World Journal of
Pharmaceutical and Life Sciences

AYURVEDIC APPROACH IN THE MANAGEMENT OF RECTAL PROLAPSE (GUDABHRAMSHA): A REVIEW

Dr. Neerja Jain* Dr. Manoj Kumar Chaurasiya and Prof. P. Hemantha Kumar

ABSTRACT

Rectal Prolapse is the condition in which rectum is displaced from its original position due to weakening of ligaments and muscles that support the rectum. It is considered as intussusceptions of rectum that is rectum folds on itself and passes through the pelvic diaphragm and ultimately comes out of the anal canal. Rectal prolapse is of two varieties–mucosal (Partial) and full thickness (Complete). When only mucosa and sub mucosa of the rectal wall comes out through the anus and length of such prolapsed segment is less than 3.75 cm, then it is defined as partial rectal prolapse. This Study was conducted to develop a cost effective, conducive parasurgical procedure in the management of rectal prolapse. The surgical treatment of rectal prolapse evolved from historical encirclement procedures to the current invasive ones. Study was conducted on a female patient aged 42 yrs, diagnosed as Partial rectal prolapse. Teekshna Apamarga Pratisarneeya Kshara was applied circumferentially on rectal mucosa by using a slit proctoscope and applicator, after reducing the prolapse. Kshara was kept for 2 minutes till the colour changed to Pakwa Jambuphala Varna, then the area was washed with Nimbu Swarasa. Matravasti with Yashtimadhu Ghrita twice daily for 7 days from first post procedure day followed by with Changeri Ghrita twice daily for 15 days was given. Patient had relief from symptoms of rectal prolapse during follow up period, So it can be concluded that Kshara karma in rectal prolapse is a conducive, day care procedure and cost effective. So it can be recommended as an emerging alternative to surgery.

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