Piles (haemorrhoids) affect an estimated 75% of people at some point in their lives. In India, it is one of the most common anorectal conditions — yet many patients delay treatment due to fear of surgery, anaesthesia, and prolonged recovery. The good news: there is an effective Ayurvedic alternative that requires no general anaesthesia and has a recovery period of just 3–5 days.
Piles are swollen, inflamed veins in the rectum and anus. They are classified into four grades:
Common causes include chronic constipation, low-fibre diet, prolonged sitting, pregnancy, and straining during bowel movements.
Medications and lifestyle changes help with Grade I and early Grade II piles. Fibre supplements, stool softeners, sitz baths, and topical creams reduce symptoms but do not cure the underlying problem.
Rubber Band Ligation is an OPD procedure where a rubber band is tied around the base of the haemorrhoid to cut off its blood supply. It works for Grade II–III internal haemorrhoids but has a recurrence rate of 15–30% within 5 years.
Haemorrhoidectomy (surgical removal) is the conventional surgical approach. It is effective for Grade III–IV piles but requires general anaesthesia, a hospital stay of 1–2 days, and recovery of 2–4 weeks. Complications include pain, infection, and rarely, anal stenosis.
Ksharsutra is an Ayurvedic para-surgical technique described in the ancient text Sushruta Samhita (600 BCE). The name comes from Sanskrit: Kshara (alkaline/caustic) and Sutra (thread). A linen thread is coated with alkaline preparations made from Snuhi latex (Euphorbia neriifolia), Haridra (turmeric) powder, and Apamarga Kshara (alkaline ash).
| Factor | Ksharsutra | Haemorrhoidectomy |
|---|---|---|
| Anaesthesia | Local only | General anaesthesia |
| Hospital Stay | 5–6 hours (daycare) | 1–2 days |
| Recovery | 3–5 days | 2–4 weeks |
| Recurrence | Very low | 5–15% |
| Grades treated | Grade I–IV | Grade III–IV mainly |
| Side effects | Minimal | Pain, risk of stenosis |
At Punarnava Ayurvedic Hospital, Dr B.S. Katiyar (MD Ayurvedic Medicine, PGCKS) has been performing Ksharsutra surgery for over 20 years. The hospital is rated 4.2★ on Google with 91+ reviews and serves patients from across Kanpur, Lucknow, Allahabad, and Uttar Pradesh.
If you are suffering from piles of any grade and want to avoid general anaesthesia and prolonged recovery, call +91-8009708080 to book a free consultation. We are located at 68, Lakhanpur, Vikas Nagar, G.T. Road, Kanpur 208024.
Morning OPD: 9:30 AM–2 PM (all days) | Evening OPD: 5:30–8 PM (Mon–Sat)
Contact Us +91-8009708080Dr B.S. Katiyar
MD (Ayurvedic Medicine), PGCKS
Ksharsutra & Panchakarma Specialist
Dr Smita Katiyaar
MD, BAMS
Gynaecologist & Infertility Specialist