What is Kshar Sutra ?
It is an ayurvedic parasurgical treatment which includes management of anorectal disorders to treat piles, fistula-in-anno, anal fissure and pilonidal sinus. Pilonidal sinus (PNS) is a condition that occurs mainly in men, young adults, and those who work while sitting, in which a small hole or tunnel develops on the skin that fills with fluid or pus and Forms an abscess or cyst. It occurs in the cleft at the top of the buttocks and the cyst consists mainly of a foreign substance such as some debris, hair or dirt causing infection and severe pain, blood, pus and a bad odor.
Anal fissure is a condition characterized by a small crack in the skin in the anal lining that causes bleeding and severe pain during and after a bowel movement. This condition is caused by pain in bowel movements, or during labor, or due to constipation.
Also Read – Piles : Meaning, Symptoms, Causes, Risk and Treatment
Anal fissures can occur in people of any age and are usually not a serious condition. Fistula-in-ano is a chronic condition where a tunnel connects the epithelial surface of the anal canal and the perianal skin. It occurs mainly in people with a history of anal abscess and forms when abscesses or cysts do not heal completely. It can be very painful and upsetting.
The roots of Kshara Sutra therapy from Ayurveda by Charaka, Sushruta and Vagbhata, and its efficacy were re-established by the Department of Surgical Systems of BHU. The alkali formula treatment is absolutely effective, very safe and economical. The alkali formula method is widely practiced in India as well as in other countries. The technique basically uses specially prepared threads to treat ailments.
How is Piles (Hemorrhoids) Treated with Kshar Sutra
Many people do not take proper care of the condition of their hemorrhoids which tends to grow and worsen over time. You must have searched a lot that how to cure your piles? So this blog will give you information about Ksharsutra Remedy. Some of you must have heard about Ksharasutra Remedy so keep reading the complete blog to get detailed and complete information about Ksharasutra Remedy.
Sharasutra is a system of Ayurvedic medicine (surgery) which is first mentioned in Chakradatta Granth by Acharya Chakrapani. Ksharsutra therapy is a safe, sure and effective method of treatment of serious diseases located at the anus and hemorrhoids, fistula-sinus-pilonidal sinus, fissure, etc.
Kshar Sutra therapy is a minimally invasive Ayurvedic parasurgical procedure and a proven Ayurvedic technique in the management of disorders of the anus and excreta.
Although Ksharasutra therapy has been described in Ayurveda by Sushruta, Charaka and Vagbhatta, the efficacy of this therapy was re-established by the Department of Surgical Systems, Banaras Hindu University and later reevaluated by scientific organizations such as CCRAS and ICMR. Is. This technique is being widely practiced in our country and some other countries.
Treatment of Kshar Sutra

In Kshar Sutra treatment, first by coating surgical linen thread gauge No. 20 with snuhy latex (Euphorbia nerifolia) for 11 times, snuhy latex and apamarga kshara (Achiranthes aspera) for 7 times and snuhi latex and haridra churna (turmeric powder) Made 3 times.
In fistula-in-ano patients the alkali formula is sedated by the person and a malleable probe with the alkali formula in its groove is applied internally through the external opening of the fistula and carefully take out the probe with the alkali formula. goes. Then the two ends of the alkali formula are tied together and replaced with a new one after a week. This way the track is eventually cut and healed by removing unhealthy tissue, controlling microbial infection, and facilitating drainage of pus in the tract to aid healing.
Also Read – Home Remedies to Cure Piles in 3 Days
Kshar Sutra therapy in Pilonidal Sinus is done by applying the same method, in which Kshar Sutra is delivered from the outer opening of the sinus to the skin and then its ends are tied together and replaced after a week. Kshatriya Sutra in piles is done by first pacifying the patient, after that the pile mass is removed from the anal orifice using forceps, then an incision is made on the mucous joint, by pulling the pile mass slightly, the base of Kshar Sutra treatment is done. transferred together. Finally the ligated pile mass is replaced with yastimadhu oil or ghee in the rectum.
