Post midline fissure in ano, Dr Nawaz please help me

1. ID: Pakistani
2. Age:32
3. Sex:male
4. Single/Married: married
5. weight:86 KG
6. Height ….6 feet 1 inch
7. country: Pakistan
8. climate: Moderate
9. List of your complaints:
pain after stool passing
I have to pressure to pass stool
irregular bowel movement
some time loose motions
No pus no blood
some time hard, some time soft stool, but back and sticky
burning
some time itching
during defecation my anus prolapse but after defecation these rush to inside anus to original position,
doctor diagnose, ' post middline fissure in ano '
sensation, like running little worms around anus and inside anus
yesterday during rubbing gel
inside anus there was blood on my finger,
many weeks ago, i mostly remained constipated but not now after the use of nitric acid,
bad smell flatulence after taking nitric acid dose

10. Since how long are you suffering from each complaint
8 months
11. Diabetic or non-Diabetic
non-Diabetic
12. Desire sweets/sour/salt
salt
13. Thirst
little
14. Tongue and Taste
normal
15. Current BP (without medicine and with medicine)
85: 125

16. What exactly is happening?
pain remained after stool passing,
when constipated, pain remained the whole day after defecation
17. How do you feel?
Bad mood, want to quarrel with wife
18. How does this affect you?
feeling pain on sitting , i start walking, this relief me a little
19. How does it feel like?
burning
20. What comes to your mind?
Nothing feel good around me
21. One situation that had a
big effect on you?
defecation when constipated, it pains a lot
22. How did that feel like?
burning
23. What sensation do you experience in that situation?
burning and i feeling like little worm are running in side anus

24. What are you showing by that gesture of your hand (Habits or Actions)?
I always sit aside , to release pressure on anus, it give me little comfort
25. Current and previous remedies/medicines you are taking or took in the past?
esculus hip 200c, use for week about 5 weeks ago
nitric acid 30 about 3 weeks ago,
last night , nitric acid 30 one dose and feel much better

26. Family Background
Mother died with kidney tumer
father is fit
27. Educational Qualifications of the patient
MCS

28. Nature of work, what do you do for living?
Office job, almost sitting 8 hours
29. Desires, likes and dislikes for food
I like spicy food, but now try to take simple veg diet

30. Name of foods which increase your problem
foods that contribute acid reflux , hot food, i also have problem of GERD, acid reflux

31. Mind-behavior, anger, irritability, hurry, impatient…and so on.. How are you different from other persons, public speaking or not , you can describe all of the details about your behavior, love and affections.

too much anger, when pain, other wise much love and affections with family and friends

32. Aggravation (increases-time, season,)& Amelioration (Decreases)
constant, not increasing nor decreasing

33. Attached here your photographs of the affected area. (if required/optional)

34. Location of the disease
inside the anus
35. Side of the problem (Right or Left), (Upper or Lower part of body)
Post midline fissure in ano
36. Color of the secretions/discharges e.g urine, stool, sputum, Saliva etc.
blackish , sticky, some time motion with brownish color
[message edited by many0651 on Fri, 20 Apr 2012 06:30:45 BST]

Dr. khan , em waiting for your advice, currently i have taken 2 doses of nitric acid 30 , which relieve pain much better but not completely. em feeling good , should i continue this remedy or change it and please guide me which food i have to avoid...

thanks.

Thank you very much Dr. khan for advice, I started remedies as suggested by you and going to purchase calendula , ruta and hypericum as per you advice and will report my condition... again thanks...

Hi Doc Khan, I have completed remedies recommended by you i.e nitric acid and sulphur last night. I think my problem has been removed up to 60 percent. Now my condition is much better but problem is till there. There is no pain while pressure on anus i.e on sitting and during and after defecation with soft stool. But in case of defecation with hard stool , there is burning after stool movement which remained almost an hour. during hard stool, my anus prolapsed. Waiting for further advice... Regards, and thank you very much Dr. Khan...

