Sharma Piles Fistula Clinic & Research Center

07/11/2021

A 26yr/ Male patient suffering from Pilonidal Sinus treated with Ksharsutra. It is important to note that as compared to contemporary surgey here no huge wound was created and patient had not to bother for daily dressings for months after surgery while continuing his daily chores . A simple medicated thread has wonderful results in this condition and many others and the resultant scar is as aesthetic as normal skin before the disease.

04/11/2021

07/10/2021

An abnormal junction or connection between two organs or tissues is referred to as a “fistula”. It targets two hollow organs, vessels, or tissue structures. It occurs mostly in the re**um, va**na, however can affect the intestines and the eyes too. It results in extreme pain, discomfort and should be treated as immediately as possible to prevent infection.

It can induce sensations of:

Extreme irritation or itching
Discharge with unusual odor (if the fistula is located near the anus/va**na)
Irritable bowel syndrome
Excess pus
High body temperature
Blood discharge
Diagnosis
In case or prolonged tension and pain in these areas, a proctoscopy should be conducted for diagnosis. It most commonly occurs in women who have sustained prolonged labor (over 2-3 days). However, other causes include:

Digestive malfunction
Abscesses(formation of pus in hollow organs)
An unhealthy lifestyle which includes excessive indulgence in alcohol and to***co

Ayurvedic treatment for fistulas are available which aim to sooth the inflammation by slowly remedying the wound through natural and safe measures. Since Ayurvedic practices are non-toxic, non invasive and completely safe, one can avoid the drastic measures that surgery consists of, and also avoid the side effects of medicines.

Ayurvedic remedies of fistulas include
Ayurvedic doctors have developed several oils, ointments and medications that are readily available in the market. The medications usually consist of a mixture of herbs, roots and plants that aim to restore the physical systems and also soothe the affected area.

The importance of buttermilk added with rock salt and black pepper also allows the enzymes of our body to multiply and thereby cure the fistulas internally.
Radish juice with a pinch of cumin is also recommended to be consumed after meals to improve digestion and empower the immune system.
A healthy lifestyle and fitness routine consisting of yoga and exercises also contribute to improve conditions in the patient by facilitating blood circulation and metabolism.

Ksharsutra is a highly recommended minimally invasive treatment option. It is a graded thread that cuts through the tract gradually and at the same time promotes healing. It is the best surgical approach to fistula in ano, as there is almost negligible chances of recurrence with it.

03/10/2021

Ksharsutra- in -situ in a case of Pilonidal Sinus, where Ksharsutra has the advantage over Classical Excision that it avoids formation of a huge wound in the area on Inter-gluteal cleft ( natal cleft) and is very minimally invasive procedure. Patient can go back to normal activities with in a couple of hours and need not worry about daily dressing of Wound . And also doesn't carry alongwith it chances of wound complication & the sinus heals with aesthetic scar.

29/09/2021

Delayed Primary Closure or Closure by Tertiary Intention, following Amputation in a patient of Crushed Injury of Thumb.

28/09/2021

Pilonidal Sinus - Ayurvedic treatment For It |

Pilonidal Sinus/ Cyst is Characterized By
• Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed.
• It is usually seen in adults of college/ school going age & with hairy skin.

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst.

TREATMENT OF CHOICE (AYURVEDA) -
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra™ is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread.

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra™ treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra™ is available only at Sushruta Anorectal Institute.

Pilonidal Sinus/ Cyst Treatment FAQs

Question 1 - What is Pilonidal Sinus/ Cyst Disease?

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra™, this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.)

Question 2 - What are the Causes of Pilonidal Sinus Disease?

Answer - Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible.

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection?

Answer - The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem.

Sensation of pain while sitting or standing in the low back region.
The cyst appears swollen
Pus and blood mixed watery discharge from the cyst
eddened skin near the cyst
Cyst forming again and again
Question 4 - How kshar sutra is helpful in pilonidal sinus?

Answer - It is a unique minimally invasive treatment which cuts and heals the sinus gradually. A lot of studies have been done over the technique and it has always fetched best results for the patients. In today's age, it is a highly recommended techniqie to cure issues like pilonidal sinus.

26/09/2021

Piles Ayurvedic Management & Surgery ( Ksharsutra) to Treat It !

Ayurveda has been one of the most important and popular form of Indian medicine practice which has been in use for centuries. Nowadays, it has spread worldwide and have become much more advanced that what it previously was. Ayurvedic treatment and remedies are holistic and can effectively address different conditions of the body in several areas including mind, body and spirit.

