A rectovaginal fistula is the development of abnormal connection with the rectum (lower part of the large intestine) and vagina.
- SIGNS AND SYMPTOMS OF RECTOVAGINAL FISTULA
- CAUSES OF RECTOVAGINAL FISTULA
- PATHOPHYSIOLOGY OF RECTOVAGINAL FISTULA
- DIAGNOSIS OF RECTOVAGINAL FISTULA
- TREATMENTS FOR RECTOVAGINAL FISTULA
- PROGNOSIS OF RECTOVAGINAL FISTULA
- COMPLICATIONS OF RECTOVAGINAL FISTULA
- RECTOVAGINAL FISTULA AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF RECTOVAGINAL FISTULA
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF RECTOVAGINAL FISTULA
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF RECTOVAGINAL FISTULA
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF RECTOVAGINAL FISTULA
- AYURVEDIC PROGNOSIS OF RECTOVAGINAL FISTULA
- CHIKITSA- AYURVEDIC TREATMENT FOR RECTOVAGINAL FISTULA
- AYURVEDIC SAMANA TREATMENT FOR RECTOVAGINAL FISTULA
- AYURVEDIC LOCAL TREATMENT FOR RECTOVAGINAL FISTULA
- COMMONLY USED AYURVEDIC MEDICINES FOR RECTOVAGINAL FISTULA
- HOME REMEDIES FOR RECTOVAGINAL FISTULA
- DIET AND BEHAVIOUR FOR RECTOVAGINAL FISTULA
- YOGA FOR RECTOVAGINAL FISTULA
- RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF RECTOVAGINAL FISTULA
SIGNS AND SYMPTOMS OF RECTOVAGINAL FISTULA
- Foul-smelling vaginal discharge
- Recurrent vaginal infection
- Pain during sexual intercourse
- Pain in the vagina
- Passing of stool from the vagina
CAUSES OF RECTOVAGINAL FISTULA
- Complications after previous surgeries
- Complications during childbirth
- Chronic inflammatory bowel disease
- Radiation treatment in the pelvic area
PATHOPHYSIOLOGY OF RECTOVAGINAL FISTULA
Due to the above-mentioned causes, fistula formation occurs between the rectum and vagina. Chronic inflammatory bowel diseases like Crohn’s disease are a well-known cause of intestinal fistulisation. Radiation causes long-term chronic tissue inflammation with poor healing and repair processes. Therefore, fistulae caused by radiation manifest after a lag period from radiation exposure. Due to this fistula formation, the contents of the rectum passes through the vagina.
DIAGNOSIS OF RECTOVAGINAL FISTULA
· Proper history taking
· Physical examination
· Blue dye test
· Ultrasound scanning
· CT scan
· MRI
· Laboratory tests
· Biopsy
TREATMENTS OF RECTOVAGINAL FISTULA
· Analgesics
· Antibiotics to control infections
· Surgical interventions
PROGNOSIS OF RECTOVAGINAL FISTULA
- Prognosis is based on the stage of the disease and condition of the patient
- Generally, rectovaginal fistulas are manageable with surgery
- Untreated rectovaginal fistula produce complications
COMPLICATIONS OF RECTOVAGINAL FISTULA
- Infection and sepsis
- Faecal incontinence
RECTOVAGINAL FISTULAAND AYURVEDA
- In Ayurveda, rectovaginal fistula is managed based on the ‘bhagandara chikilsa’
NIDANA- AYURVEDIC CAUSES OF RECTOVAGINAL FISTULA
- Excess consumption of acrid, dry, ununctuous food
- Excess dosha vitiation in the perineal region
- Suppression of natural urges
- Agantu factors – injuries during childbirth
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF RECTOVAGINAL FISTULA
- Sula – pain in the perineal region
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF RECTOVAGINAL FISTULA
Due to the causative factors, doshas become vitiated along with mamsa dhatu, resides in the rectum and vagina finally rectovaginal fistula is manifested.
LAKSHANA – AYURVEDIC SIGNS AND SYMPTOMS OF RECTOVAGINAL FISTULA
- yonisrava – abnormal vaginal discharge with foul smell
- Sula –pain
AYURVEDIC PROGNOSIS OF RECTOVAGINAL FISTULA
- Symptoms are manageable with proper ayurvedic management
CHIKITSA- AYURVEDIC TREATMENT FOR RECTOVAGINAL FISTULA
AYURVEDIC SAMANA TREATMENT FOR RECTOVAGINAL FISTULA
- Guggulu panchapala churnam
- Triphala guggulu
- Gandhaka rasayana
AYURVEDIC LOCAL TREATMENT FOR RECTOVAGINAL FISTULA
- Kshara sutra
- Kshara karma
- Agnikarma
- Ksharavarti
COMMONLY USED AYURVEDIC MEDICINES TREATMENT FOR RECTOVAGINAL FISTULA
Ayurvedic medicines for internal administration for rectovaginal fistula
- Guggulu panchapala churnam
- Triphala guggulu
- Gandhaka rasayana
HOME REMEDIES FOR RECTOVAGINAL FISTULA
- Sitz bath with lukewarm water
- Dry thoroughly the area after washing
DIET AND BEHAVIOUR FOR RECTOVAGINAL FISTULA
- Avoid food items that produce dosha imbalance like acrid, dry food. Because dosha imbalance aggravates the symptoms.
- Consume easily digestible food items, fibre-rich diet
YOGA FOR RECTOVAGINAL FISTULA
- Nadi shuddi pranayam – calms the mind and effective in irritations associated with rectovaginal fistula
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- The practices of shatkriya or yogic cleansing techniques purify the body and prevent digestive tract problems.
RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF RECTOVAGINAL FISTULA
- Management of Complex Recto-Vaginal Fistula by an Ayurvedic Surgical Approach – A Rare Case Report
http://www.iosrjournals.org/iosr-jdms/papers/Vol17-issue11/Version-7/N1711077578.pdf
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