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Anorectal

Ayurcure | Ayurvedic Treatment for Piles in Delhi

Ayurvedic Treatment for Piles in Delhi

Looking for the best ayurvedic piles treatment in Delhi? Why not first understand the various ayurvedic piles treatment approaches.

Piles or Hemorrhoids are lumps found in and around your anus region. It can be either internal or external. Some indications of hemorrhoids include:

  • bleeding around the anus while passing stools
  • itching around the bottom (anus)
  • painful bowel movements
  • swelling veins around the anus

If you’re experiencing any of the above symptoms, It’s very important to consult with our piles’ specialist doctor to rule out your piles’ problems. Piles ayurvedic doctor recommends over-the-counter medicines if not severe. Serious hemorrhoids will require best piles treatment

There are a few ayurvedic remedies for Piles that you could try which are mentioned below:

Ayurvedic Treatments for Piles (Hemorrhoids)

People looking for ayurvedic treatment for piles expect herbal remedies and minimal invasive procedures for their piles treatment.

Sushruta Anorectal Institute is providing life changing piles treatment and uses time tested ayurvedic principles, procedures & formulations on scientific parameters with the help of latest available technology.

Dr. SK Singh, the best piles ayurvedic doctor will evaluate your problem and recommend the proper treatment approach. If you’re looking for ayurvedic treatment, your options include:

1. Medication, or bhaishajya chikitsa

If the piles are not severe, we can treat it with medication only. No other procedures are required with minor hemorrhoids.

Our piles specialist will further guide you with some dietary or lifestyle changes in order to prevent recurrence.

2. Herbal application, or kshara

Kshara is caustic and alkaline paste used to treat piles. The paste has herbal properties and a cauterizing action. Kshara is applied to the hemorrhoid which chemically cauterizes the hemorrhoid, which may have been open and bleeding.

In Ayurvedic medicine, this Kshara karma approach is considered to be the best method for treating hemorrhoids. Also, you may need to make lifestyle or adjustments to support healing.

3. Surgical intervention, or sastra chikitsa

Kshar Sutra is performed by coating a surgical linen thread with high potency ayurvedic herbs. The patient is anesthetized and the surgical linen thread (called the Kshar Sutra) is passed through the external opening of the fistula to its inside and the probe is then carefully taken out with the Kshar Sutra intact. After this, both ends of the Kshar Sutra are tied together and replaced with a new one after a week. Because of this procedure, the tract is eventually cut and healed by the removal of unhealthy tissue. This controls the microbial infection and facilitates drainage of pus in the tract aiding in healing. Source –  NHP India

To avoid recurrence of Piles, you may need to make some permanent changes in diet, exercise, and other factors.

While this procedure is considered minimally invasive, it involves risk too. Consult our licensed best hemorrhoid doctor for advice.

4. Cauterization, or Agni karma

Our piles ayurvedic doctor cauterized your external hemorrhoids using infrared heat. It may cause you some pain and this ayurvedic treatment for piles requires five to six treatments over the same number of weeks.

Do Ayurvedic treatments for piles work?

Our piles doctor has successfully treated piles patients using ayurvedic techniques.

One reputed study evaluated around 30 people that are experiencing piles. Application of kshara paste for seven days resulted in the shrinkage of their piles. Also, they have not experienced side effects or any adverse effects. At last, researchers concluded this piles treatment would be most effective for first and second-degree hemorrhoids.

Also, in another case study of kshara chemical cauterization, within 21 days the patient was symptom-free and experienced no adverse effects or complications. One case study isn’t enough to say cauterization is safe, however.

Sushruta Anorectal Institute (Best Clinic for Ayurvedic Treatment of Piles in Delhi)

This piles clinic is headed by one of the best ayurvedic doctors in Delhi who uses time-tested ayurvedic principles in treating piles patients. Apart from this, we specialize in providing various anorectal treatments like Fistula treatment, Fissure treatment, Prolapse rectum, Pilonidal Sinus treatment, and non-healing wounds, etc. without surgery.

