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Postoperative pain in anorectal conditions is often severe and is described in Ayurveda as Shastrapatanat Vedana, primarily arising from Vata aggravation. Traditional management advocates Anutaila Parisheka, but for improved retention and patient comfort, the method has been adapted into Anutaila Pichu, involving localized instillation of medicated oil into the anal canal. This randomized controlled trial evaluated the analgesic efficacy of Anutaila Pichu compared with standard postoperative care using Xylocaine jelly in surgically managed fissure-in-Ano (Parikartika). Eighty-eight postoperative patients were randomly assigned to two equal groups: Group A received Anutaila Pichu, and Group B received Xylocaine jelly. Pain intensity was measured using the Visual Analogue Scale, and anal spasm was assessed clinically on days 0, 3, and 7.
Both groups showed an initial slight increase in pain at 4 hours post-anaesthesia, followed by a consistent decrease thereafter. By day 7, pain reduction exceeded 93% in both groups (93.18% in Group A; 94.13% in Group B). Anal spasm resolved completely in all patients by day 7. Intergroup comparison revealed no statistically significant difference in overall outcomes.
The findings indicate that Anutaila Pichu is nearly effective as Xylocaine jelly for postoperative management of fissure-in-Ano. In addition, Anutaila Pichu provided enhanced comfort, ease of application, and holistic benefits associated with its Vata-shamaka and Vedanasthapana properties. Thus, it may serve as a safe, effective, and economical alternative in postoperative care.
"Effect of Anutaila Pichu in pain management in post operative patients of Fissure in Ano: A randomized controlled trial ", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2456-3315, Vol.11, Issue 4, page no.a329-a336, April-2026, Available :http://www.ijrti.org/papers/IJRTI2604046.pdf
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2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator