by Dr.Dheeraj Yadav | Oct 31, 2018 | Ayurveda, Fistula, Kshar sutra |
100% Permanent Cure of Fistula in Ano through Kshar Sutra
Kshara Sutra is utilized in the treatment of fistula in Ayurveda.
KSHARA SUTRA
Reimbursement and Cashless TPA Health Insurance for the Process Of Kshar Sutra is available now. In NCR, Ghaziabad and Noida
E-mail: info@msarogyam.com Ph:+91 – 9219434343, Mo:+91 – 9412637645,
Kshara Sutra is a seton thread medicated with organic alkalis,such as Apamargakshara(Achyranthesaspera), Arkakshara(Caltropisgigantea) or Snuhikshara (Euphorbia lingularia). The alkali is repeatedly coated on the seton thread 15 – 21 times. Apart from this, natural antibiotic like haridra powder, guggulu, etc are also used to make Ksharasutra.
The mechanical action of the threads and the chemical action of the drugs coated , collectively do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. This also acts both as the antiseptic and fibrotic agent to induce healing.
The process of healing starts from deeper tissues and moves towards the periphery. This can be applied and changed periodically till the thread cuts the fistulous tract. Since the sphincter heals by fibrosis, there is no incontinence.
Under local anaesthesia, the kshara sutra is inserted into the tract and the two ends of the thread are tied forming a loop. The alkalis coated on the thread are continuously released throughout the length of the track there by cutting, curetting, draining cleansing and healing the track.
This therapeutic action of the thread lasts for seven days. The old thread is then replaced with a new thread following the same procedure.
Depending on the length of the tract and the extent of damage, the kshara sutra may be changed up to 5 times. The changing of the thread is a simple procedure taking about 1 to 2 minutes and requires no anaesthesia.
BENEFITS OF KSHARA SUTRA
The procedure does not require hospitalization for more than 4 to 5 hours
The patient requires minimal bed rest and can resume daily activities within 12 – 24 hours
No painful dressings required
The drugs coated on the Kshar-Sutra are slowly and gradually released into the track and the wound, leaving no abscess overseen. These abscess are drained out by the action of the drugs.
The sphincteric muscles are not dissected and hence the possibility of incontinence is ruled out.
COMPLICATIONS OF FISTULA
Depending on the effectiveness of the treatment, fistula may result in infection or incontinence of stools.
RECURRENCE OF FISTULA
The re-occurrence rate of fistula treated with kshara sutra ligation procedure is less than 2%. 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 undrained.
In some cases, the fistula can reoccur despite having surgery. After having a fistulotomy, the re-occurrence rate rises to 21-60%. After an advancement flap procedure, the re-occurrence rate may be as high as 36% some says 60%.
Only and Only Kshar-Sutra is the worldwide recognized process for Fistula-in-ano for 100% treatment with an 99.96% accuracy as compared to other process .
आयुर्वेद का क्षार सूत्र अथवा क्षार कर्म द्वारा भगन्दर का सटीक इलाज हो जाता है, इसके लिये किसी expert क्षार सूत्र चिकित्सक की सेवायें लेना चाहिये
Reimbursement and Cashless TPA Health Insurance for the Process Of Kshar Sutra is available now. In NCR, Ghaziabad and Noida
E-mail: info@msarogyam.com Ph:+91 – 9219434343, Mo:+91 – 9412637645,
by Dr.Dheeraj Yadav | Jun 18, 2018 | Ayurveda, Fissures Gallery, Hemorrhoids, Kshar sutra, Piles, Piles Gallery |
PILES/ HEMORRHOIDS : Kshara-sutra treatment
PILES/ HEMORRHOIDS Causes
- Secondary causes
- Primary causes
- Anatomical factors
- Dietary habits
- Pregnancy
- Faulty habits of defecation
- Diarrhea and dysentery
- Abdominal tumors
- Constipation
- Carcinoma of rectum
- Portal obstruction
- Heriditary
PILES/ HEMORRHOIDS CLASSIFICATION:
- A. In relation to site of origin
- 1. Internal hemorrhoids
- 2. External hemorrhoids
- 3. Interno-external hemorrhoids
- B. In relation to pathophysiologically
- C. In relation to pathological anatomy
-
- 1. Primary hemorrhoids
- 2. Secondary hemorrhoids
- D. In relation to facilitate the line of management
- 1. 1st degree hemorrhoids
- 2. 2nd degree hemorrhoids
- 3. 3rd degree hemorrhoids
- 4. 4th degree hemorrhoids
internal piles
- In case of internal piles due to hare stools, rectal veins are stretched and ruptured and bleeding occurs through them. After passing stool 10 ml – 30 ml blood flows out through anus. After few days, some fleshy part descends down which is reddish in colour and it goes in automatically.
