventually punches a hole through the skin near your anus to drain the infected tissues and pus. This tunnel that leads from the gland to the hole is called a fistula.

Usually, it is an abscess that causes a fistula. But sometimes a fistula can be caused by tuberculosis, a bowel illness or sexually transmitted diseases.

What are the symptoms of anal fistula?

The symptoms of anal fistula are-

  Pain while sitting down
  Soreness around the anus
  Swelling and redness
  Bleeding
  Painful defecation
  Fever
  Foul secretion from a hole near your anus

How is fistula diagnosed?

If you complain of any of the above symptoms, a doctor will perform a physical examination on you.

Sometimes a physical examination does not reveal a fistula because the fistula can close for a while and then open up again. So then your doctor might ask you to get the following tests done-

  A blue dye test
  Computerized tomography (CT Scan)
  Anorectal ultrasound
  Colonoscopy.

Treatment for anal fistula

Unfortunately, there are no medicines that can treat fistula. If you are diagnosed with fistula, you will require surgery. However, it is a minimally invasive surgery with no risks involved.

The surgery is performed under general anaesthesia. A fistula surgery can be done in the following ways-

  If the fistula is located beneath the sphincter muscles, the surgeon cuts the fistula open so that it can heal and new healthy tissues can develop there.
  If the fistula passes through the upper part of the sphincter muscles, then the surgeon runs a special stitch through the fistula (seton stitch) so that the fistula can drain properly and heal. It takes 6 weeks for the pus to drain and the wound to heal
  Sometimes, a doctor will simply plug the fistula so it does not seep pus.

General and specific complications of a fistula surgery

Though it is a safe surgery, some complications may arise, but rarely. These may be general or specific.

General complications-

  Bleeding and pain
  Scarring around the region of the surgery

Specific complications-

  Pain while urinating
  The involuntary passing of wind or lose faeces

An anal fistula is a painful condition that refuses to go away and the only way to cure it is surgery.

Can Medication Treat Anal Fistula? Find Out!

Gallstones are bits of solid material that may be formed in the gallbladder. The gallbladder is a little organ located under the liver. You won't know you have them until they've blocked your bile duct, causing pain that will need immediate medical intervention and even hospitalization in some cases.

They may comprise of cholesterol, salt, or bilirubin, which consists of red platelets. Gallstones vary in size. They can be as little as a grain of sand or as even the size of an apricot in many cases. Women are more likely to develop gallstones than men. Here we discuss ayurvedic medicine & treatment to remove gallbladder stones.

Most Common Causes of Gallstones
Here we found out the reason behind the gallstone problem. There is a number of reason which creates gallstone conditions, especially in women.

Intake of anti-conception medication pills, hormone trade treatment for menopause side effects, or pregnancy.
Fasting.
Malfunctioning of the gall bladder.
High cholesterol levels.
Gallstones may be created when there is an excessive amount of cholesterol in the bile discharged by the liver. This bile normally separates the cholesterol and helps in the normal functioning of the liver and other digestive organs of the body.
Bilirubin: Bilirubin is a substance created when your liver wrecks old red platelets. A few conditions, like cirrhosis of the liver and certain blood issues, causes the liver to create more bilirubin than it ought to. This can lead to complicated conditions like gallstones.
Bile: Your gallbladder needs to exhaust bile to be sound. In the event that it discharges its bile content, the bile turns out to be excessively thick which causes stones to shape.
Weight: Being overweight or underweight can also cause a malfunction which can lead to the appearance of such gallstones. The gallstones diet also has a bearing in such cases.
Symptoms of Gallstones Problem
Fever
A yellowish tint in your skin or eyes, which can demonstrate jaundice
Sickness or retching
Clay coloured stools
Pain in the right upper quadrant of your stomach area
Nausea
Vomiting
Other digestive issues
How do you Dissolve Gallstones in Ayurveda?
Ayurveda is a holistic system of medicine that gets to the root cause of the gallstone disorder instead of just treating the symptoms. Ayurvedic remedies improve your overall wellbeing, in addition to treating the symptoms. The various Ayurvedic remedies for gallstone removal are:



