Hi, I am Dr SK Singh, I am a surgical specialist in Ayurveda. I did my post graduation that is MS ayurveda from Institute of Medical Sciences, Faculty of Ayurveda, BHU. Recently I am running Sushruta Ano Rectal Institute in Rohini in New Delhi. Sushruta Ano Rectal Institute jo ki Guda rogo ke ilaj ke liye banaya gaya hai. Aur iss mein sabhi prakar ke Guda rog Jaise piles, fitsula, fissure, chronicles synus adi ka bugair operation appropriate tarike se ilaj kiya jata hai. Toh aaj hum baat karte hain piles ke baare mein, yani bawasir jise hum aam bhasha mein jayadater log jante hain. Piles ek aisi bimari hai jisme log jayadater iske baare mein baat karne se katratte hain just like a social Taboo. Lekin iss bimari ke bare mein jankari lena bahut avashyak ho gaya hai, jisse ki aap isko samaj mein doosre log hain jo isko bawaseer ke naam pe logo ko gumrah karte hain, toh aap logo ko Uske baare mein sateek jankari honi chahiye. Toh piles mein rogi ko kya hota hai, piles mei rogi ko bugair vedna ke, mal tyag ke samay bleeding ka hona ye ek pramukh lakshan hai. Toh Jyada tar logo meinyeah bleeding ke roop mein hi, ya mal tyag ke samay Khoon Ka aana yeh hi iska pradhan lakshan hai. Yeah bimari agar adhik samay tak rehti hai toh isme chote musse ban jaate hain, guda marg mein chote mas ke musse aur wo kabhi-kabhi mal tyag ke samay bahar aate hain aur kabhi apne aap ander chale jate hain. lekin aur adhic stress badne pe ye masse apne aap ander reh jate hain aur kai baar marij ko apne hath se daba ke ander kerna padta hai. Toh sadaran roop mein piles is taranh seapne aap ko present kerta hai, bawasir ko. Ab hum iss bare mein janane ki koshish kerte hain ki ye ro hota kyun hai. Ab aaj-kal aisa mana gaya hai ki ye jo bimari hai piles ye challis saal ya pachas saal ke aas-pas matlab adult age mein, bade bujurgo mein jayada pai jati hai kyunki uss samay tak jo hamari guda marg ki jo veins hain blood vessels hain unme endorcement ho jata tha aur dheere-dheere unme swelling aa jati thi. Lekin aaj- kal ye dekha gaya hai ki jo project time hai inme teenage group mein ya college going bachcho mein ya youth mein bhi ye bahut milne laga hai, reason being ki aaj-kal ka hamara jo khane peene ka jo hamar fast food culture hai, jo sedentary lifestyle jo humlog ghumte firte nahi hain aur jo ek jagah baith ke computers pe ya laptops pe kaamkerte hain, toh hamari physical activity hai kafi restrict ho gayee hai.
Toh sedentary lifestyle, fastfood culture aur isulins wagerah ki kami ki wajah se ye bimari early stage mein bhi dekhne ko mil rahi hai aur aajkal toh ye bhi dekha gaya hai ki log newspaper lekarke toilet mein chale jate hain ya mobile leke toilet mein chale jaate hain, baithe rehte hain toh woh continuous uss time ko utilise kar rahe hote hain. Lekin unknowingly vo jo baithne ka pressure hai woh rectal veins pe padta hai aur unmai balloning hona shuru ho jati hai, it because of constant pressure go in the blood vessel guda marg ki jo khoon ki nali hai unmai phulav aane lagta hai aur woh musse ka roop dharan kar leti hai. iss tarah se ye problem constipationki wajah se ya motion mein jo der tak baithe rehne se ya strain karne se bhi yeah balloon effect aata hai aur khoon ki naliya fool karke musse ka roop dharan kar lete hain. Toh iss tarah se ye shuruaat hoti hai, aur aisa nahi hai ki ek din mein piles ban jaate hain, yeh hamara lifestyle kafi samay tak aisa chalta rehta hai tab jakar ke effect masse ke roop mein dikhai deta hai.
