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Had fissure and then laser surgery still in pain
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Question #23093
67 days ago
265

Had fissure and then laser surgery still in pain - #23093

Yashita

Had fissure and then laser surgery but still pain and discomfort since 6 months infact more than that , when willIheal , how willIheal ,did everything,followed diet , also had consultation previouslyhad medicines from ayurveda prandagutika and udramarut churna it backfired and caused lot of burning and heating , castor oil also made heating anddiscomfortvomitish and nauseous nothing worksit's too much

Age: 24
Chronic illnesses: Anal fissure
300 INR (~3.51 USD)
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Doctors’ responses

Avoid spicy, oily and processed food. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Amroid oint for local application after taking steam. Tab.Erandbhrushta haritaki 0-0-3 with lukewarm water at bedtime

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HELLO YASHITA, AFTER FISSURE SURGERY(LASER SPHINCTEROTOMY), MANY PATIENTS CONTINUE TO FEEL -BURNING PAIN->DUE TO PITTA DUSHTI AND NERVE SENSITIVITY -TIGHTNESS OR SPASM->DUE TO VATA AGGRAVATION IN ANAL REGION -UNHEALED MICRO-ULCERS OR FIBROSIS->DUE TO POST TISSUE REGENRATION

THIS MEANS YOUR BODY STILL CONSIDERS THE AREA AS INJURED, AND DUE TO LOW RASA+RAKTA+MAMSA DHATU NOURISHMENT, THE TISSUES HAVE NOT REGENRATED FULLY. ALSO, YOU ARE HIGHLY PITTA SENSITIVE- SO HOT,USHNA , SHARP(TIKSHNA) HERBS OR OIL LIKE CASTOR, PRANSAGUTIKA, UDRAMRUTA AGGRAVATES YOUR SYMPTOMS INSTEAD OF HELPING

WHAT HAPPENS IN BODY’S HEALING PROCESS 1)HEMOSTASIS(STOP BLEEDING)- BLOOD CLOT FORMS LOCAL VASOCONSTRICTION = BUT IN YOUR CASE IT MAY BE DELAYED IF BLOOD QUALITY POOR

2)INFLAMMATION- WHITE BLOOD CELLS CLEAN DEBRIS= BUT DUE TO EXCESS PITTA IT CAUSES EXCESSIVE HEAT AND REDNESS IN YOUR CASE

3)PROLIFERATION- NEW TISSUE (GRANULATION)GROWS= IN YOUR CASE TISSUE DEPLETION DELAYES TISSUE GROWTH

5)MATURATION- TISSUE REMODELS SCAR FORM=BUT IN YOU FIBROSIS OR INCOMPLETE HEALING CAUSES PAIN

WHY HEALING IS DELAYED- DUE TO EXCESS PITTA POST-SURGERY- IT INCREASES HEAT AND INFLAMMATION= BURNING PAIN,IRRITATION

VATA SPASM OF ANAL SPHINCTER- MUSCLE TIGHTNESS AND DRYNESS=SHARP PAIN ON DEFECATION

AMA(TOXINS)ACCUMULATION- POOR DIGESTION AND TOXINS= CHRONIC INFLAMMATION,POOR HEALING

DHATUKSHAYA(NUTRITIONAL DEPLETION)- WEAK BLOOD AND MUSCLE TISSUE= DELAYED TISSUE REGENERATION

LOCAL FIBROSIS/SCAR- IMPROPER WOUND REMODELLING= CONTINUOUS DISCOMFORT, SENSITIVITY

THIS MEANS YOUR BODY’S NATURAL HEALING IS SLOWED BY PERSISTENT INFLAMMATION AND MUSCULAR SPASM HEALING CAN TAKE SEVERAL WEEKS TO MONTHS IF THE DOSHIC IMBALANCE IS NOT CORRECTED.

#GOAL OF TREATMENT IS AIMED AT 1)TO RELIEVE PAIN AND BURNING=PITTA SHAMANA(COOLING, ANTI-INFLAMMATORY) 2)HEAL MUCOSA AND FISSURE SITE= VRANA ROPANA(WOUND HEALING) 3)SOFTEN STOOL GENTLY= VATAANULOMANA(BOWEL REGULARIZING, NOT HARSH PURGATION) 4)NOURISH RECTAAL TISSUES=DHATU POSHANA+REJUVINATION 5)REMOVE POST-OPERATIVE FIBROSIS AND SPASM=BY CHANNELS SODHANA(PURIFICATION) + VATA HARA OIL MASSAGE

#INTERNAL MEDICINES(SAFE AND NON-HEATING IN YOUR CASE 100% EFFECTIVE)

DURATION=6-8 WEEKS AND CAN EXTEND UPTO 3 MONTHS

*MORNING EMPTY STOMACH 1)SHATAVARI GHAN VATI- 1 TAB WITH WARM WATER=BALANCES PITTA, HEALS MUCOSA, IMPROVES RASADHATU

2)AVIPATTIKAR CHURNA- 1 TSP WITH WARM WATER= ACIDITY+DIGESTION+MILD STOOL SOFTENING IF HEATING OCCURS->USE TRIPHALA CHURNA 1 TSP + COW GHEE AT BEDTIME INSTEAD