Diet: Following a healthy diet is one of the key measures to prevent gallstones problem. Eat a well-balanced diet that has plenty of fruits and vegetables; avoid eating foods that contain saturated fats. Fat rich foods such as nuts and seeds should be consumed in moderation.
Exercise: Exercising regularly helps in keeping your weight in check. Cardio exercises such as swimming and running are good for your heart and overall health. Remember that obesity is a risk factor for gallbladder stones.
Keep Diabetes in check: If you are diabetic, make sure your blood sugar levels are in check. High blood sugar may cause high-fat levels in the blood which may result in gallstones.
Limit Stress: Stress may be a direct or an indirect cause for the formation of gallstones. Hence practice relaxation techniques such as meditation to deal with stress in an effective manner.
Ayurvedic Herbs: Numerous ayurvedic medicine for dissolving gallstones known as cholagogues and choleretics have been found useful in preventing gallstones in traditional ayurvedic medicine. Cholagogues are herbs that stimulate the gallbladder to contract, while choleretics stimulate the liver to secrete more bile. Both these actions could help reduce the risk of developing gallstones. Turmeric, citrus fruits, dried ginger, black pepper, long pepper, hing, etc., fall under these categories.
Table Salt Remedy: Before breakfast, on an empty stomach, take a tsp of Saindhava lavanam or ordinary table salt in a glass of hot water. After drinking this, lie down for about 45 minutes on your right side. Do this once or twice a week.
Castor Oil: Apply castor oil pack over the gallbladder area.
Therapeutic Procedures: Apatarpana (fasting), langhana (light diet), and virechana (mild purgation) are some of the ayurvedic therapeutic procedures that are usually advised as a part of the gallbladder stone removal treatment.
Ayurvedic Remedies: Various ayurvedic treatment use to remove gallbladder stones and some specific Ayurvedic remedies such as Shankavati, Sootasekar ras, Pravaalpanchaamrit, Hingwaashtak choorna, Avipattikar choorna, etc., are generally prescribed to dissolve gallbladder stone. The duration of the ayurvedic treatment and dosage of these ayurvedic medicines depends on the severity of the gallstone condition. If you wish to discuss any specific problem, you can consult an Ayurveda.
Update From Lybrate: Stay fit and strong by consuming Health Drinks for Gallstone, available at Lybrate. Being a blend of natural ingredients, these products give a vitalizing boost of freshness.

Ayurvedic Treatment of Gallstones Removal - Cause & Symptoms

Anal Fistula is a tunnel like communication structure between anal canal and outer skin. There are certain glands in anus whose secretions keep the anal passage lubricated. If due to any reason infectious agent invades these glands abscess formation occurs which subsequently spreads towards the skin and bursts outside forming an external opening.

So Anal Fistula presents itself as a nodular swelling in area surrounding anal opening. Intermittent pus discharge is seen from this swelling. When pus has accumulated there will be swelling and pain which subsides once the pus has been discharged and this cycle goes on.

Anal Fistula Treatment:

Anal Fistula cannot be treated by oral medicines only - Homeopathic/ Allopathic or Ayurvedic whatever it may be. Continuing oral medicines in hope for fistula treatment only worsens the problem. Different surgical options have been tried to treat Anal Fistula like Fistulectomy/ VAAFT/ Laser/ LIFT etc. but not satisfactory results have been found. A high incidence of recurrence around 20-25 % has been observed with these procedures. 

Besides this other complications like stool incontinence etc. are also seen if there is some damage to sphincter muscles. However Anal Fistula can be completely treated by Graded KsharsutraTM Treatment. Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS new Delhi; PGI Chandigarh and other premier institutes of medical sciences; have proved that Ksharsutra treatment is more convenient and more effective than Surgery in patients suffering from Anal Fistula.

In this treatment; first of all Fistula tract is defined with respect to depth, direction and branching pattern by careful manual probing and MRI Fistulogram. Once the Fistula tract has been defined properly; Graded KsharsutraTM - a specialized medicated thread is placed in Fistula tract. Medicine released from KsharsutraTM debrides the Fistula tract and induces healing. This medicine works for 5-7 days so old Ksharsutra needs to be replaced by a new thread at week or 10 days interval.