Ab baat hoti hai ki ek baar musse ban gaye hain toh ab unka ilaj kaise kiya jaye, ilaj ke liye aapne dekha hoga ki aaj kal usually log bawaseer ke masse ban jane ke baad mein surgery karate hain ya phir iska ek dusra tarika hai jisko hum kehte hain ki stapling technique, stapling technique bhi aa gayi hai, Jisme hum staple kerte hain lekin Ayurved mein iss bimari ka bahut hi badiya ilaj bataya gaya hai bugair operation ke. Toh 1st tage mein aur early 2nd stage mein, Jisme ki sirf bleeding hi pradhan lakshan hota hai ya musse kabhi kabhi bahar aate hain aur apne aap andar chale jate hain. Aisi stage mein hum piles mein kshar karma Ke dwara aur Ayurvedic aushadhi chikitsa ke dwara usko puri tarah se thik kiya ja sakta hai. 2nd or 3rd stage mein jab musse ka size bada ho jata hai aur musse bahar aane lagte hain aur ya chalte phirte bhi bahar aa jaate hain, toh aisi sthiti mein ksharsutra ligation is the best treatment for these internal haemorrhoids, inmein koi cheed-fad ki zaroorat nahi hoti hai. In musso ko kshasutra ke dwara ligate kiya jata hai, aur bahut hi suvidha janak roop hafte, dus din ke andar yeah piles mass sukh karke aur ye nikal jata hai. Toh is tarah se mai suggest karna chahunga ki log isme surgery ki bajai log Ayurvedic chikitsa ko apnaye aur yeh surgery se adhik kargar bhi hai aur suvidhajanak bhi hai. Toh dosto ye information aap baaki logo ke sath share kijiye aur iska labh uthaye. Aur agar koi problem hoti hai to aap meri website www.ayurcare.com ya Lybrate ke through hame sampark kar sakte hain.
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I am Dr SK Singh, I did my post graduation in Ayurvedic surgery. I am a surgical specialist in Ayurveda and presently I am running Sushruta Ano Rectal Institute in Rohini, New Delhi. Dosto aaj hum baat karte hain pilonidal sinus rog ke bare mein. Ye rog usually, unn vyaktiyon mein, unn logon main jyada paya jata hai jinki skin pe hairs jyada hote hain, hairy skin mein iss rog ke hone ki sambhavna jyada rehti hai. Hota kya hai pilonidal sinus rog, aap log janana chahenge toh hum uske baare mein batate hain. Pilonidal sinus rog mein peeth ke nichle hisse mein hips ke just upar midline mein ek choti si phunsi hoti hai jisme se kabhi-kabhi discharges paye jaate hain, yeh discharges watery, blood mix, yah puss discharges hote hain aur kabhi yeh discharges hote hain aur nikalne ke baad kai baar yeh phunsi phul bhi jati hai. Kuch dino tak ye sukhi rehti hai lekin dobara phir isme discharges hote rehte hain. Is tarah se off and on discharges or ye phunsi ka honaa woh bhi peeth ke nichle hisse mein, iss rog ka pilonidal sinus ka pradhan lakshan hai. Jyada tar baccho mein school going baccho mein ya college going youth mein yeah padhan roop se dekha jata hai, aur is rog ki prarambhik avastha mein iske bare mein jankari jyada ho nahi paty hai kyunki isme phunsi hui aur puss nikal gaya thik ho gaya phir kuch din tak pada raha, off and on iss taranh se chalta rehta hai. Agar hum time rehte pilonidal sinus ka treatment hum nahi karte hain toh kai baar isme branching pattern ho karke ek multiple sinus bhi ho sakta hai. Ab hum baat karte hain pilonda sinus rog ka ilaj kaise kiya jaye. Aaj kal is Rog mein aap homeopathic, Ayurvedic, allopathic koi bhi medicines khaate hain, medicine treatment is not the treatment of choice, kyunki yeh dawa khane ke bawjud is rog ke dobara hone ki sambhavna bani rehti hai. So next treatment is, usually doctor isme surgery recommend karte hain, the patient is go for the surgery operation z-plasty karate hain. But isme bhi surgery ke baad bhi is rog mein around 15 se 20 percent cases mein dobara hone ki sambhavna rehti hai. Jabki ayurved mein kshasutra chikitsa dwara iska ilaj puri tarah se sambhav isme dobara hone ke chances nahi rehte aur isme surgery ki zaroorat nahi padti hai. Pilonidal sinus mein kshasutra ilaj kaise karte hain uske baare mein pehle hum sinus ko probing ke zariye ya sinogram ke zariye uss tract ko hum define kar lete hain, sinus ko define kar lete hain. Uska kya depth hai, uska kya direction hai, uska kya prachin pattern hai, aur ek baar ye humne isko finalize kar liya iske tract ke baare mein.Pphir uske baad usme medicated thread ya kshasutra ko place k iya jata hai. Under accepted precaution woh thread place hone ke baad phir patient ka apna ghumna-firna, chalna-phirna sab normal rehta hai. But medicine jo hai ek baar thread place kar diya tract mein, toh dawaiyan dheere-dheere thread se tract ke andar dissolve hoti rehti hain, tract ko clean karti rehti hain. Ye medicine jo hai woh 5 to 7 days mein khatam ho jati hai, so thread has to be replaced. Isko her week ek naye thread se replace kiya jata hai dheere dheere yeah tract apne aap clean hota jata hai, sath sath heal up hota jata hai. Aisa dekha gaya hai ki kshasutra chikitsa mein jo pilonidal sinus hai woh tract 0.5 to 1 cm per sitting, yani per week ke hisab se yeh heal up hota hua aata hai. Aur iss tarah se bugair operation iss rog ko hum Ayurvedic kshasutra chikitsa ke dwara puri tarah se thik kar sakte hain. Aur isme dobara hone ke chances nahi rehte hain.