*AFTER MEALS(TWICE A DAY AFTER LUNCH AND DINNER) 1)SUKUMAR GHRITA- 1 TSP WITH WARM WATER=ANTI-VATA, HEALS INTESTINAL LINING, LUBRICATES COLON, SUPPORTS MILD PURGATION

2)YASTIMADHU GHAN VATI- 1 TAB WITH WARM WATER= POTENT ANTI-INFLAMMATORY FOR MUCOSAL HEALING,AND IT REDUCES BURNING

3)(OPTIONAL) KAMADUDHA RASA(MOTI YUKTA)- 1 TAB= IF STILL EXPERIENCING HEART BURN,NAUSEA,BURNING RECTUM

#SOOTHING HOME REMEDIES

*FEENEL+CORIANDER INFUSION=TWICE A DAY BOIL 1 TSP FENNEL+1 TSP CORIANDER SEEDS IN 2 CUPS WATER->REDUCE TO 1 CUP->SIP WARM

BENEFITS- REDUCES PITTA,SUPPORTS DIGESTION,RELIEVES BURNING

#EXTERNAL APPLICATION- VERY IMPORTANT=TWICE DAILY(AFTER MORNING BATH+BEFORE BED)

1)JATYADI TAILA -WASH AREA GENTLY WITH WARM WATER -APPLY 5 ML USING CLEAR FINGER OR COTTON BUD(NOT INSIDE THE CANAL) -IF TOO SENSITIVE:-SOAK A SMALL COTTON BALL IN THE OIL AND PLACE AT ANAL OPENING(REMOVE AFTER 15-20 MIN)

2)TRIPHALA SITZ BATH -BOIL 1TSP TRIPHALA CHURNA IN 1.5 L WATER-> REDUCE 1 L -LET IT COOL TO WARM -SIT IN IT FOR 15 MIN -DO TWICE DAILY-ESPECIALLY BEFORE BEDTIME

#DIET=YOU MUST STRICTLY FOLLOW A PITTA-PACIFYING, ANTI-CONSTIPATION,MUCOSA-HEALING DIET

EAT- -COWGHEE- ATLEAST 1 TSP WITH MELS-HEALS TISSUES+SOFTEN STOOLS -WARM,SOFT FOOD=LAUKI,MOONG DAL,RICE,KHICHDI -COOKED APPLES AND PEARS, SOAKED FIGS -MUNAKKA(RAISINS)- NOURISHES GUT AND PREVENT HARD STOOLS -BUTTERMILK WITH CUMIN+CORRIANDER(AFTER LUNCH)-AIDS DIGESTION

#STRICTLY AVOID *HEATING FOODS -REDCHILLI, GARAM MASALA, FRIED ITEMS -TEA,COFFEE,SOFT DRINKS -TOMATOES,CURD ,SOUR FRUITS

*CONSTIPATING FOODS -BAKERY,MAIDA,FRIED SNACKS -EXCESS PANNER,DRY FOODS -NON VEG TILL HEALING IS COMPLETE

#LIFESTYLE AND YOGA DAILY -WALKING- 30 MINS IN MORNING+EVENING-KEELPS GUT MOTILITY HEALTHY -AVOID LONG SITTING- USE A DONUT CUSHION WHEN WORKING -STRESS RELIEF- LISTEN TO SOFT MUSIC, RELAXATION -SLEEP-10PM TO 6 AM

