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
Book Clinic Appointment with Dr. S K Singh
Treatment of Anal Fissure
Piles Treatment (Non Surgical)
Treatment of Pilonidal Sinus
Kshar Sutra Therapy Treatment
Treatment of Fistula in Ano
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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
I'm an active and intelligent college student, and have had a lump in my rectum which I could feel while pooping thrusting out of anus as of abdominal pressure and everyday there have been very negligible blood with poop its been since many years like 3 or 5 may be, never I felt no other symptom very, healthy strong and agile life, but in past few months I discovered that lump grew smaller than earlier it was of pea size, and I felt like it ruptured, now I can't feel it, but had fever since past two days now I'm very healthy back, but I discover there is more blood in my poop since past two days, more than ever, it isn't painful, nor I could feel the lump, no redness nothing all healthy and cool, no constipation, but just burning sensation while and a few minutes after pooping, I feel kinda shy telling my parents what should I do please help me, the blood is freaking me out.
I want to know whether I can work while taking kshar sutra. I heard like it is a 5 to 7 days process. So for those 7 days can I work?
Anal Fistula - What Causes It?
An anal fistula refers to a small infected tunnel connecting the anus to the outer skin. Your body eliminates solid waste products or feces through the anus. When any of the glands inside the anus becomes infected or blocked, an abscess may form, which in turn results in formation of anal fistula. In about 50% of the cases, abscesses develop into fistulae. What are the causes for anal fistula? Anal fistulae occur primarily due to the formation of an abscess or infection in the anus. If the abscess does not heal completely after the pus has been drained away, a fistula can develop.
Other factors responsible for the occurrence of anal fistulae are-
- Crohn’s disease- a chronic condition where the digestive system becomes inflamed.
- Diverticulitis- an inflammation of the small pouches that develop along the intestinal walls.
- Hidradenitis suppurativa- a chronic painful skin condition which causes scarring and abscesses on the skin. Apart from these, people with HIV or infected with Tuberculosis disease also develop anal fistulae. If you’ve had a surgery around the anus, then post-surgery complications may lead to infection or abscess on the skin.
What are the symptoms to watch out for?
The commonly observed signs and symptoms of anal fistulae include-
- Irritation or discomfort on the skin around the anus
- Occasional throbbing pain, especially while seated, moving around or having a bowel movement
- Nodular swelling around anal region
- Intermittent Discharge of blood or pus from an opening near anal orifice.
How does Ayurveda treat anal fistulae?
Ayurveda recommends Ksharsutra treatment for complete healing of Anal Fistula.
In this procedure; Ksharsutra – a medicated thread is placed in Fistula tract. Medicine released from Ksharsutra debrides the fistula tract and induces healing. This medicine remains active for about 5-7 days so this thread needs to be changed with a new thread at weekly interval. No. of Ksharsutra changes required for complete healing of Fistula depends on length depth and branching pattern of fistula. It has been observed that Fistula heals at the rate of 0.5 to 1 cm per Ksharsutra changes so for a fistula tract of 3 cm length about 4-5 weekly thread changes are necessary for complete healing. Clinical trials conducted by Indian Council of Medical Research at AIIMS New Delhi have proved that Ksharsutra treatment is more convenient and more effective than Surgery in case of Anal Fistula. In this way Ksharsutra is the best way to treat Anal Fistula without Surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!
Pilonidal Sinus is the small channel in the skin near the tailbone that may sometimes be filled with pus or fluid. This accumulated pus leads to the formation of abscess or cyst. Pilonidal cysts occur near the coccyx or tailbone, right at the top of the buttock crease.
Pilonidal sinus consists of dirt, hair and debris that penetrates your skin, becomes embedded and thereby causes infection. Once the cyst gets infected, you may see blood or pus oozing out of the channel, which causes severe pain. Pilonidal sinus usually affects men and young adults (after puberty). This type of skin disease is mostly observed in people who sit for prolonged period, such as desk-job workers, truck drivers etc.
What are the causes and symptoms?
Doctors suggest, pilonidal sinus or cysts is caused due to factors such as - hormonal changes during puberty, friction resulting from wearing tight clothes, prolonged sitting, hair growth etc. The hair growing in the region is forced to burrow back beneath your skin. In certain cases, the patient may develop multiple sinuses which connect under the skin.