Therefore, in cases of all patients who are suffering from pilonidal sinus say no to surgery, go for specialised ayurvedic ksharsutra treatment. Adhik jankari ke liye aap lybrate ke through contact kar sakte hain aur visit the site www.ayurcure.com. Thank you very much.
I am Dr SK Singh, I am surgical specialist ayurveda added by MS in ayurveda from IMS, BHU. Doston aaj hum baat karte hain fissure rog ke bare mein. Hum Sushruta Ano Rectal Institute jo ki Guda rogo ke ilaj ke liye aaj-kal jana jata hai. Toh inn guda rogo mein piles , fistula aur fissure pradhan roop se dekhe jate hain, toh jayadater logon mein piles or fissure ye ek aisi confusing state rehti hai ki humko piles hai ke fissure hai. Toh hum baat kerte hain ki fissure rog hota kya hai, fissure mein aisa dekha gaya hai ki jo pradhan lakshan hai wo mal tyag ke samay dard kahona, vedna ka hona, ye fissure ka pramukh lakshan hai. Fissyre rog mein kai baar vedna ke sath-sath halki-pulki bleeding ho sakti hai, nahi bhi ho sakti hai but pain very extrusion, bahut jayada teevra vedna ka hona, acute pain ka hona mal tyag ke samay, ye iska mukya lakshan hai. Ab hum baat kerte hain ki fissure hota kya hai, dekhiye fissure rog mein mal, jo hamara anal canal hai, anal canal ke ander ki jo lining hai, woh line in membrane kai baar kat jati hai ya toot jati hai. Wo katna ya tootna iss baat pe nirbhar kerta hai, do, teen cheesze jin per nirbhar kerta hai. No. 1 stool ka tight hona, mal ki ya stool ki consistency jab tight hoti hai toh wo mal tyag ki friction injury se jo hamari lucus membrane hai anal canal ki wo toot jati hai, iss taranh se wahan pe ek jakham bann jata hai ya kai baar aisa bhi dekha gaya hai ki rogion mein baar-baar motion hone ki wajah se chahe wo loose motion ho ya kolaitis ki wajah se baar-baar motion ho raha ho, kisi infection ki wajah se ho raha ho, to bhi repeated motion ki wajah se bhi ye injury ho sakti hai. Toh ek baar ye cut injury ho jane pe, dekiye shareer mein injury kahin bhi hoti hai toh body ki apni healing capacity hoti hai, kai mareejo mein kya hota hai ki ye cut gaya aur do-char din mein wo dheere-dheere heal up ho jata hai. Lekin heal up puray tareekay se nahi ho pata, wo jo healed area hota hai wo weak hota hai, toh dobara agar fir stool tight hua toh dobara fir ho jata hai. Toh iss taranh ek hi point pe baar-baar injury hone seye jo jakham hai dheere-dheere gap aane lag jata hai aur fir ye symptoms pain ke, itching ke ya jalan wagerah ke, ye bahut frequently hone lagte hai patient ko do-do, char-char din, kai baar agar jayada cut gaya toh ek hafte se dus-dus din tak ye pain aur jalan patient ko hoti rehti hai. Iss pain aur jalan ki Awadhi ya duration of symptons hai, wo ispe depend kerta hai ki kitna gap hai. Abhi ek baar agar recent bann gaya hai toa aap medicine lete hain, pait saf kerne ki dawawaiyan lete hain, kuch local application ke liye dawai lete hain, usme aapko rehat milti hai pain wagerah mein. Lekin iska jo proper treatment hai wo kshar karma ke dwara hota hai jisme ki kuch medicines di jati hain aur weakly sittings hoti hain medicines ko apply kerne ki, dheere- dheere wo jakham badta chala jata hai. Aur acute fissure mein usually log anal dilatation kerte hain, surgery kerte hain, that is not required uski zarurat nahi hoti hai aur Ayurvedic kshar karma ke dwara ya Ayurvedic aushadhio ke lape se, ye fissure acute stage pe puri tarah se theek ho sakta hai. Now next thing is agar kai baar fissure ke aagey chronic fissure repeatedly hota rehta hai, jayada samay ta rehta hai, use thoda sa massa niche latak jata hai, thodi si skin bahar aa jati hai jise hum kehte hain senital tag. Whts the senital tag is formed, ye agar ek baar bann gaya to fir hum isko sirf dawawaiyon ke lape se ya kshar karma puri taranh se theek nahi ke payenge. Kshar karma ke sath-sath iss tag ko kshsarsutra ligation ke dwara isko hatana bhi bahut zaruri hota hai aur ek baar ye hatt jata hai toh puri teranh se ye fissure theek ho sakta hai. Isliye whether it is a condition of acute fissure, chahe ye acute fissure ho ya chronic fissure, chronic fissure mein senital tag bhi ho, toh bhi ayurved mein prabhavi roop se ksher karma aur kshsarsutra ke dwara begair operation ke iska ilaj pyri teranh se sampurna hai. So no to syrgery in the cases of acute fissur or chronic fissure.