*SIMPLE YOGA(5-10 MINS ONLY) -BALASANA(CHILDS POSE) -VAJRASANA AFTER MEEALS -ANULOM VILOM-5 MINS DAILY

WHAT TO DO IF? -IF STOOLS IS STILL HARD=ADD SOAKED FIGS OR 1 TSP ISABGOL+1 TSP GHEE AT BEDTIME

-PAIN GETS WORSE=INCREASE SITZ BATH TO 3 TIMES DAILY+APPLY YASTIMADHU GHRITA IN PLACE OF JATYADI TAILA

-FEELING BLOATED- ADD HINGWASTAKA CHURNA 1/2 TSP WITH GHEE IN LUNCH

#EXPECTED TIMELINE FOR RELIEF

WEEK 1-2=. RELEIF FROM SHARP PAIN, SLIGHT REDUCTION IN BURNING

WEEK3-4= REGULAR STOOL, LESS BURNING,BETTER HEALING SEEN

WEEK 6-8= NEARLY PAIN FREE, TISSUE HEALING COMPLLETE

MONTH 3 ONWARDS= FULL STRENGTH RECOVERY,NO RECURRANCE WITH DIET MAINTENANCE

EMERGENCY DOCTOR VISIT -BLEEDING DOES’NT STOP -PAIN INCREASES WITH SWELLING OR FEVER -NEW LUMP OR PUS DISCHARGE APPEARS

THIS ALL MAY INDICATEINFECTION OR ABSCESS

DO FOLLOW CONSISTENTLY 100% RELIEF YOU WILL GET

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR.MAITRI ACHARYA

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Dr. Dhriti Khandelwal
I am a compassionate and results-driven professional in holistic healthcare, committed to delivering patient-centered care through an integrative approach. With strong proficiency in general surgery and a deep-rooted understanding of Ayurvedic principles, I specialize in both surgical interventions and conservative management of surgical and lifestyle-related disorders. My expertise includes treating a wide spectrum of general surgical conditions such as hernia, appendicitis, pancreatitis, gallbladder diseases, liver disorders, breast conditions, varicose veins, wound care, diabetic ulcers, and gastrointestinal cancers, including those of the rectum and anal canal. I place a strong emphasis on adopting conservative and minimally invasive procedures whenever possible, balancing modern surgical methods with Ayurvedic healing techniques. I am equally experienced in managing chronic lifestyle disorders like diabetes, hypertension, and thyroid dysfunction through personalized wellness plans and Panchakarma therapies. My goal is always to support patients in achieving long-term health and balance, not just temporary relief. With extensive experience in surgical diagnostics and post-operative care, I bring a precise, evidence-based approach to clinical practice. I have successfully completed two research projects under the Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of AYUSH, New Delhi, which have further enhanced my ability to blend research-backed modern insights with time-tested Ayurvedic traditions. My commitment lies in addressing the root cause of disease through holistic strategies, empowering patients through lifestyle guidance, and ensuring sustainable outcomes with minimal pharmaceutical dependency.
65 days ago
5

Hii Yashita I totally understand the kind of suffering you’re going through b’cz of having specialization in this field I get to help many such patients daily.

- Please have lighter and fibrous meals (that doesn’t mean raw veggies) - Practice taking fresh buttermilk with your meals adding little cumin powder, mint but do not take at night - Avoid sprouts, oats, cornflakes, heavy and junk - Brisk walking after meals - Maintain your circadian rhythm (early to bed and waking up before sunrise) - Take ghee with your food (but ensure the source of it) take 2 tsp ghee with warm milk at night - For quick relief with your burning problem: Please do Sitz bath daily twice at least Apply Yashtimadhu oil frequently in local area (you can also apply it just before defecation followed by sitz bath and reapplication) - Practice Kegel’s exercise while you do sitz bath and you can do at bed time also. Feel free to ask any details further Hope you get well soon.

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Apply kasisadi oil on anal region Take pilex 1-1-1 after food with water Take triphala tablet 0-0-2 at bedtime with water Avoid spicy fried foods. Have Green vegetables and fresh <link removed>clude butter milk with pinch of asafoetida black salt and roasted jeera powder daily in the afternoon with lunch Do sitz bath once daily with warm water putting betadin few drops.

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Dr. Bindiya R Patel
I specialize in Ayurveda and Acupressure, with a deep-rooted passion for holistic healing. My approach integrates traditional Ayurvedic principles with Acupressure and Yoga to offer patients a complete path to wellness—focusing not just on symptom relief, but on identifying and treating the root cause of disease. I strongly believe in minimal use of medication and emphasize therapeutic lifestyle modifications tailored to each individual’s prakriti (constitution) and condition. My clinical philosophy centers around disease prevention, sustainable recovery, and overall health restoration. Whether it is managing chronic conditions or supporting acute issues, I aim to guide my patients with simple yet effective treatment plans that align with natural healing processes. In every consultation, I encourage a balanced routine, dietary awareness, and stress management techniques rooted in ancient Ayurvedic wisdom. As a Certified Garbhasanskar Coach, I also specialize in prenatal wellness. I provide emotional, physical, and dietary guidance to expectant mothers, supporting them through each stage of pregnancy. My role includes structured counseling sessions that nurture not only maternal health but also the development of a healthy, emotionally balanced child. I work with patients who seek natural, drug-free treatment options and are open to transforming their health through mindful living. My goal is to empower individuals with the knowledge and tools they need to take charge of their well-being in a sustainable and holistic manner.
67 days ago

Hi Yashita Post Fissure surgery, there will be discomfort while passing stools , symptoms like pain and burning sensation may be felt. They can last for 2-4 weeks post surgery. But in your case, its been 66 months and symptoms still persists. Hence I suggest you to get it examined locally by the doctor who performed the surgery to rule out ant infection. As infection can reoccur post surgery , so treatment can be done accordingly. For symptomatic relief you can follow below mentioned remedies: 1.Tab Sutashekhar 1 tab thrice a day before meals with warm water. 2.Kasisadi Taila- Apply locally . A medium sized cotton ball is dipped in this oil , apply 2 times a day after passing stools. Duration: follow the treatment for 2 weeks. Dietary recommendations: Consume soft liquid diets like khichdi, dalia, pongal, fruits juices buttermilk . Avoid hard and dry foods that are difficult to digest and may cause constipation and further worsen your symtpoms . Avoid fatty foods, junk foods. Include vegetables, fibrous foods.

