Piles, fistulas and fissures are a few of the most painful conditions, but most often confidentially preserved secrets and silently suffered by people.  Piles or haemorrhoids are caused when the veins located in the lower rectum and the anal canal are swollen, dilated and become convoluted beneath the tissue layers. They resemble a ball of hair covered by a cloth and are known as pile masses.

Anal Fistula is an abnormal tube like passage between the interior of the rectum and the outer skin surface around the anus. One opening of the fistula, the internal opening is inside the anus or rectum and another the external opening is on skin surface around the anus. A tube like structure, the fistula tract connects them.

Anal fissures are painful longitudinal tears in the lower end of anus by trauma to the anus and the anal canal. Commonly seen among the young and the middle age, occasionally fissures are found in children with wrong eating habits. The reasons include chronic constipation, straining to have a bowel movement, prolonged diarrhoea, anal stretching and insertion of foreign objects into the anus. Visible crack pain, constipation and blood stained stools are the symptoms.

Sakalya Ayurveda Piles Fissure and Fistula Clinic understands the agony and pain experienced by the patients. Hence we have a special ano rectal disease management protocol which advises on the internal medicines, para surgical procedures, diet, lifestyle and other requisites for the prevention, management and post treatment quality life of our patients.  If the patient's ano rectal condition is at an early stage our special ano rectal package can mitigate the effects and reverse the condition.

The conservative line of treatment and the parasurgical procedures of kshara karma the application of special alkaline medical paste, kshara sootra seton insertion of thread medicated with organic alkalis and agnikarma the surgical cauterization are adopted by us.

Kshara Karma involves the application of caustic alkalis such as Apamargakshara (Achyranthesaspera), Arkakshara (Caltropis gigantea) or Snuhikshara (Euphorbia lingularia) to cauterize and arrest the blood flow to the pile mass. Within 1-2 weeks of the procedure the pile mass will shrivel up and fall off leaving no scar tissue on the anal canal. Mild post procedural pain, no bleeding, minimal hospitalization and minimal scar are the benefits.

Kshara Sutra is a Seton thread medicated with organic alkalis, such as Apamargakshara (Achyranthesaspera), Arkakshara (Caltropis gigantea) or Snuhikshara (Euphorbia lingularia). The alkali is repeatedly coated on the sexton thread 15 – 21 times. Apart from this, natural antibiotics like haridra powder, guggulu, etc are also used to make Ksharasutra. The mechanical action of the threads and the chemical action of the drugs coated, collectively do the work of cutting, curetting, draining, and cleaning thus promoting healing of the tissues. This also acts both as the antiseptic and fibrotic agent to induce healing. This can be applied and changed periodically. Minimal hospitalization, dressings and rest, no cutting of muscles and minimal side effects are the advantages.

We also conduct Agnikarma, a para surgical procedure. This is thermal cauterization. In this procedure sentinel tags are removed by thermal cauterisation and sphincterotomy also will be performed by agnikarma to reduce spasm of anal ring.


For a patient friendly compassionate understanding approach to your suffering and the expertise to manage your condition Sakalya Ayurveda Piles Fissure and Fistula Clinic  is your destination to get your smile back on to your lips…..

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