Hemorrhoid therapy involves chemically scarring and mechanically strangulating the blood vessels, then local gangrene of the pile mass tissue, leading to necrosis and loss of unhealthy tissue that slows down the mass over 5-7 days. and finally heals the wound completely in 10-15 days.
Who is eligible for Kshar Sutra treatment?
Anal fissures, piles (hemorrhoids), fistula-in-anno and other ano-rectal diseases mostly occur in people who work mainly from sitting such as young adults as well as infants and children because constipation is a common problem in all age groups .
Are there any Side Effects of Kshar Sutra Therapy
There are no side effects due to Kshar Sutra treatment except very mild post-procedural pain. Kshar Sutra therapy comes as a very safe and sure way to remove the problem of pile mass, or anal fissure or sinus. Patients who opt for this Kshara Sutra Ayurvedic treatment feel very happy and satisfied in taking out that extra mass and healing that painful crack.
Surgical complications that can occur with non-Ayurvedic treatments include stenosis, strictures, and incontinence that do not occur with this therapy. Even anesthesia has no side effects as it is usually local.
What are the post-treatment guidelines for Kshar Sutra Therapy?
Patients should have a liquid diet only for six hours before surgery and a semi-solid diet 3-4 hours after. From the next day onwards, patients are advised to take a hot Punch Vulkal Kwath Sitz bath at least thrice a day for at least 3 weeks. 500 mg triphala guggulu and 5-10 mg haritaki churna at bedtime with lukewarm water, 10 ml jatiadi tail matrabasti is given to the patient twice a day for two weeks and some analgesics are also given in case of pain. Goes.
Also Read – What is Hemorrhoids?
Patients are strictly advised to remain active while walking and doing other activities while undergoing Kshar Sutra treatment, take normal fiber-rich food and mild laxative daily to avoid constipation and keep a clear bowel regularly, Avoid long distance driving, traveling, and sitting or standing for long periods of time during treatment.
How long does it take to recover after Kshar Sutra Treatment?
One of the many benefits of Kshar Sutra therapy is that patients recover in just 3-5 days after complete treatment is over, requiring very little bed rest, with just 5-6 hours of hospital stay. It takes only 30-45 minutes for the process to be completed.
What is the cost of Kshar sutra treatment in India?
The Kshar sutra treatment is very cost effective and the consultation fee is only Rs. 200 to Rs. The actual treatment of 300 is only Rs. 1500 to Rs. 2,000
Benefits of Kshar Sutra Treatment
Kshar Sutra is mainly used for the treatment of problems related to anal canal like piles, fistula, fissure etc. Kshar Sutra therapy is also used in the treatment of other health problems, such as –
- Kshar Sutra therapy is considered very effective in eliminating the granules in the anus.
- The use of alkali sutra therapy has been recommended for the safe treatment of pilonidal sinus.
- Even if there is cancer of the anus, it is advisable to take Kshar Sutra therapy, from which patients can get a lot of benefits.
- This Ayurvedic therapy can prove to be very effective in removing the problem of burning in the anus.
Side Effects of Kshar Sutra Treatment
Kshar Sutra therapy is one such Ayurvedic therapy, which is considered completely safe and natural. However, due to not doing it properly, damage can also be seen in cases of chronic disease and in some exceptions, such as –
- After taking the process of Kshar Sutra therapy, there is a possibility of burning and abscess in the anal canal due to not taking prescribed medicines and oils.
- After getting this therapy done, scars can be seen in the anus.
- If there is a chronic problem of anal cancer, then this therapy can lead to infection.
- If you have had it in the anus before, then you may feel a burning or erosion in that part.
When should I seek doctor’s help?
In the initial stages, piles can be cured with medicines, but if the disease progresses and medicines are not effective in treating piles, then doctors recommend surgery. You should seek the help of a doctor if:
- You still have symptoms of hemorrhoids after 1 week of home treatment
- bleeding from your rectum
Commonly Asked Questions of Kshar Sutra Treatment

Q. How long does the treatment of alkali formula take?
Ans – Usually the process of alkali sutra treatment lasts for 5 months. The alkali formula is changed every week. It also depends on the severity of the piles. If hemorrhoids are less severe, then relief comes within a month, whereas if more severe then it may take 4-5 months.
