Anal Fissure Piles Dysuria Treatment

Experience dramatic relief from anus pain, haemorrhoids, bleeding fissures and dysuria with acupuncture treatment at modern 4.5 star* rated clinic. The centre is has dedicated staff with MBBS MD specialist doctor with 40 years experience. No drugs or its side effects. Dr Pardeshi has been providing haemorrhoids treatment, fissure treatment and dysuria treatment in Nashik for many years.

Symptoms of Anal Fissure

Pain is major complaint of patients with anal fissure which increases at the time of defecation. Fear of pain during defecation may prevent patients from have regular bowel moment. It further causes constipation and more hardened stool and more injury. It may also cause urinary problems like dysuria frequent urination etc. Bleeding in small amount, itching, malodorous discharge may also occur in fissures. Infants bleed commonly due to fissure.

What is Anal Fissure?

Anal fissure is a crack, cut or tear extending up into anal canal from anus causing pain during defecation and afterwards. About 10% of patients going to colorectal surgeons suffer from anal fissures. It may be acute or chronic. It is mainly caused by injury. Trauma is mostly due to injury caused by passage of hard stool thorough anus. Sometimes bleeding fissure can be due to nail of fingers, thermometer, enema tip or endoscope. Episode of diarrhoea or child birth may also be cause of fissure. The skin covering anus and area around is very sensitive; therefore it is very painful in case of injury.

Ninety percent of fissure occurs in posterior midline; however 10% can occur in anterior midline in women. Fissure at places other than anterior or posterior may be due to other causes like malignancy, Crohn disease, infection, HIV etc and need to investigate further.

Anal canal is surrounded by external sphincter and internal sphincter muscles. External sphincter is voluntary control whereas internal sphincter is involuntary muscle. In case of fissure, both muscles are exposed due to injury and get irritated, therefore go into excessive spasm causing pain. Constant pressure on muscle and pulling apart of edges of fissure do not allow fissure heal properly. It is so possible that fissure wound do not heal because of deficient blood supply at posterior midline. Spasm of muscles also may hamper blood supply and prevent healing of fissure. Fissure treatment by acupuncture has given very dramatic pain relief to patients in Dr Pardeshi Acupuncture Pain Therapy Centre Nashik.

What causes anus pain?

Anal pain can be due to anal fissure, hemorrhoids, fistula or abscess. Severe pain around anus or throbbing or shooting pain inside anus can be due to abscess. Anus pain when sitting or pain in bottom can be due to abscess. Sharp pain in anus is likely to be due to fissure. Anus pain during stool or anus pain after passing stool is likely to be due fissure. Anus pain at night when walking can also be due to anal fissure. Pain in anus after passing stool is due to cracks in anal skin due to fissure. Sometimes one has anus pain after intercourse due to Coccydynia. Anus pain relief need investigation into cause.

Diagnosis of Fissures : History of patient gives good indication of presence of fissure. Pulling apart buttock can reveal presence of fissure. Chronic fissures exhibit three signs which include, skin tag at edge of anus, thickened edges of fissure with muscle fibres of internal sphincter visible at base of fissure and large papilla at end of fissure in anal canal. Acute fissure is seen as lineal tear. Further rectal examination may be needed in high risk patients with colonoscopy or sigmoidoscopy to rule out pathology like malignancy.

Treatment for Fissure

Aim of treatment is break vicious cycle of pain – spasm – injury - pain and its repeated damage of shin of anus.

Home remedies for Fissure

High fiber diet is first step in treatment of fissure. Avoid food which may pass as such and cause injury to anus. Take lot of liquids if needed stool softener. Sitz bath may relax muscles and help passage of stool. Others treatments like fissure treatment in homeopathy, fissure treatment in Patanjali, fissure treatment in Ayurveda or fissure treatment by Baba Ramdev are also in vogue. However efficacy of such fissure pain relief is not confirmed. Fissure treatment at home is preferred by most, in initial stage. There is no treatment at home that works quickly. Fissure treatment during pregnancy can difficult to manage. In treatment of fissure, acute fissure heal with conservative treatments in 80—90% of times. Chronic fissure heal only in 40% of cases.

Medication of Fissure Treatment

Best fissure treatment remains acupuncture. It is also remains first line treatment of anal fissure. Though other therapies are given here; they do not have as dramatic effect as acupuncture.

Fissure medicine like fissure treatment cream like, anaesthetics for example xylocaine and pramoxine are recommended before bowel movement to reduce pain during defecation. Addition of steroid can reduce inflammation if sufficient time given for it acts. Use of steroids more than two week is avoided as it may make anal skin thin and further damaged.

Conventional Fissure Treatment

with nitroglycerin ointment is practiced as nitro-glycerine relaxes anal muscles therefore promotes blood circulation and healing and good medication for anal fissure. It has side effect of vasodilatation causing headache and lowering of blood pressure. This has been used regularly in fissure in ano treatment. Calcium Channel Blocker like nifedioine can relax muscles around anus and improve blood supply and further fasten healing. They are also effective in acute fissure.

