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Singh Pravindra*, Raut Subhash Y. and Kedar Neeta M.


Pain is common complaint of many diseases. Anal pain can occur before, during, or after defacation. It can ranges from a mild to severe. Anal pain have many causes, most of them are common and treatable. Anorectal emergencies presenting with alarming symptoms such as acute anal pain require an immediate management. In these diseases pain management is a priority. As pain relieve evacuation of stool becomes easier and prevents further complication. This article highlight the management of common anorectal emergency due to pain in anorectal disorder like thrombosed external hemorrhoids, thrombosed or strangulated internal hemorrhoid, bleeding hemorrhoid, bleeding anorectal varices, anal fissure, irreducible or strangulated rectal prolapse, anorectal abscess. Sushruta and other acharya described various types of treatment for anorectal disease such as haemorrhoids, fistula in ano, fissure in ano such as lepa, awagahan swedana, jalauka awacharana, gudavarti, dhupana karma.

Keywords: Pain, Anorectal disease, Lepa, Awagahan swedana, Jalauka, Guda varti, Dhupana.

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