Brief Answer:
Opinion & Examination of Surgeon is required

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern.

1. Going by your history and image, initially consult with a general surgeon regarding the pathology [which most likely falls in abscess or hemorrhoid], but since there is discharge thus P.R. Examination [per rectum] becomes necessary to rule out any possibility of fistula.

2. DIETARY REGIMEN

-take fresh fruits and vegetables,avoid milk and milk products in diet, excess of tea,coffee,tobacco,alcohol and carbonated beverages.
- eat slowly,avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion.
- take less of strong spices (ginger,garlic), oily-fried-fatty food and flatus producing foods (peas,beans,dals)
- take old rice,bottle gourd,moong dal XXXXXXX marich, pomegranate,jaiphal,hot water, adequate rest and sleep.
- take fried cumin seeds 500mg,
fried asafetida (hinga) 125mg,
XXXXXXX parpati 500mg, mix them and take with honey three times a day.
- 1 glass lukewarm water every morning and night.
- drink 1 cup potato juice daily for 1 month.
- 4tsf sugar+ 4tsf bitter gourd juice and drink for 1 month
- 3 pinches dried ginger+ 2 cup butter milk, drink after lunch and dinner for 1 month
- eat 2 tsf plain white butter + 1 tsf sesame powder before lunch and dinner and drink 2 cup butter milk + 3-4 pinches of black salt after lunch and dinner
- take: elephant yam, papaya, butter milk, pistachio, almonds, pear, apple, old rice, milk, crystallized sugar, raw radish and avoid tea,coffee,garlic,onion,fish, hot spices, sitting for long hours.

- Trifla because of its high nutritional-detoxification [Shodhan] and cleansing value is very helpful in treating your present complaints. [take 3 gm with lukewarm water at bed time]

PS:
. if job demands sitting, make sure you get up every half an hour to relax for 5 minutes and then sit back,make a sponge cushion for your chair.
. Again anal pathology, is due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism.
. Do not strain while passing stool,and use warm water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion
. Avoid cold/tap/jet (western seat) water.

Please revert back with any concern(s)/clarifications

Dr. Munish sood
Consultant & Physician
Naimittika

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Brief Answer:
Opinion of surgeon will help in prognosis

Detailed Answer:
Dear
Thanks for reverting back

1. since Anal lesion can vary from piles-perianal abscess-fistula in ano, thus initially you have to take opinion of General Surgeon to confirm the pathology.
2. Management and treatment will depend upon the remarks of the surgeon and if the said pathology is in initial phase [according to him] we can definitely manage the condition with Dietary Regime and Ayurveda Treatment.

Dr. Munish
Naimittika

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