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Cases of
Fissure-in-ano saved from surgery |
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Case 1:
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This is the case of Mr. N. D (Patient Ref. No.
L-5639), a 34 years old male
patient who reported to the clinic with complaints of pain
in the anal region since 10 years. He would get shooting
pains in the anal region that would last the whole day
long. The pain would get worst during stools. He would
also experience increased intensity of pain while sitting,
traveling, at night and early morning. Application of hot
water would relieve the pain to some extent. There would
also be some amount of bleeding during the passage of
stools. There was no history of passage of mucus with the
stools. Bowels would be chronically constipated and he
would have to strain much to pass stools.
His appetite was normal and he was very fond of sweets. He
disliked spicy, fried and sour foods. Thirst was decreased
and he would not take much water. He would be comfortable
in the warm weather and could not tolerate cold atmosphere
or AC. Constitutionally he was tall and lean and had the
habit of biting his nails whenever he would get anxious.
He was a very anxious person by nature and would get
tensed very easily. Work stress was prominent on his face
due to the anxious look. He would get angry rarely and
would calm down fast when angry. He would not express his
emotions easily.
He had suffered from tuberculosis in the past and there
was history of TB in two more family members as well. His
father had hypertension, diabetes and ischemic heart
disease. His mother had hyperthyroidism.
The patient had taken allopathic and ayurvedic treatment
for the fissure in the past and he had also been advised
to go in for surgery by a surgeon. But the patient was not
in favor of surgery and so he decided to opt for
homoeopathy as the last option. 2 weeks was all that was
required to give him more than 80-90% relief in his
symptoms of painful defecation and he was back to his
work. He was prescribed a remedy named Nitricum Acidum
along with another one called Aesculus. He continued the treatment for some more time and
his symptoms were under good control now. He would not
have any bleeding or pain now and his complaint of chronic
constipation was also effectively taken care of with the
medicines. At the end of one year the patient stated that
he had completely forgotten the fissure now.
Remark: The remedy prescribed in this case is
patient-specific i.e. it has been prescribed based on the
symptoms specific to the patient at that point of time. It
is advisable that the patient does not indulge in any
self-medication. |
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Case 2: |
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Mr. R. G (Patient Ref. No. L-4112), a 35 years old male patient reported to the
clinic with complaints of bleeding with stools and painful
defecation since 2 days. He had severe pricking pain in
the rectum since 2 days and this would be worsened while
passing stools and when sitting. The pain was continuous
and lasted throughout the day and he would not even be
able to sit comfortably at any given time of the day. The
bleeding with stools was scanty and in the form of
streaks. The consistency of stools was normal but he could
pass only small quantities at a time because of the pain.
He had been diagnosed as having fissure-in-ano and had
been advised surgery for the same. He had been operated
for fissure 8 years ago and this was a relapse of the
similar complaints again. He was not willing for surgery
since the condition had recurred even after surgery.
He had also been diagnosed with diabetes recently and was
on medication for the same. Apart from this he had
complaints of irritable bowel syndrome and lumbar
spondylosis in the past for which he had taken
homoeopathic medication with significant relief.
His appetite was normal and thirst for water had
increased. He was fond of salted and spicy foods and
bread. He had aversion to sweets and vegetables.
Structurally he was on the obese side.
In the past he had been operated for fissure-in-ano and
had no other major medical or surgical illness. He had
strong family history of Diabetes where almost everyone in
his family had diabetes. Besides this his father also had
hypertension and cataract.
He lived in a joint family and had business of his own. He
had recently become irritable about trifles and would get
angry easily when his work would not get completed on
time. His anger would be short-lasting and he would calm
down soon. Otherwise he was a very cheerful person who
liked to be in the company of people. He had fear of high
places and of dogs. He had marked anxiety about his health
and would particularly see to it that he took care of
himself and kept himself fit. He had been through a major
stressful period recently when his 4 years old daughter
had been diagnosed with cerebellar ataxia (post-viral
infection) and was admitted in the hospital for some time.
He was very tensed about her health because of this
neurological disorder that she had developed.
Based on this history, he was prescribed Nitric Acid 30
along with Capsicum 200 for his complaints. Within a week
the patient reported that his complaints were more than
50% better. At the end of about one month of treatment, he
was completely free from his rectal pain and bleeding. The
frequency of stools had also come down to twice a day
which was his normal frequency. He was very much relieved
that he could get rid of his complaints without surgery.
Remark:
The remedy prescribed in these cases is
patient-specific i.e. it has been prescribed based on the
symptoms specific to the patient at that point of time. It
is advisable that the patient does not indulge in any
self-medication. |
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Fissure-in-ano:
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