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Acute fissures in ano

I was eating green chilles with my diet very frequently for almost 3-4 years. But for last 1 year i have stated feeling burning sensation, itching while passing stool.
Amlost 80 % of time i used to apply little bit of pressure while passing stool.
Last year November, 2013, the pain started slowly to severe with knife cutting pain and sensation while passing stool. I used to pass stool twice a day as per my regular habit.
By this time i had already stopped all chillies, spice, even nonveg food.
While passing stool most of time i observed red patch and 1-2 inch line of red color, may be blood. The matter was brought to alopathic doctor first, they examined the same and told me that this is acute fissures in ano. He prescribed some medicine for 1 week, probably was antibiotic,lactihusk,white liquid as syrup-some wax type for free and smooth bowel movement. The medicine gave me say only 15-25% relief but the pain was still there. Later alopathic doctor tome me to undergo operation as there are lots of spasm inside and this is the only solution.
To avoid operation i later wend to Dr Batras Clinic and they started the medicine after 2-3 week pain and blood stopped and suggested to intake fibre food with salad and fruits, non veg food were stopped. After following strict diet and medicine much relief was observed, except 3-4 time in month some minor pain and itching was observed. They prescribed me sitz bath with calendula and candenansis 8 drop liquid in morning and evening after passing stool.
Since the clinic never provide the name of medicine, i am not in position to provide the same in forum.
My 1 year treatement period ended this year on Dec and looking into the improvement execpt 1-2 itching momment in a month.
But not for last one week in Jan-2014 i am observing that the pain has been started and is increasing with some intensity day by day and within a day or two i have observed red patch in stool also. While passing stool the pain is very high and it feels as is some blade of knife is cutting the wall inside, especially the line of pain is fixed and it is observed in only 2 direction.
The food what i am taking is same was was prescribed to me.
Kindly suggest what medicine i should take so that i can get relief from knife cut like pain and at same time the blood is stopped.
Thanking you
 
  prakaram on 2014-02-07
This is just a forum. Assume posts are not from medical professionals.
Please answer the following questions in a descriptive manner after careful analysis
and recollection of previous experiences and happenings to select proper medicine.

Patient ID or Name : Sex: Age:
Height : Weight : Country :
1. Describe your main suffering? (Describe symptoms)
2. What other physical/mental sufferings in past, you had ?
3. What mental sufferings / feelings do you have associated with your physical
sufferings?
4. What exactly do you feel when you are at your worst?
5. When did it all start? Can you connect it to any past event or disease?
6. Which time of the day you are worst?
7. What are the things which aggravate your suffering and which are those which
ameliorate the same?
8. Do your think your sufferings have relation to any external stimuli (like, change of
place) or any internal biological changes in the body, like, menses (in females)?
9. When do you feel better, during hot weather or cold weather, humid or dry weather?
10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable
Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
- How do you feel before or during a thunderstorm?
- Do you like being consoled during your tough times?
- Are you sensitive to external stimuli like smell, noise, light etc?
- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
- How do you feel about your friends, family, your children and especially your
husband / wife?
11. What are your fears and do you dream of any situation repeatedly?
12. What do you crave for in food items and what are your aversions?
13. How is your thirst: Less, Normal or Excessive?
14. How if your hunger: Less, Normal or Excessive?
15. Is there any kind of food which your body can’t stand?
16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or
Limbs?
17. How is your bowel movement and stool type?
18. How well do you sleep? Do you have a particular posture of sleeping?
19. Do you think you are able to satisfy your sexual desires in general?
20. How do you think you are different from others, if at all?
21. What medications have been taken earlier by you to treat the diseases and do you
have any particular symptom surfacing after the medication?
22. Nature of work, what do you do for living?
23. What major diseases are running in your family?
24. Describe, how do you look like? Describe your overall appearance
25. Attached here your photographs of the affected area. (if required/optional)
26. (ONLY FOR FEMALES)
Please answer the following questions:
(Please give details of your past menstruation if you have attained menopause.)
- Are the periods early, regular or late in general? How long do they last?
- Do you suffer from any kind of physical or mental discomfort before, during or after
the periods?
- Is the flow scanty, normal or excessive?
- Is the blood thick bright red or pale watery?
- Do you notice any clots in the flow?
27. Any special points you feel necessary to mention


R.P. Tamhankar
 
shouse_nsk 6 years ago
Patient ID or Name : Sex: Age:
I hope it may be : 391754321497105230 Sex: Male, Age : 38

Height : Weight : Country :

6 feet 9 inch : 65 Kg : India

1. Describe your main suffering? (Describe symptoms)

Medium to severe Pain in anal for last 1 week followed by same type of pain a year ago, when Alopathic doctor described it as Acute Fissures in Ano. The pain is very severe at time of passing stool and has knife like cut feeling. The pain remain for whole day.

