C/O- Blood in still earlier now pus in stool, constipation/uncontrolled defecation, straining causes pain, fear of involuntary stool, unable to defecate without suppository on daily basis.Ailment time period- 8 yearsTreatment history- On and off allopathic treatment since eight years. Use of antibiotics, stool softener, suppository. Some sort of improvement but not complete relief. Symptom again recur after the treatment is stopped. Psychological involvement due to prolonged illness. Advised for surgery.
Ayurveda pathogenesis-
Diagnosis- Pitta Pradhan Raktatisar.
Hetu- P prakop due to late night work, excessive pickles in diet, green leafy vegetables, green chilly. No milk and ghee consumption. Long sitting causing VP gud prakop. Alcohol and smoking.
Treatment-
-Correction of diet and schedules as per Pitta dosha.
-Use of internal medications like Gandak rasayana, Mahatiktaka Ghrita, Bolbadha
ras, Kutaj awaleh for a period of 3 months in a 15 days followup.
-Use of Tikta ksheer basti PANCHAKARMA (15 days -Kal basti krama) after 3
months to avoid recurrence.
– Followup medicines after Basti- Mahatiktaka Ghrita and pancha tikta Ghrita
guggul for 2 months.
Observations-
-Immediate relief from bleeding of pus in stool with ease in defecation. Use of
suppository only four times in 15 days.
-Next 15 days- No use of supporters at all. 80% relief in symptoms.
– Percentage of relief increased whole the treatment progressed.
– Digestion improved after Tikta ksheer basti. Stool begin to become normal in
consistency and color.
– Patient completely happy and stable after 6 months of treatment.
– Its been two years now and no recurrence reported by patient during yearly
feedback.
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