Rectal Ulcer Old Archived Cases

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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.
Responses (24)
  • Accepted Answer

    Monday, March 26 2012, 06:02 PM - #Permalink
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    yOU CAN GIVE 1)Arshakuthar Rasa 2)Haritaki khanda 3)Kandarprasar oil for local application
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  • Accepted Answer

    Monday, March 26 2012, 06:18 PM - #Permalink
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    ** 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 .. ???? (??. ???) ????
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  • Accepted Answer

    Monday, March 26 2012, 06:34 PM - #Permalink
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    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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  • Accepted Answer

    Monday, March 26 2012, 07:10 PM - #Permalink
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    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
    • DR. NAVEEN CHAUHAN
      less than a minute ago
      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?
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  • Accepted Answer

    Monday, March 26 2012, 08:00 PM - #Permalink
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    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,
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  • Accepted Answer

    Monday, March 26 2012, 08:04 PM - #Permalink
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    Jatyadi ghrita contains madhucista(bee wax),tuttha(copper sulphate) etc..so it is not advisable to give it orally.
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  • Accepted Answer

    Monday, March 26 2012, 08:11 PM - #Permalink
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    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.
    • DR. NAVEEN CHAUHAN
      less than a minute ago
      NO sir. Dr. Shriniwas and Dr. Divakar Rao are the highly specialist Ayurveda surgeons for such (ano-rectal diseases).
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  • Accepted Answer

    Tuesday, March 27 2012, 09:35 AM - #Permalink
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    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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  • Accepted Answer

    Tuesday, March 27 2012, 10:42 AM - #Permalink
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    I am with Dr. Jinesh P. Mathews.More you can add Aaragwadham Kashayam to it.
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  • Accepted Answer

    Tuesday, March 27 2012, 07:16 PM - #Permalink
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    use vardhara+bringraj kwath for seven days it will be helpful.
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  • Accepted Answer

    Tuesday, March 27 2012, 09:23 PM - #Permalink
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    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.
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  • Accepted Answer

    Tuesday, March 27 2012, 11:18 PM - #Permalink
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    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.

    • DR. NAVEEN CHAUHAN
      less than a minute ago
      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.
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  • Accepted Answer

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

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  • Accepted Answer

    Wednesday, March 28 2012, 11:25 AM - #Permalink
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    1.Gandak rasayan 1 Tds 2.Avipattikar churna 3gm bd 3.Chirbilva gutika 2 bd 4.Abhayarisht 10ml bd
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  • Accepted Answer

    Wednesday, March 28 2012, 01:16 PM - #Permalink
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    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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  • Accepted Answer

    Wednesday, March 28 2012, 07:58 PM - #Permalink
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    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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  • Accepted Answer

    Monday, April 02 2012, 05:44 PM - #Permalink
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    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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  • Accepted Answer

    Monday, April 02 2012, 06:02 PM - #Permalink
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    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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  • Accepted Answer

    Monday, April 02 2012, 06:02 PM - #Permalink
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    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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  • Accepted Answer

    Monday, April 02 2012, 06:03 PM - #Permalink
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    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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  • Accepted Answer

    Friday, April 13 2012, 02:32 PM - #Permalink
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    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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  • Accepted Answer

    Monday, April 16 2012, 02:05 AM - #Permalink
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    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.

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  • Accepted Answer

    Monday, April 30 2012, 02:18 PM - #Permalink
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    thanks to all drs.
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  • Accepted Answer

    Wednesday, May 30 2012, 12:46 AM - #Permalink
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    i don,have any experiance.

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