External piles
- External piles have different symptoms. In this bleeding is not seen but fleshy out growth is seen in the periphery of the anus which is of skin colour or black. After sitting for long time or having non veg diet, this growth swells and pains and itching occurs. The person cannot walk properly. These piles can be one or more in number.
Merits Of Kshar-sutra :
- * No recurrence.
- * No incontinence.
- * No post-operative complications.
- * No daily dressings.
- * Low treatment cost.
- * No prolong hospitalization.
- * Patient can walk freely after an hour of treatment.
by Dr.Dheeraj Yadav | May 21, 2018 | Testimonials |
Testimonial :: Best Kshar-Sutra Treatent and Affordable in North-India By :: Ms-57613
I am giving MsArogyam 100 out of 100 point because of hospitality Treatment and most of all Privacy,i search all the places for kshar-sutra treatment and after 1-2 month of searching finally i decide to go to Dr.Dheeraj Yadav (MsArogyam Kshar-Sutra Center) for my treatment, They keep our privacy very seriously and we can hide our original name, they give us a code for all kind of communication , and at the end i wants to say thanks to Dr.Dheeraj Yadav for getting rid me from my years old suffering from piles and fissures .
Best Piles Fistula Center in North-India
by Dr.Dheeraj Yadav | Mar 31, 2018 | Ayurveda, Fistula, Kshar sutra |
Fistula-in-ano Classification Symptoms Treatment
WHAT IS AN ANAL FISTULA? Anal fistula, or fistula-in-ano, is an abnormal connection or channel like structure, between the surface of the anal canal and the exterior perianal skin.
Fistula-in-ano: An Ayurvedic Perspective
Bhagandara (Fistula-in-ano): An Ayurvedic Perspective
Definition of Bhagandara (Fistula-in-ano):
(Bhaga= Vagina, Darana= tear, spitting)
ते तु भगगुदबस्ति प्रदेशदारणाश्च ‘भगंदरा’ इत्युच्यन्ते ।
अभिन्ना: पिडका:, भिन्नास्तु भगंदरा: ।। (Su. Ni. 4/3)
This creates a tear in the area of Bhaga (Vagina), Guda (Anal canal & rectum) and Basti (Urinary bladder), so this is called Bhagandara.
Particularly, in the earliar stage when this is not open, called ‘Pidakaa’ (furuncle). Later on it will get burst and forms the Bhagandara (Fistula-in-ano).
Probable Causative Factors:
- Obesity
- Heavy diet
- Indigestion
- Suppression of natural urges
- Trauma
- Unhygienic condition
- Infection of the anal glands
- Worm infestation
- Ingestion of foreign bodies
- Excessive horse riding or bicycle riding
- Abrasion by stone, cloth and ground
- Constipation
- Excessive drinking of alcohol
- Straining
- Excessive coitus
Classification:
- According to Dosha Involvement:
- Ayurvedic classical texts have classified Bhagandara mainly in eight entities according to doshik involvement.
- शतपोनक भगंदर (Shatponak Bhagandara)- Vāta dosha dominance
- उष्ट्रग्रीव भगंदर (Ushtragriva Bhagandara)- Pitta dosha dominance
- परिस्रावी भगंदर (Parisravi Bhagandara)- Kafa dosha dominance
- शम्बूकावर्त भगंदर (Shambukavarta Bhagandara)- Tridosha dominance
- उन्मार्गी भगंदर (Unmargi Bhagandara)- Aāgantuja /Traumatic
- परिक्षेपी भगंदर (Parikshepi Bhagandara)- Vāta Pitta dosha dominance
- ऋजु भगंदर (Rhiju Bhagandara)- Vāta Kafa dosha dominance
- अर्शो भगंदर (Arsho Bhagandara)- Pitta Kafa dosha dominance
According to opening:
- Sushruta (School of Ayurvedic Surgery) again classified each type of Bhagandara according to its opening whether presents externally or internally. He used the terms,
- पराचीन (Parachina) or बहिर्मुखम् (Bahirmukham) – blind external and,
- अवाचीन (Avachina) or अंतर्मुखम् (Antarmukham) – blind internal.
According to modern contrive:
- According to modern texts, fistula-in-ano can be divided in two groups broadly, on whether the internal opening is below or above the ano-rectal ring respectively.
- Low level fistula
- High level fistula
- Low level fistula can be further subdivided into subcutaneous type, submucous type, intersphincteric type, trans-sphincteric type and supra- sphincteric type.
- High level fistula can be further subdivided into extrasphencteric or supralevator type, trans-sphencteric type and pelvi-rectal fistula.
