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Evidence-Based Ayurvedic Treatment

for Anal Fistula, Piles, Anal Fissure & Pilonidal Sinus

Dr Bapat webP compress

Living with an anorectal condition such as anal fistula, piles (haemorrhoids), anal fissure or pilonidal sinus can affect every aspect of daily life—from sitting comfortably and working productively to travelling, exercising and enjoying time with your family.

At Om Ayurvedic Clinic, our focus extends beyond treating the disease itself. We believe in understanding each patient’s condition, developing an individualised treatment plan and supporting them throughout their recovery. Over the past 27 years, Dr. Prasad Bapat has refined the S.M.A.R.T. Ksharsutra™ Protocol by combining Ayurvedic principles with clinical research, structured protocols and continuous outcome analysis.

Whether you are visiting us from India or overseas, our aim is to help you make an informed decision and regain confidence in your health.

Every Patient Deserves Three Things

Every successful treatment begins with the right foundation. At Om Ayurvedic Clinic, we believe that lasting recovery depends on three essential principles: understanding the disease accurately, creating an honest and personalised treatment plan, and supporting every patient throughout their healing journey. These principles have guided our clinical practice for over 27 years and remain the foundation of the S.M.A.R.T. Ksharsutra™ Protocol.

🔍 Accurate Diagnosis

Every successful treatment begins with the correct diagnosis. We carefully evaluate the type, complexity, extent and previous treatment history of your condition before recommending any treatment. Understanding the disease correctly is the first step towards lasting recovery.

📋 Honest Treatment Plan

Every patient is unique. Instead of promising a “quick fix”, we explain the available options, expected recovery, possible challenges and realistic outcomes. Our goal is to help you make an informed decision with confidence.

🤝 A Doctor Who Stands With You Until Recovery

Healing is a journey, not a single procedure. We believe a doctor’s responsibility continues beyond treatment. From your first consultation to complete recovery and follow-up, our team remains committed to guiding, supporting and monitoring your progress every step of the way.

🟩 Doctor’s Philosophy

“Healing begins with trust. Trust begins with understanding.”

— Dr. Prasad Bapat

Our goal is not simply to treat a disease. Our goal is to help every patient regain health, confidence and quality of life.

Find Information About Your Condition

Select your condition below to explore detailed information about symptoms, diagnosis, treatment options and recovery. Each guide has been developed to help you make informed decisions based on evidence, clinical experience and patient education.

Persistent anal pain, recurrent abscesses or pus discharge may be signs of an anal fistula. This condition often requires careful evaluation because recurrence is common if the underlying fistula tract is not properly managed. Learn about symptoms, diagnosis, treatment options and the S.M.A.R.T. Ksharsutra™ Protocol.

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Fistula webP

Piles are swollen veins in the anal canal that may cause bleeding, pain, itching or swelling during bowel movements. Early diagnosis and appropriate treatment can help relieve symptoms and improve quality of life. Explore the different grades of piles and available treatment options.

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Piles Treatment

An anal fissure is a small tear in the lining of the anal canal that commonly causes severe pain and bleeding during bowel movements. Understanding the cause and choosing the right treatment can help promote healing while reducing the risk of recurrence.

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Fissure webP compress

Piles are swollen veins in the anal canal that may cause bleeding, pain, itching or swelling during bowel movements. Early diagnosis and appropriate treatment can help relieve symptoms and improve quality of life. Explore the different grades of piles and available treatment options.

➡ Learn More

Pilonidal sinus Treatment

S.M.A.R.T. Ksharsutra Protocol™

A refined, evidence-based approach developed through 27 years of clinical experience, research and continuous improvement.

Traditional Ksharsutra therapy has been practised for centuries in Ayurveda and remains one of the most recognised treatments for selected anorectal disorders. Over the years, however, clinical experience has shown that standardisation, careful planning and patient-specific decision-making are essential for achieving consistent outcomes.

The S.M.A.R.T. Ksharsutra™ Protocol is the result of more than 27 years of focused clinical practice, structured documentation and continuous refinement. It is not a different treatment from Ksharsutra—it is a systematic protocol designed to make every stage of treatment more predictable, patient-centred and evidence-based.