Piles (Kshar Sutra)
Anyone can get piles, but they are more common as one get older or these are some of common reasons due to which you see strains on your toilet bowel.
They’re graded according to whether they come out, and if so, how far they come out – this is a general classification and the symptoms can vary between individuals.
- First degree piles may bleed but don’t come out of your anus.
- Second degree piles come out of your anus when you have a bowel movement, but go back inside on their own afterwards.
- Third degree piles come out of your anus and only go back inside if you physically push them back in.
- Fourth degree piles always hang down from your anus and you can’t push them back in. They can become very swollen and painful if the blood inside them clots.
Kshar Sutra is performed by first coating a surgical linen thread of gauge number 30 with Snuhi Latex 11 times, snuhi latex and Apamarga Kshara 7 times, and snuhi latex and turmeric powder 3 times.
Those who undergo such treatment recover from the treatment in just 3-5 days after having stayed at the hospital for only 5-6 hours only 30-45 minutes of which are used to perform the surgery.
Kshara is a caustic, alkaline in nature obtained from the ashes of medicinal plants. It is a milder procedure compared to surgery and thermal cautery. Kshara Karma is useful as the substitute of surgical instruments, because they can be used safely on the patients who are afraid of surgery
The patient is anesthetized and a malleable probe with the surgical linen thread (called the Kshar Sutra) in its groove is passed through the external opening of the fistula to its inside and the probe is then carefully taken out with the Kshar Sutra intact. After this, both ends of the Kshar Sutra are tied together and replaced with a new one after a week. Because of this procedure, the tract is eventually cut and healed by the removal of unhealthy tissue. This controls microbial infection and facilitates drainage of pus in the tract aiding in healing.
You might also like