do sitz bath or go for consultion with surgen
Dx: Gudagata Shopha (chronic, non-suppurative) External Sitz bath: Warm water + Triphala / Panchavalkala → 10–15 min, BD Jatyadi Taila: Local application BD Internal Triphala churna ½ tsp HS with warm water Gandhak Rasayan 1 tab BD after food Kaishore Guggulu 1 tab BD after food Advice Avoid spicy/oily food, alcohol Don’t sit long hours Keep area dry Review Reassess in 3–4 weeks If pain, fever, or pus → surgical consult mandatory



