Best Fistula Treatment Testimonials By:: Ms-45613
One thing that best about Dr.Dheeraj Yadav is that they describe the whole process to you with all the pre and post precautions and it helps to understand the Kshar-Sutra Process and it’s Beauty in the treatment of Fistula-in-ano, as i am a Eng in Electricity Dept i search all over the internet for the permanent treatment for fistula, and then i know about the Kshar-Sutra Process , then i found the MsArogyam Dr.Dheeraj Yadav the Best Dr and as a Person, he help me to understand the cause of the Fistula and mske me free from the gilt in my mind as i am tierd of thinking why me, whats wrong i did so this fistula the most horrible disease happen to me. but after reading the articles of Dr.Dheeraj Yadav i can understand it now and then i decide to met to doctor at MsArogyam regarding my fistula treatment after few email and phone conversations,
now after 1-2 month my fistula is totally healed and the best thing is that the scar is so minute that nobady can tell that this is a high anal fistula since 10 plus years and one more thing i forgot that previously i had a operation of my fistula by modern process about 5 year back but it starts discharging again after 2 month of the operation then the doctor said that their is no permanent solution, but now i know that in ayurveda Kshar-Sutra is 100 permanent solution for fistula , thanks to Dr.Dheeraj Yadav to helping people to live their life normal again.
This is few words as i wants to share with you all the other people who are suffering like me from many years , go to Dr Dheeraj Yadav for best of Best Kshar-Sutra Treatment with 100 absolute Privacy your identity will be keep Hidden in all the Conditions .
Fistula in Ano Question? and their Answers ::
What is an anal fistula?
- A fistula in ano is a tunnel like- pipe like track, developed in the perennial region, usually having one or more external openings around the anus leading to an internal opening in the mucosa of the anal canal or the rectum.
- Anal fistula is termed “Bhagandara” in Ayurveda. In Ayurveda fistulas, like other diseases have been classified according to the vitiation of one per more of the three doshas i.e. the vata, the Pitta & the kapha. They have been classified also according to the shape & site of the track of the fistula. Special treatment for such different kinds of fistulas is mention in detail. It is worth noting that the complex & most challenging horse shoe fistula ( complex Ischio-rectal fistula) has been dealt with in detail in Sushruta a classical Ayurveda text) even as early as 300 ad.
- The Ksharsutra treatment was probably first advised per this type of fistula named Parikshepi Bhagandara by Sushurta. This Ksharsootra treatment, with a little modification has proved its worth even in modern times.
- Anal fistula, a rare condition, is a chronically inflamed, abnormal tunnel between the anal canal and the outer skin of the anus. It often drains watery pus, which can irritate the outer tissues and cause itching and discomfort.
How does it occur?
- An anal fistula usually results from an infection that forms in the tissue lining the anal canal. The infection may be caused by spread of bacteria that normally exist in the rectum. Occasionally, it may occur as a result of :
A healed sore in the rectal area
Ulcerative colitis, a disease associated with ongoing breakdown of tissues that causes a sore in the lining of the colon
Diverticulitis, inflammation of harmless growths in the wall of the intestines
Crohn’s disease, a chronic inflammation of the intestines
Cancer of the large intestine.
What are the symptoms?
- Symptoms of anal fistula may include :
A patient of fistula in ano often suffers from a recurrent, small or large boil/boils/abscess surrounding the anus, accompanied with pain, discomfort & pus/blood discharge.
The symptoms subside when the boil / abscess burst spontaneously causing some more discharge for a couple of days.
The boil / abscess “heals up” temporarily but almost always reappears after some times.
- Itching, discharge of watery pus, irritation of tissue around the anus, discomfort & pain these are the main symptoms of the fistula in ano
How is it diagnosed?
- To diagnose an anal fistula, the doctor will review your symptoms, give you a physical exam, and may use the following procedures:
Anoscopy / Proctoscopy , a procedure in which the doctor inserts an instrument called an anoscope into the rectum to inspect the anus and lower part of the rectum
Probing examination: a procedure in which the surgeon insert an instrument called anal probe it to the external fistulous opening to internal fistulous opening.
Sigmoidoscopy , a procedure in which a doctor uses a flexible or rigid scope to inspect the lower part of the intestine for inflammation and/or disease
A biopsy to evaluate for inflammation or cancer
Lower gastrointestinal (gi) series, a procedure that uses a special fluid to show the intestines better on x-ray
A lower gi series requires a clean, clear gi tract. The doctor will prescribe a special diet, including plenty of water, for the day before the procedure. In addition, you may be given an enema the morning of the procedure.
