Abstract
Among anorectal diseases, Parikarthika (Fissure in ano) is considered one of the most painful diseases. Now a days the incidence rate of this disease became more due to the irregular food habits as well as unproper modern life style changes. Due to this its recent occurrence in all types of age groups irrespective of gender. This case study described the effective management of acute fissure in ano which was managed with ayurvedic treatment modalities. A 23-year male patient came with symptoms of pain and burning during and after defecation and also having the presence of blood streak while passing of stool. The patient was diagnosed as acute fissure due to the presence of a cut longitudinal ulcer in lower part of anal canal at the 6 o’clock position. Ayurvedic treatment approach both internally and externally were followed. Jatyadi Ghritham Pichu application followed by a lukewarm water sitz bath was advised as external treatment. The complete improvement was found in this within 12 days of treatment. No reoccurrence was noted even after 3rd month of follow up.
Highlights
Fissure in ano is the commonest disease of anorectal region
In Ayurvedic science it is known as Parikarthika which refers to a condition in which patient experiences a sensation of pain as if the anal canal is being cut around with scissors [1]
Pachana and Rakta Shodhana property of Dusparshakadi Kashayam improves the vascular circulation in the anorectal region and reduces spasms and congestion
Summary
Fissure in ano is the commonest disease of anorectal region. The occurrence of fissure in ano is more common in present era due to unproper life styles and un healthy dietary regimens. The term ‘fissure’ itself represents the meaning ‘a split or crack’ It has been described as an acute superficial break in the continuity of the anal canal [1]. In Ayurvedic science it is known as Parikarthika which refers to a condition in which patient experiences a sensation of pain as if the anal canal is being cut around with scissors [1]. Jatyadi Ghritha is the one which is has properties like Saruja Shamana (Pain relieving), Vranasodhana (Wound cleansing) and Vranaropana (Wound healing) properties [3]. Due to this properties Jatyadi Ghritham is the good medical option in the management of Parikarthika
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