Cases of Fissure-in-ano saved from surgery

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.

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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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