Ksharsutra

What are Piles? Piles (haemorrhoids) are swollen blood vessels in and around the rectum and anus. They can be internal (inside the rectum) or external (under the skin around the anus). Symptoms include bleeding during bowel movements, pain, itching, and a feeling of incomplete evacuation.

Ksharsutra for Piles: Ksharsutra is the gold-standard Ayurvedic treatment for all grades of piles (Grade I to Grade IV). A medicated alkaline thread (sutra) is applied to the base of the haemorrhoid under local anaesthesia. The thread gradually cuts through and cauterises the tissue, causing the pile mass to shrivel and fall off over 5–7 days.

Why Ksharsutra over conventional surgery?

• No general anaesthesia — performed under local anaesthesia only
• Daycare procedure — patients go home the same day
• Recovery in 3–5 days (vs. 2–4 weeks for conventional haemorrhoidectomy)
• Very low recurrence rate — the alkaline action destroys the root cause
• No risk of anal stenosis (a common complication of conventional surgery)
• AYUSH Ministry-approved treatment backed by clinical studies from AIIMS

Procedure duration: 20–30 minutes. Hospital stay: 5–6 hours. Free consultation available — call +91-8009708080.

What is Anal Fissure? An anal fissure is a small tear or crack in the lining of the anus. It causes sharp pain during and after bowel movements and may cause bright red bleeding. Chronic fissures that do not heal with medication often require surgical intervention.

Ksharsutra for Fissure: In Ksharsutra therapy for anal fissure, the medicated thread is carefully applied along the wound. The alkaline preparation in the thread (containing Snuhi latex and Haridra powder) promotes healing and relieves the internal sphincter spasm that prevents the fissure from healing.

• The fissure wound is healed by applying Ksharsutra directly at the wound site
• Internal sphincter muscles relax as Ksharsutra reduces inflammation and congestion
• The alkaline action debrides necrotic tissue and promotes fresh epithelialisation
• Most chronic fissures that failed medical treatment respond well to Ksharsutra
• No general anaesthesia required — local anaesthesia only

What is Fistula-in-Ano? A fistula-in-ano is an abnormal tunnel connecting the inside of the anal canal to the skin around the anus. It typically develops after an anal abscess and causes persistent discharge, pain, and skin irritation. Conventional surgery has a high recurrence rate and risk of sphincter damage.

Ksharsutra for Fistula: Ksharsutra is considered the best available treatment for fistula-in-ano, even for complex or high-level fistulas that carry high sphincter damage risk with conventional surgery. The thread is placed through the fistula tract and changed weekly, gradually cutting through and healing the tract simultaneously.

• Ksharsutra thread is inserted through the entire fistula tract under local anaesthesia
• The thread begins draining all accumulated infection and pus from the tract
• Ksharsutra is changed every 7–10 days (weekly OPD visit)
• The thread gradually cuts through the fistula tract while simultaneously healing it
• Eventually the thread exits on its own as the entire tract is destroyed and healed
• Treatment duration: 4–8 weeks depending on the complexity of the fistula
• Significantly lower recurrence compared to conventional fistulotomy