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    AYURVEDIC CASE DISCUSSION
Thursday, May 23, 2013  
 
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RECTAL ULCER

Patient X of about 25 years old complains of Extreme burning sensation during defecation which remains for about 4-5 hours even after defecation. Digital examination and proctoscopy revealed nothing significant. Colonoscopy report reveals a single rectal ulcer in rectal mucosa about diameter of 2-4 cms.
I have tried jatyadi ghrit (orally as well as in the form of vasti) and pittashamak chikitsa but no persistent result.
Ayurveda specialist doctors please share your own experience in treating such case. Thanks.


Posted By
Dr. Naveen Chauhan
ghaziabad
Monday, March 26, 2012
 
 

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Replies  : 24  /  Views : 817
Wednesday
May.30, 2012
12:46 AM
»


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Posted By
Dr.vineet&dr.monikaa Singh
varanasi


Monday
Apr.30, 2012
2:18 PM
»


Profile
Posted By
Dr. Naveen Chauhan
ghaziabad


Monday
Apr.16, 2012
2:05 AM
»
To give a surgical opinion,from a physician point of view it is quite a difficult task.
But, para-surgically I think this case of SRUS, can be managed with a varti prepared by dipping a sterile cotton gauze with chnageryadi ghrtam or the same can be used as a basti dravya.

Internally, the varanadhi kashayam may be thought of.

W.r.t homeopathy there is a wonderful remedy called Condurango which is indicated in intestianl ulcers.


Comments to Reply of Dr. Bhat. A. Rangaprasad
»   thanks a lot sir....
  
     dr. naveen chauhan  (Monday, April 30, 2012   2:11 PM)

 
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Posted By
Dr. Bhat. A. Rangaprasad
chennai


Friday
Apr.13, 2012
2:32 PM
»
Dear also check if patient is having excess heat in body (garam tehseer), give him "Body Cool" and "Colon Clean". we have treated many person with the same. drink lot of water a day. You can read more details on these from www.NaturalHealings.in good luck


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Posted By
Dr. Manjinder Singh
chandigarh


Monday
Apr.2, 2012
6:03 PM
»
use pitta virechak like kutaki & one more thing like Bhoonimb +kutaki +bhoomiamalaki Churna
ratio is like 80% +10%+10%It will cure all like problem of rectum & epigastrium
also check the thyroid function


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Posted By
Vaidya Virendra Kumar Verma
varanasi


Monday
Apr.2, 2012
6:02 PM
»
use pitta virechak like kutaki & one more thing like Bhoonimb +kutaki +bhoomiamalaki Churna
ratio is like 80% +10%+10%It will cure all like problem of rectum & epigastrium
also check the thyroid function


Profile
Posted By
Vaidya Virendra Kumar Verma
varanasi


Monday
Apr.2, 2012
6:02 PM
»
use pitta virechak like kutaki & one more thing like Bhoonimb +kutaki +bhoomiamalaki Churna
ratio is like 80% +10%+10%It will cure all like problem of rectum & epigastrium
also check the thyroid function


Profile
Posted By
Vaidya Virendra Kumar Verma
varanasi


Monday
Apr.2, 2012
5:44 PM
»
If this patient came to me i would prefer to put this patient strictly on cabbage juice and coconut water for 5 days and after that i prescribed swarn soot sekhar Ras and Kaamdudha Ras twice a day .


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Posted By
Dr. Arun Chaudhary
delhi


Wednesday
Mar.28, 2012
7:58 PM
»
Sir, its better to refer this case to Our Experts like T Divakar/ Praveen Kumar Sir.

This is best way to practice as i think.

Dont mind. Corret me if i am wrong.


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Posted By
Vd. Raghavendra Nadargi
solapur


Wednesday
Mar.28, 2012
1:16 PM
»
Thanks Drs. for your replies. I would like to know Is the disease/symptom called SOLITARY RECTAL ULCER SYNDROME curable with Ayurved????


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Posted By
Dr. Naveen Chauhan
ghaziabad


Wednesday
Mar.28, 2012
11:25 AM
»
1.Gandak rasayan 1 Tds
2.Avipattikar churna 3gm bd
3.Chirbilva gutika 2 bd
4.Abhayarisht 10ml bd


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Posted By
Dr.abhishek Chandge
chikhli


Wednesday
Mar.28, 2012
11:25 AM
»
1.Gandak rasayan 1 Tds
2.Avipattikar churna 3gm bd
3.Chirbilva gutika 2 bd
4.Abhayarisht 10ml bd


Profile
Posted By
Dr.abhishek Chandge
chikhli


Tuesday
Mar.27, 2012
11:18 PM
»
Respected Dr.chauhan,
*this is a case of prakrtika(anal fissure).
* if this is not treated in this stage then it will converted into piles.
* internal use of jatyadi ghrith is contraindicated .
* pls. give detail information of patient for ayurvedic management.



Comments to Reply of Dr. Ranjeet Kumar
»   No Dr. this is not a case of fissure. I had seen many patients of fissure and treated them. But this is the case of rectal ulcer.
  
     dr. naveen chauhan  (Wednesday, March 28, 2012   1:07 PM)

 
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Posted By
Dr. Ranjeet Kumar
patna


Tuesday
Mar.27, 2012
9:23 PM
»
Several times a day, sit in a warm sitz bath for 20 minutes. This relaxes the anal sphincter, reducing spasms and their associated pain.
- avoid constipation and diarrhea through diet and exercise.


