Abstract

Dr. Pradnya R. Kapse* and Dr. Shweta Budhwant

ABSTRACT

Haemorrhoid is downward sliding of anal cushions abnormally due to straining or other causes. Types of haemorrhoid Internal—above the dentate line, covered with mucous membrane. External—below the dentate line, covered with skin. Interno-external—together occurs. Haemorrhoid can be correlated with Arsha in ayurveda. It is caused due to straining, diarrhoea, constipation, hard stool, low fibre diet, overpurgation, carcinoma rectum, pregnancy, portal Hypertension. Major complications of haemorrhoids include Profuse haemorrhage which may require blood transfusion Strangulation, Thrombosis (piles appear dark purple/black, feels solid), Ulceration Gangrene, Stenosis Suppuration, leads to perianal or submucosal abscess. In modern science Treatment includes diet rich in fibres, local applications, sitz bath, laxatives, analgesics. Parasurgical procedures like sclerotherapy, banding, cryotherapy, infrared coagulation, laser therapy. Surgical procedures like Open haemorrhoidectomy, Closed haemorrhoidectomy, Stapled haemorrhoidopexy Anal stretching—Recamier, Lord’s are performed. While in ayurveda aushadhi, shastra, kshar,agni are the 4 main treatments for haemorrhoids. A single case study of a 65 yrs old male patient, presenting with complaints of constipation, per rectal bleeding, pain at anal region, mucoid discharge since 10yr Inflammed external haemorrhoids were diagnosed Then 3 settings of Jalaukavacharan done. symptoms got reduced after 1st setting itself.