Symptoms of Bhagandara (Fistula-in-ano):
- The main symptoms are boil around the anus, anal discharge and pain in anal region.
- Management (treatment) of Bhagandara (Fistula-in-ano):
- Local treatment:
- Aālepa (Paste of Ayurvedic herbal drugs)- for local application
- Upanāha (Warm poultice)- for local application
- Pariseka (Pouring of Ayurvedic decoctions)- for local application
- Swedana (Hot fomentation)- for local application
- Rakta vistravana (Blood letting)
- Varti application (Application of wick of cotton cloth mix with Ayurvedic herbal oils)
- General treatment:
- Follow the ‘Ayurvedic life style’ (look forward on the home page of this site)
- Apatarpana (Making the body thin by fasting)
- Vamana & Virechana (Ayurvedic Panchkarma Therapy/Ayurvedic Detoxification Programme)
Para-surgical procedures:
- Kshāra- sutra Therapy (Application of Alkaline Herbal Seton)
- Rakta mokshan (Blood letting)
- Agni karma (Thermal cauterisation)
- Kshāra karma (Application of Ayurvedic herbal caustics)
Surgical procedures:
- Bhedana karma- Fistulotomy
- Chhedan karma- Fistulectomy
Anal fistulae originate from the anal glands, which are located between the two layers of the anal sphincters and which drain into the anal canal. If the outlet of these glands becomes blocked, an abscess can form which can eventually point to the skin surface. The tract formed by this process is the fistula.
Ancient Ayurveda surgeon, Susruta has described five types of Bhagandara(Sataponak, Ustragriwa, Parisrabi, Sambukawarta, Unmargi). They have been classified according to the vitiation of the three doshas and the shape & site of the fistula tract.
CAUSES OF FISTULA?
- Anal fistulas commonly occur due to an anal abscess.
- An abscess is a collection of pus and infected fluid. An anal abscess usually develops after a small gland, just inside the anus, becomes infected with bacteria.
- A fistula may occur if an abscess has not completely healed, or if the infected fluid has not been entirely drained away.
- An anal fistula may also develop as a result of:
- a growth or ulcer (painful sore)
- a complication from surgery
- a congenital abnormality (a health problem that you were born with)
- Anal fistulae are also a common complication of conditions that result in inflammation of the intestines. Some of these conditions include:
- Irritable bowel syndrome (IBS): a chronic (long-term) disorder that affects the digestive system, causing abdominal pain, diarrhoea and constipation.
- Diverticulitis: the formation of small pouches that stick out of the side of the large intestine (colon), which become infected and inflamed.
- Ulcerative colitis: a chronic condition that causes the colon to become inflamed and can cause ulcers to form on the lining of the colon.
- Crohn’s disease: a chronic condition that causes inflammation of the lining of the digestive system.
SYMPTOMS OF FISTULA
- Anal fistulae can present with many different symptoms such as:
- Pain
- Discharge – either bloody or purulent
- Pruritus ani– itching around the anus
- Systemic symptoms if abscess becomes infected
DIAGNOSIS OF FISTULA
- Diagnosis is by examination, either in an outpatient setting or under anaesthesia. The examination can be an Anoscopy.
- Possible findings:
- The opening of the fistula onto the skin may be seen
- The area may be painful on examination
- There may be redness
- A discharge may be seen
- It may be possible to explore the fistula using a fistula probe (a narrow instrument) and in this way it may be possible to find both openings of the fistula
by Dr.Dheeraj Yadav | Feb 26, 2018 | Fistula, Hemorrhoids, Kshar sutra, Piles |
Home remedies for Hemorrhoids or piles
- Hemorrhoids or piles are swelling and inflammation of veins in the rectum and anus.
- Hemorrhoids are masses of tissue within the anal canal that contain blood vessels and surrounding tissue of support provided by the muscles and elastic fibers. Hemorrhoids can be internal or external.
- Long Constipation, pregnancy, tumors in the pelvis and chronic diarrhea and dysentery are some of the known causes of hemorrhoids.
- In Ayurveda, hemorrhoids are called as Arsha Shoola, which literally means “like needles pricking pain.
- This is indeed how the pain of hemorrhoids is felt. It is caused due to the disturbance of any of the three doshas.
- It is classified as a digestive disorder, accumulation of waste materials in the rectal area may lead to batteries.
- Chances that the batteries are augmented by other factors, such as sitting on hard seats, chronic constipation and pregnancy.
- Hemorrhoids caused by any of the three doshas,have different symptoms according to body type.
- 1. Vata type of Hemorrhoids : These piles are hard and darker in color, almost black. The pain is acute. Constipation is present.
- 2. Pitta type of Hemorrhoids : These piles are soft and reddish. The bleeding is present. Other symptoms are excessive thirst, fever and diarrhea.
