Thank you for sharing your condition clearly — you’re a **32-year-old male** with: * **Internal piles (second to third degree)** at **3, 7, and 11 o'clock positions** * **Bleeding is high**, especially during bowel movements You're rightly considering **Kshar Sutra vs. Laser Surgery**, and also looking for **Ayurvedic non-surgical alternatives**. Let’s walk through this carefully. --- ## 🔍 Understanding Your Condition * **2nd–3rd degree internal hemorrhoids** = Piles that: * Bleed during or after passing stool * May prolapse outside the anus (especially 3rd degree), but go back in on their own or manually * **Multiple sites** involved (3, 7, 11 o’clock) → common piles location due to venous drainage. --- ## ⚖️ KSHAR SUTRA vs. LASER SURGERY: PROS & CONS | Feature | **Kshar Sutra** (Ayurvedic) | **Laser Surgery** (Modern) | | -------------------- | ------------------------------------------------------------------------------- | ----------------------------------------------------------------- | | **What it is** | Medicated thread tied around pile mass to cut + cauterize it gradually | Laser beam used to burn/shrink piles in a single session | | **Invasiveness** | Minimally invasive | Minimally invasive | | **Anesthesia** | Local or spinal | Usually spinal or general | | **Pain level** | Mild to moderate for few days (due to slow cutting) | Very minimal (almost painless) | | **Bleeding control** | Excellent (cauterizes vessels slowly) | Excellent (immediate sealing of vessels) | | **Healing time** | 7–21 days (slow cut + healing) | 3–7 days (quick recovery) | | **Post-op care** | Requires wound care, sitz baths, regular dressing (especially if large) | Minimal care, usually no dressing needed | | **Cost** | Generally **less expensive** | **More expensive** | | **Recurrence rate** | Very low if diet/lifestyle followed | Low but recurrence possible if root causes not corrected | | **Ideal for** | People with multiple, large, bleeding piles or those seeking Ayurvedic approach | People needing fast recovery, minimal pain, working professionals | --- ## ✅ Which is Better to Choose? > **If you want an Ayurvedic, natural, root-based and low-cost option:** > 🟢 **Kshar Sutra** is excellent, especially for **2nd/3rd degree internal bleeding piles**. Healing is gradual, but effective. > **If you want faster recovery, minimal discomfort, and modern approach:** > 🟢 **Laser surgery** is good, especially if you're working and can’t take downtime. 🔔 **Important**: Whichever you choose, **lifestyle & diet change is a must** to avoid recurrence. --- ## 🌿 Is There a Non-Surgical Ayurvedic Cure? For **2nd–3rd degree bleeding piles**, **Ayurvedic medicines may help temporarily control bleeding and swelling**, but **they can’t reverse large pile masses fully**. Still, **pre-surgery or early-stage treatment** with Ayurveda can be very helpful. ### 🔸 Ayurvedic Medicines (Short-Term Relief) | Medicine | Dose | Use | | ------------------------------------ | ------------------------------ | ------------------------------- | | *****Vati / ****Ras** | 1 tab twice a day | Shrinks pile mass, reduces pain | | ******Vati** | 1 tab twice a day | Controls bleeding piles | | *****Guggulu** | 2 tabs at night | Softens stool, clears bowel | | ******* | 15 ml twice daily with water | Constipation relief | | *****Pishti + ****Pishti** | For cooling + bleeding control | | ### 🔸 External Application * *****ointment / ****cream** – Apply after bowel movement * Sitz bath with *****decoction** or ******+ ***water** --- ## 🥗 Diet & Lifestyle Must-Follow (to prevent recurrence) | Do’s ✅ | Don’ts ❌ | | --------------------------------------------------- | ----------------------------------- | | High-fiber diet: Fruits, vegetables, soaked raisins | Spicy, oily, fried foods | | 2–3 litres warm water daily | Tea/coffee in excess | | Isabgol husk at night if needed | Constipation or straining | | Daily 30-min walk | Sitting for long hours continuously | | Triphala churna at night (½ tsp) | Cold drinks, alcohol, meat | --- ## 📌 FINAL SUGGESTION * If your bleeding is **frequent and piles are large**, **Kshar Sutra** or **Laser** will offer the most permanent relief. * **Kshar Sutra** gives both **treatment and detox**, but requires more **healing time and patience**. * If you want **faster return to routine**, and minimal pain, **laser is more convenient**. --- Would you like me to help you: * Find a good **Kshar Sutra Ayurvedic center** in your city? * Create a **pre-surgery or post-surgery Ayurvedic support plan**? Let me know! Advice Consult us for details...

Using kahar sutra will eliminate the chances of recurrence Con might be taken as it is bit painful in comparison to laser technique

Dear practo user . Thanks for sending across your query. Kshar Sutra has very effective results and low occurence as it's works with root cause. We can help you in this case. But first we need your previous prescription and report to proceed further.

Kshar Sutra – Pros: • Effective even for multiple internal piles (like yours) • Natural cauterization; shrinks and cuts piles • Useful for patients with bleeding + constipation • Less recurrence if post-care followed

Kshar sutra is best.go for it.

Ksharsutra is better treatment

Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine

Kshar sutra - no recurrence Laser surgery - always risk for recurrence

25k-80k price 8days- 1-3days of pain n enjoying office free life No recurrence and fistula may be gift in future

Kshar sutra will give u permanent solution

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

Namaste. Both Ksharasutra and Laser Surgery are effective treatments for internal piles, but they differ in approach: 🔹 Ksharasutra (Ayurveda): Minimally invasive, root-cause–focused Uses medicated thread to shrink piles and prevent recurrence Helps improve digestion and reduce future risk Slightly longer healing time but lower recurrence rate 🔹 Laser Surgery (Modern): Quick, less painful, faster recovery May not address root causes like digestion or recurrence tendencies Higher chances of recurrence in some cases if lifestyle isn’t corrected ✅ Best Choice: If you are looking for long-term results and root-cause healing, Ksharasutra with Ayurvedic support is ideal. For immediate relief with quicker recovery, Laser Surgery may suit—but follow-up Ayurvedic care is still advised to prevent recurrence. I recommend a detailed consultation to assess your condition and guide you with the best-fit treatment.

Kshara sutra is better option. The recurrance chance is very less