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Sometimes post anal fissure surgery can perform discomfort…so please take proper rest and follow dietary rules… Take…DIVYA ARSHOGRIT TAB =2-2 TAB BEFORE MEAL TWICE DAILY

DIVYA AROGYAWARDNI VATI DIVYA PHYTER TAB KAISHORE GUGULU=2-2 TAB AFTER MEALS TWICE DAILY…

JYATADI OIL…FOR ANAL APPLICATION AT NIGHT…

PLEASE AVOID RED CHILLY/PROCESSED FOOD/MAIDA …

TAKE FIBRE RICH FOOD… CONSUME 3-4 LITRES WATER PER DAY

REGULAR DO KAPALBHATI PRANAYAMA

YOU CAN EAISLY CURED

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Dr. Harshita Hyati
I have gained comprehensive clinical experience through my internship and professional duties, which has laid a strong foundation for my medical practice. During my internship, I worked extensively across multiple departments, including casualty, general medicine, general surgery, and obstetrics & gynecology at the Government District Hospital, Gadag. This exposure allowed me to handle a variety of acute and chronic cases, sharpen my clinical assessment skills, and actively participate in patient management under the guidance of senior medical professionals. Following this, I served as a duty doctor at AYUSH Hospital, Gadag Betgeri, where I applied my Ayurvedic knowledge in a clinical setting and contributed to patient care in both outpatient and inpatient departments. I successfully completed 366 days of rigorous internship training at DGM Ayurvedic Medical College and Hospital, Gadag, where I was involved in patient evaluation, diagnosis, and treatment planning under supervision. My time there allowed me to integrate classical Ayurvedic principles with practical patient care while developing a keen understanding of hospital operations and multidisciplinary collaboration. These experiences have enhanced my ability to handle diverse medical conditions confidently while maintaining a patient-centered approach. I am dedicated to continuing my journey as an Ayurvedic practitioner with the same passion and commitment, focusing on delivering quality, evidence-based, and holistic healthcare.
67 days ago
5

Sitz bath daily twice Gandhaka rasayana 2 -0-2 Sukumara ghrita 2tsp daily night with warm milk

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Hello

Post Anal surgery it will cause little discomfort but after 6 months also u r facing this discomfort please go to the doctor and get it examined done.

Strictly follow the diet Avoid hard food ,oil process food processed food, spicy food ,heavy meal ,curd, dairy products,

Take fresh buttermilk before food everyday in the afternoon

Take good amount of fibre content vegetables Avoid brinjal potato sweet potato

1) apply shatadautha ghrita 2) triphala guggulu 1-1-1 after food 3) triphala choorna 0-0-1/2tsf with glass of hot water at bedtime

Thank you Dr.Nikitha

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Hello Yashita

"NO NEED TO WORRY "

" I WILL HELP YOU UNDERSTAND RECOVER & MANAGE POST FISSURE SURGICAL PAIN SAFELY EFFECTIVELY "

I can understand ur concern and Discomfort and its affecting ur Quality of Life

UR ISSUES

Post Surgical Chronic Pain - Since 6 Months +

PAST MEDICAL HISTORY

Laser Anal Fissure Surgery 6 + Months Back

PROBABLE CAUSE

* Post Surgical Anal Sphincter Muscle Spasm causing pain Discomfort many times /while Passing Stools * Post Surgical Nerve Irritation * Tissue Scaring leading tightness all time /durning passing stools * Chronic Recurrent Infections as areas become weak prone to cuts wound infect easily * Recurrent Constipation Bloating Irregular Bowels causing pressure pain * Recurrence of Anal Fissure Again * Improper Diet high Acidic Spicy Salty Sour Masala Fried Fast Juck Foods Bakery non veg Intake After Surgery * Poor Hygiene * Improper Post Surgical & Wound Care * Psychological Fear Anxiety leading high pain perception

WHAT U CAN DO NOW ?

* I Advice U to Reconsult Again with Surgeon who did Surgery and Get Physically Examined * Physical Examination will reveal the Present Status of Issues & cause Behind ur Pain as I said above * It’s Easy to Address the Issues Upon accessing correct Status * His Comments Opinion Adviced is Most Important

KINDLY REVIEW ME WITH UR SURGEON’S OPINION ADVICE & EXAMINATION DETAILS SO I CAN TREAT U WELL THROUGH AYURVEDA

AYURVEDIC APPROCH

High Vata Pitta Rakta Mamsa Ama ( Toxins) Imbalance Accumulation Post Surgery At Anal area leading Vrana Shoth ( Swelling ) at Anal region causing Discomfort (Anal Pain Spasm Burning) & Delayed Healing Process ( Wound healing Healthy Granulation New Tissues Formation Fibrosis Scarring ) Vata Causes Pain Spasm Wound Deformity Pitta Causes Burning Inflammation Irritation Ama Indigestion Delayed Healing

WHY CASTOR OIL PRANADA GUTIKA UDARKALP CHURNA AGGRAVATED PAIN ?

* Anal Fissure has High High Pitta Vata Imablance leading high heat at Anal Levels * All These Medicine are Hot In Potency has Ushna ( hot ) Teekshna ( Sharp) and Ruksha ( Dry) properties which Aggravates Pitta Vata Causes Dryness Obstruction which are Opposite to Anal Fissure pain so not suited to you .