Causes of anal fistula?
- In a few cases there is a previous history of ano-rectal abscess.
Some times a fissure in ano/ anal fissure gets infects & the infection travels down to form a track or a fistula.
- However in most cases there are no definite causes found.
- Possible contributing factors
Tearing of the lining of the anal canal.
Infection from an anal gland
Chron’s, ulcerative colitis, tuberculosis
- Guide lines to approach an expert for investigating a possibility of anal fistula.
- Recurrent boils developing at the same site. (around the anus)
Burning sensation or pain in perennial region
Pus discharge /blood discharge in perianal or from the anus.
Modes of treatments of anal fistula?
- Anal fistulas are almost never found to heal spontaneously. The inner wall of the fistula develops fibers tissue & payogenic membrane not allowing spontaneous healings.
The most commonly followed mode of treatment is laying open the entire track of the fistula and removing the fibrous tissue & payogenic membrane. This sometimes, in complex fistulas is done in two or more sittings. In certain cases a silk setone is passed through parts of the track. (see detail )
The Ksharsutra / Ksharsootra ( Medicated Setone ) Ligation.
Laser Surgery ( Fistulectomy / fistulectomy by laser beam )
Laying open the fistula and applying a skin graft.
Laying open, excision of the fistulous track and suturing the wounds.
Coring out the fistulous track. ( link with core technique for fistula )
Sealing with fibrin glue.
Fistula Plug Management.
VAFT Technique for anal fistula.
Reconstruction with flap surgery for anal fistula.
- Ayurveda has a unique way of treating fistula in ano. Simple as well as complex fistulas, high anal fistulas, fistulas with multiple track, recurrent fistulas, chron’s fistula, tubercular fistula, all respond well to the Ksharsutra ligation procedure.
What is Ksharsutra / Ksharsootra?
- The Ksharsootra /Ksharsutra is a type of thread / medicated setone prepared by coating and recoating the thread 15 to 21 times with different drugs of plant origin. The mechanical action of the treads and the chemical action of the drugs coated on the thread, to gather do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound.
- A number of drugs like,
Apamarg kshar (see picture)
Kadali kshar (see picture)
Arka kshar (see picture)
Nimb kshar (see picture)
Snuhi ksheer (see picture)
Udumber ksheer (see picture)
Papaiya ksheer (see picture)
- And natural antibiotic like haridra powder, guggulu, etc are used in the preparation of different kind of Ksharsutra. It takes a number of days to prepare this Ksharsutra since the previous coat has to dry before the next is applied.
- Different kinds of Ksharsootra are prepared using different drugs. These Ksharsutra are passed through the track (usually under short anesthesia) and the two ends of the thread are tied forming a loop.
- The drugs coated on the thread are continually released through out the length of the track there by cutting, curetting, draining cleansing and healing the track simultaneously in the track after about eight days the thread loosens because it has cut through some of the tissues and also is now almost bare ( with no drugs on it). A new thread is now replaced in the track by a special method.
- The changing of the thread is a simple opd procedure taking about 1 to 2 minutes and requires no anesthesia.
- the thread gradually cuts through the tissue. The tissues above the thread heal up. Hence when at last the loop of thread comes out, the track is healed.
- Ksharsootra (medicated setone) therapy is practiced in India since times immemorial. Modified and revived by the late Dr. P. J. Deshpande. The Ksharsootra therapy is a unique treatment of Ayurveda gaining popularity globally.
- Special types of medicated setone are used in this procedure Found to be effective in any ano rectal conditions, it has many advantages in the treatment of Anal fistulae.
Benefits of the ksharsutra ligation procedure over other methods in anal fistula?
- The Ksharsootra ligation method is an age old, time tested procedure originally performed by Sushruta (the father of surgery) around 300 ad. The fact that it is still in practice to day is a proof in it self of its efficacy.
- The Ksharsutra procedure is performed under short acting anesthesia / local anesthesia and some times even without anesthesia.
- The procedure usually dose not require hospitalization for more than 4 to 5 hours.
- The patient requires minimal bed rest & can resume his / her daily routine within 12 to 24 hours.
It gives freedom from pain full dressings.
- There is no loss of glutial mussels and hence the anatomy of the peri anal region is not distorted. The procedure lives just a pencil scar at the site.
- The recurrence rate which is usually found to be quite high after other methods is less than 2% after Ksharsutra ligation procedure. This is because the medicines on the thread gradually and continually curate the payogenic membrane and fibrous tissue in the track and thus leave no pus pockets un drained.
