A CASE REPORT ON AYURVEDIC MANAGEMENT OF PARIKARTHIKA (FISSURE IN ANO) IN CHILDREN

Abstract

Background: Parikarthika (fissure in ano) is a common anorectal disorder in children characterized by severe pain during defecation, bleeding per rectum, and constipation. Conventional management often includes stool softeners, analgesics, and in some cases surgery. Ayurveda offers safe and effective alternatives through Sneha, Sitz bath, Lepa, and dietary modifications, which are especially important in pediatric age groups where invasive procedures are less desirable. Case Presentation: An 8-year-old male child presented with complaints of severe pain during defecation, streaks of blood in stool, and constipation for 2 weeks. On local examination, a linear tear at the anal verge was observed, consistent with Parikarthika. The child had a history of irregular bowel habits and consumption of spicy food. Intervention: The management included internal administration of Gandharvahastadi Taila for Mridu Virechana, local application of Jatyadi Ghrita, warm Sitz bath with Panchavalkala Kwatha, and dietary advice to include fibrous diet and adequate hydration. The treatment duration was 21 days. Outcome: Within the first week, there was significant reduction in pain and constipation. By the end of the 3rd week, bleeding had stopped, the fissure was healed, and the child reported painless defecation with regular bowel habits. Conclusion: Ayurvedic management of Parikarthika in children using Sneha, Ghrita, Kwatha, and dietary modification proved effective and safe, avoiding the need for surgical intervention. This case suggests Ayurveda may provide a non-invasive and child-friendly therapeutic approach to fissure in ano.