Ayurvedic Treatment Approaches:

Kshara Karma:

Kshara Karma is an Ayurvedic surgical technique involving the application of medicated alkaline substances (ksharas) to the affected area. In the case of rectal prolapse, ksharas are applied directly to the prolapsed rectal tissue, gradually reducing its size and improving its tone.

• Ksharas: These are alkaline substances derived from plant or mineral sources, specifically prepared to have therapeutic effects. Their potency varies based on composition and preparation method.

Theirsch Wiring:

The Theirsch wiring procedure involves passing a suture (usually silk) around the anal sphincter muscles to provide additional support, which helps in reducing rectal prolapse and improving rectal muscle tone.

Advantages of Kshara Karma in Rectal Prolapse:

• Minimally Invasive: Kshara Karma is less invasive compared to traditional open surgeries for rectal prolapse, making it an attractive option for patients.
• Reduced Pain: The procedure typically involves less post-operative pain and discomfort.
• Faster Healing: Patients often experience faster recovery and healing compared to open surgery.
• Minimal Blood Loss: The procedure causes minimal blood loss during and after the surgery.
• Lower Risk of Complications: Kshara Karma is associated with a lower risk of complications like bleeding, infection, and incontinence compared to some traditional surgeries.
• Focus on Tissue Regeneration: The treatment promotes natural tissue regeneration and improves the overall tone of the rectal muscles.

Pre-Procedure Considerations:

• Thorough Consultation: A detailed consultation with Dr. Shyam Prasad P.S., a senior general surgeon, is essential to assess the suitability of Kshara Karma and Theirsch Wiring for your specific case. During this consultation, the risks and benefits of the procedure will be discussed.
• Diagnostic Evaluation: A thorough physical examination and proctoscopy will be conducted to confirm the diagnosis and assess the severity of rectal prolapse.
• Pre-Operative Preparation: You will be provided with pre-operative instructions, which may include bowel preparation and dietary modifications to prepare for the procedure.

Procedure:

• Anesthesia: These procedures are typically performed under local anesthesia, with a SEPTA block often used for enhanced comfort.
• Kshara Karma: The selected kshara is carefully applied to the prolapsed rectal tissue, promoting tissue healing and tone improvement.
• Theirsch Wiring: If necessary, the Theirsch wiring technique is performed to support the anal sphincter muscles and reduce the prolapse.
• Monitoring: Patients are carefully monitored during the procedure to ensure their safety and comfort.

Post-Procedure Care:

• Wound Care: Clear instructions will be provided to ensure proper wound care and reduce the risk of infection.

• Pain Management: Pain relief medications will be prescribed as needed to manage any post-operative discomfort.

• Dietary and Lifestyle Guidance:

  • South Indian/Karnataka Diet: A focus on easily digestible foods like rice, lentils, vegetables, and fruits is recommended.
  • Avoidance of: Spicy, fried foods, alcohol, and excessive caffeine should be avoided to reduce irritation and promote healing.
  • Increased Fiber Intake: Incorporate plenty of fiber-rich foods like fruits, vegetables, and whole grains to help soften stools and ease bowel movements.
  • Regular Exercise: Gentle activities, such as walking, can improve blood circulation and assist in the healing process.
  • Stress Management: Techniques like deep breathing and meditation can help reduce stress, contributing to better recovery.

• Bowel Regimen: It’s important to soften stools and prevent constipation for effective recovery.

  • Sitz Baths: Taking sitz baths in warm water (98-100°F) for 15-20 minutes, 2-3 times daily, helps soothe the area, reduce inflammation, and promote healing.

• Follow-up Consultations: Regular follow-up visits with Dr. Shyam Prasad P.S. or another qualified physician are essential to monitor progress and address any concerns during the healing process.

Contraindications:

• Pregnancy: These procedures may not be suitable for pregnant patients.
• Bleeding Disorders: Patients with bleeding disorders may not be candidates for these treatments.
• Inflammatory Bowel Disease: Those with inflammatory bowel disease may not be appropriate candidates for Kshara Karma or Theirsch wiring.

At Yogakshema Ayurveda Hospital, we provide advanced treatment options for rectal prolapse, incorporating Ayurvedic principles with modern techniques for optimal results. Our skilled team, led by Dr. Shyam Prasad P.S., ensures personalized care and a holistic approach to your well-being, focusing on safety, comfort, and long-term health.