Abstract

Dr. Vivek Kumar Tiwari, Dr. Rajendra Kumar Dixit, Dr. Yogeeta Sheshker*

ABSTRACT

According to acharya charak, parikartika is seen in complication of vaman and virachan vyapad.[1] An anal ulcer is chronic fissure, associated skin tag (SENTINEL PILE) and a hypertrophied anal papilla. Fissure result in forceful dilation of anal canal, most commonly during defecation. Fissure -in- ano is a very common and painful condition. commonly occur in midline posteriorly. Anal fissure is considered acute when it is of recent onset (less than a six week), and chronic if it is has been present for longer period, taking on a characteristic as per that includes perianal skin tag, fibrotic edges, and a proximal papilla.[2] Pain after deafecation which remain contast up to 4 hrs, which is burning or cutting in nature. Hard stool particular character i.e. pellet like SENTINAL TAG -Its due to malunion fibrosis and chronicity. This case study is of 20 year old female patient present with burning pain during and after defecation and constipation since 1 year. Patient was successfully treated by anal dilatation and madhu sarpi lep[3] application for 7 days.