2. What other physical/mental sufferings in past, you had ?

As such No, but for last one year when the treatment of same was started, much weight has been lost. Previously it was nearby 72Kg now it is almost 65 Kg, and all my colleague keeps on telling me that you are loosing weight.

3. What mental sufferings / feelings do you have associated with your physical
sufferings?

No but feel very uncomfortable with present pain and restriction.

4. What exactly do you feel when you are at your worst?

Feels bad and very limited while going out for any Job tour while eating etc. I am a Civil Engineer but 100% work are based on laptop and office Job

5. When did it all start? Can you connect it to any past event or disease?

It started almost a year back somewhere in month on October or November 2013. Later on after intense pain Hameopathy treatement was taken from Dr Batras for 1 year and ended on Dec-2013. In mean time 2-3 time in a month little bit intermittent pain and itching was observed but blood patches not observed in stool.
It was discussed with family and later came to know that my Nanaji ( Mothers father ) was suffering from pilesand even my father has came across pain but the same has been cured and now he is not feeling any pain. My mother don’t have any problem.

6. Which time of the day you are worst?

At morning time when I awake up and go to toilet for passing stool and at evening time when I again go to toilet for passing stool ( as per my habit of going twice to toilet). Medium to little pain persist throughout day like now I have.

7. What are the things which aggravate your suffering and which are those which
ameliorate the same?

When I used to eat little spice or chilies it aggravate a lot and when its amost boiled type with no spice, it ameliorate a bit but even though while passing stool it give me intense knife cut like pain and feeling. For last many days it is just boil type of food but the pain still persist. 100% Green vegetable like spinach, mustard , Chawli, red vegetable etc with rice makes stool pass very fast and easily with less effort.

8. Do your think your sufferings have relation to any external stimuli (like, change of
place) or any internal biological changes in the body, like, menses (in females)?

As such no, but I have lost weight from 72kg to 65 Kg presently in this one year of suffering.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?

I like cold weather most followed by Rainy than humid or dry and lastly hot weather.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable
Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

Quite Moody in nature, Arguing sometime , Nervous if it is new , Quiet if bore, yes Easily offended & Agreeable Changeable and Arrogant

- How do you feel before or during a thunderstorm?

I like thunderstorm

- Do you like being consoled during your tough times?

Yes

- Are you sensitive to external stimuli like smell, noise, light etc?

Yes

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?

No

- How do you feel about your friends, family, your children and especially your
husband / wife?

I get quite upset when my parents , brother or sister and wife/children and not well, I keep on thinking about them all time and this lack concentration on my work.

11. What are your fears and do you dream of any situation repeatedly?

Yes, I used to worry a lot thinking what will happen to mother and father if anything goes wrong to any of them since they (only father and mother) alone stay away from us in village and we don’t have any uncle, neither other villagers has good thinking for us (an leg pulling habit). They don’t even want to stay with us as they say that who will look after land and property at village. They don’t find comfortable staying in flat type closed system in Mumbai, as they used to keep themselves busy working in field most of time.

12. What do you crave for in food items and what are your aversions?

My Favorite food is chicken (unfortunately now it is stopped) with rice and I don’t like chapatti with boil vegetables.

13. How is your thirst: Less, Normal or Excessive?

Less

14. How if your hunger: Less, Normal or Excessive?

Normal

15. Is there any kind of food which your body can’t stand?

Not yet noticed.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or
Limbs?

It’s less but whenever sweats its head.

17. How is your bowel movement and stool type?

95% it is stiff and retain its shape for sometime before it collapses to form like a cone, but very less of smooth flow.

