Abstract
Background- Proctology involves study of rectum and anal canal. Further, in today’s modernized world, shift duties, stressful life, eating of unhealthy foods makes people more prone to the ano-rectal diseases such as fissure, haemorrhoid, abscess, anal fistula and rectal prolapse etc. Modern medical science has treatment alternatives such as conservative treatment for symptomatic relief along with diet- lifestyle modification, and various surgical interventions etc. with due risk and varied prognosis. In Ayurveda, these common ano rectal problems are termed as gud vikar and Ayurvedic texts suggest fourfold treatment for such as Bheshaj (Medicinal treatment), Kshar karma (Herbal caustic paste), Agnikarma (thermal heat burn) and Shastra karma (Surgery).
 Method- In this review article, information from modern surgery texts in view of definition, aetiology, patho-physiology, sign and symptoms and available treatment options as per stage of disease and a gist of contemporary texts of Ayurveda related to these gud vikaras such as parikartika, gudarsh, gud vidradhi, bhagandar, nadi vran and guda bramsh have been documented to understand integrated and holistic treatment approach towards various ano rectal problems. 
 Result & Conclusion- The article attempts to simplify proctology and touches maximum aspects of common ano rectal diseases with an integrated approach. Hence, this article will certainly prove useful to proctologist and researchers belonging to field of Modern and Ayurveda, to know about integrated proctology.
Highlights
In today’s modernized world, shift duties, stressful life, eating of unhealthy foods makes people more prone to the ano-rectal diseases
In Ayurveda, these common ano rectal problems are termed as gud vikar and Ayurvedic texts suggest fourfold treatment for such as Bheshaj (Medicinal treatment), Kshar karma (Herbal caustic paste), Agnikarma and Shastra karma (Surgery)
This article will certainly prove useful to proctologist and researchers belonging to ield of Modern and Ayurveda, to know about integrated proctology
Summary
In today’s modernized world, shift duties, stressful life, eating of unhealthy foods makes people more prone to the ano-rectal diseases. Anal issures, abscesses, anal istula, pilonidal sinus, rectal prolapse and malignancy. In Ayurveda, these common ano rectal problems are termed as gud vicar. Based on clinical features these conditions can be co related as gudarsh (Haemorrhoids), parikartika (anal issure), gud vidradhi (abscess), bhagandar (anal istula), nadi vran (pilonidal sinus) and guda bramsh (rectal prolapse). Skin diseases and malignancy is out of purview, and, in this review article we are focusing on ano rectal problems which are commonly seen in proctology practice such as hemorrhoids, anal issures, abscesses, anal istula, pilonidal sinus and rectal prolapse pertaining to their diagnosis and management. Pathogenesis, clinical manifestation of common ano rectal diseases and various established treatment alternatives from modern surgery and Ayurveda have been dealt in detail. The article will prove bene icial for surgeons and researchers working in the ield of proctology
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