Anal fistula presents itself as a nodular swelling in perianal region. Off and on pus discharge is also seen from this swelling. When pus gets accumulated it gives rise to pain which subsides once the pus discharges out. Usually surgery (Fistulectomy/ VAAFT/ MAFT/ Laser etc.) is advised to manage Anal Fistula. But it is not a good choice as the chances of recurrence of Fistula are very high after these procedures. Whereas Anal Fistula can be completely treated by Graded KsharsutraTM Treatment. 

Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS - New Delhi and PGI - Chandigarh; have confirmed that Ksharsutra treatment is more convenient and more effective than surgery in patients suffering from Anal Fistula. 

What is Graded KsharsutraTM Therapy? How does it Works?

The Ksharsutra therapy is a specialized procedure of Ayurvedic surgery. Ayurvedic surgeon has to first evaluate the anal fistula by clinical examination and if required MRI Fistulogram may be done. Graded KsharsutraTM treatment involves the use of a specialized medicated thread which is placed in Fistula tract. Before placing the Graded KsharsutraTM; it is mandatory to define the fistulous tract properly by careful probing and MRI Fistulogram. 

Medicine released from Graded 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 one at a week or 10 days interval till fistula heals completely.

Why Graded KsharsutraTM Therapy Better Than Surgery/VAAFT?

  In appox. 20% cases fistula recurs after surgery however chances of recurrence of Fistula after Graded KsharsutraTM Therapy are predictably NIL.

  Fistula surgery is done under spinal or general anesthesia. So, anesthesia related complications like headache, backache, effect on brain, urinary retention etc. are usually seen while Graded KsharsutraTM is done under local anesthesia which is comparatively safe and there is no complication in it.

  Complications like stool incontinence (inability to hold stool) etc. are seen in surgery. Such complications are not seen in Graded KsharsutraTM Therapy.

  Other complications like pain, bleeding, infection etc. are also seen after surgery. There is no fresh tissue injury in Graded KsharsutraTM so such complications are not seen.

  Hospitalization is necessary in surgery for Anal Fistula. However, Graded KsharsutraTM Therapy is an OPD procedure and hospitalization is not necessary.

  Surgery is followed by bed rest. Bed rest is not required in Graded KsharsutraTM Therapy and patient can continue his normal daily routine activities as usual during this treatment.

  Graded KsharsutraTM Treatment is also more economical and convenient than Surgery. 

Therefore, patients suffering from Anal Fistula are advised to SAY NO TO SURGERY and opt for a better treatment i.e. Graded KsharsutraTM.

Anal Fistula - Why Is Graded Ksharsutra Therapy Better Than Surgery/VAAFT?

It is common for skin to get dry and the condition is marked by less than the required water in the epidermis (the topmost skin layer). Males and females are equally affected by it. With age, the incidences for having dry skin increases. Elderly people tend to have less amount of natural lubricants and oil in the skin. Areas like the hands, lower legs and arms are more prone to have dry skin. Atmospheric humidity also affects the dryness of skin. It is called xerosic dermatitis or xeroderma.

It might be temporary and mild and may last for some days. In some cases, it can become a severe long-term problem. Dry skin symptoms encompass itching, discomfort and skin tightness. Winters and dry, cold air also affects your skin and the result is dry skin.

Why it normally occurs?
Individuals who wash or sanitize their hands more often can experience a greater degree of dry skin.

Medications may also induce this condition.
The epidermis layer of the skin normally has protein and fat, which prevents dehydration in the skin. When the fatty oils in the skin are removed, the moisture and protection of the skin is lost. The skin becomes more sensitive and breakdowns easily when it gets dried. It might cause the skin to become powdered or may be invisible.
Red rash may appear if dry skin is left untreated. Simple treatment and prevention measures have been effective in dry skin treatment.
Avoid chemical cleansers and harsh soaps is an effective way to prevent dry skin. Moisturisers and bland emollient application on a regular basis have shown effectiveness for treating the condition.
Cellulitis, bacterial infections and eczema might be complications arising from dry skin. Thankfully, dry skin generally is mild and the remedies are easy.
Generalised winter itching is also called winter itch and can be seen commonly amongst older people. It is mainly caused due to dry skin.
People suffering from eczema may also experience winter itch. 
Cold temperature and low humidity can make the dry skin worse in winters.

Dry Skin - Why It Normally Happens?

5 Symptoms that Indicate Your Heart is in Trouble!

Your heart gives you warning signs before the onset of a major problem. You may not even know that you are at risk of one or more heart diseases if you fail to notice these small signs that your heart sends out. Even a minor symptom, like chest pain, can indicate that your heart may be in trouble. While there could be many causal factors for a heart condition, here some symptoms, which are possible indications of a heart disease and should not be ignored in any case.

1. Chest pain or discomfort

This symptom is the most common one, which indicates that your heart is not healthy. It usually comes in the form of a pain, pressure or tightness in the chest and may happen due to a blocked artery. This may be an early warning sign of a heart attack and you should seek professional advice before it turns into a major problem.