HOW AYURVEDA HELPS U IN PRESENT SITUATION ( TILL U SHARE ME UR SURGEON OPINION)

* Helpful in Relieving Pain Inflammation Burning and Ease * It Helps to heal the wound * It helps Proper Digestion Gut Motility Imablance and Easy expulsion of Passing Stools which ease u * Helps to Relax and Relieve Spasm post Surgery

BEST RESULT ORIENTED AYURVEDIC MEDICINES IN MY CLINICAL PRACTICE

U MUST TRY

EASY TO DO,QUICK SUITABLE SOLUTION , MINIMUM MEDICINE MAXIMUM BENEFITS WITH COMFORT

* Aloe Vera Juice 30 ml -0- 30 ml on empty stomach with 1 Glass of Normal Water * Tab.Kamdudha Ras Mukta Yukta 2 -0-2 Before Food * Cap.Soreheal 1 -0- 1 After Food * Tab Peedantak Vati 2 -0- 2 After Food * Sukumar Ghritam 1 Tsf -0- 1 Tsf Night After Food Preferably with Luke Warm Water * Local Application Jatyadi Ghritam + Shatadhouta Ghritam Local Application over Pain & Burning areas * Sitz Bath - Neem leaves 30 in Number + Triphala Powder 2 Tsf in water for Sitz Bath

HOW MUCH TIME IT TAKE TO HEAL?

7 Days -14 Days - Pain Burning Reduces Motion becomes Normal 14 Days -28 Days - Comfortable Ease in Work 30 - 40 Days - Wounds heals & Heads towards recovery 60 Days + - Complete Recovery

INSTRUCTIONS MUST TO FOLLOW

• Drink Plenty of Water Fluids Fibers Approximately 3 Liters Per Day • 100 Steps Walking After every meal • Eat Chew Food Nicely.Eat With Calm Mind without Distractions like eating and seeing TV • Avoid Overeating Frequent Eating. • Avoid Afternoon Sleep • Hing Jeera Ajawain Sounf Mulethi Water Decoction Once Daily • Take 1 Tsf Pure Cow Ghee with ¼ Glass of water Evening • Eat 2 Ripen Bananas at Night • Avoid Excessive Stimulants like Tea Coffee Carbonated Beverages Excessive Sweets Packed Canned Foods • Avoid Spicy Salty Sour Masala Fast Foods Bakery excessive tea coffee No Afternoon Sleep • Timely Food Timely Sleep • Avoid Mental Stress Overthinking • Totally Avoid outside foods • Practice Dhyan Meditation Daily • Avoid Straining while Passing Stools • Don’t Hold Stools Urges

DAILY DIET PLAN ( DIET AS MEDICINE TO RECOVER FAST )

NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )

* BREAKFAST - Rava Ragi Bajra Oats Items Upma Kheer / Fruits Salads/ Home made Soups

* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal

* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet

DO’S :- Prefer Healthy Nutritious Well Cooked Steamed Light for Digestion All Green leafy vegetables Salads Sprouts Fruits Soaked Dry fruits (Kishmish Khajoor Anjeer) fibers Plenty Of Water Fluids intake Luke Warm Water to Drink Fresh Butter Milk

DON’TS :- Restrict Heavy for digestion Excessive Acidic Salty Sour Spicy Fried Oily Junk food Food Bakery Foods Wheat Maida Udad items Fermented Foods Excess Tea Coffee Avoid Rajma Chole Curd Paneer Cream Sweets

LIFESTYLE MODIFICATIONS Rest Good Sleep Lifestyle Physical Activities Timely Food Intakes Sleep Early Wake Early Avoid Sedentary Lifestyle

YOGA Shitali Pranayam Panvanmuktasan Utkatasna Malasan

EXERCISES Walking Mild Mobility Exercise etc

ANTISTRESS Dhyan Meditation

REGARDS

Dr Arun Desai

God Bless You 😊🙏

If you have any questions u can ask me.I will Answer u to level of your satisfaction.U have Text Option here.

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Dear yashitha, I understand, how exhausting your journey has been even after surgery and medicines. Pain burning can continue if pitta and vata are still aggravated You require gentle cooling support

Take Yasthimadhu churna 2 gm+ Shatavari churna. 2 gm Along with warm water twice daily after food Apply jatyadhi taila externally twice daily with cotton Triphala churna-1 teaspoon with warm water at night Avipattikara churna-half teaspoon with water before meals Do sitz bath with lukewarm water three times daily

Eat soft, warm food like moong dal Ghee rice aah gourd pumpkin Avoid spicy, sore oil, food, tea, coffee

Healing, take time, but it is possible You have to use this at least for three months to see the changes

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
63 days ago
5

HELLO YASHITA,

You have been going through so much pain for such a long time. Anal fissures-especially chronic or post surgical ones- can be incredibly stubborn and emotionally drainage.

WHY PAIN PERSISTS EVEN AFTER LASER SURGERY? 1)persistent sphincter tightness->poor blood flow ->slow healing.

2)Nerve hypersensitivity post surgery->pain even without visible fissure

3)Residual inflammation in the rectal mucosa.

