Gudabhramsha ( Prolapse of Rectum )

Gudabhramsha ( Prolapse of Rectum )

Various factors . Such as age long term constipation and the stress of childbirth may cause these ligament and muscle to weaken . Which means that rectum attachment to the body also weaken . This causes the rectum to prolapse . Meaning it slips or fall out of place . Occasionally . large hemorrhoids ( large . Swollen veins inside the rectum ) may predisposed the rectum to prolapse.

Causes

1 Advance age

2 Long term diarrhoea

3 long term constipation

4 pregnancy and stress of childbirth .

5 Cyctic fibrosis

6 previous surgery

7 Chronic obstructive pulmonary diseases.

8 Multiple sclerosis

9 whopping cough

10 paralysis ( paraplegia )

11 long term straining during defecation.

Symptoms

1 Pain during bowel movement

2 Mucus or blood discharge from the protruding tissue .

3 fecal incontinence ( inability to control bowel movements.)

4 loss of urges to defecate.  ( Mostly with large prolapse )

Principal of Treatment

1 Snehana

2 Svedana

3 Manual insertion.

Shodhana Chikitsa

1 Pichu - Changeri Ghirtha / Mooshika Taila

2 Abhyanga -  Mooshika Taila

3 Ksheera Dhooma - ( Bala - Dashamoola - eranda , Kashaya siddha ksheera )

4 Gophana  Bandha

When anal spincter gain strength then start.
Matra Basti - Changeri Ghirtha or Dhanvantari Taila 8 times .

Shamana Chikitsa

1 Changeri Ghirtha 10 ml BD after meals

2 Mooshika Taila -For Pichu

3 Makaradhvaja vati 2 BD after meals with warm water.

4 Ashwagandhaarista 20 ml BD with warm water after meals

5 Bangeshwara Ras 2 vati BD before meals.

Diet and lifestyle

Pathya ( Indications )

1 Drinking a plenty of water at least 8 glass per day .

2 Eat Higher Fiber diet

3 Green leafy vegetables

4 use stool softener to prevent straining.

Rest foot end elevation.

Apthya ( Contraindications )

1 Hot . Spicy . Salty diet

2 Constipating foods ..

3 Tobacco

4 Chicken

4 Alcohol ,