This document discusses rectal polyps, which are fleshy growths that can protrude from the lining of the rectum. Rectal polyps are a common anorectal disorder that can occur in both children and adults. They may be benign, pre-malignant, or malignant. The document outlines the etiology, types, clinical features, diagnosis, and management of rectal polyps. The treatment of choice is polypectomy, which is the surgical removal of the polyp in a painless day procedure. The polyp is examined after removal for further analysis. In Ayurveda, rectal polyps are considered a type of anorectal disorder called Sahaja Arsha.

1. Rectal Polyp
गुदा- पोलिप रोग
(A type ofAnorectal disorder )
DR MAHESH KUMAR
M.S. (Ay)
ASSISTANT PROFESSOR
DEPARTMENT OF SHALYA TANTRA
CH. BRAHM PRAKASH AYURVED CHARAK
SANSTHAN KHERA DABAR NAJAFGARH NEW
DELHI-73
25-08-2020
Rectal Polyp-Dr Mahesh Kumar
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Introduction
 The term polyp is made of Gr.word POLYPOUS which
means “many footed.”
 The polyp are simply “fleshy growth”
 The rectal polyp is common anorectal disorder
 Colorectal polyp occurs at the lining of colon or rectum.
 Rectal polyp= Circumscribed mass arises from mucosa of
rectum and protruded into the rectum, from anal canal
 Common in children, but may occur in adult in either sex
 The polyp may be benign or malignant and sometime may
develop cancer.

3. In Ayurveda
The Ayurveda there have reference of
 The Sahaja Arsha mentioned in Ayurveda as a Gudaja
Roga(Anorectal Rectal Disorder).
 The references of Sahaja Arsha- S. Ni.2, C.Ci.14, A.H.Ni.7
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4. -The etiology of Rectal polyp is not well explained
- Congenital
- History of after inflammation consequence.-
Inflammation at Anorectal region
Neoplastic causes
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Aetiology
Sushruta)

5.  Pedunculated –with stalk
 Sessile/sessile- without
stalk
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 Benign (hyperplastic
polyp)
 Pre-malignant (tubular
adnoma)
 Malignant (colorectal
Adenocarcinoma)
 Congenital
 Acquired
Types
Colorectal polyp
 Juvenile
 Inflammatory
 Peutz-Jeghers
 Adenomatous polyp

6. Clinical feature
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 Something coming out per rectum/ polyp/mass
protrusion/ may protrude may not protrude outside
the anal canal.
 May go back spontaneously or reduced manually(push
using finger).
 Bleeding per rectum-painless, intermittent fresh
rectal bleeding
 Streak of blood on stool or profuse bleeding
 Normally painless
 Mucus discharge

7. Differential Diagnosis
 Piles/ Haemorrhoids
 Rectal prolapse
 Fissure in ano with sentinel tag
 Trauma at anal region
 Inflammatory bowel disease.
 Intussusception
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Diagnosis
Rectal Polyp-Dr Mahesh Kumar
Clinically & Examination
1.History taking & chief complain
2.Local examination – DRE/Per rectal
examination
Investigation – The colorectal polyp diagnosed
1. Proctoscopy
2. Sigmoidoscopy
3. Colonoscopy

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Treatment of choice = Polypectomy
(surgical removal of polyp)
Management
Rectal Polyp-Dr Mahesh Kumar
simple Day care
Painless
procedure

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STEPS of Polypectomy

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12.  Final excised polyp
****** biopsy of excised polyp to be sent for HPE
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13. Thank You…
25-Aug-20
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धन्यवाद ॥
Thanks for patience watching…………….