PAIN MANAGEMENT AFTER KSHAR-SUTRA LIGATION OF HAEMORRHOIDS WITH HERBOMINERAL PREPARATION AND STANDARD NSAID: A CONTRASTIVE STUDY
Vishal khanna*, Abineet Raina, Ankush Bhardwaj, Anjali SharmaABSTRACT
The disease haemorrhoids is an Ano-rectal disorder and is as old as mankind. A large population of the world population is troubled with this disease which is due to inconsistency of the human diet and social obligations demanded by civilization. The management of 3rd degree haemorrhoids needs mainly a surgical approach. The Kshara-sutra ligation method of haemorrhoids is done by Ayurvedic surgeons but facing hardships in post ligation pain management. A complete Ayurvedic postoperative pain management is the need of every Ayurvedic surgeon. This study was carried out with an attempt to find an effective and safe Ayurvedic postoperative pain management and for this, 30 Patients who were undergone Kshara sutra ligation of haemorrhoids were selected from the from the IPD of Post Graduate of Department Shalya Tantra, Jammu Institute Of Ayurveda And Research Hospital, Nardani, Jammu. Selected patients were randomly divided into two groups each of 15 patients. For pain relief, the patients in Group A were administered with Diclofenac sodium, which is an established NSAID, in the dose of 50mg TDS orally where as the patients in Group B were administered with Triphala Guggulu and Gandhaka Rasayana in the dose of 450 mg TDS and 250 mg TDS orally respectively. Although satisfactory result obtained on all parameters with Triphala Guggulu and Gandhaka Rasayana but Diclofenac sodium is found statistically more significant.Keywords: Haemorrhoids, Kshar-sutra ligation, post-operative pain, Triphala Guggulu, Gandhaka Rasayana.
Dr Vishal Khanna, Associate professor, Department of Shalya Tantra, Jammu Institute of Ayurveda and Research, Nardani, Bantalab, Jammu, J&K Contact no. 9596863363