18. How well do you sleep? Do you have a particular posture of sleeping?

I like sleeping and I used to undergo sound sleep, I start my sleep with face up and stomach up and after some time I used to turn 180 degree, ie, hand spread with stomach and chest down and backbone up.

19. Do you think you are able to satisfy your sexual desires in general?

Yes

20. How do you think you are different from others, if at all?

I feel myself very common and realize mistake after doing so.

21. What medications have been taken earlier by you to treat the diseases and do you
have any particular symptom surfacing after the medication?

I I have not taken medicine by myself therefore no symptom seen thereafter.

22. Nature of work, what do you do for living?

I am Civil Engineer, previously worked at site in Infrastructure company, but not for last 4 years it is 100% office job with computer. At morning start from home with company provided vehicle by 8:00 AM and
Office time starts at 9:30 AM and ends by 6-6:30 PM reaches home by 7:30 PM and go to bed by 11:45 PM.

23. What major diseases are running in your family?

My Father (75 year old) has once problem of heart disease like formation of cholesterol, and still taking Aztor for the same. My middle brother has the previously tracked with some infection in Heart . My mother (70 yr old) has the problem of back pain, knee pain and and severe acidity problem

24. Describe, how do you look like? Describe your overall appearance

Tall, wheatish, athlete type body and medium look.

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

Photo attached file name 20140207_164042-crp1

26. (ONLY FOR FEMALES)

Please answer the following questions:
(Please give details of your past menstruation if you have attained menopause.)
- Are the periods early, regular or late in general? How long do they last?
- Do you suffer from any kind of physical or mental discomfort before, during or after
the periods?
- Is the flow scanty, normal or excessive?
- Is the blood thick bright red or pale watery?
- Do you notice any clots in the flow?
27. Any special points you feel necessary to mention
As such no.

(This post contains an image. To view the image, please log on.)

 
prakaram 6 years ago
PL take
1. Nitric Acid-200 6 pills twice a day
2. Sulphur-200 6 pills at bed time

Do not take milk in pure form. Pl avoid dairy and bakery products.

PL take above treatment for 15 days and then give feedback

R.P. Tamhankar
[message edited by shouse_nsk on Sat, 08 Feb 2014 04:13:19 GMT]
 
shouse_nsk 6 years ago
Dear Sir
I have started taking medicine 1. Nitric Acid-200 6 pills twice a day & 2. Sulphur-200 6 pills at bed time as prescribed by you from 9th February 2014 and continuously following the same. Blood has been observed twice-thrice in this one week of treatment while passing stool, latest blood seen in stool is 2 days back. While passing stool the pain is severe and decreases for only 15 - 20 minutes from then. Afterward the pain with burning sensation starts again with same intensity for 8 to 9 hours and remain severe throughout. It becomes very difficult to sit in one position. It is very painful, disturbing, stressful, uncomfortable & can not concentrate on work mostly due to pain and burning sensation. The pain/burning sansation reduces gradually after 8-9 hours but does not ends. When pain reduces, itching is felt round the anus.
The severe pain & burning sensation with pinning like feeling is mostly observed at specific location/part of anus (at same spot where the bulge is seen in attached photo and the same is felt with hand while cleaning anus after passing stool).
Food I used to take is normal veg. plain with almost no spice, chilli, less of oil. Water intake is almost 3-4 bottle in a day.
I am taking sitz bath with luke warm water in morning with 8-10 drops of calendula officinalis and evening time with hydrastis canadensis mother tincher after passing stool, it give me temporary relief for almost half an hour mostly while the water is warm but back to same pain & burning sensation after that. (the sitz bath was suggested previously 1 year back when the same problem occurred)
It give me some relief when I lay down on bed, but due to nature of work the same is not possible in day time.
Sir, Kindly suggest what to do.
Thanks and regards
 