2. Excessive sweating

If you often sweat without any valid reason, it might be a sign to be concerned for. The sweating experienced will feel more like the one that arises due to stress rather than common perspiration experienced due to any vigorous physical activity.

3. Difficulty in breathing

Shortness of breath is an indication that you are at high risk of getting a heart attack. The symptom includes having difficulty in breathing and feels similar to the panting experienced after a long run.

4. Nausea and frequent stomach problems

If you experience nausea, heartburn, indigestion or abdominal pain frequently, it may be the result of an unhealthy heart. Of course, these signs may be due to other diseases as well, but if you experience any of the other symptoms of heart problems too, it's highly probable that your heart is in trouble.

5. Exhaustion

If you fall into the high-risk zone of being a potential heart patient, you may feel exhausted after doing some simple chores, which didn't tire you earlier. Common examples may be climbing the stairs or carrying something from your doorstep inside the house to name a few.



5 Symptoms That Indicate Your Heart Is in Trouble!

4 Reasons you SHOULD have your meals with ghee

Full of nutrients, ghee or clarified butter comes with an assortment of health benefits. Despite its vast nutrient content, most people avoid ghee, believing that it is fattening. This is in fact not entirely true! Here s why you should consider adding a dollop of ghee to your meals. 

1. Good for your brain: Ghee is an excellent source of omega-6 and omega-3 fatty acids, which help in the proper functioning of your brain and nervous system. Furthermore, these fats can also decrease your risk of getting brain disorders like Alzheimer s and dementia.

2. Strengthens your immunity: Ghee is rich in nutrients like CLA and K2 that give it its anti-fungal and anti-viral properties. Also, the presence of these nutrients helps ghee in strengthening your immune system so as to keep diseases at bay. 
Additionally, several studies show that the butyric acid (acid that helps in controlling metabolism) content of ghee also helps in fortifying your immune system as it enables the creation of killer T cells (a type of white blood cells) in the stomach.


3. Promotes weight loss: Contrary to popular belief, the inclusion of ghee in your diet can also help in reducing fat cells in your body, leading to loss of weight. It does so by improving the functioning of your gall bladder, so that the bile that is produced is able to break down the fats that are digested. As your meals get easily digested, your body s metabolism levels also increase significantly. 
Moreover, it contains medium-chain fatty acids (MCTs) that are responsible for augmenting your body s metabolic processes. Several researches indicate that these fatty acids have the ability to burn calories and bringing about weight loss. While decreasing hunger, they are also responsible for oxidation of fats that get accumulated in your body.

4. Helps in digestion: Ghee regulates the secretion of stomach acid, which gives you a stronger appetite, while helping you to properly digest your food. Furthermore, when added to foods like khichdi or puran poli, it could help you to digest these better. If you suffer from low levels of butyric acid production, it can significantly perk up your butyric acid production by improving the functioning of your digestive tract. Butyric acid is highly important as it strengthens the walls of your intestines, while being an energy source for your body. 

If you would like to consult with me privately, please click on 'Consult'.

Did You Know: GHEE Promotes Weight loss? 4 Reasons You Must Have Ghee

The bones and joints orchestrate very well with each other for smooth movements of various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby, limiting movement. Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
Exercise plays a very vital role in controlling the issue and improving range of motion.

What You Should Know About Spondyloarthritis?

Neck cancer refers to the formation of cancer cells in the throat or neck region of your body. Neck cancer is commonly seen in people above sixty years of age. But people above forty can also have the chances of getting neck cancer. Though the symptoms of neck cancer can vary from one person to the other, 

Some of the common symptoms are stated as follows:

 Neck cancer affects the voice box, so a change in your voice can be noticed.
 Weight loss is also a symptom for neck cancer.
 A person suffering from neck cancer can also suffer from dysphagia or difficulty in swallowing.
 Sore throat in some cases can be considered as a symptom of neck cancer
 Bleeding from mouth or through your nose is also a common symptom for neck cancer.
 Ear pain in some cases is a symptom of neck cancer.
 Coughing persistently is also regarded as a symptom of neck cancer.
 Sometimes a lump in the neck is also noticed and it is usually painless.
 Some people also encounter breathing problem.
 In some cases a swelling of the neck, jaw or eyes can also be noticed.

Neck cancer involves certain risk factors too. Neck cancer can be treated in many ways. The following are few treatments available for neck cancer:

 Surgery: your doctor can conduct a surgery for removing the tumors from your neck region. The doctor may decide to do either a microsurgery or laser treatment or endoscopy.
 Chemotherapy: if the tumor spreads to other regions or is large in size, then your doctor may recommend chemotherapy. 
 Radiation: it is used to destroy the malignant cells. It is usually conducted after removing the tumor.

These three are the common treatments followed by doctors. Your doctor may also take help of other treatments like administering drugs to control the growth of cancer cells. But, sometimes treatments fail to work if the process of metastasis starts. So you should not ignore it, as soon as you encounter any of the symptoms stated above, visiting an oncologist is highly recommended.


Neck Cancer Symptoms and Treatment

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