Kshara Karma — Ayurvedic Alkaline Therapy

Classical application of herbo-mineral Kshara for selected piles, external tags and small growths. Performed after grading, consent and fitness check — with structured post-care.

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Kshara Karma

What is Kshara Karma?

Kshara is a controlled alkaline preparation described in Sushruta Samhita for soft tissue lesions. In proctology, it is applied precisely over internal piles or skin tags to cause chemical cauterisation of selected tissue. It is not for all piles. Dose, contact time (Matra and Kala) and neutralisation are monitored. It aims to reduce pile mass, bleeding tendency and tag size while preserving surrounding mucosa.

UNDERSTANDING

Indications

Kshar Sutra at Kesari Ayurveda (Recommeded)

Grade I-II internal piles, limited number, bleeding predominant

Small external skin tags causing hygiene difficulty

Small benign growths in perianal region – after evaluation

Patients preferring Ayurvedic para-surgical approach and fit for same

Not first choice for Grade III-IV prolapse, fistula, abscess, or large thrombosed piles

Process Steps

Consultation & Proctoscopy

Grade, number, position mapped; photos only with consent.

Fitness & Consent

Bleeding history, medications, diabetes, informed written consent.

Preparation

Light diet, bowel evacuation as advised, local cleaning.

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HEALING PROTOCOL

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Application

In lithotomy position, under aseptic precautions, Kshara applied precisely for counted seconds, then neutralised with Amla/lemon juice as per protocol.

Observation

30-60 min post-procedure monitoring for discomfort, bleeding.

Post-care Instruction

Sitz bath, stool softeners short-term, dietary chart, avoid straining.

After-care & Pathya-Apathya

✓ Mild burning for few hours may occur. Soft diet, adequate hydration, timed defecation, sitz bath twice daily for 3-5 days.

✓ Report heavy bleeding, fever or increasing pain.

✓ Follow-up at 7 days and 3 weeks for healing assessment.

✓ Avoid long bike rides and prolonged sitting for initial days.

POST-TREATMENT CARE

Treatment Journey

OUR PROCESS

Common Doubts, Answered Privately

Discomfort varies. We use careful technique and limited contact time. Mild burning may be felt initially and usually settles. Pain control and after-care are explained before procedure.

How many sittings are needed?

Like other pile treatments, recurrence is possible if bowel strain continues. Maintenance with fibre, hydration, and follow-up helps reduce risk. We avoid claiming zero recurrence.

We know this is personal. Here are questions patients ask before booking. Still unsure? Your private consultation covers everything.

Still Unsure? Talk Privately ➡

Depends on number and grade. Some require single application, others may need repeat after healing. Final number decided after examination and first response, not pre-committed.