In the first and second stages; Kshar Karma in conjunction with medications is quite effective. Sometimes it has to be combined with sclerotherapy. In the third and fourth stages; Ksharsutra ligation is the treatment of choice. Ksharsutra ligation is a very specific and curative treatment for hemorrhoids. In this therapy; Ksharsutra binds the Pila masses with local anesthesia. The pile dough shrinks and falls off in a week or 10 days. There is no bleeding, no hospitalization, and on bed rest. The patient can continue with their usual activities.
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