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

  • Anamnesi corretta
  • Esame fisico
  • Blue dye test
  • Ultrasound scanning
  • TAC
  • RISONANZA MAGNETICA
  • Laboratory tests
  • Biopsy

TREATMENTS OF RECTOVAGINAL FISTULA

  • Analgesici
  • Antibiotics to control infections
  • Surgical interventions 

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

  • Excess consumption of acrid, dry, ununctuous food
  • Excess dosha vitiation in the perineal region
  • Suppression of natural urges
  • 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

  • Symptoms are manageable with proper ayurvedic management

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

Il paziente deve essere seduto in posizione meditativa con la testa e la colonna vertebrale erette e il corpo rilassato. Il paziente deve chiudere una narice (ad esempio la sinistra se si usa la mano destra e viceversa) con il pollice ed espirare completamente attraverso l'altra narice. Di nuovo, dovrà inspirare profondamente attraverso l'altra narice mentre la narice opposta è ancora chiusa con il pollice.

  • 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