Acute fissure with chronic constipation

38 yr old Male patient having pain and burning in anal region. It may be fissure . He got symptomatic relief after NSAIDS.Want to start Ayurvedic treatment for his condition. He is working in shift. sitting work.Not any proper time for sleep and meal. Appetite medium. C/o - Abdominal discomfort Gases Nausea Retrosternal mild pain Constipation 3-4 times in week Dryness of mouth White Coating over tongue Foul smell in mouth Having this symptoms since 1-2 yrs. Please kindly suggest quick effective treatment for this patient. Suggest medicine convenient to take in shift work.@Dr. Panchajanya Kumar Deevi @@Dr. Ritesh Kumar Srivastava @Dr. Hemant Adhikari

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रोगी अर्श से पीड़ित है। चिकित्सा संबंधी योग,,,,, कामदुधा रस मोती युक्त 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। अर्श कुठार रस 2 रत्ती सत गिलोय 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। पाइलेक्स किरीम गुदा में प्रवेश करने के लिए। अम्यारिष्ट 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं

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Maintain its Visham agni by deepniya dravya and treat arshrog (annal fissure) Mahamanjisthadi kwath Arshkuthar ras Arshognivati Panchsakaar churna Chaarsutra treatment

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Ksharsutra is best treatment Avippitkar churna Arogyavardhani vati Abhyaristha Panchsakar churna Vatgajankush ras Jatyadi tail Proper diet management

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Irregular Sleeping habits leads to Vishama Agni which is one of the major cause for Vibandha Right now you can advise him to drink adequate quantity of luke warm water throughout the day Hi-Ora Mouth Rinse and Brushing after every meal Add Maha Shank Vati 2 tab BD Drakshasava 20ml BD with equal quantity of water for atleast 3 months Avipattikar Churna/Pancha Shakar Churna/Erand Tailam SOS for Vibandha (As per the Koahtha)

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Sir.. Any history of blood stained stool? Till then Intake of lukewarm water twice Avipattikar churna 2tsf with luke warm water at night Abhyarishta 10ml twice Tb pilex Ointment pilex

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Amrittotharam kashaya for aam pachan Trivrutt avleha for mrudu virechan Pichu dhaaran with jatyaadi taila Ashkuthaar ras - rog pratyaneek Dhanvantram guttika - vaatanulomanaarth

Dushparshakadi kashaya + gandharvahastadi kashaya Abhayarishta + jeerakadhyarishta Advice sitz bath with Triphala kshaya + spatika bhasma ( 1pinch) Sathadhoudha ghritha for ext use

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Panchak medicine as his agni has been affected

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It may be a case of fissure

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