Sucral Ano Cream

Piles or Hemorrhoids is a sort of disease related to ano-rectal veins, in which there is varicosity of veins and if pressure increases on these veins due to any cause (such as constipation), the walls of veins become weakened, which affects the process of dilatation and contraction in the veins and veins remain dilated at last. Blood doesn’t flow further from these dilated veins and remains accumulated, so veins become swelled up. Further it, if walls of veins become much weakened and pressure is more, the veins may rupture and blood oozes out. This whole process is just like the appearance of varicose veins in legs of those persons, who stand for a long time, but in these cases blood doesn’t come out as the veins of legs have more strength.

Causes of piles

The bulging or prolapsed of hemorrhoidal venous plexus occurs when there is rise of pressure around the plexus areas.  The pressure build up around the plexus area occur if the intra abdominal pressure rises. The intra abdominal pressure rises if somebody putted more strain while passing stool like in constipation, in hyperacidity and flatulency condition; in enlarged abdomen like in pregnancy

Scope of homeopathy treatment

• Homeopathy treatment reduces the intra abdominal pressure. There are good medicines that relieve constipation which plays major role in developing piles. The common homeopathy medicines are bryonia, alumina, nux vom, anacardium, lycopodium, platina,
• Homeopathy treatment relieves the pain effectively within a short period of time. The common medicines for piles pain are collinsonia, aesculus, muriatic acid, ratanhia, aconite, capsicum, lachesis etc.
• The bleeding of piles can be stopped in few hours by proper homeopathic medicines. The common medicines are china, carboveg, acid nitric, millefolium, hamammalis, etc .
• The itching condition in piles can be controlled by sulphur, aesculus, aloes, etc
• The large size of the piles which feels by hand can be reduced by suitable homeopathic medicines like sulphur, thuja, calcarea flour, calcarea phos, hamammalis, etc
• Besides the homeopathic treatment it is very important to maintain a healthy life style and healthy food habits.
• The fibers rich diets should be consumed daily. Avoid all sorts of junk foods and fast foods
• Drink plenty of water like 2 to 3 liters daily
• Avoid prolonged sitting posture.
• Avoid late night sleep or night shift job
• Try to keep a balance of your mental stress level.
• Daily physical activities like morning walk, jogging, yoga are must to practice

The anal area is a highly vascular area, and if not maintained hygienically, it can lead to health issues including infection. The anal canal can get infected quite easily and if these infected parts begin to discharge pus, it could leak through the anal canal. This is known as anal fistula, and can be caused due to:

1. Unhygienic toilet habits leading to infected anal region, which can pass up the anal canal
2. Can be caused due to excessive straining, which can be due to constipation
3. Post-surgical effect, where an existing anal abscess was drained

Symptoms:

1. The fistula could be constantly draining pus or blood, producing a constant moist feeling in the anal region
2. In some, it could be intermittent draining with full dry spells in between
3. There could also be pain, which is constant and throbbing and worse with sitting
4. Pus discharge can produce a foul smell
5. The skin around the anus can be itchy and irritated
6. Tenderness and swelling of the area
7. Constipation and painful bowel movements
8. Fever and chills, due to generic infection

Management: Prevention and treatment are both essential in managing anal fistula.

1. Prevention is mainly achieved through healthy toilet hygiene habits, as this is the main cause for filstula formation
2. Treatment would include para-surgical therapy ( non-invasive ), which should be followed by healthy toilet habits and good diet habits including fibrous meals to avoid constipation. 

The following are two well-established surgical corrective measures.