Ayurvedic piles treatments appear to be safe and effective but it’s important to carefully consider the risks and benefits of the procedure.

Book your first appointment with us and see the results yourself.

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Anorectal

Fistula in Ano- Challenge for Modern Surgery but curable by Ayurveda Ksharsutra Treatment.

Fistula in Ano - Challenge for Modern Surgery but curable by Ayurveda Ksharsutra Treatment

Anal Fistula

Anal Fistula is a disease for which different methods of treatment have been advocated time to time, Even today when we are talking about robotic surgery, this disease has no satisfactory method of treatment in modern surgery. The various methods of treatment like video assisted anal fistula treatment (VAFT) MAFT, LASER, glue , cutting ceton etc are not satisfactory due to high incidences of recurrences after the surgery.

In Ayurveda, about 2000 yrs ago Acharya Sushruta has indicated Kshar Sutra treatment for fistula-in-Ano. Late professor P J Deshpandey at faculty of Ayurveda Institute of Medical Sciences B H U, had done extensive research in this field and established a treatment module to cure this disease. In 1990, Indian council of medical research has clinically evaluated this ayurvedic treatment module at four premiere institutes in our country including AIIMS Delhi & P G I Chandigarh . Subsequently it was concluded by I.C.M.R. that, Ksharsutra treatment is more effective & convenient as compared to modern surgery in the patients of fistula in ano.

Ksharsutra Treatment

Ksharsutra is a thread coated with certain ayurvedic medicines known for their antiseptic, debridement & healing properties. After UV sterilization this medicated thread (ksharsutra) is used under complete aseptic precautions in the patients. The patient is routinely investigated with special reference to any other associated disorder like hypertension, diabetes mellitus, tuberculosis etc. The next step lies In the proper identification & evaluation of the fistulous tract. It is mandatory to define the fistula tract wrt its depth, direction & branching pattern. This may be achieved by careful probing under expert hands using malleable probes & if required help may be taken from other investigations methods like x ray fistulogram or mri fistulogram. Once the tract has been clearly defined the ksharsutra is placed in it with the help of certain instruments, under local anesthesia. This entire procedure is usually completed in ten to fifteen mins. As there is no cutting of tissues hence no bleeding, no pain & patients can go home after half an hr rest in the day care room. The medicine coated on the thread is gradually released in the tract. The cumulative effect of the coated drugs exerts a powerful debridement effect on the fistula tract & induces healing by the fresh & healthy granulation tissues. Thus kshara sutra is the mechanism of drug delivery precisely at the tissues involved. Every seventh or tenth day the old sutra is replaced with a new KSutra till there is a finale cut through. 

It has been observed that the tract heals @ 0.5-1 cm per week. The postoperative complications like recurrence of the disease, fecal incontinence, bleeding is not seen with kshara sutra treatment. Further this therapy is performed as an OPD procedure. No general anesthesia & no hospitalization is required. Patient maintains his normal routine activities as usual during treatment period.

Sushruta Ano Rectal Institute (Ayurcure)

 At Sushruta Ano-Rectal Institute, we have been working on this disease including Piles, Fissures & Pilonidal Sinus treatment for the last 15 years. Here we have developed the concept of Graded Kshar-sutra which has given us a more effective & convenient way to treat anal fistula on record,  At Sushruta Ano-Recta Institute institutes we have treated thousands of patients of anal fistula from different states incuding overseas patients. We have records to prove that the patients of high anal complex fistula, those have been operated two or three times but failed to heal were successfully cured at this institute.

This highly specialised treatment procedure is also used to treat various other diseases including Piles, Anal Fissures with sentinel tags, Pilonidal Sinus etc by Ayurvedic surgical specialist.

