subash clinic
treatment
PILES (HEMORRHOIDS) TREATMENT
The varicose condition of the hemorrhoid plexus of veins situated in the lower portion of the rectum and the anal canal is called piles. Piles mean ball-like mass, present in the anal region. The condition where blood oozes rectally that condition is called piles.
TYPES
Primary Hemorrhoids
Located at 3,7, and 11 o’ clock position
Secondary Hemorrhoids
Occurs between the primary hemorrhoids
1st degree haemorrhoids
Only bleeding, Piles mass does not comes out.
2nd degree haemorrhoids
Piles mass comes out during defication but returns back spontaneously
3rg degree haemorrhoids
Piles mass comes out during defication, can be replased back only by manual help.
4th degree haemorrhoids
Piles mass that’s are permanently prolapsed
Internal haemorrhoids - Covered by mucous
External haemorrhoids - Covered by skin
TYPES OF PILES LOOKS LIKE
FEATURES
- Bleeding-Splash in the pan, bright red and fresh blood during deification.
- Prolapes of piles mass during defication.
- Pain-usually painless. in case of thrombosis, infection, strangulation or associated with fissure in ano, it will be so painful.
- Mucous discharge.
- Anemia.
- Discomfort during sitting posture.
CAUSES
- 1. Hereditary-Congenital weakness of the veins wall
- 2. Anatomical-absence of the valve in superior heamorrhoidal plexus causes high pressure.
- 3. Straining during defication.
- 4. Constipation.
- 5. Diarrhoea.
- 6. Low fibre diet.
- 7. Carcinoma of rectum.
- 8. Portal hypertension
- 9. During pregnancy
- 10. Difficult micturition
TREATMENT
- Medicinal treatment in the initial stage
- Kshara karma
- Ligation of piles mass with ksharasutram
FISSURE IN ANO TREATMENT
A fissure is an ulcer in the longitudinal axis of the lower anal canal. Commonly it occurred in the midline posteriorly but can also occur in the midline anteriorly. Fissure in ano on the posterior midline is more common in a male patient whereas fissure in the anterior midline is more common in female patients.
In the upper end of the fissure, there is frequently a hypertrophic anal papilla and in its lower end, there is a hanging of hypertrophic skin which is called a sentinel tag.
TYPES
ACUTE FISSURE
Symptoms:
1. It is a deep tear in the lower anal skin with severe sphincter spasm, without oedema and inflammation.
2. Presents with severe pain and constipation.
CHRONIC FISSURE
Symptoms:
1. It has an inflamed, indurated margin with scar tissue.
2. Ulcer at its inferior margin is having a skin tag, which oedematous acts like a guard. A chronic fissure is less painful than an acute one
TYPES OF FISSURE IN ANO LOOKS LIKE
FEATURES
- It is common in middle-aged women not in the elderly.
- Severe pain during and after defecation.
- Streaks of fresh blood with stool.
- Constipation.
- Lack of digestion.
CAUSES
-
1. Because of the curvature of the sacrum and the rectum. Hard faecal matter while passing down causes a tear in the valve leading to the posterior midline.
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2. In females due to lack of support to the pelvic floor.
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3. Hard stool, diarrhoea, increased sphincter tone, trauma, sexually transmitted diseases.
- 4. Haemorrhoidectomy, Crohn’s diseases, Ulcerative colitis, Tuberculosis.
TREATMENT
CONSERVATIVE (MEDICINAL) TREATMENT
- 1. Intake of adequate oral fluid.
- 2. Fiber-rich diet(vegetables, fruits, brown rice)
- 3. Stool softness (purgative or virechakdravya)
- 4. Sitz bath.
- 5. Once recover then regular anal dialation.
SUBASH CLINIC REALLY HELPS
Subash clinic offers safe and effective ayurvedic treatment approaches and ensures complete relief with a permanent solution. Our treatment plan aims to recover and prevent the reoccurrence of the condition with personalized care. The treatment plan includes ksharsutram, kshar karma, and enema therapy with medicated oil to provide instant relief from a fissure in ano.
The therapy uses a medical alkaline thread smeared with herbal medicine. The medicated thread is graded based on the number of coating. The treatment plan is customized as per the patient’s condition and involves concurrent cutting and curating along with healing therapy miniming the chance of recurrence and infection.
FISTULA IN ANO TREATMENT
Fistula in ano is an inflammatory tract that has an external opening in the perianal skin and an internal opening in the anal canal or rectum. This tract is lined by unhealthy granulation tissue and fibrous tissue Abnormal communication between the anal canal and rectum with the exterior is called fistula in ano.
CAUSES
PRIMARY CAUSE
The fistula usually originates from a perianal abscess in the intersphincteric space of the anal canal from infection of the anal gland
Secondary Cause
1. Ulcerative colitis
2. Chron’s disease
3. Tuberculosis
4. Colloid carcinoma of the rectum
5. Hydradenitissuppurativa
6. Tramatic
CLINICAL FEATURE
- 1. Persistent seropurulent discharge keeps the part always wet.
- 2. Previous history of anal gland infection with recurrent abscess.
- 3. The external opening can be single/multiple pouting granuation tissues and may discharge blood.
- 4. Ischiorectal fossa on each side, most open communicates with each other behind the anus causing horseshoe fistula.
- 5. Per rectal examination shows indurated internal opening usually in the midline posteriorly.
- 6. Tubercular fistulas does not have induration will have pale granulation tissue.
- 7. Internal opening in carcinoma felt as a buttonhole defect inside the rectum.
TYPES OF FISTULA IN ANO LOOKS LIKE
CLASSIFICATION
- 1. Subcutaneous- commonest
- 2. Low anal- common below anal ring
- 3. Submucous- above the dentate line
- 4. High anal- on or above the anal ring
- 5. Pelvi rectal- situated between the upper surface of the leveterani and pelvic peritoneum.
TREAMENT FOR Perianal absces
A collection of pus in the tissue around the anus and rectum.It is an infected perianal condition result due to suppuration of anal gland or suppuration of thromboses external piles.
features
1. Severe pain in perianal region with difficulty to sit.
2. Soft swelling with tenderness
3. Reddish discoloration with history of fever.
TREATMENT FOR Rectal Prolaps
A condition that occurs when part of the large intestine slips outside the anus.
PILONIDAL SINUS
It is a epithelium lined tract situated in sacral region between the buttock .It containing hairs and unhealthy granulation tissue .It occurs due to penetration of hairs through the skin into subcutaneous tissue .It is common in at about 20-30 years male. Jeep driver and people of hairy buttock.
features
1. Purulent discharge
2. Throbbing and persistent type pain
3. Tender swelling seen just above the coccyx in the midline and on either side of midline.
4. Tuft of hair may be seen in the opening of sinus
Complication
It can causes occasionally sacra poliomyelitis, necrotic fascistic and rarely meningitis
treatment
Ksharasutra application in pilonidal sinus
subash clinic
also treatment on
- Piles (Heamrrhoids), Fissure in ano, Fistula in ano
- Constipation, Skin, and Sexual Disorder
- Indigestion
- Joint Pain
- Low Back Pain
- Cough, Cold, and Fever
- Fatty Liver
- IBS
- Thyroid
- Uric Acid
- Diabetics
- Sleeping Disorder
- UTI
- Leucorria
- Irregular, Painful Menstruation