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I’m Dr. S. K. Singh. I did my MS from IMS institute of medical sciences BHU and I were also associated with Moolchand Hospital. Now we are running a Sushruta ano-rectal institute here in NewDelhi.
Tau aj hum fistula ke barey mein baat karenge. Fistula ke barey mein humein ek general awareness public awareness program launch kerte rahe hain aur ussi ke tehat yeh information hum ap logon tak puhanchana chahte hain. Fistula ek aisi bimari hai jau ke paraya aam logon mein discuss kerne ki jis ke barey mein ziada tar log discuss nahi kerte hain yeh ek choti si phunsi ki roop mein shuru hota hai. Anal canal kea as paas ek choti si phunsi hoti hai jis mein se kabhi halki soojan kabhi kabhi us mein se pus discharge nikalta hai. Aur kabhi yeh discharge apne ap thek bhi hojata hai. Amoman is mein ziada taqleef nahi hoti hai tau yeh salon saal aise ya kuch mahiney aise chalta rehta hai. Aur log aise antibiotic painkillers lete rehte hain lekin yeh puri tarah se thek nahi hota. Aur kaye baar is mein kaye multiple branches ban jati hain ya deep fistula ban jata hai jis mein phir ilaj kerne mein ziada pareshani hoti hai is liye is roop ki proper diagnosis samay rehte hue iska nedaam zaruri hai aur samay rehte iska ilaj bhi zaruri hai. Fistula ke ilaj ke barey mein aj kal kaye padattiyan humare samne hain. Jaise hum allopathic mein dekhte hain humare fistula surgery hai, waft hai aur hum aj kal blue technique ka bhi use kerte hain lekin in meinse kisi bhi chikitsavdhi mein kisi bhi procedure ke andar iska puri tarah se iska ilaj abhi tak saboh nahi ho paya hai. Usually surgery ya even waft ke baad bhi 15-20% cases mein fistula ke logon mein yeh bimari dobara dekhi gaye hain. Issi bimari ka is fistula ka ayurvedic mein bhi varhan kiya gaya hai aur ayurvedic mein jau chikitsa bataye gae hai usko hum kehte hain Ksharasutra chikitsa. Yeh Ksharasutra chikitsa fistula ke rogioun mein adrik surgery se bhi ziada adik perbavik paye gaye hai. Aur clinically bhi yeh all institute of medical sciences mein ICM mein ek trial kiya gaya tha indian council of medical ne us trial mein yeh paya gaya ke fistula ke rogioun mein Ksharasutra chikitsa adrik surgery se adi kargar hai aur sweda janam bhi hai. Ab aj kal is Ksharasutra chikitsa k eek improve version agaya hai jisey hum kehte hain graded Ksharasutra chikitsa, aur yeh swedah humare yeh jau research work hai yeh humare Sushruta institute mein kiya gaya hai aur yeh swedah is samay bharat mein kewat (inaudible2:38) hi mein uplubbd hai aur graded Ksharasutra chikitsa ke upyog se fistula ka aur adik perwaden se upyas sambhan hochuka hai. Fistula ki bimari ke bare mein aur adik jaan kari ke liye ap humari website www.iamcure.com per login kersakte hain ye phi rap mujh se lybrate ke through bhi connect hosakte hain aur personally ap patient ya (inaudible3:12) ap humare clinic pe asakte hain aur is swedah ka iska upyog ya iska laav utha sakte hain aur is information ko me chahunga kea p dosre logon ko bhi jau isse peerat hain un tak puhanchaye jisse unko iske bari mein jaankari prapt ho sake. Thank you!read more
Doctor in Sushruta AnoRectal Institute
Patient Review Highlights
From the last 3 years i am piles patient, i have consult my many doctors there madication will give me some temperory relief till the medication is going on but as soon as i stop taking medication the problem return wher i was earlier so, then i decided to take some ayurvedic medication for it and visited doctor singh his simple and easy to implement suggets are really helpful and within 6 months my problem of piles is gone from its roots and now i am living my life to fullest.
