An observational study on assessing the quality of life in patients with moolam (anorectal diseases) reported at Ayothidoss Pandithar Hospital, National Institute of Siddha, Chennai

Authors

  • Venkatesh S PG Scholar, Department of Maruthuvam, National Institute of Siddha, Chennai – 47, Affiliated to Tamilnadu Dr. M.G.R Medical University, Chennai – 32. India.
  • Lakshmi Kantham T Former Professor and Head of the Department, Department of Maruthuvam, National Institute of Siddha, Chennai – 47, Affiliated to Tamilnadu Dr. M.G.R Medical University, Chennai – 32. India.
  • Nalini Sofia H Associate Professor, Department of Maruthuvam, National Institute of Siddha, Chennai – 47, Affiliated to Tamilnadu Dr. M.G.R Medical University, Chennai – 32. India.
  • Vetha Merlin Kumari H Professor and Head of the Department, Department of Maruthuvam, National Institute of Siddha, Chennai – 47, Affiliated to Tamilnadu Dr. M.G.R Medical University, Chennai – 32. India.
  • Senthilvel G Director (I/c), Professor and Head of the Department, Department of Gunapadam, National Institute of Siddha, Chennai – 47, Affiliated to Tamilnadu Dr. M.G.R Medical University, Chennai – 32. India. 

DOI:

https://doi.org/10.47552/ijam.v16i3.5832

Keywords:

Fissure-in-ano, Fistula-in-ano, Hemorrhoids, HEMO-FISS Questionnaire, QOLAF Questionnaire, Siddha Intervention

Abstract

Introduction: The Siddha system identifies Moolam as a major anorectal disorder influenced by diet, lifestyle, and psychosomatic factors. This study assesses the impact of Siddha interventions on quality of life in patients with Moolam, addressing physical, psychosocial, and defecatory aspects, while analysing preventable etiological risk factors. Objectives: Primary objective: To assess the quality of life in patients with Moolam (Anorectal diseases) reporting at OPD of Ayothidoss Pandithar Hospital, NIS before and after taking Siddha interventions through HEMO-FISS QoL questionnaire and QoLAF questionnaire. Secondary objective: To assess the etiological factors with respect to diet, habits and occupational history mentioned in Siddha classical text.Materials and methods: This observational study (IEC No: NIS/24/IEC/2023/MP/40; CTRI/2023/08/056647) involved 60 patients aged 20–60 years with anorectal diseases (hemorrhoids, fissure, fistula), selected from 100 screened cases based on inclusion and exclusion criteria. After obtaining informed consent, QoL data were collected at baseline and after 48 days of Siddha interventions through regular OPD. Results: The study results showed that there is a statistically significant reduction (p value<0.001) in HEMO-FISS & QOLAF questionnaire scores, in patients who underwent Siddha interventions on comparing scores of baselines. Discussion: Anorectal disorders significantly affect quality of life, yet most Siddha studies focus only on symptom relief. This study highlights the holistic Siddha approach, targeting physical, psychological, and lifestyle factors through internal medicines, external therapies, Yoga Maruthuvam, and diet, thereby improving overall well-being and preventing recurrence. Conclusion: Based on the reduction of clinical symptoms and HEMO-FISS QoL & QoLAF Questionnaire scoring, it can be concluded that Siddha interventions are effective in the treatment of Anorectal diseases. 

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Published

2025-09-30

How to Cite

S, V., T, L. K., H, N. S., H, V. M. K., & G, S. (2025). An observational study on assessing the quality of life in patients with moolam (anorectal diseases) reported at Ayothidoss Pandithar Hospital, National Institute of Siddha, Chennai. International Journal of Ayurvedic Medicine, 16(3), 664–669. https://doi.org/10.47552/ijam.v16i3.5832

Issue

Vol. 16 No. 3 (2025): July - September 2025

Section

Research Articles

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