Abstract
Background: Irritable Bowel Syndrome is a gastrointestinal motility disorder characterized by abdominal pain or discomfort associated with altered defecation or a change in bowel habits, constipation, and abdominal bloating. In Irritable Bowel Syndrome, predominantly diarrhoea type due to repeated elimination, the patient may develop Parikartika. Parikartika is one of the common anorectal anomalies observed in clinical practice. As per the description of signs and symptoms, Parikartika can be co-related to fissure-in ano in modern contexts. The treatment in current clinical practice shows significant recurrence and is mainly indicated for surgery. Rationale of the case report: Here is a case report of 72 years; the male patient is a known case of irritable bowel syndrome predominantly diarrhoea type which got lead to the formation of Fissure-in ano, treatment concentrates both on irritable bowel syndrome and Parikartika since both occur due to vitiation of Vata. Intervention: The patient was given internal medication with Triphala churna avagaha and Jatyadi Ghritha pichu over the anus. Result and outcome: The patient got a satisfactory result within 14 days of Ayurveda treatment. After completion of 21 days course of treatment, surgery was prorogued as the patient improved.
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