Fissure treatment with botox

Botulinum toxin paralyses muscle by preventing release of acetylcholine from nerves that causes muscles to contract. It has been used to treat fissures but it is very costly. Therefore this treatment for fissure in ano is not practice. Incontinence is major side effects. Botunlinum also causes weakness and incontinence. Recurrence rate with Botulinum is higher than other therapies. There are many claims of fissure treatment without surgery in hindi belt of north India but all such claims are unsubstantiated.

Surgery for Fissure - Sphincteroctomy

where internal sphincter is partially cut to avoid spasm and promote healing, is common surgery used. There are chances of incontinence of gas or stool in some cases after sphincteroctomy surgery. Fissure treatment surgery of this method is frequently used.

Fissure Surgery – Stretch

Anal stretching is sometimes used to treat fissures. It can however injure anal area irregularly. It is uncontrolled and quite traumatic. There is more than 20% chance of incontinence of stool.

Acupuncture Treatment of Fissure

Acupuncture due its anti-inflammatory and analgesic action is excellent treatment for anal fissure. Pain reduction starts almost immediately. Healing of fissure takes about one month. It is far better treatment compared all treatments described above. There are no side effects. Recurrence rate is also negligible.

National Institute of Health

“The intervention treatment of acupuncture and moxibustion has clinical significance on relieving pain symptoms and improving defecation willingness in postoperative patient of anal fissure.”


Haemorrhoids Treatment

Symptoms of haemorrhoids are fresh bleeding from anus, discharge of mucous, pain during defecation, tender swelling near anus and itching at anal region. Continued anal bleeding can cause anaemia. Other more serious conditions can also cause anal bleeding.

What is Piles or haemorrhoids?

Piles are enlarged and swollen blood vessels located in the lower part of the rectum and the anus. The blood vessels become swollen due to increased pressure within them. Hemorrhoids usually are caused by increased pressure within the lower abdomen. Piles image is given separately for better understanding of pile pathology. Internal piles are located on the inside lining of the rectum and cannot be felt unless they are prolapsed and push through the anus opening causing pain and itching. External piles are located beneath the skin on the outer aspect of the anus. Symptoms may include bleeding with a bowel movement and a mass or fullness that can be felt at the anal opening. Thrombosed external piles occur when blood within the blood vessel clots, and may cause significant pain and swelling.

What causes haemorrhoids?

What causes piles disease is not certain. Defective veins leading varicosity may be initiated by genetic trait. Increased intra-abdominal pressure due to obesity, pregnancy, long standing or sitting may be piles causes. They are seen more commonly in elderly but can be present at any age. More than half of population suffer from it sometimes in their life. Low fibre diet can cause constipation and can be causes of piles. Some potential causes include, straining at the time of bowel movement (this may be due to constipation or profuse diarrhoea, prolonged anal intercourse, inflammatory bowel disease (Crohn's disease and ulcerative colitis), rectal cancer.

Diagnosis

External and internal hemorrhoids are diagnosed by a physical exam and history by a health-care professional. He may use anosope, proctosope or sigmoidoscope or colonoscope to make specific diagnosis and rule out other conditions like malignancy giving similar presentation. Further barium enema may be needed in certain condition. Piles treatment in Nashik by acupuncture has given very dramatic relief to patients in Dr Pardeshi Acupuncture Pain Therapy Centre

Hemorrhoid Treatment

Acupuncture remains best treatment for piles as it is easiest and most effective therapy for piles. Needles are applied at distal points far away from piles. Relief is instant increases in next 24 hours. Our experience shows that results are so dramatic that most patients don’t need more than three sitting of acupuncture treatment. It is least used therapy, in spite of fact that, it is best haemorrhoid treatment.

Western countries have started to look at this form of piles treatment more recent years. Whatever the exact approach and the duration of treatment, acupuncture has undeniably gained popularity as a treatment for the uncomfortable symptoms of piles. It is important to note, however, that if you are considering acupuncture as a treatment for your hemorrhoids, you should make sure you consult a reputable acupuncturist who has experience treating the condition. Dr Pardeshi Acupuncture Pain Therapy has extensive experience in piles/ haemorrhoids treatment of in Nashik.

Conventional Piles Treatment

Piles treatment without surgery: Steroid anti-inflammatory and anesthetic piles cream are prescribed in initial stages of piles treatment. Paracetmol can relive pain to some extent and is best tablet for piles.

Laxatives can help in case of constipation and act as piles home treatment. In piles treatment food, dietary changes may be needed to shift to high fiber diet in treatment for piles. In absence of high fiber diet stool softeners are needed. Eight glasses of water daily need to be consumed which acts like piles treatment medicine.

