A 35 yrs old male pts has suffering to prolapse hemorrhoids since 5yrs. symptom...excessive pain and bleeding during defecation of stool. burning sensation constipation irritation when working time. habits....daily alcohal intake and smoking in past... but still stopped all d habits..... all reports are normal.....respected drs plz share ur valuable opinion on did case.

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Beat option crayo surgery 1 tab tirfala gogal two bd 2 Sahar p 9 cap two bd 3 p 9 oil use for anus 4 syp abhyarisht 20 ml two time daily 5 sheikh Pachan churan one tea night 6 aap guda k ander baruf ka pes din m do bar rakho

Super case of prolapsed pile mass 3 7 & 11 'o' clock are in a good visible kst needed for this but during procedure u must plan why because after kst pt may go for ARF BECAUSE OF MORE PAIN.ALL THE BEST SHAH

Thank u so much for ur valuable opinion sir.
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कशी

कासिशादी तैल त्रिफलगुग्गल 2 bd रोग्यवर्धनी वटी 2 bd कंकायंन वटी 2bd कामदुधा रस 2 bd अभयारिष्ट

Best case for KS ligation Additionally you can give Pathyapathy Satwik aahar vihar Gandharvharitaki Abhayarishta Kanchanar guggulu Kankayan vati Arshakuthar ras Suranvatak

Thank u so much for ur valuable opinion sir
1

Avi pattikar Arshnashak bhasm Raktbol Ajmodadi churna Virechak churn Arshkuthar ras Bolvadh ras Chitrakadi vati

Thank u sir
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Proleps piles Rx 1) erandbhrusht haritaki 2 hs 2) trifala guggulu 2 bd 3) arshoghni vati 2 TDs 4) hot seat bath 5) ksharsutra ligation

Thank u sir
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Thanks @ @Dr. P. G. Shah to share this kind of case. This is well known prolapse internal hemorrhoids. This is the best case for Ksharasutra ligation. Apart from this patient should must be quit or reduces smoking and drinking habits. Line treatment is : 1. Sitz bath after defecation. 2. Jatyadi tail enema 2ml before defecation. 3. Panchasakara Churnam 3gm twice a day. 4. Arogyavardhini Vati 1tab twice a day. 5. Guduchi cap 1cap twice a day. Hope this procedure and medications may be helpful.

Thank u so much for ur valuable opinion sir.
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Ligation is most important but 1st. Of all t/t is continue for remove the nidan b/c ligation is not remove the cuses

Thank u sir
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Bleeding piles

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