Thursday, July 1, 2021

Ayurvedic Treatment for ANAL ABSCESS

Ayurvedic Treatment for Anal Abscess focuses on internal medications and external surgical measures following Ayurvedic procedures. A painful condition in which there is a collection of pus that develops near the anus is called an anal abscess. The main cause for the development of abscesses is the infection of small anal glands. Among them, the most common is the perianal abscess. This often appears as a painful boil-like swelling near the anus.

  • Signs and symptoms of anal abscess
  • Causes of anal abscess
  • Pathophysiology of anal abscess
  • Diagnosis of anal abscess
  • Treatments of anal abscess
  • Prognosis of anal abscess
  • Complications of anal abscess
  • Guda vidradhi in Ayurveda
  • Nidana- Causes of Guda vidradhi
  • Samprapthi (Maturation) of Guda vidradhi
  • Lakshana of Guda vidradhi
  • Prognosis of Guda vidradhi
  • Chikitsa (Treatment) of Guda vidradhi
  • Commonly used medicines for Guda vidradhi
  • Diet desirable to prevent an anal abscess
  • Yoga
  • Research articles link

 

Signs and Symptoms

The abscess may be superficial or deep. The symptoms vary according to this.

The symptoms of a superficial abscess include,

  • Constant throbbing type of which get worse while sitting.
  • Skin irritation around the anus
  • Swelling, redness, and tenderness of the skin
  • Discharge of pus
  • Constipation
  • Pain associated with bowel movements

The symptoms of a deep abscess include,

  • Malaise
  • Fever with chills

Causes

There can have many different causes for the development of an anal abscess. These include:

  • An anal fissure is a tear in the anal canal and later on that becomes infected
  • Blocked anal glands
  • Sexually transmitted infections

Colitis, irritable bowel syndrome, diabetes, pelvic inflammatory diseases are some of the risk factors which trigger the development of an anal abscess.

Pathophysiology

Anal abscesses are caused by plugging of the anal ducts. Anal ducts are those which drain the anal glands in the anal wall and this helps the easy passage of fecal matter through mucus secretion. Its blockage causes fluid stasis which finally leads to infection.

Diagnosis

The diagnosis of an anal abscess is by doing a physical examination of the anal region. Check for pain, swelling, and redness in the anal region. Additional tests may be carried out to screen sexually transmitted diseases, irritable bowel syndrome, or rectal cancer.

Treatments

Surgery is the standard treatment for anal abscesses. The superficial abscess can be drained using local anesthesia. For deeper abscess may need hospitalization and surgery. Antibiotics are used to prevent infection. Anti-inflammatory and analgesic drugs are also used if needed.

Prognosis

Surgical treatment is usually successful in all types of anal abscesses.

Complications

An anal fistula is a usually seen complication associated with an anal abscess.

Disease and Ayurveda

This can be correlated to a vidradhi (abscess) formed in Guda

Nidana- Causes

The abscess in guda region is formed due to etiological factors like,

  • Hot, spicy, dry food
  • Vega dharana (forceful retention of natural urge)
  • Improper exercise, long sitting posture
  • Excessive coitus
  • External trauma can also be a cause.

Samprapthi Maturation

Pitta pradhana vitiation of tridosha (vata, pitta and kapha) occurs which leads to vitiation of tissues of skin, blood, and muscles. The abscess then gets formed in guda pradesa (ano-rectal region). These abscesses are Asukari in nature which means get into pakavasta (inflammatory state) quickly.

Lakshana Signs and Symptoms

  • Severe pain in peri anal region (guda pradesa)
  • Itching
  • Fever with chills
  • If not treated will lead to Bhagandara.

Divisions

Vidradhi can be classified based on the site of occurrence. It can be,

  • Bahya Vidradhi (the external part of the body)
  • Antar Vidradhi (internal parts of the body)

Guda vidradhi is included in Antar vidradhi.

Prognosis

Since the treatment is surgical management it is Krichrasadhya (difficult to cure)

Chikitsa- Treatment

Bedana karma that is incision and drainage is the management of all types of Vidradhi. The incision should be half-moon-shaped according to Ayurveda and made in the direction of the hair. The other managements include,

  • Roga samana Oushadhas
  • Local treatments like anointing area with a paste of drugs, douching with medicated water prepared with Triphala, etc.
  • Sodhana treatments done to eliminate dosha (preferably virechana is done)

Commonly used medicines

Brands available

  • Aryavaidyasala Kottakkal
  • Vaidyaratnam Oushadasala
  • SNA
  • Dhootpapaeswar

Home Remedies and Diet

  • Eat high fiber foods
  • Plenty of water for drinking
  • Light easily digestible foods, always take warm freshly prepared food
  • Reduce intake of meat items
  • More fruits and vegetables in diet
  • Avoid long sitting in hard chairs

Yoga

  • Uttanasana
  • Sarvangasana
  • Chakrasana
  • Vajrasana
  • Kakasana
  • Breathing exercises
  • meditation

Research articles link.

https://www.researchgate.net/publication/318869825_A_REVIEW_OF_GUDA_VIDRADHI_ANAL_ABSCESS_TREAT_WITH_BHEDANA_KARMA_AND_KARANJADI_GHRITA

https://www.ijrap.net/admin/php/uploads/1853_pdf.pdf

https://www.semanticscholar.org/paper/A-REVIEW-OF-GUDA-VIDRADHI-(ANAL-ABSCESS)-TREAT-WITH-Sahu-Chandrakar/85230c0ed3181197111ca540df7a072557d1e635

https://ijapr.in/index.php/ijapr/article/download/39/44

 

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Author information

Dr. Rajesh Nair
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.

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