The signs and symptoms of pilonidal sinus include-
- Pain when standing or sitting for long
- Swelling of the cyst
- Redness and soreness around the affected skin
- Formation of multiple holes (sinus tracts) in the skin
- Foul odor
- Blood or pus oozing out of the abscess
- Hair sticking out of the lesion
Pilonidal sinus can be embarrassing and painful, if left untreated for long.
What is the treatment for this condition?
Usually Surgery/ Z-Plasty is advised for Pilonidal sinus but it is not a right choice as after surgery incidence of recurrence are very high. This disease can be completely treated by highly specialized Ayurvedic Ksharsutra Treatment.
In this treatment Ksharsutra – a medicated thread is placed in sinus tract. Medicine released from the thread debrides the sinus tract and induces healing. This medicine remains active for 5 – 7 days so this thread needs to be changed with a new Ksharsutra at weekly interval. Healing rate of sinus is 0.5 to 1 cm per week and No. of weekly thread change (duration of treatment) will depend on length of Sinus tract. That is to say for complete healing of a 3 cm long sinus tract about 4-5 weekly Ksharsutra changes are necessary. In case you have a concern or query you can always consult an expert & get answers to your questions!
Piles, fistula and fissures are the most common problems affecting the rectum and the anus. Both the rectum as well as the anus has a very rich vascular supply. There could be swelling of these blood vessels or tearing which can lead to the above conditions. Read on to know additional details about each of these conditions.
Piles: In simple words, swollen blood vessels of the anal region are called piles. It can be internal or external, depending on its position inside the rectum or outside the rectum respectively.
- Chronic constipation, where the person has to strain to pass stools
- Increased frequency of motion as seen in dysentery etc.
- Increased abdominal pressure like in pregnancy, obesity etc.
- Smoking and genetics can also lead to piles.
Symptoms: Starts off as painless bleeding, which happens in the form drops or blood spurts during bowel movement (1st stage); the swelling develops later on. They can continue to grow and may come out of anal canal while passing stool (2nd stage). Later on Pile mass comes out even on sneezing, coughing or standing for prolong time (3rd stage)
- In the early stages, once identified, simple Kshar Karma (application of special medicines) is effective..
- Diet should be rich in fiber, with fruits and vegetables
- Increased water consumption
- Ksharsutra Ligation of Pile mass if the disease has reached the 2nd or 3rd stage
- Prevention is advised if there is a family history by taking measures like consuming a fiber-rich diet and maintaining hydration, regular exercises. Sphincter exercise etc.
Fistula: When an anal gland gets infected; it may discharge pus around the anal region or inside anal canal. Anal Fistula is characterized by presence of a nodular swelling around anal orifice with on and off discharges. This condition is usually painless however some pain may be noticed in the swelling before the pus discharges. After pus discharge pain and swelling disappears to recur again after some time.
- A constant wet feeling in the anal area, due to pus discharge.
- This would be intermittent, and there would be periods with no discharge.
- There could be a foul smell due to pus discharge.
Diagnosis and Treatment:
- Identifying the exact location is important for Ksharsutra ligation or Surgery/ VAAFT.
- An ultrasound scan or an MRI is usually done.
- Ksharsutra ligation is a better option as compared to surgery/ VAAFT as the chances of recurrence after surgery/ VAAFT are very high.
Ksharsutra being a non surgical procedure; is more convenient and more effective as compared to surgery. This has already been proved by the scientific trials conducted at AIIMS New Delhi, PGI Chandigarh etc. by Indian Council of Medical Research in 1990.
Graded Ksharsutra is the latest development in Ksharsutra Therapy which is available only at Sushruta Ano Rectal Institute, New Delhi.
Fissures: Fissure is a very painful condition produced due to cracks anywhere in the length of the anal canal usually at the anal verge.
- Very painful and the person may not want to go to the toilet
- Rarely bleeding is also seen, maybe in very small amounts
- Over 90% of the fissures do not require surgery and can be easily managed by Kshar Karma sittings.
- Switching to a high-fiber diet and improving hydration will help in managing these symptoms.
- Topical relief can be provided by application of medicated oils and paste.
- When they are recurrent, a procedure known as lateral sphincterotomy is done. However this procedure is known to have a common complication of fecal incontinence. This is usually seen due to damage to sphincter muscles during surgery or over stretching. Patient is not able to control / hold the stools.
- Anal fissure whether acute or chronic can be easily managed by Kshar Karma and Ksharsutra ligation. No surgery or hospitalization is required; and above mentioned complications are also not seen with this highly specific treatment of Ayurvedic surgery.