Ayurvedic remedies not only help a person to recover from a medical disorder, but it uplifts the overall metabolism of the sufferer.

What is Piles?

Piles is one of the common medical problem which millions of people face every year. Piles are the inflamed or swollen set of tissues which are present in the sensitive a**l area. These can range from different sizes and can also be present in various areas i.e. internal or external. Ayurveda has different methods for treating piles. One of the most effective and considered as the last option is the Ksharsutra or Ayurvedic surgery.

Ayurvedic Management of Piles (Ksharsutra)

Piles can be treated in a lot of Ayurvedic ways - agnikarma, kshara, bhaishajya chikitsa and Ksharsutra. We will be talking about how Ksharsutra is effective and how it will help a person recover from serious piles problem.

The Procedure

Ksharsutra is the special use of medically induced thread at whose base has been tied to a hemorrhoid. This stops the blood supply to the vein which consequently it shrinks in a span of 7-10 days. After a few more days, the hemorrhoid will eventually become feeble and fall off. After the treatment procedure has been completed, you will be given specific Ayurvedic medicines or herbs which will help you to recover from postoperative stage.

The ingredients are mostly given to boost the metabolism and healing capabilities of the person who underwent the surgery. If the Piles had affected you very seriously, there might some important but permanent changes to your diet to prevent such conditions once again in the future.

Is Ksharsutra Really Effective?

Ksharsutra treatment is effective and it can really help the person suffering from piles to recover completely. But the potential risks should also be kept in mind. Without the risk of an infection or postoperative complications, this method can really very helpful to treat piles in a minimally evasive way. Many people recover within 10-15 days of surgery whereas in some cases it can take 21 days as well. So, based on the metabolism and medical history of the patient the treatment will be effective in it's own way.

24/09/2021

How Ayurveda Can Help in Piles ?

Piles, also known as hemorrhoids, are the swellings of the veins within the re**um which may burst and cause bleeding as well as pain. Ayurveda is known to provide relief from symptoms and with continued use, can also provide long term cures.

Prevention strategies for piles
Ayurveda stresses on leading a healthy lifestyle to minimize the chances of getting piles in the first place. Some of the lifestyle related problems that can lead to piles and thus need to be corrected are as follows:

Leading a sedentary lifestyle with lack of exercise: This not only causes piles but also leads to other problems like heart disease and hypertension among other problems and thus, it is advisable to incorporate a certain amount of physical activity into your routine.
Change the diet that can cause constipation and then lead to piles: Eating too much red meat without roughage, fried and processed foods like pizzas and dairy products like cheese, can make the food very sticky resulting in piles from the constriction of bowel movements.
Sitting on hard surfaces for extended periods of time: If you have been sitting on hard surfaces for a very long time, it may result in piles due to pressure on the nerves of the re**um for extended periods of time.

Ayurvedic Remedies for piles

External treatments

Sesame seed paste: Sesame or “til” is a good treatment for bleeding piles when applied externally to the affected area.

Muli or radish paste: Again, a fine paste made from this vegetable is useful in the case of painful piles which are not bleeding.
Ayurvedic oils and creams: There are multiple ayurvedic oils and creams which can be very effective in curing or at least controlling piles. However, it is best to go to your nearest ayurvedic doctor for proper steps.
Internal treatments

Bael fruit mixture: An ounce of ripe bael fruit, 180 grams of sugar, black pepper powder in relevant quantities and 7 grams of cardamom powder can be mixed and had twice daily as an effective cure for piles.

Buttermilk: Butter milk mixed with salt and black pepper in small amounts is known to be a very effective remedy for piles; but has to be consumed on a regular basis for at least a couple of months.

Hareetaki with jaggery: One of the most popular forms of piles treatments, the fruit peel of harad or hariteeki should be taken with a cup of jaggery every night before bed time to soften stool and also cure piles.

Radish juice: Extracted radish juice is also know as a great cure for constipation as well as lessening the symptoms of or curing piles.

​Surgical Treatment

Kshara sutra (medicated thread therapy) is a very simple yet effective and minimally invasive para surgical day care procedure for Grade 3 and Grade 4 piles. It causes excision of pile mass and at the same time causes chemical cauterisation which prevents bleeding.

If you are experiencing any symptoms of piles, it is recommended for you to consult an Ayurveda practitioner about piles ayurvedic treatment. This ensures that proper diagnosis is undertaken so that you can start treating the condition as early as possible.

24/09/2021

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23/09/2021

See this post by Sharma Piles Fistula Clinic & Research Center on Google: https://posts.gle/DurZvF

23/09/2021

http://pilesjammu.com/

19/09/2021

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