Overview
India's Leading Research-Based Ayurvedic Clinic for Piles, Fissure & Fistula Experience a personalized, research-based treatment approach for piles, fissure and fistula. Get relief from pain, bleeding and discomfort with ADR Therapy, a research-based integrative treatment approach designed to help you return to a healthier, more comfortable life. Non-Surgical Treatment Approach | Personalized Care | Relief in 40 Minutes Treatment suitability depends on individual medical evaluation.
WHY CHOOSE 30+ AYURVED?
Piles, fissure and fistula can affect everyday comfort, confidence and quality of life. At 30+ Ayurved, we focus on understanding each patient's condition before recommending a personalized treatment plan.

Comprehensive Health Assessment Review of medical history, symptoms and available diagnostic reports.

Personalized Treatment Planning Recommendations based on individual health needs.

Lifestyle and Nutrition Guidance Support for healthier daily habits and dietary choices.

Ongoing Progress Monitoring Follow-up to review progress and discuss concerns.

Patient-Centred Care Guidance that considers overall well-being alongside appropriate medical care.
Our Treatment Approach
ADR Therapy: A Research-Based Integrative Approach for Piles, Fissure & Fistula ADR Therapy stands for AnoRectal Disease Reversal Therapy. Developed through years of clinical experience and research, it is the treatment approach followed at 30+ Ayurved for anorectal conditions. Every patient has a different medical history, symptom pattern and treatment journey. Before preparing a treatment plan, our doctors evaluate the patient's symptoms, bowel habits, dietary patterns, lifestyle, previous treatments and overall health.
The treatment approach focuses on:

Detailed case evaluation

Individualized treatment planning

Dietary and lifestyle guidance

Understanding bowel habits and associated concerns

Follow-up and recovery support

Piles (Haemorrhoids)
Piles may cause bleeding during bowel movements, discomfort, itching or swelling around the anal region. An appropriate evaluation helps determine the nature and severity of the condition.

Anal Fissure
An anal fissure is a tear in the lining of the anal canal that may cause pain and bleeding during or after passing stools. Timely evaluation can help determine suitable treatment.

Anal Fistula
An anal fistula is an abnormal passage that may develop between the anal canal and the surrounding skin. It can cause discharge, irritation, recurrent infection or abscesses and requires proper medical assessment.
WHAT SETS US APART?
Care That Begins with Understanding Your Condition Many patients approach us after experiencing recurring symptoms or trying different treatment options. Some have previously undergone surgery, laser treatment, injection therapy or other procedures. While different treatments may be appropriate for different patients, persistent or recurring symptoms need proper assessment.
At 30+ Ayurved, our approach includes:

Reviewing previous treatments and medical records

Understanding current symptoms and bowel habits

Evaluating dietary and lifestyle factors

Preparing a personalized treatment plan

Providing follow-up guidance
Why We Developed ADR Therapy
Our doctors, Dr. Sachin Babruwan Ramteerth and Dr. Ashwini Sachin Ramteerth, have been providing care since 2008. Through clinical experience, patient follow-ups and continued research, they developed ADR Therapy as a dedicated approach to anorectal conditions.
Their focus is on understanding the patient, recommending individualized care and supporting patients throughout their treatment journey.
Meet Our Doctors

Dr. Sachin Babruwan Ramtirthe
Founder, 30+ Ayurved

Dr. Ashwini Sachin Ramtirthe
Co-Founder, 30+ Ayurved
Since 2008, our doctors have been committed to Ayurvedic healthcare and individualized patient care. We understand that managing a chronic condition can involve ongoing questions about lifestyle, nutrition, daily activity and long-term health. Our consultation process considers your medical history, available investigations, current prescriptions and personal health needs. Our goal is to provide compassionate guidance and a personalized approach that works alongside appropriate medical care.
FREQUENTLY ASKED QUESTIONS
1. What is the consultation fee at 30+ Ayurved?
Patients living with a chronic heart condition who want an assessment of their overall health, lifestyle and nutrition may book a consultation.
2. Can I continue my current heart medicines?
Yes. Continue your prescribed medication unless your treating cardiologist advises otherwise. Do not stop or change it on your own.
3. How long does the treatment plan take?
The plan and follow-up schedule depend on the patient’s condition, existing treatment and health needs.
4. What reports should I bring?
Bring available ECG, echocardiography, angiography and blood test reports, along with prescriptions and a list of current medications.
5. Can lifestyle changes help heart health?
Lifestyle measures may support cardiovascular health, but they do not replace the medical treatment required for an established heart condition.
6. What should I bring to my appointment?
Bring previous prescriptions, reports, details of earlier procedures and information about any current medication.