DR.R.V.PATHY AYURVEDA

1. Definition Piles (Hemorrhoids): Abnormal dilatation and engorgement of the veins in the anal canal, usually involving the internal hemorrhoidal plexus or external hemorrhoidal plexus. Anal Fissure: A linear tear or ulcer in the anal mucosa, usually in the posterior midline of the anal canal. 2. Causes / Etiology Factor Piles (Hemorrhoids) Anal Fissure Mechanical stress Chronic constipation/straining during defecation Hard stool passage causing mucosal tear Venous pressure Increased intra-abdominal pressure (pregnancy, obesity, lifting heavy weights)  Vascular changes Weakening of venous walls or supportive connective tissue  Other factors Sedentary lifestyle, low fiber diet, liver disease causing portal hypertension Chronic diarrhea, inflammatory bowel disease, anal trauma 3. Pathology / Pathophysiology Aspect Piles Anal Fissure Primary lesion Dilated, tortuous veins in anal canal Tear or ulcer of anal mucosa Location Internal: above dentate line; External: below dentate li...

The dawn of 2025 did not come with noise but with quiet certainty. For the first time in years, Janani’s heart felt light. She had said “yes” — not out of fear, not out of pressure, but out of choice. Ajith entered her life like calm water after years of storms. He didn’t rush her, didn’t question her scars. He looked at her as if she was enough, just as she was. When Janani spoke of her past, trembling with hesitation, Ajith only smiled and said: > “Your past doesn’t scare me, Janani. It makes me respect you more — because you survived it.” For the first time, Janani felt love that didn’t demand, didn’t threaten, didn’t wound. 🌿 A New Beginning Their wedding preparations filled the months with joy. Janani’s parents, once burdened by shame from Ram and Leela’s cruel games, now beamed with pride. Friends gathered around her, no longer whispering about the girl who was blackmailed, but about the woman who endured and rebuilt. But shadows from the past are never content to stay buried...

The storm of 2022 left Janani bruised, but not broken. When the year 2023 arrived, she was different — quieter, more cautious, and yet, stronger in ways she could not see. Gone were the endless tears for Ram. Gone was the desperate waiting for Rishi’s calls. She had learned one thing through pain: not every love deserves to be carried forward. Instead, Janani turned her energy inward. She focused on her studies, found solace in books, and slowly began to trust herself again. Her diary, once filled with heartbreak, now carried lines of resilience: > “I will not let them define me. My story is not theirs to write.” 🌿 A Quiet Rebuilding The scars were still raw, but she no longer hid from the mirror. When whispers about her spread in college, she lifted her chin higher. When doubts crept in, she whispered to herself, “I survived worse.” By mid-2023, Janani was no longer a girl living in fear; she was becoming a woman who knew her worth. But life, as always, had another test waiting. ...

The new year of 2021 arrived with hope for many, but for Janani, it began with silence. Rishi had gone to Abroad At first, she waited for his late-night calls. She sent him long messages about her day, her small victories, her worries. Hours turned into days before he replied, and his words grew shorter — “ok,” “busy,” “talk later.” Janani clutched the diary he once gave her, the pages now filled with questions instead of joy. “Why is he drifting away? Am I too much? Or not enough?” By mid-2021, she realized the truth. Rishi cared less and less. Love, once her safe harbor, had become a distant shore. ⚡ Meanwhile, Ram & Leela Ram had moved on — or at least pretended to. Leela stood by his side, loud and possessive. But their bond was poisoned by Ram’s unresolved obsession with Janani. One evening in early 2022, Janani received a message from a strange Instagram account. It contained old pictures of her with Rishi, from the time they were together.  The message read: > “Stay a...

The world had slowed down. Streets were empty, schools silent, and friendships trapped behind phone screens. For Janani, the lockdown was a strange mix of quiet and loneliness. At first, Rishi’s calls filled her evenings. He would talk about dreams of going abroad, about building a future, about how he wanted to make her proud. But as weeks turned into months, the distance between them grew. The calls became shorter, the replies delayed. Janani sat by her window one April evening, flipping through the diary Rishi had gifted her. The last few pages had been empty for weeks. Her heart ached for reassurance. She felt invisible. That night, she remembered something. It was Ram’s birthday. Her fingers hovered over her phone screen. She told herself, “It’s just a wish. Nothing wrong in it.” And so, she sent a simple message: > “Happy Birthday, Ram. Stay blessed. She thought it was harmless. She was wrong. 🌪 Leela’s Entry Ram was no longer alone. He had Leela — fiery, possessive, quick to...

The exam results were out. Students stood in clusters, comparing marks, laughing, crying. Amidst the chaos, Janani spotted Rishi, standing a little apart, smiling in that calm way of his. Janani had walked away from Ram the year before, after months of suspicion and constant fights. Her heart still carried the sting of his words, the fear of being judged, the confusion of being pulled between two boys. But Rishi’s presence felt… different. He didn’t demand. He didn’t accuse. He simply existed beside her, steady, warm. One day, as they walked back from tuition, he broke the silence. > Rishi (smiling): “You don’t have to explain yourself to everyone, Janani. You deserve to breathe freely.” Janani (softly, almost whispering): “Do you really mean that?” Rishi: “Of course. You’ve been through enough. I just want you to be happy.” That simple sentence was enough to melt the walls around her. For the first time, Janani felt what it was like to be accepted without conditions. Slowly, she le...

The school bell rang, echoing across the courtyard. Students spilled out of classrooms in a rush, some laughing, some anxious about unfinished homework. Janani walked slowly, clutching her books tightly to her chest. She was in 11th standard now — a new phase, but her past still tugged at her mind. From 7th standard onwards, Ram had been following her. At first, she thought it was harmless, maybe even a childish crush. But as the years passed, his eyes never left her, and his persistence grew. That year, Rishi entered the picture.  One evening, as the tuition class ended, Ram cornered Janani near the gate. > Ram (frustrated): “Why can’t you just say yes to me? You know how long I’ve been waiting.” Janani (soft, hesitant): “Ram… I don’t want to hurt anyone. But I can’t accept you.” She turned away quickly, but the words hit Ram harder than she thought. Days later, she noticed Rishi’s smile. It wasn’t demanding; it was gentle. He  chased her, but he made her feel seen. Yet, t...