The Management of Perianal Abscess with an Udumber Ksheer Pichu – A Case Report

Authors : Dr. Monika S. Meshram; Dr.Kiran Khandare

Volume/Issue : Volume 7 - 2022, Issue 8 - August

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Anorectal abscesses and fistula are among the most common diseases encountered in adults. Abscess and fistula should be considered the acute and chronic phases of the same anorectal infection. An anorectal abscess occurs when a cavity in the anus becomes filled with pus. It causes extreme pain, fatigue, rectal discharge, and fever. The abscess can vary on the spectrum of complexity based on the location and involvement of surrounding tissue. Abscesses are thought to begin as an infection in the anal glands spreading into adjacent spaces and resulting in fistulas. The prevalence rate of anal fistula is 8.6 cases per 100,000 population. 40% of fistula results from an anorectal abscess that occurs due to infection of the glandular epithelium of the anal canal. The treatment of an anorectal abscess is early, adequate, and dependent on drainage. Its management is fairly straightforward, with incision and drainage. Crohn’s disease, diabetes, and obesity increase the risk for perianal abscess. This condition can be co-related to vidradhi in Ayurveda. The disease Vidradhi is a common ailment irritating humankind and incapacitating the sufferer in his routine work. The healing of the wound formed after I & D remains a major problem to the surgeon as well as to the patient. An attempt was made at the proper understanding of the historical aspect of Vidradhi Chikitsa, its etiopathogenesis, and the methodology of wound healing after I & D both in the light of Ayurvedic and modern knowledge. So present case study of Vidradhi was carried out at the outpatient department of Shalya Tantra at Mahatma Gandhi Ayurved College, Hospital and Research Centre, Salod (Hirapur) under Datta Meghe Institute of Medical Sciences, which was successfully treated.

Keywords : Vidradhi, Perianal Abscess, Pichhu.


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