No. of Ksharsutra changes required for complete healing of Fistula depends on length of Fistulous tract. It has been observed that a Fistula tract of 3 cm length usually requires 4-5 Graded KsharsutraTM sittings at weekly intervals for complete healing. Thus with this recent concept of Graded Ksharsutra treatment of Anal Fistula has become more easy and more effective.

Anal Fistula - How Non Surgical Treatment Is Better Than VAAFT/Surgery?

The gall bladder, which sits just below the rib cage to the right of the stomach, is very tender to touch. It is a little sac or storage compartment for bile, which is produced by the liver. The gallbladder emits bile into the small intestines via a duct referred to as the cystic duct. The entire process is meant to break down foods (namely fatty foods). 
Gallbladder attack symptoms may include one or more of the following:
1.Pain in the back right shoulder blade:
Sometimes, pain radiates through to the back shoulder blade on the right side or in the middle between the shoulder blades. This is pain from the gallbladder affecting the back of the shoulder. This back shoulder blade chest pain is one of the most common yet unknown symptoms of a gallbladder disorder. This can come and go or be constant. It may be sharp, excruciating or dull. It may also occur especially at night. A gallbladder attack will typically last for one to four hours.
2. Pain in the stomach: 
The most common symptom of a gallbladder problem is pain. This pain usually occurs in the mid to upper-right section of your abdomen. It can be mild and intermittent, or it can be quite severe and frequent. In some cases, the pain will begin to radiate to other areas of the body, including the back and chest.
3. Nausea or Vomiting: 
Nausea and vomiting are common symptoms among all types of gallbladder problems. But only a chronic gallbladder disease may cause digestive problems, such as acid reflux, gas, nausea, and vomiting.
4. Diarrhea:
Having more than four bowel movements a day for at least three months may be a sign of chronic gallbladder disease.
5. Fever or Chills:
An unexplained fever may signal that you have a bile duct infection. If you have an infection, you need treatment before it worsens and becomes dangerous. The infection can become life-threatening if it's allowed to spread to other parts of the body.
6. Unusual Stools or Urine: 
Lighter-colored stools and dark urine are possible signs of a common bile duct block.

Recognizing The Symptoms Of A Gall Bladder Attack

When an organ residing in a cavity such as the abdomen tries to push through the muscular layer it resides, it is called as hernia.

Though said to be genetic, hernias can be caused by things such as improper heavy lifting, incorrect posture, or chronic constipation and as a result of surgical complication or injury. Factors like obesity, pregnancy, smoking, chronic lung disease aggravate the severity of the hernia. It is believed that about 27% of all males and 3% of females can have a hernia during their lifetime.

Types of hernias:
Inguinal hernia - The groin is the most common area, where the abdomen pushes through a weak spot in the lower abdominal wall, causing a protrusion into the inguinal canal. More common in men than women.

Hiatal hernia - The abdomen has the diaphragm separating it from the thoracic cavity in the upper border. When it pushes through the diaphragm, a hernia is caused and there is almost always associated food reflux in these cases. Though the most common cause is associated old age, due to muscle weakness, there also are cases of congenital hiatal hernias.
Umbilical hernia - The abdomen finds a weak layer along its length and protrudes through the skin on the stomach. Most commonly seen in babies around the bellybutton, it gradually corrects itself on its own. Quiet rare in adults, seen during pregnancy and in chronic obese people.
Incisional - These are post-surgical, and happen when the organ protrudes through the weakened wall due to surgery. The abdomen is again the most common area and the hernia can happen either onto the external surface or internally, when they are called ventral hernias.
These are the most frequent types, though hernia affects other organs like the spine, brain, appendix, etc.

Treatment - This includes a combination of constant monitoring followed by a decision to do surgical treatment. Hiatal hernias and umbilical hernias can be monitored for a while before deciding on surgery. Inguinal hernias may require surgery earlier in the stage. Post-surgery, a mesh is placed to hold back the tissue in its corrected place. The umbilical hernia in children could be self-limiting. If it does not get auto-corrected in the first year of life, that also would qualify for a surgical treatment.

Dependent on each patient, hernias need to be managed under medical supervision.

Hernia - What Should You Know?

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