EFFECT OF LEECH APPLICATION IN THROMBOSED HAEMORRHOID

Abstract

Arsha or hemorrhoids included under the category of Mahagadas as it significantly disturbs the normal proceedings or activities of the body like an enemy. It is a Gudagata mamsa vikara occurred in three Vallies of ano-rectal region. Basically it is of two types viz. internal and external hemorrhoids. A thrombosed hemorrhoid is a variety of external haemorrhoid in which there is a painful swelling in the anal tissues caused by a clot in one or more of the small veins in the anal skin. Thrombosed hemorrhoid is an emergency condition and occurs due to high venous pressure associated with severe anal pain. It becomes worse after strangulation of the pile mass. Urgent surgical intervention is required in all the cases. Venous return of strangulated pile mass become very low and severe edema takes place along with serious painful condition. The swollen tissues often have a characteristic bluish color, because of the underlying clot. Leech application is known to be effective in thrombosed hemorrhoid as it relieves venous pooling of blood in that area by dissolving the clotted blood. A study was carried out to evaluate its efficacy in which 30 patients were selected for the trail with the symptoms of thrombosed haemorrhoid and were subjected to Jalaukavcharan vidhi. The total effect of the therapy has provided considerably significant relief on the sign and symptoms. Leech application was found safe and effective in the management of thrombosed haemorrhoid by virtue of its antimicrobial, mucolytic and thrombolytic actions.