For the last 6 monts i am having the problem of pilonidal cyst due to my busy schedule i didnt pay much attention but it keep on growing and reach to a stage where i am not able to sit on chair then i visited doctor singh with my probem and complete his medication full course now my problem of pilonidal cyst is gone from its roots and i am very much thankful to doctor singh for that.
For the last 3-4 months i am having the problem of piles with repitative blood discharge, i even cant be able to concentarte on business this problem keeps on grwoing day by day then i meet mr. singh for the ayurvedic treatent his diet plan, some home made solutions and his medication really help me to reduce this piles problem and recovering fast
Doctor singh is an exprienced ayurvedic doctor not just like other doctors who are having just bookish knowledege, he fully listiens to his patience, ask some little informations and come up with an effective solutions his suggetions are differ for every differnt patient must recommended doctor for piles treatment.
Doctor singh help me to recover from my problem of anal fissure, he himself is an book of ayurveda ask him any question and he come up with an simple and effective solutions which are easy to implement. I wish i have consult him much earlier so, my problem gets rsolved much earlier.
For the last 1 year i having the problem of pilonidal sinus, after consulting 3-4 doctors my problem is still not fully resolved then i visited mr. sk singh and his ayurvedic medication really help me to get rid of this problem completely.
Dr. SK Singh is an expert of ayurvedic surgery this treatment really help my brother-in-law to reciver from its gastro problem the tips he suggets are simple and easy to implement. thanks a lot mr. singh
Went to doctor SK Singh for my stomach issues, mr. singh is very humble and listen to my problem completly and advice me the medication which is relly helpful for me.
Well Mr. Singh is knowledgeable doctor having good experience in Ayurvedic feild his suggstion really help me with my piles problem. thanks a lot.
I found the answers provided by the Dr. S K Singh to be very helpful, well-reasoned, caring, sensible and inspiring. Thank you very much
Doctor singh suggestions really help me to deal with my anorectal disorders. His work speaks his experience in ayurveda.
I found the answers provided by the Dr. S K Singh to be helped me improve my health. Thank you sir
I found the answers provided by the Dr. S K Singh to be helped me improve my health. Nice
I found the answers provided by the Dr. S K Singh to be very helpful. Very gud
I found the answers provided by the Dr. S K Singh to be sensible. Thanks sir
A tear in the anal canal is called anal fissure. When the skin breaks, it can cause pain and extreme discomfort. Some amount of bleeding during defecation may also be experienced. When the anal aperture is over-strained, it results in a crack leading to fissure. In women, delivery trauma can lead to anal fissure. Ulcer in the anal canal or sexually transmitted diseases too can cause the anal fissure. In children, it is commonly due to injury by passing hard stool. Fissure is usually seen at the anal verge. This being a highly sensitive area; any scratch or tear in this area gives excruciating pain, burning, itching, irritation like symptoms. There may be spasm in the anal region (which is a protective mechanism) and the patients are scared of passing stools. Sometimes patient avoids eating food so as to avoid going to toilet. Usually the pain subsides in an hour or so. However in some conditions where there is underlying inflammation and infection; the pain may persist whole day. Recurrent anal fissure which has not been treated properly give rise to an extra skin growth known as sentinel tag.
