anal fistula

Hi,

I exactly have the same problem from last 12 years, i have done everything but nothing worked.

The only way I control is through avoiding taking meat, chillies and peppers. Fruit and vegetale are very helpful to control it, it stays in control but never fully cures.

Hope someone can come up with some good remedy.

Murthy 1976 and Muhammadali,Please fill this questionnaire carefully for selection of the proper remedy.

Please indicate a normal condition of health by writing ’N’.
1. A moderately experienced pain, by putting one plus (+); a severe one by two pluses (++), and a very severe one by three pluses (+++).
2. Where two opposite conditions are given together (e.g. tall/short), strike off the one which is not applicable.
3. Put a cross(x) against questions not applicable to the patient.
Date.

Sex; M/F. --------------------------------------------------------------------
Occupation. -----------------------------------------------------------------
Address. ---------------------------------------------------------------------
Married/Unmarried. -------------------------------------------------------
Height: Tall/Medium/Short.
Build: Thin/Normal/Obese.-----------------------------------------------
Age. -------------------------------------------------------------------------


A. (A) Please state briefly the serious complaints the patient has suffered from since childhood.
B. Nature of complaint. Year of occurrence. How long did it lost. Any recurrence thereafter.
C. Any history of Asthma, T.B, Cancer, Psoriasis, Insanity or any other disease.

2. Present (Chief) Complaint. Please state all the disorders patient has latterly suffered from---even if he considers any of them unimportant, or not related to his main complaint.

Part of the body affected.

Sensations and complaints.

Modalities. Aggravation/Amelioration.

Probable cause.

3. Any disorder of senses of Taste/Smell/Hearing/Vision/Touch.-----------------

( Appetite/Hunger; is it normal? ---Excessive? ----Deficient------, Capricious (At unusual time)? ----- (Waiting).

Does he feel filled up after a few morsels of food---------------Abdomen bloated---------Flatulence (Gas)/------Heartburn/-------Eructation.----------

©.Food items for which patient has a craving of aversions and which disagree with him.

Food Items. Cravings. Aversion. Disagree.
Sweets.
Salty things.
Sour things.
Milk.
Eggs.
Meat/Fish.
Butter.
Spices(Condiments)
Potatoes/Starchy food.

Fried things.
Drinks, Warm/Cold.
Drinks, ice cold.
Onion/Garlic.
Raw vegetables.
Juicy, refreshing things.
Alcoholic Liquors.
Any other.

Thirst. Please indicate the intensity of his thirst with suitable ticks.
Thirsty (Drinks a lot in a day).
Thirst less (Drinks comparatively little in a day):
Quantity and frequency: Thirst for large/small quantity and at long/shorts intervals.
Stools. Please indicate severity with plus marks:

Nature of stools. Soft, Hard, Bloody, Slimy, with urging, Must strain, No of stools.

Normal,
Constipated.
Loose.
Dysenteric.

Piles.

Bleeding; ----Blind; ----Protruding; -----itching----Burning, -----Fissures, ----Painful, ----Fistula.

Aggravated by; -----------Ameliorated.

Urine.

Profuse/scanty; ----Frequent, -----Dribbling, -----Burning, -----Involuntary—Day/Night,
Colour, odour, painful, deposits, sugar, stones (Kidney/Bladder).
Position in which urine passes easily.

Breathing.
Any complaints: ------
Bronchitis; Asthma, Rapid, Oppressed, Rattling, Wheezing,
Difficult Expiration/inspiration.

Cough.
Hollow/Harassing/Tickling/Spasmodic.

Expectoration.
Taste, Odour, copious/little., watery, Tenacious.

Sexual. Male.

Desire: strong/weak.
Erection.Strong/weak
Emission. In sleep, during stool/too early.
Coition, any complaint during, or after.
History of venereal diseases.

Female.
Age at first menstruation. ------.
Menses.
Profuse/scanty: Too early/Too late.
Flow.
Red/Dark/Pitch like/Smell Fetid.
Nature of the complaint in relation to menses.
Before menses/During Menses/After Menses.

