STUDY OF ANORECTAL DISEASES IN POSTPARTUM FEMALE: A REVIEW STUDY

Abstract

Anal fissure and haemorrhoids are the most commonly observed complications during pregnancy or even after the birth of child. Anal fissures occur as a result of tear in the anal region. In ayurveda Parikartika is mentioned as Vaman, Virechan and Basti Vyapad. Pregnancy is the most beautiful journey in women’s life it is going to be filled    with moments of joy and so much expectations. At the same time pregnancy can bring a lot of changes in health of a women both positive as well as negative one of that health changes is getting anal fissure. Anal fissure is considered acute when it is of recent onset (less than six weeks), and chronic if it has been present for a longer period, taking on a characteristic aspect that includes perianal skin tag, fibrotic edges, and a proximal papilla. A fissure may cause severe pain or be essentially asymptomatic depending on the degree of anal sphincter spasm. There is often associated low   volume rectal  bleeding. Secondary reflex constipation is very common due to the fear of pain  associated with bowel movements. The fissure is located posteriorly in 85% of cases   and anteriorly in 15% of cases. Anorectal abscesses are much commoner in men than in women. The difference in the incidence in the two sexes may be explained by the less fastidious attitude of men in general towards anal cleanliness, by their rougher type of underclothing, causing greater friction on the perianal skin, and by their often more arduous work causing more sweating in the anal region.   When rectal bleeding is a presenting symptom, the presence of a fissure should not preclude full colonoscopy to rule out other colorectal lesions. And treatment will be given according to diagnosis. The patient was treated with Jatyadi Taila Basti. The outcome revealed a better therapeutic efficacy of Jatyadi Taila Basti in the whole symptoms of Parikartika without any adverse effects