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Kadha abhyarisht 20ml 2times oint pilexf
Kadha abhyarisht 20ml 2times ...taken two.bottle for piles ...surgeon had told to do surgery but piles fissures whatever it was went ...now.furrther needed for.anus burning which is best since outside eating happens of.tikkha food due.to.audit
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Apply Wound healing cream locally Don't eat spicy food Try not to sit in toilets for long time
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Take Triphala guggulu , Chitrakadi vati thrice daily after food and Chirabilwadi kashaya 20 ml twice daily before food with warm water . Avoid outside , spicy foods. Have warm water and butter milk in large quantities.
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Put jatyadi tail in a cotton ball at anal opening while burning occurs
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Try to avoid spicy and fried food otherwise buring while defeacation ll occur
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Lots of water intake
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It will reoccur if diet is not  corrected.  There are non spicy options available every where if some efforts are taken. So this is just an excuse. Better off to carry own food and follow HAIP DIET. Piles can really affect ones quality of life so shouldn't be taken lightly. Also it is a symptom of liver dysfunction and gut dysbiosis so corrective action must be taken. The first step to do this is stop spicy foods, and follow HAIP DIET. 
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Avoidspicy sour fermented junkfood dairy products alcohol smoking nonveg.take hot bath sits.avoid constipation eat triflachurn with lukewarm water afterfood at night.avoid prolonged siting posture Arsh kalpghanvate twiceaday with water after food
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Since burning sensation still present, anal fissure is not completely cured. May be due to hard stool or may be due to presence of anal congestion, burning sensation may still present. Right now use... arshopy ointment .... Buy it from ayurvedic shops and apply over anus.... And stop alcohol or smoking if u r habitual for it (otherwise ignore it) Coming to the diet - Even though u r eating outside food and stuff just balance with quality food and consume buttermilk once in a day.
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Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine
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Consult ayurveda dr for in personal examination and assessment
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Do sitz bath twice daily.. Avoid spicy food. Watch for constipation. Use airtube to sit. Start proper ayurvedic medicine. To get rid of this problem..
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consult for prescription and guidance
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Since your piles/fissure symptoms improved with Abhyarishta, but you still have anus burning (especially after spicy food), the aim now is to cool Pitta and soothe the anal region. Ayurvedic suggestions: Avipattikar churna – ½ tsp with warm water after lunch & dinner. Ghee – 1 tsp melted in warm milk at bedtime. Sitz bath – in lukewarm water with a pinch of alum or Triphala powder, once daily. Avoid excessive chilli, sour pickles, and fried food when possible. If you want, I can suggest a short 2-week Pitta–soothing plan so the burning settles even if you have to eat outside food.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.