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ToggleChronic problems like piles and fistulas can cause pain, itching, bleeding, and discomfort in daily life. While modern surgery may give quick relief, it often comes with pain, risk of infection, and recurrence.
Ayurveda offers a safe and natural solution through Kshar Karma Therapy — a painless and effective treatment that heals the root cause and helps patients live comfortably again.
If you want a free consultation with top Ayurvedic doctors for Kshar Karma Treatment, download our app “AyurCare” from the Play Store.
What is Kshar Karma?
In Ayurveda, “Kshara” means a caustic (alkaline) substance made from the ashes of a plant called Apamarga (Achyranthes Aspera). This herbal alkali helps remove unwanted tissue and heal affected areas naturally.
Kshar Karma is a simple, non-surgical Ayurvedic treatment used to treat:
Piles (Hemorrhoids)
Fistula-in-ano
It is a mild and non-invasive procedure that offers lasting relief and very low chances of recurrence.
Importance of Balancing the Doshas in Kshar Karma Treatment
According to Ayurveda, good health means keeping the three Doshas—Vata, Pitta, and Kapha—in balance.
Vata Dosha (air and space): Imbalance causes dryness, pain, and cracks. Kshar Karma soothes and heals the Piles and Fistula
Pitta Dosha (fire and water): Aggravation causes burning, swelling, and infection. Kshar Karma cools and reduces inflammation.
Kapha Dosha (earth and water): Imbalance causes swelling and tissue overgrowth. Kshar Karma clears excess tissue and toxins.
Conditions Treated with Kshar Karma Therapy
Kshar Karma can help in many conditions, such as:
Piles (Hemorrhoids)
Fistula-in-ano
Warts and skin growths
Non-healing wounds and ulcers
Varicose veins
Fungal or sinus infections
Pilonidal sinus
Advantages of Kshar Karma Therapy
Painless and non-surgical
No or very little bleeding
Daycare procedure – no long hospital stay
Fast healing and no recurrence
No risk of incontinence or scarring
Safe even for patients with other health issues
Types of Kshar Karma
Shastra Kshar: Use of sharp instruments along with Kshar for surgical needs.
Basti Kshar: Herbal enema used for detoxification and healing.
Lepa (Local Application): Direct application of Kshar paste on warts or ulcers.
Kshar Sutra Therapy: Use of a medicated thread for treating fistulas and sinus tracts.
Procedure of Kshar Karma
The patient is given local anesthesia to relax the muscles and prevent pain.
A proctoscope is gently inserted into the anal canal.
The Kshar paste is applied to the affected tissue (like piles).
After a few minutes, the area is washed with lemon juice to neutralize the Kshar.
A rectal pack is applied.
The patient feels no pain during the process and can return home the same day.
How Kshar Karma Works
Kshar Karma acts as a natural chemical cauterization therapy.
It dissolves unhealthy tissue, drains pus in fistulas, and stops infection.
It promotes the growth of healthy new tissue.
It disinfects and heals the area, reducing pain and swelling.
It prevents recurrence by addressing the root cause.
Pre- and Post-Procedure Care
Before the Procedure:
Eat a light diet and avoid heavy or spicy foods.
Take mild laxatives if prescribed by your doctor.
Keep your bowel clean.
After the Procedure:
Take sitz baths twice a day for 5–7 days.
Use Ayurvedic oils or ointments as advised.
Avoid constipation; eat fiber-rich food.
Keep the area clean and dry.
Visit for follow-up after 7 and 14 days.
Why Choose Kshar Karma?
Diseases like piles and fistulas are often hard to treat with medicines or surgery alone. Surgery may cause infection, pain, or scars.
Kshar Karma is a safe and effective Ayurvedic procedure that offers permanent healing without cutting or stitches. It is the best alternative to modern surgery for anorectal diseases.
Expert Kshar Karma Doctors at Adyant Ayurveda
At Adyant Ayurveda, our expert proctologists — Dr. Deepa (BAMS, MS DIY), Dr. Manjunatha Joshi, and Dr. Kishorekumar — specialize in Kshar Karma and Kshar Sutra procedures.
Our centers are equipped with modern Ayurvedic facilities and hygienic treatment rooms to ensure safe, painless, and recurrence-free results.
Experience long-term relief from piles and fistulas through Kshar Karma therapy.
Call 9972541009 or visit Adyant Ayurveda clinics in Jayanagar, Indiranagar, Kalyan Nagar, Bannerghatta Road, and Rajarajeshwari Nagar for expert consultation.
FAQs on Kshar Karma Therapy
Is Kshar Karma painful?
No, it is done under local anesthesia, so you won’t feel any pain.
How long does it take to heal after Kshar Karma?
Most patients recover within 7 to 10 days with proper care and diet.
Can Kshar Karma completely cure piles and fistula?
Yes, it removes the root cause and prevents recurrence if you follow proper diet and care.
Do I need to stay in the hospital after the procedure?
No, it’s a daycare treatment. You can go home the same day.
What should I eat after the treatment?
Eat soft, fiber-rich food and drink plenty of water. Avoid spicy and oily food.
Is Kshar Karma safe for all ages?
Yes, it is safe and suitable for most adults when performed by a qualified Ayurvedic doctor.
What is the difference between Kshar Karma and Kshar Sutra?
Kshar Karma uses herbal paste, while Kshar Sutra uses a medicated thread for fistulas.
Can Kshar Karma cause side effects?
No, when done by an experienced doctor, it has no side effects.
When can I return to normal work?
You can usually return to work within 2–3 days after the procedure.
Is there a chance of recurrence after Kshar Karma?
Recurrence is very rare if you follow the advised lifestyle and diet after treatment.