Ayurvedic remedies: In the patient suffering from Anal fissure; it is very important to regulate the bowel habits properly. Some mild laxatives may be used to soften the stool. Hot sitz bath and use of some soothing ointments, coconut oil, ghee etc. are helpful as they avoid the irritation. Ayurveda can completely cure the people suffering from anal fissures. The treatment duration differs from one individual to another. This is also based on the severity of the disease. In acute anal fissure; the allopathic doctors usually recommend surgery. The commonest adverse effect of surgery is incontinence where the patient is unable to hold stools. However acute anal fissure can be treated without surgery very effectively using Ayurvedic Kshar Karma. In this therapy; certain medicines are applied in the anal fissure so as to promote the healing. The sittings are repeated after weekly intervals and fissure heals in 3-4 sittings. In this way; this is highly specific, very effective and convenient method of treating anal fissure. In chronic anal fissure with associated Sentinel tag; Ksharsutra ligation is used to remove the tag followed by Kshar Karma sittings. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 26 years old female. From few months I have allergy on my face. Sometimes it’s itching and become reddish and also some allergies turn to whiteheads. What should I do or use to get clear skin?
Hi Sir, I got a anal fissure. My stool is now soft after consulting doctor and having high fibre diet and laxatives. But the problem is I have to go to poop many times a day and always having a feeling that I need to poop. And in doing so it is putting pressure on my fissure and it is not getting healed completely. I am not able to stop the laxative because of the fear that the stool might get hardened. What is the solution for this? Currently I do not have any pain. Sometimes it is bleeding a bit during the last stool.
Pilonidal Sinus: This disease is characterized by a nodular swelling in lower back region near the tail bone. Sometimes pus or blood mixed watery discharge along with mild pain is noticed. This disease is usually seen in young individuals with hairy skin. Pilonidal sinus is caused by the deposit of tuft of hairs, debris. Pilonidal means nest of hair, and this sinus occurs in the cleft that is at the top of buttocks. The tube-like structure is shaped randomly and contains bunch of hairs. When infected, it causes pain, and one can see pus oozing, with a foul odor. Also called Jeep-Bottom, this disease can cause bleeding, and cyst in the skin covering the tailbone of the back. People who spend a lot of time sitting, and driving for long hours are also prone to have this problem.
Symptoms: The symptoms include pain during sitting and standing, pus and blood oozing from the cleft, hair protruding from the lesion, swelling of the cyst, and external sinus opening that is visible at the base of the spine. If you are in your early 20’s or 30’s, you will know you are spending more than half a day, which can lead to this condition.
Ksharsutra Therapy: In Ayurveda, Ksharsutra therapy is very effective and best as compared to the modern surgery used to treat pilonidal sinus. A medicated thread that is of alkaline nature is used. Under local anesthesia the track is identified properly, and Ksharsutra is placed in to the track. The medicine coated on the thread has selective debridement action (it does not harm healthy tissues but removes all dead and pathological tissues). This is how it ensures the healing of sinus tract by healthy granulation tissue. The medicine of thread is over in a week so it needs to be replaced with a new Ksharsutra. The healing rate is 0.5 cm to 1 cm per sitting. That is to say if a sinus tract is 4 cm long; it may take 4-6 visits at weekly intervals for complete healing.
So it is always advisable to the patients suffering from Pilonidal sinus not to go for surgery which has high incidence of recurrence. They should opt for highly specific Graded Ksharsutra treatment with negligible chances of recurrence.
The area in and around anal region is some time affected with pain swelling and pus or watery discharges. This abnormal presentation may be due to anal fistula. It is characterized by a nodular swelling in or around anal region with occasional pain and watery or blood mixed pus discharge. The symptoms might be mild but as the time passes the fistulous tract may become deep and develop multiple branches with multiple openings. This makes the treatment more difficult. Therefore it is always advisable as soon as this condition is diagnosed it should be treated promptly to avoid further complications.
