scholarly journals EFFECT OF PERINEAL REPAIR AND MUSHAKADI TAILA MATRABASTI IN MANAGEMENT OF RECTAL PROLAPSE (GUDABHARMSA): A CASE STUDY

2020 ◽  
Vol 8 (8) ◽  
pp. 4267-4270
Author(s):  
Sapna Maheshwari ◽  
Harshit Shah ◽  
Pragnesh Patel

Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipa-tion. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent or may be incarcerated and poses a risk of strangu-lation. There are multiple surgical options to treat rectal prolapse, and thus care should be taken to under-stand each patient’s symptoms, bowel habits, anatomy, and pre-operative expectations. We propose an al-gorithm based on available outcomes data in the literature, an understanding of ano-rectal physiology, and expert opinion that can serve as a guide to determining the rectal prolapse operation that will achieve the best possible postoperative outcomes for individual patients. Mushakadi Taila Matrabasti will be given in Sushrut Samhita as a treatment1 with perineal repair. So, it is really needed to find a safe, easier, less com-plicating, cost effective and fruitful approach for the management of disease through Ayurveda. A 62year old male patient came to the hospital with chief complaints of protrusion of mass from the anus with mu-cous discharge, constipation since last 5 years. He was diagnosed as complete rectal prolapse. Considering the signs and symptoms of rectal prolapse, the treatment of rectal prolapsed was planned with perineal re-pair and Mushakadi Taila Matarabasti as per mentioned in the treatment of Gudabhransha by Aacharya Sushruta.

2017 ◽  
Vol 1 (1) ◽  
pp. 10-14
Author(s):  
Babasaheb Gadve ◽  
SS Biswas

Mutrashmari is one of the most common diseases of Mutravahastrotas. In Ayurveda, Mutrashmari is considered as Asthamahagada (eight type of grave disease mentioned by Sushruta). Clinical features of Mutrashmari explained in various Ayurvedic text resembles of urolithiasis in modern science. In Ayurveda various conservative medicine are mentioned for the management Mutrashmari with less side effect, easily available, cost effective and minimum recurrences of stone formation. In this case report 40 years male patient visited in OPD Shalya Tantra with complaint of abdominal pain (radiating pain from loin to groin), nausea and burning micturation. The USG report showed Mutrashmari (Right renal calculus) of 6 mm since 2 month. The patient was treated with Tiladi Kshara (500mg two times a day) for the period of 1 month. At the end of treatment patient got relief in signs and symptoms and USG report showed no evidence of right renal calculi. Hence this case study showed the clinical effect of Tiladi Kshara in the management of Mutrashmari.


Author(s):  
Dr. Mamatha TS ◽  
Dr. Shankar S. Swamy ◽  
Dr. S. V. Shailaja

Mutrashmari is one of the commonest disease of Mutravaha Srotas, Acharya Sushruta described it as one of the Ashta-Mahagadas and considered as Yama because it gives intolerable pain. Charaka mentioned Ashmari as one of Basti Marmashritha Vyadhi. In modern science it is correlated with Urolithiasis. The incidence rate of Calculi varies as per geographical distribution, sex and age. Generally, men are more affected than women in the ratio of 3:1. The highest incidence of Urolithiasis occurs between the ages of 30-50 years. In Ayurveda various conservative medicine are mentioned for the management of Mutrashmari with less side effect, easily available, cost effective and minimum recurrences of stone formation. In this case report 40 years male patient visited OPD of Shalya Tantra with complaint of abdominal pain (radiating pain from loin to groin), nausea and burning micturation. The USG report showed two calculi measuring 6mm and 4 mm seen in the left kidney, no evidence of hydronephrosis, 3 calculi measuring 6mm, 5mm and 4mm are seen in the right kidney, and right kidney shows mild HUN due to calculus measuring 5mm in the VUJ. The patient was treated with Yavakshara 3 Gunja Pramana twice a day with 50ml of Varunaadi Kashaya for a period of 1 month. At the end of treatment and also in follow up period after 15 days patient got relief in signs and symptoms and USG report showed no evidence of calculi in both the kidneys.