Profile
Posted By
Dr. Ashish Luthra
moga


Tuesday
Mar.27, 2012
7:16 PM
»
use vardhara+bringraj kwath for seven days it will be helpful.


Profile
Posted By
Dr. Tushar
pune


Tuesday
Mar.27, 2012
10:42 AM
»
I am with Dr. Jinesh P. Mathews.More you can add Aaragwadham Kashayam to it.


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Posted By
Dr. Pradeep Kumar
jabalpur


Tuesday
Mar.27, 2012
9:35 AM
»
I THINK IT IS A PARIKARTIKA JANYA SHOOLA AND DAHA. ACC. TO MY OPINION GRITHA PANA IS ESSENTIAL INTERNALLY. MILD PITTASHAMAK LAXATIVES WILL HELPFUL. AND NIMBA TRIPHALA YASTHI DHAWTI SIDDHA TAILA MATRA VASTI. WITH PATHYA BHOJANA(NIDANA PARITYAG). INSHALLAHA WILL B HELPFUL


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Posted By
Dr. Imran J. Shaikh
solapur


Monday
Mar.26, 2012
8:11 PM
»
Dr. Naveen ji.

Here in this portal, nobody is specialist. Every Vaidya or doctor can suggest in Ayurveda way. U r also one of the portal members.

Use of dhamasa churna, nishottar churna, nimb patra churna, yashtimadhu churna is benefical.


Comments to Reply of Dr. Gandhi Sachin
»   NO sir. Dr. Shriniwas and Dr. Divakar Rao are the highly specialist Ayurveda surgeons for such (ano-rectal diseases).
  
     dr. naveen chauhan  (Wednesday, March 28, 2012   1:09 PM)

 
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Posted By
Dr. Gandhi Sachin
ahmednagar


Monday
Mar.26, 2012
8:04 PM
»
Jatyadi ghrita contains madhucista(bee wax),tuttha(copper sulphate) etc..so it is not advisable to give it orally.


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Posted By
Dr. Sunil Roy
nagercoil


Monday
Mar.26, 2012
8:00 PM
»
Dussparshakadhi kasm 15ml bd as it gud for pakwasaya gata vata and shoola.thikthakam gritham pitha samana,vrana ropana 1tsf bd.
Murivenna jathyadi taila mix matra basti 15ml as it shows gud results gor anal fissure..both as vrana ropaka and as lubricant.
Sits bath indicated.
Apathya paithika ahara vihara,


Profile
Posted By
Dr. Jinesh P Mathew
nadavayal


Monday
Mar.26, 2012
7:10 PM
»
Let us first make a correct diagnosis either it is Solitary Rectal Ulcer Syndrome or Anal fissure. If it is SRUS the treatment is same as that of Grahani if it is fissure then Jatyadi taila, Abhyarishta, Oint Pilex and Triphala guggulu will do


Comments to Reply of Dr. Praveen Kumar Choudhary
»   Sir I had come to Tibbia college and met you with this patient. Probably you remember. The colonoscopy is suggestive of Solitary rectal ulcer. I had tried all lines of treatments but no presistant result only temprory relief. Kindly suggest what to do next? Should I send patient to you?
  
     dr. naveen chauhan  (Wednesday, March 28, 2012   1:12 PM)

 
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Posted By
Dr. Praveen Kumar Choudhary
delhi


Monday
Mar.26, 2012
6:34 PM
»
HELLO DR. NAVEEN
I AM UNABLE TO UNDERSTAND USE OF JATYADI GHRUTAM IN THIS PATIENT.
USE SOME PITTASHAMK AND PITTA RECHAK AUSHADHIS, YOU WILL GET TRAMENDOUS RESULT IN A DAY OR TWO.
I SUGGEST YOU GIVE COMBINATION OF THESE MEDICINE-
TAB. AROGYAVARDHANI RASA2BD
TAB. CHIRVILVADI GULIKA 2BD
KUTAKI CHOORNAM 3GM BD
AVIPATTIKAR CHOORNAM 5GM BD
THIS HAS TO BE GIVEN BEFORE MEAL
DHANAJAYA VATI
2BD AFTER MEAL
WITH 20 ML OF ABHYARISTHAM.
ONLY DUGDHAHARA IS ADVISABLE FOR PATIENT IN NEXT 5 DAY.
CONTINUE TREATMENT FOR 21 DAYS.
WITH REGARDS
DR.S.BHARILL
9425613777


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Posted By
Dr. Saurabh Bharill
sagar


Monday
Mar.26, 2012
6:18 PM
»
**

1. r/o IBD/ Ulcerative colitis/Ch.constipation/use of suppositories
2.CEA?
3.warm sitz bath,fiber diet, more fluid intake,and stool softeners
.. ???? (??. ???) ????


Profile
Posted By
Dr. Munish Sood
hoshiarpur


Monday
Mar.26, 2012
6:02 PM
»
yOU CAN GIVE
1)Arshakuthar Rasa
2)Haritaki khanda
3)Kandarprasar oil for local application


Profile
Posted By
Dr. Pradip Kumar Seth
kolkata


 
 
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