A 35 yrs old male pt has suffering 3 7 11 o clock piles since 5 yrs..... symptom... mild pain and bleeding during defecation of stool. some time itching and burning sensation.. constipation. habits...smoking and drinking occasionally,hot desire of food..specially non veg ,mirch masala item. No DM htn..all reports r quite normal.... respected doctors plz share ur valuable opinion on did case....!

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Give hot water bath and any ointment contains jatyadi tail and tab. Arshoghni vati for time being than kharsutra finally
Very well suggestion sir..thank u so much sir
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Dear Dr Shah Prolapsed haemorrhoids Advised Kshara Sutra ligation With regards
Thank you doctor
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1) Kshar Sutra Till then 2) Mahalakshmi Vilas Ras 1 tab Arsh Kuthar Ras 1 tab. Bolbaddh Ras 1 tab. Kamdudha Ras Moti 1 tab b.d. 2) Kumari Asav No.1 10 ml Ushirasava 10 ml b.d.p.c. 3) Kasisadi Tail Locally 4) Navayas Loh 1 gm Triphala Guggullu 1 tab. b.d. 5) Proctosedyl H oint before and after defecation
Thank u so much for ur valuable opinion sir
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I treated this type of patient with medicinal managment without ksharsutra. You can use suranvatak Gandharva haritaki Raktasthambhak vati (dhutpapeshwar ) Aampachak vati Avghah swed with warm water. Arsha hita ointment LA. Sos matra basti with chandan bala lakshadi oil
Thank u sir
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Initially Give Proper Laghurechak like Triphala-Nishottar. Arshakuthar 2 TDS, Takrarishta no 2, 15 ml BD, and Shankh Vati 2 BD. If patient not ready for Kshaar sutra, give Basti with Yashti tel, Karanj tel, Neem tel, Kasisadi tel for 10 days..
Thank you doctor
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Prolapse of Haemorrhoid with old heal Fissure Pt need KSHARSUTRA LIGATION Triphala gugulus 2 bid , Hilo tab Zuventus 2 bid for 21 day If Homoeopathic treatments, Thuja Occidentalis Q 15 drop TDs Alumina Q daily 15 drop bid
Thank you doctor
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Suran vatak and a good virechak formulation for relieving constipation.. Gandhak rasayan for antibacterial coverage. Arogyavardhini for samprapti vighatan. Jatyadi ghruta/ tail for local application.. KS ligation can be done.
Thank u much for ur valuable opinion sir
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Drakhasav + kumari asav no. 1 both 4 tablespoons each mix with 16 spoon water add after both meal Kankayan vati 3 tablet bid with water before both meal Aragwadha chura 3 gm before dinner for 4 weeks
Thank you doctor
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Classical Presentation of Arsha.... Perfect case for KS Ligation... Go with routine Investigations and then plan for KS Ligation..... Good Luck @Dr. P. G. Shah sir
Thank u so much for ur valuable opinion sir
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First treat with medicine Arsha kuthar rasa 1bd Triphala gugulu 1bd Panchasakar churna 3gm one time in nt Abhayarista if needed Hot water tub seka Any ointment ,jatyadi oil
Thank you doctor
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