4)Digestive disturbance even slight acidity, IBS, or constipation->aggravates

5)Ayurvedic meds were too ushna(heating) for your pitta-predominant Prakriti.

YOU NEED A PITTA-PACIFYING MUCOSAL-SOOTHING PROTOCOL-NOT DEEP CLEANSING- lets avoid ushna(heating) herbs, oils or laxatives. NO PRANDAGUTIKA, NO UDRAMRUT CHURNA, NO CASTOR OIL

SAFE AYURVEDIC PLAN FOR YOU DURATION- 6-8 weeks all herbs must be taken with lukewarm water or cows milk

1)Avipattikar churna- 1/2 tsp after lunch and dinner= soothes acidity, reduces pitta, and supports bowel movement

2)Shatavari capsule- 500 mg twice daily after meals with milk= deeply cooling, helps tissue repair

3)Triphala+Yashtimadhu mix- 1 tsp at bedtime with lukewarm water=gentle laxative+ mucosal healing

LOCAL TREATMENT(TOPICAL+SITZ BATH)

1)Sit bath with triphala decoction daily once or twice

2)Yastimadhu ghrita fichu -soak sterile cotton in ghee apply externally or gently insert if tolerated. -helps healing of micro-wounds , reduces inflammation , no burning.

3)Tender coconut water-1 glass to keep pitta and gut cool.

DIET PLAN(STRICT BUT HEALING)

AVOID -tea/coffee -spices-especially chilli, mustard, black pepper -sour foods-curd,tamrind, tomatoes -fried food -bakery items

INCLUDE -warm khichdi, steamed veggies -cow ghee daily- 1 tsp with rice -soaked raisins and almonds-peeled -chamomile tea at night

GENTLE LIFESTYLE -never suppress urges to pass gas or stool -avoid sitting too long on hard surfaces -mild walking after meals -ashwini mujra-gentle anal sphincter tightening and relaxing- helps improve blood flow.

Do follow

thank you

DR. HEMANSHU MEHTA

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In situations like these, experiencing persistent pain and discomfort even after surgery can be understandably frustrating. With Ayurvedic guidance, it’s important to address this cautiously, given your hypersensitivity to past remedies. It seems like there might be an underlying pitta imbalance, which can cause excessive heat and inflammation.

First, let’s consider dietary adjustments to help cool down this pitta. Avoid overly spicy, sour, salty, and deeply fried foods, as they can aggravate the heat. Favor cooling and soothing foods like cucumber, melon, leafy greens, and whole grains. Include more coconut water, which helps to balance pitta with its sweetness and cooling nature.

For local relief, try applying a cooling mixture externally. Aloe vera gel is an excellent option — apply it gently to soothe and heal the affected area. Adding a pinch of turmeric can be beneficial, given its anti-inflammatory properties, but ensure there’s no added irritation.

Internally, aim to strengthen the digestive agni gently. You might try a simple decoction of coriander seeds and cumin seeds, which you can sip throughout the day. Take coriander and cumin in equal parts, boil them in water, and then strain — drink the water warm but not hot.

Yoga and meditation can also help manage stress and support healing. Gentle poses like legs-up-the-wall (Viparita Karani) can improve circulation and provide relief. Regular meditation may reduce stress-related components of pain.

If symptoms persist, consult an Ayurvedic practitioner for a panchakarma cleanse, ensuring it’s tailored to your condition. Given the persistent issues you’re facing, reevaluation by a healthcare professional for further treatment or diagnostic evaluation might also be warranted.

Safety and addressing your needs carefully must remain the focus while navigating towards comfort and healing.

