Thank you for giving such a clear comparison — it helps a lot in guiding you properly. You're dealing with: * **Grade 2–3 internal piles (at 3, 7, and 11 o’clock)** * **High bleeding** * Seeking **Ayurvedic treatment (preferably Kshar Sutra)** Now comparing both doctors: --- ## ✅ **Comparison Summary** | Criteria | **Doctor 1** | **Doctor 2** | | ----------------------- | -------------------------------------------------------- | --------------------------------------------------------- | | **Degree** | BAMS + MS (Shalya Tantra – Surgical) | BAMS | | **Additional Training** | Fellowship in Practology (Hyderabad) | Advanced Kshar Sutra training from BHU (top institute) | | **Experience** | 4 years, teaching + consulting | 13 years in practice | | **Expertise** | Consulting anorectal surgeon, broader surgical knowledge | Specialist in Kshar Sutra, especially **IFTAK technique** | | **Memberships** | Ayurveda Proctology & HITMAN | AYUS Medical Association | | **Cost** | ₹25–30k | ₹35–40k | --- ## 🔍 Key Observations ### **Doctor 1:** * **Has MS (Shalya)**: More formal surgical qualification (stronger for general surgeries and shalyatantra-based anorectal procedures). * **Fellowship in Practology**: Likely trained in modern + Ayurvedic hybrid methods. * **Less experience (4 yrs)**: May be good, but still early in career. ### **Doctor 2:** * **13 years experience**: Very significant, especially for Kshar Sutra. * **BHU Varanasi Kshar Sutra training**: BHU is **India’s top** institute for Ayurvedic surgical techniques. * **Specialized in IFTAK technique**: A more refined Kshar Sutra method with **less pain**, **faster healing**, and **lower recurrence**. * Higher cost, but **more experience + specialized focus**. --- ## ✅ **Recommendation: Choose Doctor 2** ### Why: * 13 years of focused experience * Specialized in **Kshar Sutra**, the **best Ayurvedic method** for high-grade bleeding piles * **IFTAK technique** is advanced and generally preferred in recurrent or complicated cases * Trained at **BHU**, which carries high credibility in Ayurvedic surgery ### Cost-wise: While Doctor 2 charges a little more (₹35–40k), the **long-term outcome, skill, and experience** justify the extra investment. --- ## 📌 Additional Tip: Make sure the doctor: * Uses **medicated thread properly** and follows **sterile procedures** * Provides **post-operative care** and dietary guidance * Is willing to give **1–2 follow-up visits free or included** --- If you want, I can help you prepare: * A **checklist of questions** to ask the doctor before the procedure * A **diet and lifestyle plan** post-Kshar Sutra to prevent recurrence Let me know — wishing you safe, lasting relief 🙏 Advice - Consult me for details.

Choose an Ayurvedic doctor who knows Ksharsutra.

You can choose any ayurvedic physician who has experience in ksharsutra .

Choose any option All are good

Go for first option

You can opt any one whichever is convenient to you

You can choose any one of them according to your insurance& treatment cost.atherwise you can go any govt ayurvedic hospital where qualified doctor can do sharsutra.

The first option looks better as per qualification. After undergoing the ksharsutra treatment,  please focus on modifying your diet and lifestyle as recurrence can occur if corrective measures are not taken. Also focus on improving liver and gut health as that could be the root cause of your issue.  Following HAIP Diet will help in improving gut and liver health and also address hidden inflammation. 

You have to choose an ayurveda practitioner who can do kshar sutra.

You can choose any ayurveda physician who is practicing anorectal diseases. In these two physicians, both are good options for your problem. Please think of your insurance and treatment cost. Based on the qualification and experience,both can offer good treatment to you

Definitely go for kshar sutra therapy

Both can offer cashless or reimbursement from ur insurance company. Else u can choose govt hospital and by the way u won't trust even self forget others

Consult for prescription and guidance

Its better to choose Ayurvedic physician based on his experience in the field. Any Ayurvedic doctor who is specialist in ksharasutra and ano rectal diseases will be the best option for you.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Both doctors are qualified, but for your case of 2nd to 3rd grade bleeding piles, I recommend Option 2. He has 13 years of experience, is trained in the IFTAK technique from BHU (a reputed center for Kshar Sutra), and specializes in Ayurvedic management of anorectal disorders. His deep practical exposure may offer more effective and safer results for your condition.

Check rating and over all experience