Q. How long does it take to recover after alkali sutra treatment?
Ans – It may take about 2 to 6 weeks for complete recovery after Kshar Sutra treatment. If the patient follows all the advice given by the doctor properly, then the chances of a quick recovery increase.
Q. What is the success rate of alkali formula?
Ans – The success rate of Kshar Sutra is around 97% which is quite good. There is only a 3% chance of getting piles again after Kshar Sutra treatment.
Q. How much does a alkali formula cost?
Ans – The cost of alkali sutra treatment depends on many factors. But more depends mainly on the severity of your hemorrhoids. Along with this, the expenses are also incurred at the city and hospital level. Typically, a alkali formula can cost anywhere from Rs 10,000 to Rs 35,000.
Q. Does alkali sutra treatment cause pain?
Ans – In alkali sutra treatment, when the metal is injected externally, there is a risk of painful as well as iatrogenic fistulas, that is, injury to the genitals. Anesthesia is given in such cases. But it is comparatively less painful if alkali formula is instilled through the baby food pipe instead.
Q. Can alkali formula cure piles permanently?
Ans – It can be seen in some cases where piles have recurred after Kshar Sutra. Usually after Kshar Sutra treatment, the problem of piles again is almost non-existent. In a way, this Ayurvedic treatment can be called permanent only.
Q. How to stop piles from growing?
Ans – The following measures can be taken to prevent the growth of piles:
- Take a sitz bath
- Take food that contains sufficient amount of fiber
- Eat juicy fruits and green vegetables like spinach
- Consult a doctor if home remedies do not help
Q. Is hemorrhoids a lifelong disease
Ans – If hemorrhoids are treated at the right time, it can be cured. It is cured by eating the right food like fiber rich food and drinking sufficient amount of water. Apart from this, surgical treatment is also available for its more severe. If seen in Ayurveda, Kshar Sutra treatment is an effective treatment. But if it is neglected in its treatment then it can trouble life.
Q.Can 4th grade piles be cured by Kshar Sutra?
Ans – Yes, 2nd, 3rd and 4th grade piles can be cured by Kshar Sutra.
Q. Can I have alkali sutra treatment while pregnant?
Ans – No, Kshar Sutra treatment is not recommended for pregnant women. Pregnant women as well as patients with hepatitis, carcinoma of the rectum and leprosy are also not eligible for Kshara Sutra treatment.
Q. Do we have to avoid anything after the alkali formula?
Ans – Semi-solid food like juice, thin pulses etc. should be taken 2-3 hours after Kshar Sutra treatment. Do not eat dry food like pulao or biryani. Eat such fruits which have sufficient amount of water like watermelon, cucumber, orange etc. Do not travel and drive long distances. Do not stand or sit for long periods of time.
Q. Will we have to be hospitalized after Kshar Sutra?
Ans – At the time of Kshar Sutra, one has to stay in the hospital to control the pain. There can be unbearable pain during the Kshar Sutra procedure, to deal with which the doctor may give local anesthesia. After Kshar Sutra treatment, you may have to stay in the hospital for 1-2 hours. This is done for safety so that any problem can be handled immediately. After this you do not need to be admitted to the hospital.
Q. Which food should not be taken after Kshar Sutra?
Ans – Dry food after the alkali formula is not recommended. Along with this, spicy food should not be eaten. More and more fiber rich diet and fluids should be consumed.
Q. Are medicines needed after Kshar Sutra?
Ans – Yes, the doctor may ask you to take some medicines to reduce the pain. Apart from this, some antibiotics and anti-inflammatory drugs can also be given to heal the wounds faster. Along with this, the doctor advises you to change the diet and lifestyle so that there is no possibility of recurrence of piles.
Q. How soon after the alkali formula can we start doing normal work?
Ans – All normal work can be done from the very next day of Kshar Sutra treatment. But while doing any work, keep these things in mind:
- Do not drive and travel long distances
- do not sit or stand for long periods of time
- Follow the advice given by the doctor