Khsarsutra:

1. Ayurveda has a well-established technique known as ksharsutra wherein a medicated thread is used to drain the fistula and to prevent further fistula formation.
2. A linen thread is smeared with latex, curcuma longa, and Apamarg Kshar which are known for their multiple healthy benefits – anti-hermorrhoidal, anti-inflammatory, and coagulatory properties.
3. The linen thread is smeared with these herbs in layers and takes a few days to prepare.
4. This thread is then allowed to stay in the fistula tract, which allows for healing and prevents pus accumulation and/or closure
5. This is followed by a complete liquid diet, which is gradually moved to a semi-solid diet and if required sitz baths

Ayurvedic gugglu ksharsutra therapy:

Ayurveda is a thousands of years old system of holistic healing through herbs. It is not only based on drugs but a healthy diet, good lifestyle, staying happy and different Ayurvedic treatments which have no side effects and are absolutely safe to use. According to Ayurveda a body suffers from a disorder because of disparity in the 3 Doshas. Ayurveda deals with balancing the Doshas and healing the body. Synchronizing the body, lifestyle with nature and its paradigm.

The Doshas have to be balanced, one dominant or other ignored causes disorders, as a result the person falls sick. Here, we will talk about fistula in Ano and Ayurvedic treatments for fistula in Ano.

Anal Fistula is a two-sided canal. One end of tube opens up inside the anal canal and the other opening is near the anus on the skin. This leads to leakage of stool from the other opening, oozing of pus leading to discomfort, pain, and sometimes fever as well.

Ayurvedic herbs are especially known for keeping the digestive system in good shape by maintaining the right balance of the Pitta element that maintains the right balance of the digestive fire. According to Ayurvedic principles, any disorder in the body is a result of a faulty digestive fire that manages its functions. It is very important to restore the imbalance of digestive physiology to heal the anal fistulas. In case you have a concern or query you can always consult an expert & get answers to your questions!

Anal fistulas or fistula-in-ano generally cause discomfort due pus or watery discharges and sometimes pain. This is a condition where a nodular swelling appears in area surrounding the anal opening. Intermittent pus discharged is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes for this condition. Here are ten things you should know about these anal fistulas:

1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Anal Fistula which include Anal Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Anal Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Anal Fistula. 
2. There are symptoms you can look out for: Some of the symptoms that indicate anal fistulas include appearance of a nodular swelling in area surrounding Anal opening. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and patient feels relief. But after certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of anal fistula.
3. Medication can only provide temporary relief: Anti biotics and painkiller might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding anal opening. 
4. Anal fistulas can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Anal Fistula. . 
5. Anal fistulas treated by Graded Ksharsutra do not recur: Ayurvedic treatment for anal fistulas is known as Kshar sutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induces healing of Fistula tract. In few weekly sittings of Ksharsutra change; Fistula gets healed completely and it do not recur. Pt. maintains his normal routine life during treatment period. 
6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection. 
7. Oily and spicy foods should be avoided: When dealing with anal fistulas, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Comparative Study: 

Ksharsutra vs Surgery in Anal Fistula Patients- 

1. Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia. 
2. Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding. 
3. No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must. 
4. In Ksharsutra; patient can continue his normal daily routine Surgery may require bed rest. 
5. Complications like incontinence (inability to hold stool) and recurrence are seen after surgery
6. Ksharsutra is a safe procedure and these complications are not seen. 
7. Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Ayurveda takes a holistic approach to treat any disease. It aims to treat fistula-in-ano with a combination of herbs, good lifestyle, healthy diet etc. Ayurveda suggests that fistula occurs due to the disparity of the 3 doshas. The treatment aims at balancing the doshas and healing the condition from within without any side effects.

What is anal fistula?
Anal fistula is an opening other than the normal opening of the anus. Most people face oozing of stool and pus from the other opening. The surrounding area of the anus becomes painful and tender. If the opening closes for a few days, the pus gets trapped leading to fever and abscess. It is, therefore, important to get rid of the mucus and the pus completely and heal the fistula. In case of multiple openings, modern medicine suggests surgery to get rid of the situation. Ayurveda on the other hand, uses oils, herbs, and other such non-inflammatory means to cure the condition.

