Centre For Piles & Fistula

Treatment of Fistula

Fistula is a chronic pus discharging sinus occurring in the vicinity of a**l ca**l. It starts from within the a**l ca**l. Pus is formed inside the a**s and bursts out of a**s. There is swelling around a**s and it bursts out leaving a sinus. There are recurrent episodes of pus formation and sometimes it dries up with medicine and again collection of pus occurs. It is best treated by the use of Ksharsutra. The surgery is frustrating because chances of recurrence are fair after surgery. Ksharsutra delivers medicine at the beginning point to destroy infected focus and it also ensures slow cutting and healing. The chances of recurrence are nil after application of Ksharsutra. Treatment of Piles

The patients suffering from piles have bleeding during defecation. There are four degrees of piles. First and second degree piles remains inside the a**l ca**l and patients only experience bleeding while going to toilet; there is no pain. The third degree piles come out of a**s during straining at stool and go back inside the a**s after urge of defecation over. The fourth degree piles pr*****ed out of a**s. The treatment of first and second degree piles is Ayurvedic medicines and injection therapy/Third degree piles are best treated by Ksharsutra and fourth degree piles are best treated by KS Or PPH. Piles or haemorrhoids are caused by straining during defecation as in a case of constipation or dysentery. It is also caused by raised intra abdominal pressure as in a case of pregnancy or abdominal tumours. Treatment of Fissure

Fissure is a small tear or wound inside the a**l ca**l. It is caused by hard stool trauma to the a**l skin. After healing it leaves behind a small nodule and it is known as sentinel pile. It is associated with fissure. After every attack of fissure, After every attack of fissure, it enlarges and becomes a cause of worry for patients. The pain is not felt in this mass but it is inside the a**s in fissure. In general terms, it is known as badi bawaseer. Acute fissure causes severe pain during act of defecation and chronic fissure causes less pain. There is narrowing of the a**l lumen and it again precipitates the formation of fissure when stool is hard. Acute fissure is managed by medicines and chronic fissure is managed by Ksharsutra ligation. What is Kshar-sutra (Alkaline thread)

A surgical thread is coated with 21 layers of Ayurvedic medicines such as Achyranthus aspera, turmeric, Euphorbia etc. It may also be prepared by using Guggul, Turmeric and some alkaline material. How it acts:

It acts by virtue of chemical cauterization. It destroys the infected material sinus and makes the wound wound heals beautifully. It also eradicatest infected and glades. The complete of infection ensures complete disease. When tied in Fissure and piles, It cuts the mass and eradicates infection. Therefore the wound heals without complication. It is natural, therefore, free of side effects. Duration of therapy:

Piles Fissures: One time sitting [7 to 10 days]. Fistula and Sinus: As per the length of track. Weekly changing of thread. May take one month to siz month to seven months. Pilonidal sinus:

Pilonidal sinus is a midline post a**l sinus commonly seen in young adults usually without any communication with re**um and a**l ca**l. Pilus means hair, Nidus means nest, so Pilonidal sinus means Nest with hair inside, where hair is invaginated in subcutaneous tissue as a Bulbous Diverticula with branching and bifurcating from side. Pilonidal sinus is common in the gluteal cleft. While sitting, the buttocks move and the hair is broken off by friction. The hair collects in gluteal cleft. The hair penetrates the soft and moist skin of this region. It may enter in the open mouth of this region. It may enter in the open mouth of sudoriferous gland. The hair tuft is present in the sinus. surgical excision carries many risks and recurrence. Ksharsutra treatment is the best of all options available. Re**al prolapse:

The re**al mucosa comes out of a**l ca**l during defecation. In partial prolapse the mucosa returns back to a**s without manual repositioning but in case of complete prolapse, patient has to put is back inside the a**s with fingers. It is associated with weak musculature, operations, tear in female during delivery etc. The treatment is done by putting a ring around a**s to give strength to muscles along with correction of bowel habits by Ayurvedic medicines. In children, only

Polyps:

It is a common cause of bleeding during defecation in early childhood. There is protrusion of a mass from a**s during defecation. It is treated by ligation and excision techniques along with Ayurvedic medicines and the results are good. medicinal treatment is preferred