Dr. S.K Singh (Gold Medalist)
M.S. (Ayurveda) B.H.U.
Member – National Academy of Ayurveda (Govt of India)

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Anorectal

Top 10 Treatments for Fistula​

Top 10 Treatments for Fistula

Ksharsutra Treatment

It has been proved to be a highly effective treatment for Anal fistula. A Clinical trial was conducted by Indian Council of Medical Research (ICMR) in 1991 at various medical institute including All India Institute of Medical Sciences (AIIMS) New Delhi and PGI Chandigarh etc. to see the effectiveness of Ksharsutra Treatment. It was concluded that Ksharsutra treatment is more effective and more convenient as compared to surgery in the patient of Anal Fistula. With the latest concept of Graded Ksharsutra (Sushruta Anorectal Institute; New Delhi), the chances of recurrence after Ksharsutra treatment are predictably zero.

Ksharsutra is a medicated thread which is prepared by coating of certain herbal latex with herbomineral powders. The thread is alkaline in nature and it has highly selective debridement property. The fistulous tract is properly defined using MRI fistulogram or clinical probing and then with the help of certain instruments; the thread is placed in the fistulous tract. The medicine is gradually released in the tract from the thread and do the necessary debridement of the fistulous tract. The thread is changed at weekly interval till there is a final cut through and the tract has healed completely. So here it is the medicine which debrides the fistula and ensures complete healing. The thread is just working as a vehicle for drug delivery in Fistula Tract. The anal fistula patient in whom fistula has recurred after Fistulectomy/ Colostomy/ Glue/ MAFT/ VAAFT; these patients have been successfully treated by Graded Ksharsutra. The treatment is equally effective in the case of complex high anal fistula (Supra levator/ trans sphincteric/ horseshoe shaped multiple tracts).

Other Fistula Treatments

  1. Lay-open of fistula-in-ano: In this procedure; an operation is carried out to cut the fistula open. After that, it is regularly packed on daily basis to ensure proper healing of the wound. It left’s behind a scar tissue and depending upon the location of Fistula in relation to sphincter muscles there might be some risk of stool incontinence and if it is not healed properly; there are chances of recurrence.
  2. Cutting seton: This treatment involves inserting a tube in fistula tract and tying it outside the body. Seton is tightened on regular basis to ensure cutting the fistula tract. So it is the tightened seton which causes cutting of tract. This procedure might involve too much pain and in some cases, there might be incontinence especially of flatus.
  3. Fistulectomy: It is a surgical procedure where complete Fistula tract is excised (cut out). In certain cases; there might be more than 1 surgery. Recurrence of fistula and stool incontinence are the possible post-treatment complications.
  4. Colostomy: In this procedure; an opening is made by drawing part of the colon through an opening to the anterior wall of the abdomen. A Stoma appliance is fixed to this opening to make an alternate way for stool to leave the body. This procedure is done to avoid contact with the faecal matter with Fistula assuming that it will lessen the chances of infection and fistula will heal easily. Along with recurrence of fistula and incontinence, there are certain other complications in this procedure like the formation of hernia near Stoma opening, Stomal blockage; another fistula formation near Stomal opening etc.
  5. Fibrin glue injection: In this procedure; biodegradable glue is injected into the fistula tract which is supposed to close the fistula and let it heal naturally. The recurrence rate in Fibrin glue injection is as high as 30-35%.
  6. Fistula plug: This treatment involves plugging the fistula tract from inside with a plug made up of intestinal tissue. The complication in this treatment involves treatment failure, plug extrusion, abscess at the site of plug etc.
  7. Endorectal advancement flap: In this procedure; an internal opening of Fistula is identified and a mucosal flap is cut around the opening and opening is closed with this flap. After that external opening is cleaned and sutured. The main complications in this treatment are the failure of treatment and recurrence of fistula.
  8. LIFT Technique: Ligation of Intersphincteric Fistula tract procedure; involves the closure of internal opening of Fistula tract and removal of infected tissue. Recurrence of Fistula is the main complication in LIFT procedure.
  9. VAAFT (Video-Assisted Anal Fistula Treatment): With fistuloscope fistula tract is visualized and location of an internal opening is confirmed. After that internal opening is closed using stapler or flap made from a layer of skin and the internal layer of the intestine. Disadvantages of VAAFT include reopening of the internal opening leading to failure of treatment and recurrence of fistula.

