Friday, August 14, 2020

Thrombosed External Hemorrhoids

A thrombosed external hemorrhoid is a painful swelling of the anal tissue caused by a blood clot (or "thrombus") in one or more venules of the anal skin. It can occur in association with prolonged sitting or constipation, but it can also occur spontaneously for no apparent reason. The swollen tissue is very soft and painful, often with the characteristic bluish color due to the underlying blood clot. Although very painful, the condition is not serious and can recover for a few days to a week or two without specific treatment. No further special evaluation or treatment is required.

Rarely, doctors may remove part of a blood clot under local anesthesia if the hemorrhoids are very large. This is called "incision and drainage" for thrombotic hemorrhoids. However, this area remains painful after this treatment. It is unclear if this treatment will help in any way. There is no fever with thrombotic hemorrhoids. If you have pain, swelling, and fever, you are more likely to have a perianal abscess.

How can Thrombosed External Hemorrhoids be treated?

Conservative management consists of increasing dietary water and dietary fiber, taking anti-inflammatory analgesics such as Tylenol, ibuprofen and naproxen, and avoiding constipation by reducing activity. A sit bath (such as soaking in warm water) can also help increase comfort. Local pain and swelling begin to subside after a few days, but it may take a few weeks for the lumps to completely disappear.

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Treating External Hemorrhoids

Hemorrhoids can be treated in several ways depending on their severity. Doctors may ask if they have a preference for a particular type of medication or treatment.

Common treatments your doctor recommends include ice packs, suppositories, or hemorrhoids to help prevent swelling.

These options can provide relief to individuals with milder hemorrhoid cases. In more severe cases, your doctor may recommend surgery.

Surgical treatment includes:

Removal of hemorrhoids, known as hemorrhoidectomy

Burning hemorrhoidal tissue by infrared photography, laser, or electrocoagulation

Sclerotherapy or rubber band ligation to reduce hemorrhoids



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Thursday, August 6, 2020

Piles Treatment in Pune

Piles Treatment

If you have an appointment for surgery, there are some lifestyle changes you can make to reduce the symptoms of the problem. Patients can be treated for bleeding peaks at home by changing their diet and toilet habits. The difficulty is that everyone is accustomed to their lifestyle and it's hard to change the habits you've been with.

Hemorrhoidal enlargement tends to worsen over time and is important to treat. Hemorrhoids are treated with a variety of methods, including diet and over-the-counter medications.

  • Anti-inflammatory analgesics
  • cream
  • lotion
  • gel
  • Pad, and
  • wipe

In most cases, the pile will resolve itself without any processing. However, some treatments can significantly reduce the discomfort and itching that many people experience in the mountains.


1. Kshara Sutra Treatment


Kshara Sutra Treatment is a minimally invasive Ayurvedic para-surgical procedure in the management of anorectal disorders and is a proven Ayurvedic technique. It is a safe, reliable and cost-effective treatment for hemorrhoids in the fistula, hemorrhoids and other sinus diseases. The treatment is described by Sushruta, Charak, Vagbhata in Ayurveda, but the efficacy of this treatment was reestablished by the Shalya Tantra Department, Banaras Hindu University, and then revalidated by scientific institutions such as CCRAS and ICMR. it was done. This technique is widely practiced in Japan and other countries.

2. Injection Therapy


Injection therapy, also called sclerotherapy injection, is a method of treating small vascular hemorrhoids and, in fact, whatever the symptoms may be, was used to control all cases of oral hemorrhoids .. The most commonly used hardener is a 30 ml solution (Albright solution) containing 5% phenol and 140 mg menthol in almond or peanut oil.

The solution is injected into the submucosa around the hemorrhoidal stalk with two objects in view. It first causes a chemical thrombosis in the internal hemorrhoidal plexus and then a fibrotic reaction in the submucosa that secures loose redundant mucosa to the mucosa. Pull up on the inner muscle layers and the pile to prevent it from escaping or being caught in the sphincter. In most cases, a single injection of 5 ml for each primary hemorrhoid will result in good sclerosis. With a slow injection around the base of the pile above the anorectal ring, there is little discomfort.

3. Rubber Band Ligation 


Rubber band ligation is a procedure in which the hemorrhoid is tied with a rubber band at its base to block the blood flow to the hemorrhoid. This treatment applies only to internal hemorrhoids. To perform this procedure, the doctor inserts an observation instrument (an anoscope) into the anus. Grip the hemorrhoid with a device and wrap a rubber band around the base of the hemorrhoid. Hemorrhoids then contract, die, and shed in about a week.

Scars form in place of hemorrhoids and prevent nearby veins from bulging into the anal canal. The procedure is done in the doctor's office. You will be asked if the rubber band is too tight. If the girdle is very painful, the band-shaped hemorrhoids are injected with a drug to paralyze it.

After surgery, the lower abdomen may feel pain and bloating. Or you may feel as if you need bowel movements. When given in the clinic, treatment is limited to 1-2 hemorrhoids at a time. If you are under general anesthesia, you may treat multiple hemorrhoids at once. The additional areas are treated at intervals of 4-6 weeks.

4. Laser Treatment for piles


Laser treatment is even less invasive. There is no need to cut the tissue. The affected area is treated accurately and intensively with laser energy, and the problem is resolved within minutes. The patient can resume normal life immediately after surgery.

This process only takes a few minutes and the patient can be discharged on the same day. There are no cuts, seams, scratches or dressings. There is negligible pain or bleeding. They can have a normal diet within 4 hours of the procedure and resume their daily work within 24-48 hours. There are no restrictions and you do not have to visit your doctor many times.

