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HEMORRHOIDS - PATHOPHYSIOLOGY AND CLASSIFICATION – AN ANALYTICAL APPROACH WITH SPECIAL REFERENCE TO ARSHAS
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Keywords

Anal Cushions, Sub Grades of Piles, Pathophysiology, Types, ACRSI Guidelines 2016, Arsh, Novel Classification

How to Cite

Thacker, D. D., & , T. S. (2020). HEMORRHOIDS - PATHOPHYSIOLOGY AND CLASSIFICATION – AN ANALYTICAL APPROACH WITH SPECIAL REFERENCE TO ARSHAS. Ayurlog: National Journal of Research in Ayurved Science, 8(02). Retrieved from https://ayurlog.com/index.php/ayurlog/article/view/539

Abstract

Hemorrhoids are extremely common problem.  Its prevalence rate is highest among all Anorectal disorders. Hemorrhoids are actually a symptomatic anal cushion.(1) Newer concepts of the Pathophysiology of hemorrhoids have been defined during the past 30 to 40 years, yet it hasn’t updated at under graduate and post graduate education level.(2)

Most common Modern classification, used in prospect to treatment is according to its degree of prolapse, i.e. grade I to IV. Many times in regards to practice, this conventional classification doesn’t provide sufficient details about the exact extent of the disease. So there was a need of making classification more precise.

All the acharyas of Ayurved has mentioned about Arsh. A brief review of that also will included in this article.

In this review article we have tried to show some focus regarding Anal Cushion theory for Pathophysiology of hemorrhoids. Attempt has been also made to review the newer guidelines for Hemorrhoids classification.

This article is intended for the use of all the practitioners and academicians and students.

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References

1. Bailey & Love’s SHORT PRACTICE of SURGERY, 25th edition2008, published by Edward Arnold (Publishers) Ltd, p 1253
2. Dr. Philip Gordon, Principles and Practice of Surgery for the Colon, Rectum, and Anus Third Edition, 2007, published by Informa Healthcare USA,, p 144
3. Ajai Kumar, A Classical Review On Arsha (Haemorrhoids/Piles): Current Treatment Strategies And Future Prospects, IJAPR, August 2016, Volume 4, Issue 8 p1
4. Dr. Philip Gordon, Principles and Practice of Surgery for the Colon, Rectum, and Anus Third Edition, 2007, published by Informa Healthcare USA,, p 144
5. Dr. Philip Gordon, Principles and Practice of Surgery for the Colon, Rectum, and Anus Third Edition, 2007, published by Informa Healthcare USA,, p 145
6. Dr. Amandeep Kaur, CAUSES AND TREATMENT OF PILES (ARSH) A REVIEW, wjpmr, 2018,4(6), 133-135
7. Niranjan Agarwal, Indian J Surg (February 2017) 79(1):58–61
8. Dr. Philip Gordon, Principles and Practice of Surgery for the Colon, Rectum, and Anus Third Edition, 2007, published by Informa Healthcare USA,, p 145
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