In case you have a concern or query you can always consult with us & get answers to your questions. Book An Appointment for Fistula Treatment!

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Anorectal

Complete Treatment for Piles (Hemorrhoids) Without Surgery

Complete Treatment for Piles (Hemorrhoids) Without Surgery

Piles are engorged rectal veins with venous blood. Depending on the level of engorgement piles are classified in different stages.

  • In the first stage, painless bleeding is the only presenting sign. There is no visible mass protrusion.
  • If piles are not treated at this level; pile masses start bulging out of rectum during defecation. After defecation; pile mass reduces by its own. This is called the second stage of piles. At these stages correction of dietary habits, some exercise and kshar karma will benefit.
  • Further, increase in pile mass size makes the manual reduction of pile mass necessary i.e. Pile mass does not go inside by itself. This is the third stage of internal piles. After manual reduction; pile mass remains inside the rectum.
  • If piles are not treated at this level also; then Pile mass remains permanently outside the rectum. A manual reduction will also not work and protruding pile mass creates a problem in day to day activities like moving or walking.
  • In third and fourth degree of piles; Ksharsutra ligation of pile mass is necessary. This ligated Ksharsutra blocks the blood supply of pile mass and with the effect of medicine-coated on Kshrasutra within 10-15 days piles mass fall down on its own. Ksharsutra ligation of Pile mass is done as an OPD procedure. There is no necessity of hospitalization or bed rest in this treatment.

So Ayurveda assures complete treatment for piles at all stages of piles. No recurrence is observed in this treatment.

Dos and Don't for Piles Problem:

  • Take plenty of fluids; 
  • Take adequate fiber-rich food items; 
  • If needed you can take some laxative occasionally (under supervision of Ayurvedic physician)
  • Do not go for defecation if you are not feeling urge for defecation
  • Do not strain too much while defecation
  • Do not sit for long during defecation. Maximum of 5 minutes for defecation.
  • Maintain active daily routine.

In case you have a concern or query you can always consult with us & get answers to your questions. Book An Appointment for Piles Treatment!

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Anorectal

7 Important Things You Must Know About Anal Fistula

7 Important Things You Must Know About Anal Fistula

Fistula-in-ano generally cause discomfort due to pus or watery discharges and sometimes pain. This is a condition where a nodular swelling appears in the area surrounding the anal opening. Intermittent pus discharge is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes of this condition. 

Seven important things you should know about the Anal Fistula:

  1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Fistula which include Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have a pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Fistula.
  2. There are symptoms you can look out for: Some of the symptoms that indicate Fistula include appearance of a nodular swelling in area surrounding stool pass area. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and the patient feels relief. But after a certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of Fistula.
  3. Medication can only provide temporary relief: Antibiotics and painkillers might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding stool pass opening. 
  4. Anal Fistula can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Fistula.
  5. Anal Fistula treated by Graded Ksharsutra does not recur: Ayurvedic treatment for Fistula is known as Ksharsutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induce healing of the Fistula tract. In a few weekly sittings of Ksharsutra change; Fistula gets healed completely and it does not recur. Patient can maintain his normal routine life during the treatment period.
  6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection.
  7. Oily and spicy foods should be avoided: When dealing with Fistula, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Ksharsutra vs Surgery in Fistula Patients-

  • Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia.
  • Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding.
  • No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must.
  • In Ksharsutra; patient can continue his normal daily routine.
  • Complications like incontinence (inability to hold stool) and recurrence are seen after surgery.
  • Ksharsutra is a safe procedure and these complications are not seen.
  • Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.

In case you have a concern or query you can always consult with us & get answers to your questions!

Read about: Painful Piles – Why You Should Not Ignore Them?

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