General Medicine Online Ayurvedic Consultation — page 26

I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.

I am still early in my journey as an Ayurveda doctor, just completed my one year of rotatory internship and now practicing since about 3 months. Honestly it feels both exciting and heavy sometimes, because you want to do your best but also realize how much more there is to learn. During internship I got exposure to different departments, inpatient and OPD, hands-on with case history taking, basic Panchakarma observation, and seeing how diagnosis by dosh imbalance actually plays out in real life and not just in books. Right now along with my clinical practice, I also work as an Ayurveda consultant (remote) with Caremeez. That role is interesting in its own way — you don’t have the direct physical presence with patient, but still you guide them through symptoms, food patterns, stress issues, minor illnesses, and help them adapt Ayurvedic lifestyle solutions. Sometimes the limitation of not being able to touch pulse or do physical exam makes it tricky, but you also learn how much can be understood just by listening carefully and asking the right questions. In practice I try to keep things simple, clear and practical. No unnecessary complication for the patient. Even if it’s diet advice, I avoid long lists and instead focus on what they can actually follow. For medicines too, I stick to what is relevant, safe and time tested. I know I’m at the beginning stage, still shaping my way of treatment, sometimes correcting myself, sometimes second guessing. But I see value in that too — it makes me cautious, makes me double check before prescribing. My goal is to slowly build a practice that is balanced, where Ayurveda is not just seen as herbal medicine but as a full approach involving diet, daily routine, stress balance, detox when needed. Even in these 3 months of practice, I already see small changes in patients when they follow consistently. That’s what keeps me moving, even on days when I feel unsure or stuck.