RECTOVAGINAL FISTULA- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

RECTOVAGINAL FISTULA

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
  • Examen physique
  • Blue dye test
  • Échographie
  • CT scan
  • MRI
  • Laboratory tests
  • Biopsie

TREATMENTS OF RECTOVAGINAL FISTULA

  • Antalgiques
  • Antibiotics to control infections
  • Interventions chirurgicales 

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 FISTULA AND AYURVEDA

  • In Ayurveda, rectovaginal fistula is managed based on the ‘bhagandara chikilsa’

NIDANA- AYURVEDIC CAUSES OF RECTOVAGINAL FISTULA

  • Consommation excessive d'aliments âcres, secs et onctueux
  • Excess dosha vitiation in the perineal region
  • Suppression des besoins naturels
  • 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

  • Les symptômes sont gérables grâce à une prise en charge ayurvédique appropriée.

CHIKITSA- AYURVEDIC TREATMENT FOR RECTOVAGINAL FISTULA

AYURVEDIC SAMANA TREATMENT FOR RECTOVAGINAL FISTULA

AYURVEDIC LOCAL TREATMENT FOR RECTOVAGINAL FISTULA

  • Kshara sutra
  • Kshara karma
  • Agnikarma
  • Ksharavarti

COMMONLY USED AYURVEDIC MEDICINES TREATMENT FOR RECTOVAGINAL FISTULA

Ayurvedic Medicines for Rectovaginal Fistula

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

Le patient doit être assis dans une position méditative, la tête et la colonne vertébrale droites, le corps détendu. Le patient doit fermer une narine (par exemple la narine gauche s'il utilise la main droite et vice versa) avec le pouce et expirer complètement par l'autre narine. Il devra à nouveau inspirer profondément par l'autre narine tout en continuant à fermer la narine opposée avec le pouce.

  • The practices of shatkriya or yogic cleansing techniques purify the body and prevent digestive tract problems.

RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF RECTOVAGINAL FISTULA

  1. 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