5. Stapler Surgery


Stapler surgery or stapler hemorrhoidectomy is a surgical procedure to treat hemorrhoids and is a third-degree hemorrhoid (prone with tension, visible on a physical examination outside the anal margin. Or intermittent manual reduction is required). Staphylococcal hemorrhoidectomy is a misnomer because it does not remove hemorrhoids during surgery and is the supporting tissue for the unusually loose and expanded hemorrhoids that caused the hemorrhoids to escape downward.

For stapler hemorrhoidectomy, a circular hollow tube is inserted into the anal canal. Through this tube, the suture (long thread) is actually woven and placed circumferentially within the anal canal above the internal hemorrhoid. The end of the suture is pulled out of the anus through a hollow tube. A stapler (disposable instrument with circular stapling device at the end) is placed through the first hollow tube and the end of the suture is pulled.







Saturday, July 25, 2020

Kshara Sutra Treatment in Pune

Kshara Sutra treatment is a minimal invasive Ayurvedic Parasurgical procedure and time-tested Ayurvedic technique in the management of Anorectal disorders. It is a safe, sure and cost effective method of treatment for fistula-in-ano, haemorrhoids and other sinus diseases. Though the therapy has been described in Ayurveda by Sushruta, Charak and Vagbhata but the efficacy of this therapy was re-established by the Dept. of Shalya Tantra, Banaras Hindu University and later period revalidated by scientific organizations like CCRAS and ICMR. This technique is being practiced widely in our country and in some other countries.


PREPARATION OF KSHARA SUTRA

The Standard Kshara Sutra is prepared by 11 coatings of Snuhi latex (Euphorbia nerifolia), 7 coatings of Snuhi latex and Apamarga Kshara (Achyranthes aspera) and last 3 coatings of Snuhi latex and Haridra Churna (Curcuma longum). The pH of Apamarga Kshara Sutra is 9.72.


ADVANTAGES OF Kshara Sutra treatment

  • Simple and safe parasurgical procedure.
  • Cost-effective and ambulatory.
  • Minimal recurrence rate.
  • Systemic diseases are also undergoing this procedure.
  • No surgical complications like incontinence, stenosis and stricture.
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Friday, July 24, 2020

Laser Treatment for Piles

Laser Treatment for Piles is even less invasive. No tissues need to be cut. The affected area is simply treated with laser energy in a precise and focused manner and the problem is solved within a few minutes. Patients can resume their normal lives immediately after surgery.

The process takes only a few minutes, and patients can be discharged the same day. There are no cuts, stitches, wounds or dressings. There is negligible pain or bleeding. They can have a normal diet within 4 hours of the procedure and can resume their routine work within 24 to 48 hours. There are no restrictions and no repeat visits to the doctor.

ADVANTAGES OF LASER TREATMENT

  • Laser Treatment for Piles does not cause pain
  • Lasers clears Hemorrhoids with high levels of precision that are absent in conventional surgical methods.
  • Laser treatment takes very little time in terms of surgery when compared to conventional surgical methods.
  • Laser Treatment is done through minimal incision making it a ‘no blood no scar’ one.
  • Laser treatment enables patients to recover within a short span of time when compared to the conventional surgical methods.
  • Laser Treatment provides complete relief from Piles Hemorrhoids through automatic sterilization that happens during the process. This is not same in the case of conventional surgeries performed to remove hemorrhoids.

Monday, July 13, 2020

Hemorrhoids: Causes of Hemorrhoids

Hemorrhoids

Hemorrhoids are a mass of dilated (enlarged) blood vessels in the anus and lower rectum. The rectum is the last area of ​​the large intestine before it exits the anus. The anus is the end of the digestive tract where feces leave the body. Mountain comes from the word "pilla" and means a ball. A pile is a swollen bulb of the anal canal.


It is divided into two categories.

  • Internal hemorrhoids
  • External hemorrhoids


Internal Hemorrhoid/Pile-Internal Hemorrhoid/Pile-

The strained dilated rectal vein above the comb in the anal canal is called the internal hemorrhoid. As a strain of stool patients, the hemorrhoidal vein bulges with its covering. As the disease progresses, it is divided into 4 stages or grades. And it determines the cure by stage.

Causes of Hemorrhoids

  • Genetics predisposition to piles
  • Pregnancy
  • Chronic constipation
  • Chronic diarrhea
  • Lifting heavy weights
  • Lack of fiber diet and less fluid intake
  • Sedentary Lifestyle
  • Stress
  • Straining during bowel movement
  • Obesity
  • Previous bowel surgery
  • Anal intercourse

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Wednesday, July 1, 2020

Constipation: Symptoms & Causes

Constipation is a condition of the digestive system that has hard feces that are difficult for an individual to excrete. Most often, this occurs because the colon has absorbed too much water from food in the colon. The slower the food moves through the digestive tract, the more water is absorbed from the colon. As a result, the feces become dry and hard. When this happens, emptying the intestine can be very painful. This article describes the main causes of constipation and how it can be treated and prevented.

Constipation


Symptoms of Constipation

  • difficulty passing stool
  • straining when passing stool
  • passing less stool than usual
  • lumpy, dry, or hard stool

Causes of constipation

  • Low fiber diets, especially those high in meat, milk and cheese
  • dehydration
  • Lack of exercise
  • Delays the urge to defecate
  • Other changes in travel or routine
  • Certain drugs such as high calcium antacids and analgesics
  • pregnancy





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