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Dr. Narendrakumar V Mishra
I have been practicing as a Consulting Ayurvedic Physician since 1990, with over three decades of clinical experience in treating a wide range of chronic and lifestyle-related health conditions. My core areas of focus include hair disorders, skin diseases, and lifestyle disorders such as diabetes, arthritis, and stress-related imbalances. Over the years, I have developed a patient-centric approach that emphasizes deep-rooted healing through authentic Ayurvedic principles. My treatment philosophy is based on understanding the unique constitution (prakriti) and imbalance (vikriti) of each patient, allowing me to craft individualized care plans using classical formulations, diet corrections, detox therapies (shodhana), and lifestyle modifications. Whether it’s persistent hair fall, recurring skin allergies, or long-term metabolic disorders, I aim to address the root cause rather than just suppress symptoms. In the management of lifestyle disorders like diabetes and arthritis, I integrate Ayurvedic medicines with structured dinacharya (daily routines) and ahar (dietary guidance), focusing on sustainable results and long-term wellness. I also work extensively with stress-related concerns, offering holistic strategies that incorporate mind-body practices, including meditation, herbal support, and counseling rooted in Ayurveda. With a strong foundation in traditional Ayurvedic texts and decades of hands-on experience, I remain committed to providing safe, natural, and effective healthcare solutions. My goal is to guide patients toward a balanced life, free from chronic ailments, through personalized treatment protocols that restore harmony to both body and mind.
5
349 reviews
Dr. Khushboo
I am someone who kinda started out in both worlds—Ayurveda and allopathy—and that mix really shaped how I see health today. My clinical journey began with 6 months of hands-on allopathic exposure at District Hospital Sitapur. Honestly, that place was intense. Fast-paced, high patient flow, constant cases of chronic and acute illnesses coming through. That taught me a lot about how to see disease. Not just treat it, but like… notice the patterns, get better at real-time diagnosis, really listen to what the patient isn’t saying out loud sometimes. It gave me this sharper sense of clinical grounding which I think still stays with me. Then I moved more deeply into Ayurveda and spent another 6 months diving into clinical training focused on Panchakarma therapies. Stuff like Abhyanga, Basti, Shirodhara—learned those not just as a list of techniques, but how and when to use 'em, especially for detox and deep healing. Every case felt like a different puzzle. There wasn’t always one right answer, you know? And that’s where I found I loved adapting protocols based on what the person actually needed, not just what the textbook says. Alongside that, I got certified in Garbha Sanskar through structured training. That really pulled me closer to maternal health. Pregnancy support through Ayurveda isn’t just about herbs or massage, it’s like this entire way of guiding a mother-to-be toward nourishing the baby right from conception—emotionally, physically, all of it. That part stuck with me hard. My overall approach? It’s kinda fluid. I believe in balancing natural therapies and evidence-based thinking. Whether it's seasonal imbalance, hormonal issues, Panchakarma detox plans, or just guiding someone on long-term wellness—I like making people feel safe, heard, and actually understood. I’m not into rushing plans or masking symptoms. I’d rather work together with someone to build something sustainable that really suits their body and where they’re at. In a way, I’m still learning every day. But my focus stays the same—use Ayurvedic wisdom practically, compassionately, and in a way that just... makes sense in real life.
5
47 reviews
Dr. Anirudh Deshmukh
I am Dr Anurag Sharma, done with BAMS and also PGDHCM from IMS BHU, which honestly shaped a lot of how I approach things now in clinic. Working as a physician and also as an anorectal surgeon, I’ve got around 2 to 3 years of solid experience—tho like, every day still teaches me something new. I mainly focus on anorectal care (like piles, fissure, fistula stuff), plus I work with chronic pain cases too. Pain management is something I feel really invested in—seeing someone walk in barely managing and then leave with actual relief, that hits different. I’m not really the fancy talk type, but I try to keep my patients super informed, not just hand out meds n move on. Each case needs a bit of thinking—some need Ksharasutra or minor para surgical stuff, while others are just lifestyle tweaks and herbal meds. I like mixing the Ayurved principles with modern insights when I can, coz both sides got value really. It’s like—knowing when to go gentle and when to be precise. Right now I’m working hard on getting even better with surgical skills, but also want to help people get to me before surgery's the only option. Had few complicated cases where patience n consistency paid off—no shortcuts but yeah, worth it. The whole point for me is to actually listen first, like proper listen. People talk about symptoms but also say what they feel—and that helps in understanding more than any lab report sometimes. I just want to stay grounded in my work, and keep growing while doing what I can to make someone's pain bit less every day.
0 reviews
Dr. Ayush Varma
Graduating with an MD in Ayurvedic Medicine from the All India Institute of Medical Sciences (AIIMS) in 2008, he brings over 15 years of expertise in integrative healthcare. Specializing in complex chronic conditions, including autoimmune disorders, metabolic syndromes, and digestive health, he uses a patient-centered approach that focuses on root causes. Certified in Panchakarma Therapy and Rasayana (rejuvenation), he is known for combining traditional Ayurvedic practices with modern diagnostics. Actively involved in research, he has contributed to studies on Ayurveda’s role in managing diabetes, stress, and immunity. A sought-after speaker at wellness conferences, he practices at a reputable Ayurvedic wellness center, dedicated to advancing Ayurveda’s role in holistic health and preventive care.
4.95
20 reviews
Dr. Keerthana PV
I am a passionate and responsible Ayurvedic doctor, having completed my internship at the renowned VPSV Ayurveda College, Kottakkal, Kerala. My clinical journey has been shaped by the rich traditions of Kerala Ayurveda, where I gained extensive hands-on experience in diagnosing and treating patients with authentic Ayurvedic therapies. I am dedicated to delivering personalized and holistic healthcare, with a focus on preventive medicine and positive lifestyle modification. I actively counsel my patients on achieving optimal health through balanced diet, daily regimen, stress management, and natural therapies. Additionally, I am a certified Smrithi Meditation Consultant from the Kottakkal Ayurveda School of Excellence, which allows me to integrate meditation and mindfulness techniques into my treatment protocols, promoting mental well-being along with physical health. My approach is rooted in compassion, responsibility, and a commitment to empowering patients on their journey towards complete wellness.