- 3. Kapha type of Hemorrhoids : These piles are slimy to the touch. They are big and soft and whitish. The person has digestive problems.
Home remedies for Hemorrhoids or piles Causes and Ayurvedic Treatment
Symptoms of Hemorrhoids :
- hemorrhoid may protrude through the anus outside the body, not becoming irritated and painful.Symptoms of external hemorrhoids may include painful swelling
- In addition, excessive straining, rubbing or cleaning around the anus may cause irritation with bleeding and itching, which may produce a vicious cycle of
- or a hard lump around the anus that results when a blood clot forms in blood.
- symptoms.
- The most common symptoms of radiation from internal hemorrhoids is bright red blood in the stool, on toilet paper or in the toilet bowl. However, an internal
Causes of Hemorrhoids :
- Carrot (Daucus carota) :Carrots are effective in reducing bleeding hemorrhoids. They can be eaten raw or cooked form.
- Garlic (Allium sativum) : Garlic can stop the growth of bleeding piles. When maintained in contact with the battery, that is, rectum, then there is relief of the battery hemorrhage. Ideally, should be inserted high into the rectum to stay there overnight.
- Herbs useful in the treatment of hemorrhoids :
- Sitting for a long period of time may start the process of hemorrhoids. Hemorrhoids are also most likely caused by diet and straining on the toilet. Other factors that contribute to hemorrhoids include aging, heredity, bouts of diarrhea, using laxatives. For women, pregnancy is often a factor as the fetus puts pressure on the hemorrhoidal veins.
Home remedies for Hemorrhoids or piles Causes and Ayurvedic Treatment
Treatment for Hemorrhoids:
- Any food that is difficult to digest should not be consumed. These include fatty and spicy foods, red meats and rich desserts. Instead green leafy vegetables should be consumed in large quantities, as they have the necessary fibers required for proper digestion.
- Ayurvedic Treatment for Hemorrhoids have two concerns – one is to reduce the constipation that is associated.When constipation is under control, then the methods is used to reduce the pain of hemorrhoids. Application of sandalwood or sesame oil in the batteries can help in external cases. In order to reduce constipation other dietary items such as butter, buttermilk and green leafy vegetables is supposed to take by the patient. Traditional Ayurveda offers effective treatment for hemorrhoids.
- Dietary plan for hemorrhoids :
- Since hemorrhoids are usually caused due to low digestive fire, you must have a proper diet to prevent or treat disease. The following dietary guidelines must be followed: –
- The food which tastes bitter and astringent are better in the case of hemorrhoids. Foods with these tastes should form the bulk of the diet.
- Vegetables such as spinach, radishes, yams, carrots and okra are beneficial.
Home remedies for Hemorrhoids:
- Chebulic Myroblan: The fruit should be roasted to a brown oil custard, and then powdered and stored. Half a teaspoon of this powder at bedtime will bring normal bowel movements in the morning and the astringent property of the fruit cure piles masses.
- Dried figs: Three or four dry figs should be soaked overnight in water after being cleaned thoroughly with warm water. Should be taken first thing in the morning along with the water in which are immersed. In a similar manner. This treatment should be also taken at night and must be continued for 3-4 weeks.
- Ginger: Half a teaspoon of fresh ginger juice, mixed with one teaspoon each of fresh lemon juice and fresh mint juice and a teaspoon of honey, constitutes an effective medicine for piles.
- How to prevent hemorrhoids:
Changing your diet to include more bran or fiber and drink more water, changing bowel habits and exercise and not sit around for long.
- Jambul Fruit: The fruit should be taken with salt every morning for two or three months during the season.
- Onion: About 30gm finely rubbed with water and sugar added 60 gm. It should be taken twice daily by the patient.
- Radish: 100gm grated radish mixed with a teaspoon of honey can be taken twice daily in treating this condition.
- Rice: A thick gruel of rice mixed with a glass of milk and a ripe banana should be administered twice daily.
- Seeds handle: The dry powder mango seed should be given in doses of approximately 1 ½ to 2 grams with or without honey, twice a day.
- Sesame seeds: It may be taken as a seed decoction 20gm boiling in 500 ml of water until it is reduced by 1/3 or sweets. Ground to paste with water, can be given with butter for bleeding piles.
- Turnip: the juice from turnip leaves must be extract and about 150 ml is administered to the patient. However, you need to have a proper diet of raw fruits and vegetables while taking this juice.
Bitter gourd: Three teaspoon juice of bitter gourd leaves mixed with a glass of buttermilk should be taken every morning.
- Wheat grass: Wheat grass juice used as an enema helps detoxify the walls of the batteries.
Treatment —
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