Causes: The causes of anal fistula are many. The major reason is the formation of pus. Incompletely cured abscess, microbial infection, ulcers, inflammation of anus and the region around it, and complications that arise out of a surgery can cause the anal fistula. The individuals suffering with diabetes, ulcerative colitis, malignancies and also individuals undergoing chemo or radiotherapy or having some other immune compromised conditions are prone to develop anal fistula.
Treatment: Practically it has been noticed that any amount of oral medications either from allopathy/ homeopathy or Ayurveda is not of much help. In allopathy the surgeons usually advice Fistulectomy i.e. complete excision of fistulous tract or VAAFT – Video Assisted Anal Fistula Treatment. However in both these case a fairly high incidence of recurrence has been noticed. In Ayurvedic surgery; Fistula has been categorized among eight diseases which are difficult to cure. A highly specific Ksharsutra procedure has been advised in Ayurvedic surgery to treat this problem. Subsequently, efficacy of this Ksharsutra therapy was compared with surgery in 1991. This clinical trial was conducted by Indian Council of Medical research at AIIMS New Delhi and PGI Chandigarh. They have clearly reported that Ksharsutra treatment is more convenient and more effective as compared to surgery in the patients of Anal fistula. The recent concept of Graded Ksharsutra has further improved the efficacy of this therapy. Facility of Graded KsharsutraTM is available only at Sushruta Ano rectal Institute Rohini; New Delhi.
Ksharsutra Therapy: It is a highly specific and most effective amongst all available treatments for the patients of Anal Fistula. In this treatment; the first step consists of proper identification of fistulous tract with respect to depth, direction and branching pattern. This is usually achieved by careful probing or taking the help of MRI Fistulogram, Ultrasound etc. One the tract has been defined Ksharsutra is placed in the tract with the help of malleable probes under local anesthesia. Since there is no injury to the soft tissue hence no pain or bleeding is expected after this treatment. Patient can continue his routine activities as usual from the very first day. The Ksharsutra – medicated thread is changed at weekly interval. Usually the Fistula heals @ 0.5 to 1 cm per sitting. Therefore the anal fistula which is 4-6 cm long they usually heal in 8-10 sittings. After Ksharsutra Treatment the sphincter control remains normal and the fistula heals completely.
Dr. 27 years I was having fistula piles problem 1st June this year done my surgery nut still pus comes sticky water pain is there latrine does not come properly after doing surgery also.
The Veins in the anal canal are affected by irregular function of defecation. It is further aggravated by continuous straining or sitting for longer time while passing stool. The veins get swollen up and appear in the form of piles. The other factors which help in development of piles are Constipation, controlling nature calls, obesity, sedentary lifestyle, less intake of fiber-rich foods, too much intake of meat and fish, and spicy and heavy foods.
The Four Stages of Piles:
Piles are classified into four stages.
- First stage-- painless bleeding while passing stool is the only symptoms.
- Second stage-- along with painless bleeding, pile masses also protrude out during defecation followed by spontaneous reduction.
- Third stage -- After the 2nd stage when the Pile mass enlarges further and they do not get reduced by themselves but patient has to push them inside rectum. This is characterized as 3rd stage.
- Fourth stage – In chronic cases; the Pile masses are big enough and tend to come out of rectum while walking, coughing, sneezing etc. This is called as 4th stage
Treatment: In first and second stage; Kshar Karma along with medicines is quite effective. Sometimes it has to be combined with sclerotherapy. In the third and fourth stage; Ksharsutra ligation is the treatment of choice. Ksharsutra ligation is a highly specific and curative treatment for hemorrhoids. In this therapy; the Pile masses are ligated by Ksharsutra under local anesthesia. Pile mass shrinks and detaches in a week or 10 days. There is no bleeding, no hospitalization and no bed rest required. Patient can continue his normal routine activities as usual.
Home remedies: Terminalia Chebula is an excellent remedy to control constipation and leads to painless defecation. Taking one spoon of it along with a spoon of jaggery before food two times a day is effective. Triphala acts a natural cleanser, and hence effective to do away with the symptoms of piles. Buttermilk consumption can reduce body heat, which causes piles. It also curbs the irritation. Foods with high fiber content like fruits, salads etc. act as colon cleansers, and you can stay off from recurring piles by adding them to your diet.
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