Post Operative Pain Management with Matrabasti (Enema with medicated oil) in Haemorrhoidectomy - A Case Study

Abstract

Post operative pain management is always a challenge for ano-rectal surgeons. Haemorrhoidectomy is often involved with severe post operative pain and discomfort during defecation. Ayurvedic surgeon most of the time depends of contemporary medical science and uses analgesics, which has its own adverse effects. Many times mere oral ayurvedic medicines are not sufficient to mange post operative pain. Basti (enema with medicines) is regarded as best treatment for vata dosh vitiation. Vata dosh vitiation is the main cause for the pain. In post operative wounds also, trauma and blood loss lead to vata vitiation and causes pain. There are different types of basti’s explained in the classics. Matrabasti (enema with medicated oil) is a type of Sneha Basti which can be given in all seasons without any strict regimen of Diet. It is a procedure where a minimal quantity of medicated oil or medicated ghee is used in the form of enema.  Post operative wound will aggravate vata and lead to pain. Hence matrabasti which is having minimal medicine is tried in post operative cases of haemorrhoidectomy. This increases time taken for the onset of pain after haemorrhoidectomy and also helps in easy evacuation of stools in post operative period.