Kshara Karma for Hemorrhoids:

Kshara Karma is an Ayurvedic surgical method that involves the application of specially prepared alkaline substances, known as ksharas, to the affected area. In the case of hemorrhoids, the kshara is applied to the base of the hemorrhoid, gradually constricting its blood supply, causing it to shrink and eventually fall off.

• Ksharas: Ksharas are alkaline substances derived from plant or mineral sources. The composition and potency (pH level) of ksharas can vary based on the preparation method.

Indications for Kshara Karma for Hemorrhoids:

• Grade I & II Hemorrhoids: Primarily suitable for mild to moderate hemorrhoid cases. Grade I refers to internal hemorrhoids that do not prolapse, while Grade II refers to those that prolapse during straining but spontaneously reduce.
• Recurrent Hemorrhoids: Kshara Karma may also be considered for recurrent hemorrhoids that have not responded adequately to conservative treatments.

Advantages of Kshara Karma for Hemorrhoids:

• Minimally Invasive: Kshara Karma is less invasive compared to traditional open surgeries like Milligan-Morgan or Ferguson hemorrhoidectomy.
• Reduced Pain: The procedure is generally associated with less post-operative pain and discomfort.
• Faster Recovery: Patients often experience faster healing and recovery compared to more invasive surgeries.
• Minimal Blood Loss: Kshara Karma results in minimal blood loss during the procedure.
• Lower Risk of Complications: There is a reduced risk of complications such as bleeding, infection, or incontinence compared to open surgeries.
• Promotes Tissue Regeneration: The procedure supports natural tissue healing and minimizes scarring.

Pre-Procedure Considerations:

• Comprehensive Consultation: A thorough consultation with Dr. Shyam Prasad P.S., a senior general surgeon with expertise in these procedures, is essential to evaluate the suitability of Kshara Karma for the patient’s specific condition and to discuss potential risks and benefits.
• Diagnostic Evaluation: A detailed physical examination, including proctoscopy, will be performed to confirm the diagnosis and assess the severity of hemorrhoids.
• Pre-operative Preparation: Patients will receive pre-operative instructions, which may include bowel preparation and dietary modifications.

The Procedure:

• Application of Kshara: The selected kshara is carefully applied to the base of the hemorrhoid under sterile conditions.
• Monitoring: The patient will be closely monitored throughout the procedure to ensure safety and comfort.

Post-Procedure Care:

• Wound Care: Patients will receive detailed instructions on proper wound care to promote healing and minimize the risk of infection.

• Pain Management: Post-operative pain medications will be prescribed if necessary to manage any discomfort.

• Dietary and Lifestyle Guidance:

  • South Indian/Karnataka Diet: Emphasis on easily digestible foods like rice, lentils, vegetables, and fruits.
  • Avoidance of: Spicy foods, fried foods, alcohol, and excessive caffeine.
  • Increased Fiber Intake: A diet rich in fiber, including fruits, vegetables, and whole grains, is recommended to soften stools.
  • Regular Exercise: Gentle activities like walking can help improve circulation and aid in recovery.
  • Stress Management: Techniques such as deep breathing and meditation can help reduce stress and enhance healing.

• Bowel Regimen: It is important to maintain soft stools and prevent constipation for optimal recovery.

  • Sitz Baths: Regular sitz baths (soaking in warm water at 98-100°F for 15-20 minutes, 2-3 times a day) are highly recommended to soothe the affected area, reduce inflammation, and promote healing.

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

Contraindications:

• Pregnancy: Kshara Karma may not be suitable during pregnancy.
• Bleeding Disorders: Individuals with bleeding disorders should avoid this procedure.
• Inflammatory Bowel Disease: Patients with inflammatory bowel disease may not be appropriate candidates.

At Yogakshema Ayurveda Hospital, we provide Kshara Karma for hemorrhoids under the careful guidance of our experienced medical professionals. We combine Ayurvedic wisdom with modern techniques to ensure the best outcomes while prioritizing patient safety and well-being. Led by Dr. Shyam Prasad P.S., our team tailors each treatment plan to meet the individual needs of the patient.