yes , i have purchased these remedies, calendula , ruta and hypericum. ';my anus prolapsed' means Prolapse upon defecation but spontaneously reduce.internal part of rectum came out during defecation and rush back when i stop defecation. very sadly Today, i have hard stool two times and there much pain right now. During course of remedies of nitric acid and sulphur , i remained much comfortable , but this time there is much pain as i had before. It seems my problem come back. Today i rub gel to reduce pain with my index finger but see little reddish type a mix of pus and blood around my finger. I think , i have eaten some wrong food, please doctor suggest me which foods i should have intake and which avoid.
Waiting for you prompt advice.
Thank you very much
Regards

Dear Khan

Pain has been reduced to some extent. I took first dose of podophyllum and will take remaining doses of your prescribed remedies. I also took 4 tablets of Natrum Phos 6X and will continue this after each meal. Can I take these tablets for long time, to avoid constipation / hard stool ? will it not harm ? My basic problem is hard stool and irregular bowel movement. I will follow your advice exactly for foods.
I will keep reporting you if any change. Many thanks , God bless you.

Regards,

Hi doc khan,
Many many thanks for such a wonderful advice , i have taken remedies exactly as per your advice, now i am much comfortable. pain has been reduced, there is very very little pain after defecation, i mean little burning.. and very little feeling of sensation while sitting i.e during pressure on anus. My stool remain soft in these days but today morning i suffered in dairrah, but loos motion just for one time i.e. in the morning. Please tell me further advice. Should i take an other medicine or continue existing ?

Dr. Khan , I have taken Arsenicum Album for two days, and Alhamdulilah, I am much comfortable. It seems my fissure is going to cure. I feel no pain , no burning at all. What is further advice for me and please tell for how much time i have to avoid foods rice, peas, cauliflower etc. God bless you. Thank you very much.

Regards,

Dr. Nawaz, very sadly i am feeling pain again from yesterday. First i suffered loose motion then pain during defecation. Inside area of anus is feels swelled. Inner area coming out as before ( prolapse ). Due to swelling of inside area of anus, i feel pain during defecation and also after defecation which lasts one to two hours. Bowel movement are two-three times a day. Now my stool is some time normal and some like oily liquid.
It seems my fissure again come back. I am taking remedy as you instruct me.
Please help me....

Here is summer season, very hot climate, temp remains 42 to 45 C day time. I am also feeling much heat in my body.. and this may be the cause of my fissure back....

This time i have loose motion and very swelled anus.....

Dr khan please suggest me which types of foods, fruits and vegetables would help me in this case ?
[message edited by many0651 on Sun, 06 May 2012 09:34:11 BST]

Thanks for reply, Mostly i am vegetarian. Now a days we are using following seasonal vegetables cocked in traditional way,
Okra ( bhindi ),
eggplant,
bitter grout
Zucchini ( Tori )
ginger,
garlic,
onion,
Tomatos

we use some dried masalajat also cinoman, turmeric etc.

I eat less fruit, but some times water melon now a days.

We consume some time used curd, and some time Lassi but not regular.

We use traditional chappati of wheat flour , three times , in break fast, lunch in dinner. I eat 2 chappaties in break fast, 3 in lunch and 3 in dinner.

I did not drink milk from that time I am suffering in this disease.

I take regular tea 3-4 times, drinks , molasses drink ( shakar in water ), honey water , and other processed drinks.

I strictly avoiding your suggested foods.

Dr, I was feeling to much heat in my body, not fever, I drink a lot, molasses drink, and take ispaghol in curd, now there are not loose motion and a little comfortable but my anus feels swelled. I think , i have a lot of heat in my stock , as I often remained suffered with Acid reflux , and when i not drink too much , my urine remained very yellowing and during urination, i feel burning. I already mentioned , I have also fatty liver. I do not exercise, as I am in preparation of my exams.

is there any medicine or any other remedy that keep my body cool , as here is too much hot climate and I can not afford day and night air condition
.

Many thanks Doctor Nawaz, I have completed remedy for 5 days, I feel much improvement Though my fissure is not completely cure. Once in past days I also suffered in constipation for one day ( two times ) and feel much pain during and after defecation. Now my stool is soft but two times hard stool movement makes the fissure worse ( swelling and pain )but now I am much comfortable and feel little pain ( burning ) after defecation that lasts for 5- mints. This was the condition on today morning.

Please further advice me,as my fissure is not completely cure, should I continue these remedy or have to change. I am also taking Belladonna two times.

God bless you

Thank you very much.