A case of anal fissure 

Dr Amitava Sinharay, B.H.M.S 

Abstract:-
Introduction-
Herein,  reporting  a case  of  a  female  patient  of  36 years  old  who  came  with  the  chief  complaint  of burning pain of Rectum for long time after stool with bleeding during stool. She also having complaints of  anal fissure and Hard stool.  The purpose of this case report is to emphasis on this type case  and  how it  can  be  managed by Homoeopathic treatment.

Material & Methods-

  1. Patient– This is a acute case of one female patient. Patient is suffering from last few days.
  2. Case Taking– History of patients was taken for analyzing the case. 
  3. Homoeopathic Remedy– Best selected homoeopathic remedy, here Nitricum Acidum has used.

Result-
Time to time physical investigation has shown that the symptoms gradually improved and finally cured.

Discussion
It is concluded that anal fissure  is a very common conditions encountered mainly due to hard stool. But too much bleeding during stool is very serious condition and most emergency condition. By following the Homoeopathic approach  a remedy which is Nitricum Acidum has been selected and also Geranium Maculatum Q also given to manage the acute condition of the case. 

Conclusion
According to the Concept of acute disease the most important chief  symptoms of the patient is very necessary. By following the rules of Homoeopathy Nitricum Acidum LM potency  was selected & Geranium Maculatum Q also used to control the acute stage. Patient cured by these remedy.

CASE SUMMARY-
A  female  patient  of  36 years  old  who  came  with  the  chief  complaint  of burning pain of Rectum for long time after stool with bleeding during stool. She also having complaints of  anal fissure and Hard stool.  The purpose of this case report is to emphasis on this type case  and  how it  can  be  managed by Homoeopathic treatment.

CASE HISTORY OF PATIENT:-

  • Name of the patient- Mrs. X 
  • Sex- Female
  • Age- 36 years
  • Occupation- Housewife

PRESENE COMPLAINTS-

  • Burning pain of Rectum for long time after stool
  • Pain reduced by cold water application
  • Bleeding during stool
  • Constipation and Hard stool
  • Anal fissure

PAST HISTORY-

  • Typhoid about 12 years ago

PHYSICAL MAKEUP-

  • Fatty

FAMILY HISTORY-

Relation Paternal Maternal
Father & Mother Father-

Bronchial asthma, Hypothyroidism

Mother- 

Skin eruption

DM

Grandfather DM, HTN

NA

Grandmother NA piles

MENTAL SPHERE-

  • Irritable
  • Want to be alone

SLEEP- Normal

DREAM- 

  • Not significant

APPETITE-

  • Loss of appetite

DESIRE-

  • Milk, Fish

AVERSION- 

  • NA

INTOLERENCE– NA

THIRST-

  • Extreme Thirsty

SWEAT

  • Normal

THERMAL REACTION-

  • Chilly  patient

TREATMENT SUMMARY-

Date Remedy Symptoms
15th-June-2020 Nitricum acidum 0/1

12 dose

Once daily

Geranium Maculatum Q

8 drops twice daily

Burning pain of Rectum for long time after stool

Pain reduced by cold water application

Bleeding during stool

Constipation and Hard stool

Anal fissure

27-June-2020 Nitricum acidum 0/2

12 dose

Once daily

No  blood with stool

Pain reduced

Stool slight hard

10-July-2020 Nitricum acidum 0/3

12 dose

Once in alternate day 

No new symptoms

Patient is in better condition

Repertory sheet

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