AYURVEDA TREATMENT OF ANO-RECTAL DISEASES
By Dr. Suneet Arora, Ayurveda Physician & Surgeon

COMMON ANO-RECTAL DISEASES are:
Haemorrhoids / Piles / Arsh:
Anal Fistula / Bhagandar
Anal Fissure
Pilonidal Sinus

Haemorrhoids / Piles / Arsh:
Piles, as it is commonly called are of 2 types and 4 stages
2 types of Piles are external and internal piles. External  piles are visible and palpable to touch, may pain or bleed or have no symptom. Internal piles generally present as bleeding with/ after stools as fresh blood droplets/ stream. In long term, untreated bleeding pile may cause severe anemia.
4 stages are asymtomatic, slightly protruding piles that retract itself, protruding piles that are retracted by finger manupulation, and protruding pile that can not be retracted.

Anal Fistula / Bhagandar:
Fistula is presented as chronic pus oozing boil near anus on the buttocks, that may be painful to touch. With antibiotic and pain killers, it subsides temporarily only to recur again and again. Chronic untreated fistula may lead to cancers in some cases.

Anal Fissure
If there is pricking pain during passing stools, you may be suffering from Anal fissure.

Pilonidal Sinus
It also is presented as boils with oozing pus off and on.

Diagnosis of Ano-Rectal Diseases:
It is best done by a physician in clinic by examination, PR (per rectal) finger examination, Proctoscopy examination. Advance tests as colonoscopy and CT/ MRI scan can also be done to confirm diagnosis.

AYURVEDA APPROACH TO ANORECTAL DISEASES:
A central tenet in Ayurvedic medicine is the idea that there are three doshas, or body types: pitta, vata, and kapha. Each dosha relates to a specific element — fire (pitta), air (vata), and water (kapha) — and a person with one dominant dosha will display physical or emotional characteristics consistent with that element.
The ultimate goal in Ayurveda is to balance each dosha. This is done through a combination of diet, lifestyle modifications, and herbal remedies.

Types of hemorrhoids according to dosha

In Ayurvedic belief, your dominant dosha determines the type of hemorrhoids you may be experiencing:

People who are pitta might tend to experience inflamed, bleeding hemorrhoids that are soft and red. Other symptoms include fever, diarrhea, and a feeling of thirst.
People who are vata may experience a high level of pain, constipation, and black hemorrhoids with a rough, hard texture.
People who are kapha may have poor digestion and hemorrhoids that are slippery, light or white in color, soft, and large in size.

AYURVEDIC TREATMENT OF PILES
Your Ayurvedic practitioner will evaluate your overall health to determine your dominant dosha before making treatment suggestions. It’s recommended that you speak to your doctor for proper diagnosis and treatment approach.

If you’re experiencing hemorrhoids and want to take an Ayurvedic approach to treatment, your options include:

1. Medication, or bhaishajya chikitsa

Most minor hemorrhoids can be treated with medication only. No other procedures are needed unless hemorrhoids are more severe. In worse cases, medications may be used in addition to procedures.

Your dosha will factor into the medicinal remedies your Ayurvedic practitioner chooses and any dietary or lifestyle changes they recommend you make in order to prevent recurrence. Some medications may not be suitable for your dosha, so follow your practitioner’s guidance.

2. Herbal application, or kshara

Kshara is a caustic, alkaline paste used to manage hemorrhoids. The paste is made of an herbal blend and has a cauterizing action. Kshara is applied to the hemorrhoid using a specialized device called a slit proctoscope. The paste then chemically cauterizes the hemorrhoid, which may have been open and bleeding.
In Ayurvedic medicine, this Kshara karma method is considered to be the best approach for treating hemorrhoids.
Depending on your dosha, you’ll be advised to take specific medications to balance your body as you recover. You may also need to make dietary or lifestyle adjustments to support healing.