- Chances of partial or complete incontinence of flatus or / and faces (loss of control of passing stool / flatus) are always present in many types of fistula, (especially in fistulae involving the sphincter muscles after the conventional procedure. ( Fistulectomy Fistulotomy ). There are no chances of developing incontinence in Ksharsutra ligation method.
How can i take care of myself ?
- Using stool softeners Adding fiber to your diet
- Drinking plenty of water, up to 8 eight-ounce glasses a day
- Taking warm baths
- Using clean, moist pads to wipe the area around the anus, to remove irritating particles and fluid from the fistula
- Using special skin creams to soothe irritated tissue.
- How can i help prevent an anal fistula?
- Follow these guidelines to help prevent an anal fistula. They help to keep the lower gastrointestinal tract healthy.
- Eat food high in fiber.
- Drink plenty of water each day (up to eight 8-ounce glasses).
- Have regular physical exams to look for underlying diseases of the rectum.
- Be aware of the signs and symptoms of bowel disease, and seek medical attention if any appear.
Reimbursement and Cashless TPA Health Insurance for the Process Of Kshar Sutra is available now. In NCR, Ghaziabad and Noida
E-mail: firstname.lastname@example.org Ph:+91 – 9219434343, Mo:+91 – 9412637645,
Kshar chikitsa types of kshars and uses :
- Kshar chikitsa or alkaline therapy in has been in practice since 500 BC.
- Kshars or alkalis are the herbal extracts of plants like Euphorbia nerifolia,
- Cassia fistula, Holarrhena antidysentrica, Adhatoda vasica, Caltropis
- giganteo, Alstonia scholaris, Achyranthus aspera, and Sesamum indicum.
- An kshar can be a compound or mixture of many herbs or may be from
- single herb like Moolika kshar, Til kshar, Yavakshar etc.
TYPES of kshars
There are 2 types of kshars
- 1. Paniya kshar: kshar for internal use
- 2. Pratisarniya kshar: for external use only
The pratisarniya kshar is further divided into 3 types
- 1. Mridu: mild in action
- 2. Madhya or modest: stronger
- 3. Teevra: strongest in action
Ayurvedic doctors are using the paniya (drinkable) kshars to treat
many diseases like malaria, jaundice, urinary tract infections,
indigestion, obesity, tumors, inflammation, flatulence, infections
and cysts. Kshars have a very rapid action and safe to use.
The external or pratisarniya kshars are widely used to manage hemorrhoids,
warts, corns, fistulae, sinuses, polyps and many skin problems.
External kshars are a reliable and safe alternative to a number of
modern medical surgeries. Therefore they are the first choice of
Kshar sutra or the medicated thread and its role in hemorrhoids will
explain it further here. Let's see how it is made and used.
Fistula is a deadly disease which occurs most commonly on the rectum.
A yellow liquid gets formed on the area which is very painful.
Bhagandara is the name by which fistula is known as in Ayurvedic practice. Three kinds of the disease are recognised with different treatments. One of the important therapies for curing fistula in Ayurveda is Kshar Sutra.
This involves cutting up some tissues and these take time to heal. Before performing this procedure, several herbs are given to the patient such as Kadali Kshar, Apamarg Kshar, Nimb Kshar, Papaiya Kshar and Snuhi Kshar.
Anal fistula is generally treated through surgery but it is known to recur after some time.
You need to be very conscious of this fact when looking to get your condition treated.
Ayurvedic remedies for fistula are known to cure the disorder for good. Several techniques and therapeutic procedures are available in Ayurveda that eliminate the problem from its root.
Although Kshar Sutra is a slow process on the whole but it is getting global recognition gradually as a very effective treatment for fistula. The great advantage in undergoing this treatment is that the patient does not need to be admitted to a hospital. He can carry on with his regular everyday work without any trouble.
and most of all 100% treatment without any recurrence.
Agnikarma is another treatment for fistula in Ayurveda. This involves use of hot iron or caustic agent for destroying the affected tissues.
Another Ayurvedic treatment for fistula is known as Enema. In this treatment, hot bath is given to the patient suffering from it. Lower body parts are involved in this therapy. A few other types of fomentation is also recommended. The patient needs to be constantly checked for any signs of suffering for diseases such as hypertension, diabetes, TB or any other.
The main reason for rise of this disease these days is the unhealthy lifestyle which people have started to lead. It is expected that with Ayurvedic remedies for fistula treatment becoming popular, the lifestyle recommended by the holistic system of medicine will also gain ground.