However such treatment does not give piles cure themselves. Piles treatment in Ayurveda or piles treatment in homeopathy system of medicines is claimed to give good results. Piles treatment in Hindi rural belt of India is still of old classical nature. It is claimed that ayurvedic treatment for piles is very effective. Piles medicine in Patanjali is also said to be effective.

If first line of treatment for haemorrhoids, fails further intervention like piles operation may be needed for bleeding piles relief like -

Sclero-Therapy
is Injection of substance for internal hemorrhoids treatment to create scar internal piles and close the veins and gives haemorrhoid relief.

Banding
External piles treatment can be done by tightly tying pile to shut off its blood supply which falls off within a week. This is sort of piles treatment surgery works well. Coagulation or cauterisation. Again, in external haemorrhoid treatment, prolapsed piles or bleeding piles treatment, tiny burn is given to let vein close and shrink.

Surgery
For thrombosed and large piles surgery may be needed as cure for piles

Piles Treatment in home Do & Don’ts

Piles home remedies include
  • Keep area clean.
  • If need to sit for long time which should be avoided, take break every hour.
  • Use petroleum jelly just inside the anus in case of painful bowel movement.
  • Use anti-inflammatory jelly soothing pain.
  • Paracetamol is safe analgesic for hemorrhoid pain relief.
  • Steroid cream can reduce itching. Itching of affected area can exacerbate situation.
  • Don’t stay on commode for more than 5 minutes. Use non touch technique of water spray to clean area is important part of piles treatment at home

Ayurvedic and Homeopathic Treatments

Patients report having taken Ayurvedic treatment for piles and reported some relief also. Similarly, Homeopathic treatment for piles pain has also had some satisfied patients. Acupressure treatment for piles has limited scope. For any information regarding piles or hemorrhoids and its treatment in Nashik, please contact Dr Pardeshi Acupuncture Pain Therapy for FREE consultation.


Dysuria Treatment

What Is Dysuria?

Dysuria is pain, burring, discomfort or difficulty in urination. Painful urination is mostly due to urinary tract infection. Urinary tract infection women is common and also in sexually active or post menopausal women. It can also be due to sexually transmitted diseases. Other causes may be prostitis local trauma, external irritation, anatomic obstruction, neurological conditions, diabetes and prostate enlargement. It causes frequent urination.

Diagnosis of Dysuria

History of frequent urination, pain after urinating or pain in urination, indicate presence of dysuria. Urinary tract infection in women is more than in men requiring dysuria treatment. Proportion of men requiring medication for urinary burning is less than women. Urine examination will confirm infection. In other cases detailed examination needs to be done.

Management requiring recurrent UTI, pyelonephritis treatment, kidney infection treatment or cystitis treatment with antibiotics, if not done properly, may complicate disease leading renal damage.

Treatment of Dysuria

Treatment of cause of dysuria is rational approach. Drugs for painful urination are antibiotics. Treatment of infection solves problem in most of cases. Many times there is no infection. In such cases symptomatic pain relief can be achieved very effectively by acupuncture.

US National Library of Medicine

“We concluded that the long-term outcome of acupuncture at the Sp-6 point for women with frequency, urgency and dysuria was positive... “

Scienece Direct

“Clinically symptomatic improvement was noted in 22 of the 26 patients who were treated by acupuncture at the Sp. 6 point. Our studies indicated that acupuncture could be used as a simple and effective method to treat female patients with frequency, urgency and dysuria.”

Springer Report

“Indeed, every medical condition mentioned in this book can cause pelvic dysfunction in male and females. Acupuncture does have a role in the treatment of these patients. Fortunately, the TCM acupuncture approach is a much broader diagnostic system and therefore the available treatments will work theoretically for most conditions in the general pelvic region.”

International Society for paraplegia

“ In summary, acupuncture therapy had its effect in the management of spinal cord injured patients with the neurogenic bladder. When to start acupuncture therapy also played an important role. The earlier the patients received acupuncture therapy, the sooner the patients achieved a bladder balance”.

Conventional Treatment of Dysuria

Dysuria treatment guidelines states diagnosis must be established before treatment drugs. Dysuria treatment at home involved drinking lot of fluids. Dysuria treatment in Hindi region may need more fluids in summer because of high temperature in summer. Since common cause is infection, dysuria treatment medication is urinary antibiotics like sparfoxacin for five days solves problem effectively.

In cases where there is no infection and no other cause can be found, patients continue to suffer. In both the situations, acupuncture treatment for painful urination, works well to relive pain of urination instantly. Even in case of infection acupuncture can relive pain instantly till action of antibiotics take place. Dysuria treatment children or dysuria treatments in male or dysuria treatments of women are not different in principal. What will vary is dose and choice of antibiotics.

Prevention of dysuria general debility is major predisposing factor for urinary infection. Avoiding catheterization especially retaining catheter for retention of urine should be practiced.

Dysuria

Dysuria can be prevented by maintain good health to prevent urinary infection and by good personal hygiene. Dysuria treatment at home consists of lot of fluids to minimise the pain.