TY - JOUR A1 - Mahapatra, Anita A1 - Srinivasan, A A1 - Sujithra, R A1 - Bhat, Ramesh T1 - Management of internal hemorrhoids by Kshara karma: An educational case report Y1 - 2010/7/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 115 EP - 118 VL - 58 IS - 2 UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=115;epage=118;aulast=Mahapatra DO - 10.4103/0975-9476.100169 N2 - A 66-year-old male patient came to the anorectal clinic, Outpatient department, AVT Institute for Advanced Research, Coimbatore, Tamil Nadu, with complaints of prolapsing pile mass during defecation and bleeding while passing stool. The case was diagnosed as "Raktarsha" - 11 & 7 'o' clock position II degree internal hemorrhoids, deeply situated, projecting one and caused by pitta and rakta; with bleeding tendency. Kshara karma (application of caustic alkaline paste) intervention was done in this case to internal hemorrhoids under local anesthesia. The pile mass and per rectal bleeding resolved in 8 days and the patient was relieved from all symptoms within 21 days. No complications were reported after the procedure. The patient was followed up regularly from 2004 onward till date and proctoscopic examination did not reveal any evidence of recurrence of the hemorrhoids. ER -