What is ANAL FISSURES and Treatment
What is a fissure?An anal fissure is a small tear in the skin that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. An anal fissure typically causes pain and bleeding with bowel movements.Anal fissures most often affect people in middle age, but fissures also are the most common cause of rectal bleeding in infants. Most anal fissures heal within a few weeks with treatment for constipation, but some fissures may become chronic
COMMON CAUSES OF ANAL FISSURES
- Anal fissures can be caused by trauma to the anus and anal canal. The cause of the trauma can be one or more of the following:
- Chronic constipation
- Straining to have a bowel movement, especially if the stool is large, hard, and/or dry
- Prolonged diarrhea
- Anal stretching
- Insertion of foreign objects into the anus
- Other causes of anal fissures (other than trauma) include:
- Longstanding poor bowel habits
- Overly tight or spastic anal sphincter muscles (muscles that control the closing of the anus)
- Scarring in the anorectal area
- Presence of an underlying medical problem: such as Crohn’s disease and ulcerative colitis; anal cancer; leukemia; infectious diseases (such as tuberculosis);
- and sexually transmitted diseases (such as syphilis, gonorrhea, Chlamydia, chancroid, HIV)
- Decreased blood flow to the anorectal area
SYMPTOMS OF ANAL FISSURE
- Signs and symptoms include:
- Pain during, and even hours after, a bowel movement
- Blood on the outside surface of the stool
- Blood on toilet
- A visible crack or tear in the anus or anal canal
- Burning and itch that may be painful
- Discomfort when urinating, frequent urination, or inability to urinate
- Foul-smelling discharge
RISK FACTORS FOR ANAL FISSURES
- Factors that may increase your risk of developing an anal fissure include:
- Infancy. Many infants experience an anal fissure during their first year of life, although experts aren’t sure of the reason.
- Aging. Older adults may develop an anal fissure partly because of slowed circulation, resulting in decreased blood flow to the rectal area.
- Constipation. Straining during bowel movements and passing hard stools increase the risk of tearing.
- Childbirth. Anal fissures are more common in women after they give birth.
- Crohn’s disease. This inflammatory bowel disease causes chronic inflammation of the intestinal tract, which may make the lining of the anal canal more vulnerable
- to tearing
PREVENTION OF ANAL FISSURES
- For fissures in adults:
- Keep the anorectal area dry
- Wipe the area with soft materials, a moistened cloth, or cotton pad; avoid rough and scented toilet paper
- Promptly treat all occurrences of constipation and diarrhea
- Avoid irritating the rectum
Treatments available for Fissures :
- Surgical sphincterotomy — can cause fecal incontinence. This has led to the investigation of nonsurgical treatment options that avoid permanent damag
- with topical nitroglycerin and pneumatic dilatation — results are same as topical nifedipine and botulinum toxin injections
- The combination of nifedipine and botulinum toxin was superior to nitroglycerin and pneumatic dilatation.
- Ayurvedic Medicinal treatment for fissure —
- it is better compared to general treatment available for fissure as it have higher rate of healing and has success rate of above 99% for Anal Fissure Patients.
- Kshar Sutra Ligation — it has all the benefits of Surgical sphincterotomy without any risk and complication of incontinence , it is recommends only if the medicinal treatment is not responding like any other surgical process first choice is medicine.
AYURVEDA TREATMENT FOR ANAL FISSURES
- Ayurveda advises internal medication as well as topical ointment application in the treatment of anal fissures.
- To avoid further irritation to the damaged tissue, medicines which soften the stools and promote healing of the tissues are utilized.
- Ointments which are natural anti-bacterial and anti-septic are used for topical application.
- Our MsPak-B is best for fissure treatment as it a complete treatment with all possible way ans best result as compared other medicines available in market
- because we create the main medicine by own with max possible result .
- our patients most of the time healed with our medicinal treatment , only if 1% the fissure dose not heals within 2-4 month of treatment then i suggest for Kshar
- Sutra Ligation for Fissure as it dose not have any risk of incontinence like sphinctrectomy , and kshar sutra is safest process then any other processes.
COMPLICATIONS OF ANAL FISSURES
- Complications of anal fissure can include:
- Anal fissure that fails to heal. An anal fissure that doesn’t heal can become chronic, meaning it lasts for more than six weeks.
- Anal fissure that recurs. If you’ve experienced anal fissure once, you have an increased risk of another anal fissure.
- A tear that extends to surrounding muscles. An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter). This makes it
- more difficult for your anal fissure to heal. An unhealed fissure may trigger a cycle of discomfort that may require medications or surgery to reduce the pain and
- repair or remove the fissure.