A 32 yrs old male pt has suffering anal fissure and internal bleeding piles since 3 yrs... symptoms... mild burning sensation and bleeding during defecations of stool. constipation some time getting pain. occupation.. government bus driver. habits...hot desire of food and heavy smoking reports..all normal.... respected drs plz DX and share ur valuable opinion on did case.

3 Likes

LikeAnswersShare
Sir, As anal fissures are associated with internal piles, so we have to keep the pt. On conservative management then after healing of Anal fissure you can opt. for KS- ligation for internal piles. Regarding Conservative management, you are the best Ayurvedic Proctologist on Curofy , what Can I advise ? But Curosity compels the mind to write on Management , So I have tried my best on below - 1. Nidan Parivarjanam ( Avoid Constipation, long term sitting on hard surfaces, avoid hotel foods, drink sufficient water, balance the Agni and Apan Vayu ) 1. Kankayan vati 2. Bolabaddha Rasa / Aayapan Vati 3. Chirubilwadi Kashayam Dashamoola Kashayam 4. Mustakarishtam or Rohitakarishtam 5. Jatyadi tailam or Yashtimadhu siddha ghrita to heal the fissure rapidly 6. Pathya - Apathya palan
Totally agree....sir
1

View 4 other replies

Advice for Anal Dilatation few sittings Triphala Guggulu 1tab BD Panchatikta Ghrita Guggulu 1 tab BD Arogyavardhini Vati 1 tab BD Jatyadi Tailam 5ml P/R twice in a day Sitz bath with luke warm water and Sphatika Bhasma SOS Then Plan for KS Ligation @Dr. P. G. Shah sir
Thank u so much for valuable opinion sir
1
Anal fissures Please avoid alcohol and tobacco and fast food Use this medicine 1 tab tirfala gogal two bd 2 tab arogay verdhni vati two bd 3 cap p 9 two bd 4 sheikh Pachan churan one tea spon ate night 5 syp abhyarisht 10 ml two time daily 6 p 9 oil use for anus
Fissures bleeding inturnal piles is common due to constipation , Abhayarist30 ml with coster oil 10 ml mixed N BD, kashisadi tail Pichu Apply BD, Arshkuthar Ras 2 BD Sutsekhar Ras 1 BD Arogyabardhani bati2 BD, Gandharv haritaki2 BD with warm water is helpful sir.
Correct sir.... unless we treat constipation and passing of hard stool, the success in treatment of anal fissure and piles are doubtful. ...
0
avoid spicy food 1.abhyarista 40 ml. bd with equal water after meal. 2.panchamrit parpatti 500 mg 3.bolbadhra ras 2 bd 4.arshkotahr ras 2 bd 5.arshohan vatti. 2 bd jatyadi ghrat for l/a before defaecation and after sitz bath. sitz bath
DEAR DR SHAH ACUTE FISSURES WITH HAEMORRHOIDS. CONSERVATIVE FOR HAEMORRHOIDS. DILATATION FOR FISSURES. THANKS WITH REGARDS
Thank u sir
0
Anal fissures associated with internal piles,Nit acid,retanhia, Collensonia is helpful medicine according to similimum
Thank u so much for ur valuable opinion sir
0
Nothing left by@Dr. Niranjan Ram . Agreed. Conservative management will resolve the problem.
Thanks Sir...for your kind words.
0
Fissure with internal pile mass go for dilatation apply kshara or ksharasutra for pile mass.
Thank u sir
0
Ratanha Q daily bid Sedem acre Q daily bid Collinsonia canadensis Q bid
Right along with this plz prescribe Acidum Nitricum 30 bd for a week
0

View 1 other reply

Load more answers