prakaram 6 years ago
I have started taking medicine 1. Nitric Acid-200 6 pills twice a day & 2. Sulphur-200 6 pills at bed time as prescribed by you from 9th February 2014 and continuously following the same. Blood has been observed twice-thrice in this one week of treatment while passing stool, latest blood seen in stool is 2 days back. While passing stool the pain is severe and decreases for only 15 - 20 minutes from then. Afterward the pain with burning sensation starts again with same intensity for 8 to 9 hours and remain severe throughout. It becomes very difficult to sit in one position. It is very painful, disturbing, stressful, uncomfortable & can not concentrate on work mostly due to pain and burning sensation. The pain/burning sansation reduces gradually after 8-9 hours but does not ends. When pain reduces, itching is felt round the anus.
The severe pain & burning sensation with pinning like feeling is mostly observed at specific location/part of anus (at same spot where the bulge is seen in attached photo and the same is felt with hand while cleaning anus after passing stool).
Food I used to take is normal veg. plain with almost no spice, chilli, less of oil. Water intake is almost 3-4 bottle in a day.
I am taking sitz bath with luke warm water in morning with 8-10 drops of calendula officinalis and evening time with hydrastis canadensis mother tincher after passing stool, it give me temporary relief for almost half an hour mostly while the water is warm but back to same pain & burning sensation after that. (the sitz bath was suggested previously 1 year back when the same problem occurred)
It give me some relief when I lay down on bed, but due to nature of work the same is not possible in day time.
Sir, Kindly suggest what to do.
Thanks and regards
Ram Prakash
Note: Photo attachments were left and hence resending the same.

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prakaram 6 years ago
Ram Prakash

1. Take the treatment for 15 days completely, so that we can take a review.
2. From Photo image, it redness and swelling seems to be less little bit.
3. Pl take one dose of 6 pills of Penicilin-1m at bed time (only one dose). That day do not take Sulphur-200
4. Pl take every day early morning in empty stomach one teaspoon of home made butter with little bit Khadi Shakkar.

Pl give feedback after 10 days

R.P. Tamhankar
 
shouse_nsk 6 years ago
Dear Sir,
I have went for medicine but only one have said that they have Penicilin-200 and they will provide it in 3 dosages.
Wile most of Hameo Pharmacy said that they dont have the Penicilin.
Kindly suggest what shall i do.
As far as pain is concerned, the condition is same, very intense pain with knife like cutting feel while passing stool and pain thereafter for 8-9 hrs.
Thanking You
Regards
 
prakaram 6 years ago
Logging in to observe progress.
 
Joe De Livera 6 years ago
Sir i have received message like 'Logging in to observe progress.'
I could not understand this line.
Please advise.
Regards
 
prakaram 6 years ago
OK, you can purchase Penicilin-200 and take only one dose

R.P. Tamhankar
 
shouse_nsk 6 years ago
Dear Sir,
As prescribed by you I have taken 1. Nitric Acid-200 6 pills twice a day & 2. Sulphur-200 6 pills at bed time since 9th February 2014. On 20/2/14 night at bed time I have taken Penicilin-200 (Single dose in powder form).
Sir, 15 days is over now.
I have attached photo that has been taken yesterday after 5-8 minutes of passing stool at morning time. The spot that has been marked in red oval color, that is the same portion where an bulge is felt while washing anus after passing stool (left side of anus). The pain and itching is all round but this spot marked in red oval give maximum pain. This is the spot that has intense pain / burning sensation with glass like cutting feeling while passing stool. The pain is felt as if that the portion has a deep wound. It gives me continuous pulse of pain after passing stool at 7:15AM to 2-3 PM, almost 8 Hours a day. It reduces a bit and starts again at evening time when I go for second time to pass stool. But the intensity of pain that I feel for first 8 hours of day is quite horrible. Some time I feel as if am sweating due to intense uncontrollable pain. Today i.e, on 24/2/14 ( not at 11:31 AM) I feel that the pain is a bit less (say 5-10 % less) compared to all previous day.
From morning 8:15 AM since evening 6 PM it is almost sitting on chair type of job near computer.
As suggested by you, I am taking one teaspoon of butter with khadi shakkar for last 5 days. I have stopped milk in pure form, curd and all bakery products. I am taking only tea almost 3 time a day once at 9:30, 11:30 and last at 3:30 PM in office. I am taking sitz bath with luke warm water in morning with 8-10 drops of calendula officinalis and evening time with hydrastis canadensis mother tincher after passing stool.
Sir, from 4th March 2014 to 19th March 2014 I will be out of this place (Mumbai) from where I may find difficult to purchase the medicine (being rural area).
Dear Sir, kindly suggest me further course of medicine and PLEASE DO SOMETHING TO GET RID OF THIS INTENSE PAIN.
Thanking you
Ram Prakash

