Ayurvedic Diagnosis and Consultation

An Ayurvedic consultation for Piles (Arsha) and Fistula (Bhagandara) involves a detailed evaluation of Prakriti (body constitution), Dosha imbalances, dietary habits, and bowel patterns. Factors such as Mandagni (poor digestion), chronic constipation, excessive spicy or oily food intake, and a sedentary lifestyle are closely assessed. Diagnostic methods like Nadi Pariksha (pulse diagnosis) help determine the severity of the condition and guide a personalized treatment approach.

Ayurvedic Treatment Approaches

Herbal Remedies

Ayurvedic herbs like Haritaki, Arshoghni Vati, Triphala, and Kutaja are traditionally used to relieve constipation, reduce inflammation, and shrink hemorrhoids. These herbs help detoxify the colon, promote healthy digestion, and support healing of the anal region in both piles and fistula.

External Therapies

Topical application of herbal oils and pastes such as Jatyadi Taila and Sitopaladi ointments can help soothe pain, reduce swelling, and support tissue regeneration. Sitz baths with herbal decoctions are also commonly recommended to provide relief and promote hygiene in the anal area.

Panchakarma Detoxification

Detoxification therapies like Virechana (purgation) and Kshara Sutra (medicated thread therapy) are key Ayurvedic treatments. Kshara Sutra is especially effective in managing fistula non-surgically by gradually cutting and healing the fistulous tract. Panchakarma helps eliminate toxins, reduce inflammation, and restore balance in the digestive system.

Dietary and Lifestyle Modifications

A high-fiber, warm, and easily digestible diet is strongly recommended. Foods such as whole grains, cooked vegetables, ghee, and buttermilk support digestive health and ease bowel movements. Avoiding spicy, fried, and processed foods is essential. Staying hydrated and maintaining regular bowel habits are crucial. Gentle yoga, walking, and stress reduction techniques like pranayama help improve digestion and prevent recurrence.