Digestive fire from the Ayurvedic viewpoint:
Digestion only happens smoothly when the Jatharagni/Agni is strong. With natural food and supplements and herbs it is entirely possible to balance the digestive fire. Raw fruits, vegetables, and nuts are the ideal diet to heal this condition. Some foods to avoid to ensure that the aggravation of fistula doesn’t take place include aerated drinks, processed foods, milk and milk related products. The herbs that are prescribed by the Ayurvedic practitioner should be continued for at least 3-6 months.

Ayurvedic treatment for fistula-inano:
Ayurveda has a very precise dosage of herbs mentioned in the ancient books. It is suggested that two tablespoons of Triphala Guggul and 1 tablespoon of Vara Churna should be consumed daily, twice a day, Nirgundi oil should be applied locally every day and 2 tablespoons of curcumin should be consumed daily.

1. Triphala Guggul: This formulation consists of two very important herbs- Guggul and Triphala. Both these herbs helps the body’s defence mechanism. This formulation is anti-inflammatory and anti-bacterial in nature. Both the herbs help in toning the gastrointestinal tract, streamline the flow of bile and aids the intestine to effectively eradicate bodily waste.
2. Vara Churna: Vara Churna is a formulation that contains several herbs such as amalaki, bibhitaka, haritaki etc. This formulation helps clean the colon and strengthen the GIT. This formulation is effective for vata, kapha, and pitta. Vara Churna is extremely effective for rectifying constipation, aiding blood circulation improving liver function and balancing the blood pressure.
3. Nirgundi Oil: This oil is made up from the herb Nigundo. This herb is pungent, bitter and astringent in flavour. It is a natural antibiotic and is an anti-inflammatory. This oil can relax the muscles, reduce congestion and pain.

In case you have a concern or query you can always consult an expert & get answers to your questions!

भगन्दर(fistula in ano.)-
परिचय,कारण,लक्षण,चिकित्सा-

1.भगन्दर परिचय (introduction)-
 -सामान्यतया: रोगी के द्वारा गुदा या मल द्वार से संबधित सभी रोगों को बवासीर या पाइल्स ही समझ लिया जाता है, लेकिन ये जरूरी नहीं है कि मल द्वार से संबंधित रोग पाइल्स ही हो इसमें कई और रोग भी हो सकते हैं। जिन्हें हम पाइल्स समझते हैं।
 भगन्दर में रोगी के मल द्वार के चारो ओर लगभग 4 cm दूरी पर या तो एक फोडा बनता हैं या एक फुडिया बन जाती हैं जिसमें से पानी या मवाद लगातार आता रहता हैं 
 Fistula means reep or pipe like. It may be defined as a chronic granulating tubular tract consisting of fibrous tissues with two openings communicating between two cavities or cavity to cutaneous surface of body. Thus anal fistula has two openings, one on perianal or perineal skin surface and other in anal canal.

 भगन्दर कारण (causes)-
 1. Anal infection
 2. अत्यधिक समय तक बैठना 
 3. इसके अलावा विभिन्न रोगियो पर किये गये अनुसंधान से ये पता चला हैं कि भगन्दर होने का एक प्रमुख कारण अत्यधिक समय तक दुपहिया वाहन या गाडी चलाना या उसकी सवारी करना भी होता हैं 

 भगन्दर के लक्षण -
 1. गुदा या मल द्वार के चारो और किसी फोडे या फुडिया का बनना और उसमें से पानी या पस आना एक या अनेक छिद्र बनना 
 2. कभी कभी बैठने में दर्द होना 
 3. मल त्याग में परेशानी होना 

 चिकित्सा -
 अब तक के क्लीनिक अनुसंधान से ये पता चला हैं कि किसी भी पैथी के मेडिसिनल चिकित्सा से इसको ठीक करना असंभव हैं आयुर्वेदिय क्षार सूत्र चिकित्सा ही इसकी विश्वसनीय चिकित्सा हैं ! आइये चुने.स्वस्थ एवं आनन्दमय जीवन. एल.एन.आयुर्वेद के संग!