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Ayurvedic Anorectal

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Anorectal diseases
Fissure: one of the most common condition
Symptoms: severe anal pain along with bleeding lasting minutes to hours during and after defecation
Constipation is likely to play a role in precipitating anal fissure
Ayirvedic medicines aim at breaking the cycle of a hard stool, spasm and pain.

Haemorrhoids(piles)
Presents by bleeding, itching and prolapse when the muscularis submucosa weakens
Factors contributing;constipation, inadequate fibre and water intake
Symptoms: painless bleeding, prolapse, incomplete evacuation, soiling, irritation and itching, pain only in thrombosed Or strangulated
Treatment: dietary and lifestyle modification
Nonoperative medical management- in ayurveda, infiltration with specific oils  along with sitz bath in medicated decoctions has miraculous effect
Operative:Ayurveda also provides operative managementlike kshara treatment, rubber band ligation, infrared coagulation and haemorrhoidectomy.

Fistula in ano
Cryptoglandular disease -responsible for 90%fistula
Tract-primary opening:in the rectum, secondary opening in the perianal skin
Symptoms: perianal discharge and soiling of clothes
Pain
Swelling
Bleeding
Treatment: disease is purely surgical
Aims at: eradicating fistula, preserving the anal sphincter, preventing recurrence
Ayurveda kshar sutra therapy satisfies all the aims and allows an early return to normal activity for the patient.

Pilonoidal sinus
Commonly found in the intergluteal fold of sacrococcygeal region
Diagnosis:primary opening on the midline of natal cleft in chronic cases
oIn acute:treatment includes simple incision and drainage
In chronic cases:
Sinus excision and marsupialization
Ksharakarma and kshar sutra therapy has proven benefits in pilonidal sinus

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