Though one condition can lead to another, in most people, there is a strong family history and working towards prevention is highly recommended. In case you have a concern or query you can always consult an expert & get answers to your questions!
Piles can be really painful and embarrassing but fairly common at the same time. it should not be taken as a social stigma as with awareness and proper treatment, the condition can be managed and treated well. If overlooked then it may lead to many complications which are difficult to manage.
In Ayurveda, a complete cure to haemorrhoids is possible, so seeking medical attention can be of great help to relieve you from this condition. Piles, also known as Haemorrhoids is a condition in which veins at the lower end of rectum get inflamed and enlarged. When pressure on the rectum and anus increases, it causes added pressure to these veins, resulting in formation of haemorrhoids. They may burst and cause rectal bleeding. Haemorrhoids are most commonly found in middle-aged and old people while also in people who suffer from regular constipation.
Types of Piles -
Haemorrhoids are of two kinds, internal and external based on their location. Internal haemorrhoids are located in the inner lining of the anal tract. These veins within the rectum are concealed and cannot be felt so they are painless but when ruptured can lead to bleeding. External haemorrhoids are located on the outer surface of the rectum and can be seen, felt and when inflamed become painful. These are the more troubling type of piles.
Causes and Symptoms of Piles
- Piles are caused mostly by constipation, but other causes may include untreated gastric conditions such as dysentery, sedentary lifestyle, obesity, genetic constitution and weight of increasing uterus during pregnancy.
- If you are experiencing bleeding in anal region during defecation without any pain; you are suffering from 1st stage of Piles. If problem is not treated at this stage; Pile masses start progressing.
- In starting, Pile mass come out during passing stool and go inside by itself (2nd stage). Later on these pile masses need to be reduced manually. If still Piles is not treated; Pile mass comes out again even after manual reduction while coughing, sneezing etc. (3rd stage). While piles may be an embarrassing issue to talk about, it should not be ignored either. It can be easily dealt with simple ways, and in most cases, all it takes is some lifestyle changes to get rid of the problem.
However, if left untreated, there could lead to severe complications. Some of them have been listed below.
- Bleeding: In patients who have chronic bleeding, it could lead to chronic blood loss. Patient can develop anaemia because of this regular bleeding.
- Mass protruding out from anal opening: If Piles are not treated at 1st stage; it can lead to development of pile mass which protrudes out from anal opening while passing stool and go inside. In later stages; this pile mass come out even on sneezing and coughing. At this stage they are prone to get infected as most of the time Piles are outside the anal opening.
- Hygiene issues: The itching and discharges can lead to the patient having poor hygiene around the anal area. This further can lead to complications like infections. The area around the anus also becomes difficult to clean if the masses are more in number and size.
- Surgical correction may be attempted in severe cases, but this also can lead complications in some people. These include:
Ayurveda Treatment of Piles
Ayurveda has various approaches to the treatment of piles. Piles can be treated by diet, lifestyle, herbal supplements, Ayurvedic medication, and exercise. Ensuring good digestive health helps with piles if constipation is the cause of it.
- Vegetables such as onion, bitter gourd, radish, and turnip are high on roughage and are a must to add to your diet as well.
- Other than the diet you need to introduce specific lifestyle changes such as a colon cleanse every once in a while, and regular exercise.
- Increase water intake, up to 8 glasses per day.
- Keep away from processed foods
- Increase consumption of fruits and vegetables
- Do not sit for more than an hour in one position
- Stick to stool timings and develop good stool habits
- Do not suppress the urge to pass stools for too long and for too often
So, follow the instructions of your Ayurveda doctor to embark on the road to cure. If these measurements are not successful; kshar karma or Ksharsutra ligation of Pile mass is necessary. In the ligation procedure; Ksharsutra – medicated thread is legated at the root of Pile mass.
Medicine released from Ksharsutra blocks the blood supply to pile mass and Pile mass sheds off in 7 – 10 days. Ksharsutra ligation is a para surgical procedure done under local anaesthesia. No hospitalization or bed rest is necessary in Ksharsutra Treatment for Piles. Daily routine activities along with office work can be done during Ksharsutra Treatment. So Piles can be treated completely in all its stages with Ayurvedic treatment. However, this procedure is to be performed only by a surgical specialist of Ayurveda. In case you have a concern or query you can always consult an expert & get answers to your questions!
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!