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prakaram 6 years ago
Ram Prakash
In addition to Nitric Acid-200, pl also take
Ratanhia-200 6 pills twice a day
Pl keep 30-40 minutes gap between Nitric acid and Ratanhia

Pl take the treatment for 10 days and then give me feedback

R.P. Tamhankar
 
shouse_nsk 6 years ago
Dear Sir,
Whether Sulphur -200 to be continued or shall be stopped hereafter.
Will this will reduce the pain that i am undergoing now & secondly, i will be on out and moving to rural area from 4th March 2014.
Thanking you
 
prakaram 6 years ago
Ram Prakash
Bed time dose of sulphur-200 you can continue.
Yes, treatment will subside your pains

R.P. Tamhankar
 
shouse_nsk 6 years ago
Dear Sir,
For last 2 days i have observed that while passing stool red line (blood) of almost 2-3mm wide having considerable length of 2-3 inch is observed. Initial part of stool retain its round shape and length, thereafter it breaks into pieces when water is poured. There is some relief in pain say 10-15% out of 100%.
As suggested by you, i am taking :
1-Nitric acid-200-6 pills twice (morning and evening)
2-Sulphur-200 6 pills at bed time.
3-Ratanhia-200 6 pills twice.
& for pain relief i am taking
4- sitz bath twice after stool with calendula & Hydrastis MT.

Sir, Kindly advise.
Thanking you
Ram Prakash
 
prakaram 6 years ago
Dear Sir,
Sir, 6 days has passed and I have been taking Ratanhia-200 6 pills twice and I will be moving out from Mumbai to rural area for next 15 days from tomorrow.
The glass cut like pain while passing stool has been reduced to almost 10-15% (90-85% pain still persist) but post passing stool the pain is very intense and remains for almost 7-8 Hours.
I have enclosed photo taken yesterday (2/2/14) morning time, a skin tag marked previously with red circle is clearly visible in this photo. After passing stool while cleaning the tag is clearly felt in hand and this is the point & line of intense pain.
SIR, KINDLY PRESCRIBE ME MEDICINE SO THAT THE PAIN CAN SUBSIDE & I CAN CARRY MEDICINE WITH MYSELF FOR ANOTHER 15 DAYS AT TIME OF MOVING OUT FROM MUMBAI.

Thanking you
Ram Prakash

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prakaram 6 years ago
Ram Prakash
In place of Sulphur-200 , Pl take Aesculus-200
Rest of the medicines like Nitric Acid and Ratanhia to continue as it is.
If possible pl take pro-biotic drink like 'yakult' every day. It is available in Malls or general stores.

Pl give a feedback after one week
R.P. Tamhankar
 
shouse_nsk 6 years ago
Ram Prakash

PL give feedback in time

R.P. Tamhankar
 
shouse_nsk 6 years ago
Dear Sir,
I went to leave on 5th of March with medicine prescribed by you.
The pain was still there, and becouse of same after reaching to destination on 6th of March , i went to consult an Hameo Doctor. After consulting he tome me that you have Acute fissure along with Piles.
I told him about the medicine that i am continuing presently.
Thereafter, he prescribed me following medicine :
1. Aloes 10m - 6 pills once in a week.
2. Silicea 30 - 4 pills 4 time a day.
3. BioCom 17 - 6 pills 2 time a day.
4. Aesculus ointment for application.

And presently i am continuing with the same.
The intensity of pain has been reduced in some way but not fully. Sometime if i need to go for stool twice on particular day, on that particular day the pain become intense and last for almost 4-5 hours.
While discussing with others also, most of people suggested to go for operation or else this is not curable.
Dera Sir, Kindly suggest whether i will be able to get rid of this pain and disease or else the operation is the only solution.
Thanking You
Ram Prakash
 
prakaram 6 years ago
Ram Prakash
In my opinion, Operation is not a solution.
I have suggested you medicines. Pl follow the treatment.
PL take weekly dose of Penicilin-1m for 4 weeks
Other medicines to continue as suggested.

Pl give feedback every week

R.P. Tamhankar
 
shouse_nsk 6 years ago

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