Abstract
COMPARATIVE ROLE OF SQUATTING POSTURE & STRAIGHT POSTURE OF DEFECATION IN FISSURE-IN-ANO ALONG WITH AWAGAHA SWEDANA (SIT’Z BATH)

*Dr. Anantkumar V. Shekokar, Dr. Kanchan M. Borkar and Dr. Rajni Patle

ABSTRACT

The present investigation compared the role of squatting posture (Indian toilet) with straight posture (western toilet) system in fissure-in-ano along with Awagaha Swedana (Sit’z bath). Total 50 patients were selected suffered with disease and divided into two groups (25 in each group). Group-A, patients were advised to use Squatting posture; while patients of Group-B were advised to use straight posture for defecation along with Awagaha Swedana (Sit’z bath). All patients were advised to follow up Pathya-Apathya in terms of Ahar –Vihar. The pain relief on 15th day was observed 81% & 59% in Group-A & Group-B respectively. Relief in burning sensation, incomplete senses of defection, easy and early evacuation was observed more in Group-A as compared to Group-B. Further continuation of study showed significant healing (79%) in Group-A as compared to Group-B (51%). Study proved that use of Indian system of toileting is more beneficial in fissure-in-ano as compared to straight posture system. Group-A patients were cured early as compared to patients of Group-B.

Keywords: Fissure-in-ano, Awagaha Swedana, Parikartika, Guda.


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