Best Ayurvedic Treatment for Guda Bhramsha (Rectal Prolapse, Guda Horage Biluvudu in kannada, Kaacha Nikalana in Hindi)

Recruiting

• Conditions: Rectal prolapse,

• Registration Number: CTRI/2020/12/029758
• Lead Sponsor: BLDEAs AVS Ayurveda Mahavidyalaya Hospital and Research Centre

Brief Summary

The reference of Guda Bhramsha is well explained by the Sushruta, Father of Plastic Surgery in his Sushruta Samhita, 1500 B.C. Rectal Prolapse is a condition where the rectum protrudes beyond the anus.  The protrusion of the mucosa or submucosa of the rectum is the partial prolapsed. The protrusion of the mass from the anal canal can be of the hemorrhoids or prolapsed of rectum as partial and the complete or polyps, etc. Both partial and complete varieties of rectal prolapse are extremely debilitating to the patients as it causes the discomfort of the prolapsing mass and variety of symptoms like rectal bleed, intermittent constipation or fecal incontinence. The management of the partial rectal prolapse can be conservative in cases of the temporary prolapses because of the Anal Mucosal stretch or permanent. Although, diverse modalities of surgical management of rectal prolapse are present, no single optimal procedure is proved and the choice of operation is determined by the patient’s age, sex, degree of incontinence, operative risk, as well as by the surgeon’s experience. In Ayurveda, Guda Bhramsa (Rectal prolapse) is explained by Acharya Susruta under Kshudra Rogas (chapter of minor diseases) and has elaborated its conservative management very beautifully. In present study the Ksharakarma pratisarana will be done and compared with the Thiersch operation, the data obtained will be statistically analyzed and results will be drawn.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2021-03-18
• Study Start: 2021-04-01

Recruitment & Eligibility

• Status: Open to Recruitment
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Patients with clinical features of Partial Rectal Prolapse namely, mass per anum, pain, occational bleeding per anum, pruritis ani, intermittent constipation, Intermittent incontinence mucoid discharge and occational constipation.

Exclusion Criteria

• •Patients below the age of 16 yrs and above 60 yrs.
• •Associated with any other ano-rectal diseases.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Subjective parameters:	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
1.Bleeding PA(Per anum)	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
1.Intermittent constipation	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
2.Intermittent incontinence	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
3.Mass PA	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
3.Poor response	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
4.Pruritis ani	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
1.Mucoid discharge	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
Overall assessment:	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
1.Good response	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
Objective parameters:	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
2.Mass per anum	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.
2.Fair response	Duration fixed for observing possible recurrence: | Duration of 60 days. | The changes will be observed before the treatment, on 4th day, 8th day and on 15th day after the treatment.

Secondary Outcome Measures

Name	Time	Method
Incidence of the Patients with Partial Rectal Prolapse in the OPD and IPD section at BLDEAs AVS Ayurveda Mahavidyalaya Hopsital and Reseacrh centre and BLDEUs Shri B M Patil Medical College Hopsital and Reseacrh centre will be Discussed with the points related with the Age, Sex, Occupation, Diet, etc will be considered.	One Year

Trial Locations

Locations (2)

BLDEA’s AVS Ayurveda Mahavidyalaya Hospital and Research Centre; 🇮🇳 Bijapur, KARNATAKA, India

BLDEUs Shri B M Patil Medical College Hospital and Research Centre.; 🇮🇳 Bijapur, KARNATAKA, India

BLDEA’s AVS Ayurveda Mahavidyalaya Hospital and Research Centre

🇮🇳Bijapur, KARNATAKA, India

Dr Rakeshkumar S Gujar

Principal investigator

9538140510

rakeshkumarsgujar@gmail.com