Leucorrhoea.
Watery/Thick/Tenacious/Fetid smell/Acrid? Excoriating/Any other.
Causes Itching.
Abortion if any.
During which month of pregnancy.
Coition: Aversion to.Desire, Strong/Weak.
Number of children: ----Sterility.

Side of the body Affected.
(Please name the anatomical region, also stating right or left side of the body)
Complaints first appeared in ------Right/Left.
Complaints then extended to-------Right/Left from.
Complaints shift from place to another.

Cold or Hot (Burning) Sensation.
Cold/Hot (Burning in:Vertex/Eyes/ears/Face/Stomach/Abdomen/Back/Palm/Soles.Any other.

Sweat. If excessive.
Where/When/Odor of sweat/Does it stain clothes/Color of the stain.
Very little sweat (Dry skin)
Partial Sweat on; Head/Face/Soles or others.

Skin, Glands/Bones.
Nature of disease.Where/Dry/Oozing/Itching/Moist/Watery/Viscid/Bloody/Pus/Burning.

Sleep.
Normal/Sound/Disturbed/Difficult/Too sleepy/Sleeplessness/Unreflecting.

Position in sleep.
Lies on back/on right/left./lies on abdomen/Head rose.
Dreams.Pleasent/Unpleasent/Nightmare/Snoring.
Modalities.
At which time the complaint is aggravated/Ameliorated.
Under what circumstances the complaint is aggravated/Ameliorated.
In what season the complaint the complaint is aggravated/amelioration.

Mental attitude.
Sensations.
Ball or plug/burning/heat/benumbing/bruished/bursting/splitting/chilly/cramps/constricting/contracting/dizziness/vertigo/emptiness/fullness/itching internally/tingling/lethargy/itching/scratching/hammering/neuralgic/hammering/numbness/restlessness/scraping/sinking feeling/jerking/twitching/stiffness/rigidity/stinging/sprained/dislocated/throbbing/pulsating/trembling/quivering/tightness/tension./any other.

Any other complaint anywhere in the body.
sajjad.

These two medicines can help you:

1. Myristica 200

after 48 hours

2. Silicea 1M...three doses in a gap of 1/2 hours.

Watch results over the next three weeks.

Might see results in 4/5 days itself.

Post feed back.

Pankaj Varma

Sajjad Bhai our posts crossed.

Murthy and Mohamed...pl. fill the questionnaire...if the two meds suggested by me ...do not give appropriate result...will have to analyse the case further.

Pankaj Varma

Dear Punkaj,
These two remedies are on the top and cures most of the cases but for constitional remedy we need detail.

sajjad.

Yes Sajjad Bhai..you are very right.

Best wishes,
Pankaj Varma

Anal Fissure, Abscess and Fistula
The intestinal tract (or bowel) ends with the rectum. The last part of the rectum is a section about 1 1/2 inches long, known as the anal canal. It ends with the anus -- the opening to the outside of the body. There are several common problems, including hemorrhoids, that can occur in the area from the rectum to the anus. While almost everyone has heard of hemorrhoids, the other conditions are not so well known.

Anal Fissure
Most people have experienced a tear or fissure at the corner of the mouth that can occur in cold weather or when yawning. Similarly, an anal fissure is a small tear in the lining of the anus, frequently caused by constipation. A hard, dry bowel movement results in a break in the tissue. However, fissures can also occur with severe bouts of diarrhea or inflammation. This results in the anus becoming dry and irritated, causing it to tear. Injury to the anal area during childbirth and abuse of laxatives may be other causes.

A fissure can be quite painful during and immediately following bowel movements. This is because the anus and anal canal are ringed with muscles to control the passage of stool and to keep the anus tightly closed at other times. When those muscles expand, it stretches the fissure open. There may also be bleeding or itching with an anal fissure.

Diagnosis
A simple visual examination of the anus and surrounding tissue usually reveals the fissure. It is quite tender when examined by the physician. Fissures are most often located in the middle posterior (back) section of the anus.