3. Surgical intervention, or sastra chikitsa

Your Ayurvedic practitioner may recommend a therapy called kshara sutra. Kshara sutra uses special medicated thread to tie a hemorrhoid off at the base. This cuts off the blood supply to the vein, allowing the hemorrhoid to shrink over the next 7 to 10 days. It will shrivel and detach on its own. This more invasive approach will be considered only when other treatments are not effective. 
Your Ayurvedic practitioner will consider your dosha when it comes to treatment. You might need specific herbs to support postoperative healing. It’s also possible you may need to make some permanent changes in diet, exercise, and other factors to avoid future hemorrhoids.

4. Cauterization, or agnikarma

External hemorrhoids can be cauterized using infrared heat. Your Ayurvedic practitioner might offer burning off the hemorrhoids. Cauterization will produce some pain.
This kind of therapy might require five to six treatments over the same number of weeks before it makes a difference. Once again, your dosha will be taken into account before treatment. There is potential for increased pain or infection with this procedure. Talk to your doctor about ways to reduce your risks and ensure this is appropriate for you. Safer Western approaches to treatment might be better.

Side effects/ Risks of ayurveda treatments

Fistula is a painful and persistent anorectal condition that requires specialized treatment. While conventional surgical methods are widely used, Ayurvedic Kshar Sutra Therapy has emerged as a natural, effective, and minimally invasive alternative. This treatment, rooted in Ayurveda, has been successfully used for centuries to treat fistula and related conditions like piles and fissures.

At Sampoorna Kayakalp Ayurveda Center, we specialize in Kshar Sutra Therapy, offering a safe and successful solution for fistula patients.

In this article, we will explore how Kshar Sutra Therapy works, its benefits, and why it is a preferred choice over surgery.

Understanding Fistula: What You Need to Know
A fistula is an abnormal tunnel that forms between the anal canal and the skin near the anus. It is usually caused by an infection that develops into an abscess, which, if not treated properly, leads to fistula formation.

Common Symptoms of Fistula:

 Persistent pain in the anal region
 Pus or blood discharge
 Swelling or redness near the anus
 Recurring abscess formation
 Irritation and discomfort while sitting

Fistula does not heal on its own and requires proper medical intervention. Traditional surgical procedures have high recurrence rates, whereas Kshar Sutra Therapy offers a permanent cure with minimal risk.

What is Kshar Sutra Therapy?
Kshar Sutra Therapy is an Ayurvedic para-surgical treatment for fistula, fissures, and piles. It involves using a medicated thread coated with herbal alkaline substances (Kshar), which helps in healing and cutting the fistula tract gradually.

How Kshar Sutra Works:

Insertion: The medicated thread (Kshar Sutra) is carefully inserted into the fistula tract.
Healing Process: The herbal-coated thread continuously releases medicinal properties that help in draining pus, cutting through unhealthy tissue, and promoting new tissue growth.
Thread Replacement: The thread is changed weekly until the entire tract is removed and replaced by healthy tissue.
Complete Recovery: The patient experiences gradual healing without the need for major surgery.

Why Choose Kshar Sutra Therapy at Sampoorna Kayakalp Ayurveda Clinic?
At Sampoorna Kayakalp Ayurveda Clinic, Dr. Suneet Arora has been doing Kshar Sutra treatment for last 25 years and have treated hundreds of patients with no complications.
We specialize in advanced Ayurvedic treatments for piles, fissures, and fistula, offering Kshar Sutra Therapy as a proven and effective solution.

Benefits of Kshar Sutra Therapy:

Minimally Invasive: No need for major surgery or deep cuts
Low Recurrence Rate: More effective than conventional surgery
Faster Healing: Promotes natural healing of tissues
No Risk of Incontinence: Unlike some surgical procedures, Kshar Sutra does not damage the anal sphincter muscles
Outpatient Procedure: Patients can go home the same day and continue daily activities

Note:
Treatment kit for ano-rectal diseases can be delivered to your doorstep after online consultation.
For online consultation,
Call 0161-5028269; Whatsapp +91 7589001373; e mail: [email protected]