5
93 reviews
Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with over 28 years of clinical experience dedicated to the principles and practice of authentic Ayurvedic medicine. Throughout my journey, I have had the privilege of treating more than 100,000 patients through both in-person consultations and online platforms. My approach is deeply rooted in classical Ayurvedic diagnostics—such as Nadi Pariksha (pulse examination), Roga-Rogi Pariksha (patient and disease evaluation), and a personalized assessment of prakriti (body constitution). Over the years, I have successfully managed a wide range of health conditions across all age groups—from acute infections and digestive issues to chronic and lifestyle disorders such as arthritis, diabetes, respiratory ailments, hormonal imbalances, and autoimmune conditions. I place strong emphasis on individualized care, combining herbal formulations, Panchakarma detox therapies, and dietary and lifestyle guidance to ensure long-term healing and disease prevention. My extensive experience also includes addressing complex, chronic illnesses that require a deep understanding of both the pathology and the patient’s overall constitution. I have worked with patients who had previously struggled with little success in other systems of medicine, and have guided many toward sustainable recovery and improved quality of life. Whether treating elderly patients with degenerative disorders or young adults facing hormonal or metabolic challenges, I strive to offer care that is compassionate, comprehensive, and evidence-informed. My goal is to empower patients with Ayurvedic wisdom so they can take an active role in their healing journey. I continue to remain updated with the evolving landscape of integrative health and value the importance of patient education, ethical practice, and consistent follow-up. For me, Ayurveda is not just a profession, but a lifelong commitment to restoring balance and promoting well-being, one patient at a time.
5
260 reviews
Dr. Nisha Bisht
I am an Ayurvedic physician with over a decade of dedicated experience in both clinical and administrative roles. I began my professional journey with Jiva Ayurveda Pvt. Ltd. in Faridabad, where I spent 3 years offering telemedicine and in-clinic consultations, gaining valuable experience in patient-centered care and Ayurvedic treatment protocols. Following this, I served as a Medical Officer at Uttaranchal Ayurved College, Dehradun, for 7 years, where I was actively involved in both patient care and academic responsibilities, refining my clinical skills and deepening my understanding of traditional Ayurvedic practices. Currently, I am working as the Deputy Medical Superintendent at Shivalik Hospital, a unit of Shivalik Ayurved Institute, Dehradun. In this role, I not only manage patient consultations but also oversee hospital operations, ensuring the delivery of quality healthcare services. Throughout my career, I have remained committed to promoting authentic Ayurveda, combining classical knowledge with modern healthcare systems to provide effective, safe, and holistic treatment solutions to my patients.
5
198 reviews
Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
5
61 reviews
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, an Ayurvedic physician from Maharashtra, committed to promoting authentic and effective Ayurvedic healing. I completed my BAMS from YMT Ayurvedic Medical College, Kharghar, where I built a strong foundation in classical Ayurvedic science. After graduation, I was fortunate to be selected for the prestigious Certificate Course of Rashtriya Ayurveda Vidyapeeth, Delhi. Through this program, I had the unique opportunity to learn traditional and authentic Kerala Ayurveda under the mentorship of my Guru, Prof. Dr. G.G. Gangadharan, a highly respected name in the field. Currently, I am pursuing my MD in Panchakarma from the renowned Shri Dharmasthala Manjunatheshwara (SDM) Ayurveda College, Bangalore. This advanced training is enhancing my understanding of specialized Ayurvedic detoxification and rejuvenation therapies, allowing me to integrate classical Panchakarma techniques into modern clinical practice effectively. My clinical approach combines deep-rooted traditional knowledge with scientific understanding to offer personalized care for a variety of chronic and lifestyle disorders. I am passionate about utilizing Ayurveda not just for disease management but also for preventive healthcare and wellness promotion. I am dedicated to helping my patients achieve sustainable health by addressing the root cause of ailments through holistic treatments, Panchakarma therapies, lifestyle counseling, and dietetics.
5
39 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
5
260 reviews
Dr. Hemanshu Mehta
I am Dr. Hemanshu—right now a 2nd year MD scholar in Shalya Tantra, which basically means I’m training deep into the surgical side of Ayurveda. Not just cutting and stitching, btw, but the whole spectrum of para-surgical tools like Agnikarma, Viddhakarma, and Kshara Karma... these aren’t just traditional, they’re super precise when done right. I’m not saying I know everything yet (still learning every day honestly), but I do have solid exposure in handling chronic pain issues, muscle-joint disorders, and anorectal conditions like piles, fissures, fistulas—especially where modern treatments fall short or the patient’s tired of going through loops. During clinical rounds, I’ve seen how even simple Kshara application or well-timed Agnikarma can ease stuff like tennis elbow or planter fasciatis, fast. But more than the technique, I feel the key is figuring what matches the patient’s constitution n lifestyle... like one-size-never-fits-all here. I try to go beyond the complaint—looking into their ahar, sleep, stress levels, digestion, and just how they feel in general. That part gets missed often. I honestly believe healing isn’t just a “procedure done” kind of thing. I try not to rush—spend time on pre-procedure prep, post-care advice, what diet might help the tissue rebuild faster, whether they’re mentally up for it too. And no, I don’t ignore pathology reports either—modern diagnostic tools help me stay grounded while applying ancient methods. It’s not this vs that, it’s both, when needed. My aim, tbh, is to become the kind of Ayurvedic surgeon who doesn't just do the work but understands why that karma or technique is needed at that point in time. Every case teaches me something new, and that curiosity keeps me moving.
5
108 reviews

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