2016 ◽  
Vol 18 (11) ◽  
pp. 1094-1100 ◽  
Author(s):  
M. Mistrangelo ◽  
P. Tonello ◽  
R. Brachet Contul ◽  
G. Arnone ◽  
R. Passera ◽  
...  

2020 ◽  
Vol 59 (1) ◽  
pp. 101
Author(s):  
M. VIJAYA BHARATHI ◽  
T. CHANDRASEKAR ◽  
T. KAVANYA ◽  
D. BALASUBRAMANYAM

2019 ◽  
Vol 111 (3) ◽  
pp. 180-183
Author(s):  
Laura Fernández Gómez-Cruzado ◽  
◽  
Teresa Marquina Tobalina ◽  
Eva Alonso Calderón ◽  
Leire Agirre Etxabe ◽  
...  

Villous adenomas may present with bleeding, diarrhea, electrolyte imbalance (Mackittrick-Weelock syndrome), obstruction, being a very rare cause of rectal prolapse. Rectal prolapse is a full thickness protrusion of the rectum through the anal canal and its presentation as an incarcerated rectal prolapse is very infrequent. If manual reduction is deemed impossible, perineal recto-sigmoidectomy, or Altemeier’s procedure, is one of the best surgical options, as an alternative transanal excision of the polyp could be performed with subsequent manual reduction of the rectal prolapse. We report the case of a female patient, admitted to the emergency room presenting an incarcerated rectal prolapse with a friable ulcerated mass of 10 × 8 × 5 cm, compatible with a villous polyp in the back side of the rectum. Since manual reduction was considered not feasible, surgery was decided and a transanal excision of the polyp was performed, following a successful manual reduction of the rectal prolapse. This case is of particular interest for its unusual association of incarcerated rectal prolapse due to a giant villous adenoma, having only 4 cases been reported in the literature.


2016 ◽  
Vol 10 (2) ◽  
pp. 55-58
Author(s):  
Tariq Akhtar Khan ◽  
Md Shahadot Hossain Sheikh ◽  
Md Abu Taher ◽  
Md Rayhanur Rahman ◽  
Md Rashidul Islam ◽  
...  

The study was undertaken to determine the efficacy and safety profile of Delorme's procedure as the treatment for full-thickness rectal prolapse. In this study, outcome of Delorme's procedure for full-thickness rectal prolapse were assessed retrospectively. All the patients who underwent this surgery (22 patients) from July, 2013 to June, 2015 were included in the study. There were 18 males and 4 females with mean age of 37.4 years (range 12-70). The mean operative time was 92.6 minutes (Range 60-180 minutes). There was no mortality and blood loss was minimal. Mean hospital stay was 3.5 days (2-6 days). Outcomes of the procedure were satisfactory and no patient reported recurrence of the disease within the follow up period. Delorme's operation is safe and effective treatment for complete rectal prolapse in patients of all age and sex.Faridpur Med. Coll. J. Jul 2015;10(2): 55-58


2018 ◽  
Vol 48 (1) ◽  
pp. 65-67
Author(s):  
Yenny Saraswati ◽  
Peter Sedman ◽  
Rebecca Sedman ◽  
Andika Pandu Wibisono ◽  
Citrakasih Nente ◽  
...  

2021 ◽  
Vol 9 (06) ◽  
pp. 532-535
Author(s):  
Piparvadiya R. ◽  
◽  
Sasane P.U ◽  

Ulcerative Colitis (UC) is a subtype of inflammatory bowel disease with unknown etiology, inflammatory disease that affects the colon. In Ayurveda, on the basis of signs and symptoms of Raktatisara can be compared with ulcerative colitis. Etiopathogenesis of Raktatisara in relation to ulcerative colitis by going through Ayurveda texts. due to its high morbidity and mortality. Ayurveda described Raktatisara, which has symptoms similar to ulcerative colitis i.e. Sarakta-mala-pravrutti (rectal bleeding with mucus), Shoola (~pain in abdomen), Gudapaaka (~burning sensation in rectum), Dourbalya (Generalised weakness) and Trishna (~excessive thirst). A diagnosed case of Ulcerative colitis with Ayurveda management was discussed here. In this case study we used some Ayurvedic formulations and Piccha basti, which give us high quality results and the treatment is safe and cost effective.


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