MANAGEMENT OF PERIANAL ABSCESS BY APPLICATION OF KSHARSUTRA - CASE REPORT

Bhaga is the region around the anus which extends up to the genitalia. Therefore, the pidaka (abscess) which develops in this region and leads to bhagandara (fistulae), is known as "bhagandara pidaka". In Ayurveda we can corelate bhagandara pidka as anorectal abscess. Anorectal abscesses most often originate from nonspecific cryptoglandular infections, though they can also arise from a range of inflammatory(chron disease, tuberculosis etc) or traumatic causes(anal fissure, haemorrhoidectomy etc). Generally, an infection starts from the mid-anal canal at the level of the anal crypts or anal columns of morgagni and progresses downward toward the anal verge. When Obstruction of the anal gland ducts causes stagnation of secretions, encouraging bacterial proliferation and resulting in abscess formation. Anal abscess leads to formation of fistula-in-ano.