Treatment
More than half of all fissures heal either by themselves or with non-surgical treatment. Stool softeners can help reduce pain during bowel movements. Antibiotics may be used for a short time. Special medicated creams may also be used, especially if the fissure has become ulcerated or infected. It is important to keep the anus and area between the buttocks clean and dry. After bathing, the patient should gently pat dry with a soft towel. Applying talcum powder is frequently recommended. Sitz baths may help relieve discomfort and promote healing. A sitz bath is soaking the anal area in plain warm -- not hot -- water for 15-20 minutes several times a day.

If the fissure is not responding to treatment, the physician re-examines the patient. There are conditions, such as muscle spasm or scarring, that could interfere with the healing process. Fissures that do not heal can be corrected with surgery. It is a minor operation that is usually done on an outpatient basis. The surgeon removes the fissure and any underlying scar tissue. Cutting a small portion of the anal muscle prevents spasm. This helps the area to heal and rarely interferes with the control of bowel movements. Complete healing takes place in a few weeks. However, the pain often disappears after a few days.

Over 90% of the patients who need surgery for fissures have no further problems. Patients can help avoid the return of fissures by drinking at least eight glasses of water a day, and maintaining adequate fiber in the diet. This prevents constipation, which is the cause of most fissures.

Anal Abscess and Fistula
An abscess is a localized pocket of pus caused by infection from bacteria. It can occur in any part of the body. When bacteria seep into the underlying tissues in the anal canal, an abscess may develop. Certain conditions, such as Crohn's disease (chronic inflammatory bowel disease), can increase the risk of abscess in and around the anal canal. Patients with conditions that reduce the body's immunity, such as cancer or AIDS, are also more likely to develop anal abscesses.

An abscess causes tenderness, swelling, and pain. These symptoms clear when the abscess is drained. The patient may also complain of fever, chills, and general weakness or fatigue.

A fistula is a tiny channel or tract that develops in the presence of inflammation and infection. It may or may not be associated with an abscess, but like abscesses, certain illnesses such as Crohn's disease can cause fistulas to develop. The channel usually runs from the rectum to an opening in the skin around the anus. However, sometimes the fistula opening develops elsewhere. For example, in women with Crohn's disease or obstetric injuries, the fistula could open into the vagina or bladder.

Since fistulas are infected channels, there is usually some drainage. Often a draining fistula is not painful, but it can irritate the skin around it. An abscess and fistula often occur together. If the opening of the fistula seals over before the fistula is cured, an abscess may develop behind it.

Diagnosis
Diagnosis of an abscess is usually made on examination of the area. If it is near the anus, there is always pain, and often redness and swelling. The physician will look for an opening in the skin (a sign that a fistula has developed), and try to determine the depth and direction of the channel or tract of the fistula. However, signs of fistula and abscess may not be present on the skin's surface around the anus. In this case, the physician uses an instrument called an anoscope to see inside the anal canal and lower rectum.

Whenever the physician finds an abscess, and especially a fistula, further tests are needed to be sure Crohn's disease is not present. Blood tests, x-rays, and a colonoscopy (a lighted, flexible scope exam of the bowel or colon) are often required.

Treatment for Anal Abscess
An abscess must be surgically opened to promote drainage and relieve pressure. This is often done in the physician's office under local anesthesia. However, patients with a large or deep abscess, or those who have other conditions, such as diabetes, may be admitted to the hospital for the procedure.

Antibiotics cannot take the place of draining an abscess. Antibiotics are carried by the bloodstream but do not reach the pus within the abscess. However, they are usually prescribed along with surgical drainage, especially if the patient has other serious diseases, such as diabetes or those associated with reduced immunity.

Treatment for Anal Fistula
Treatment of anal fistula often varies, depending on whether Crohn's disease is present. Crohn's disease is a chronic inflammation of the bowel, including the small and large intestine. As noted, the physician will often do tests to see if this disease is present. If it is, then prolonged treatment with a variety of medications, including antibiotics, is usually undertaken. Often these medications will cure the infection and heal the fistula.

