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.
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.
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
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
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
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
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 .
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.
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.
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
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,
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
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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?
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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