If Crohn's disease is not present, it still may be worthwhile to try a course of antibiotics. If these do not work, surgery is usually very effective. The surgeon opens the fistula channel so that healing occurs from the inside out. Most of the time, fistula surgery is done on an outpatient basis or with a short hospital stay. Following surgery, there may be mild to moderate discomfort for a few days, but patients usually have a short recovery period.

Source:http://www.gicare.com/pated/ecdgs38.htm

The above 'cut and paste' is from a site devoted to Allopathy.

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And this one:

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Sex; M/F. Male

Occuption. Managing Food Store

Address. Houston, Tx, USA.

Married/Unmarried. Married


Height: Tall 6 ft.

Build: Normal

Age. 52 years

A. (A) Please state briefly the serious complaints the patient has suffered from since childhood.

Warts appeared on palms and fingers on both hands, at the age of 14, a homeopathic doctor took care of it.

Had an appendicitas opperation at age 20,

Had kidney stones at age 34, got them removed, but never had the kidney stone problem todate.

anal fistula at age 39,

Blood pressure starts going up at age 45/46, Diastolic 80/85 and Systolic between 140 to 145, occasionally it goes to 90/180 so I take blood pressure medicine, it happens occassionaly once a week.

At the age of 44 I had kidney pains for week or two on and off, I realized it is due to not enough consumption of water, after that i never had any kidney pain.

Developed warts at age 42 on different parts of body, couple on neck, couple under arm pit, one at lower part of stomach, one on top of left cheek.

Nerve pinch with numbness in left hand and loss of left hand stength started only 20 days back.

Constipation from very childhood, from last 2/3 years i take 3 Prunes every nite before I go to bed, it makes it easy.

2 YEARS BACK AT AGE 50, I GOT SOMETHING LIKE ULCER IN MY STOMACH, GOT IT CURED BY ALLOPATHIC MEDICINE.

B. Nature of complaint. Year of occurrence. How long did it lost. Any recurrence thereafter.

As stated above.

C. Any history of Asthma, T.B, Cancer, Psoriasis, Insanity or any other disease.

NO.

2. Present (Chief) Complaint. Please state all the disorders patient has latterly suffered from---even if he considers any of them unimportant, or not related to his main complaint.

As stated above.

Part of the body affected.

As stated above

Sensations and complaints.

Numbness and sensations in left hands little finger and ring finger with lost of strength, due to pinch nerve.

Modalities. Aggravation/Amelioration.

None known.

Probable cause.

not known

3. Any disorder of senses of Taste/Smell/Hearing/Vision/Touch.-----------------

NOT AT ALL

Appetite/Hunger; is it normal? --- YES, NORMAL


Excessive? ---- NO

Deficient------, NO

Capricious (At unusual time)? ----- (Waiting).

normal


Does he feel filled up after a few morsels of food

NO

Abdomen bloated------NO


---Flatulence (Gas)/---YES (OCCASIONAL)

---Heartburn/-------NO

Eructation.---------- NO

©.Food items for which patient has a craving of aversions and which disagree with him. --- NONE KNOWN

Food Items. Cravings. Aversion. Disagree.
Sweets.
Salty things.
Sour things.
Milk.
Eggs.
Meat/Fish.
Butter.
Spices(Condiments)
Potatoes/Starchy food.

NON AT ALL (NO PROBLEM).

Fried things.
Drinks, Warm/Cold.
Drinks, ice cold.
Onion/Garlic.
Raw vegetables.
Juicy, refreshing things.
Alcoholic Liquors.
Any other.

NOTHING BOTHERS, EVERY THING SUITS.

Thirst. Please indicate the intensity of his thirst with suitable ticks.
Thirsty (Drinks a lot in a day).
Thirst less (Drinks comparatively little in a day):
Quantity and frequency: Thirst for large/small quantity and at long/shorts intervals.

VERY SELDOM I FEEL THIRSTY. DO NOT CONSUME ENOUGH WATER.


Stools. Please indicate severity with plus marks:

Nature of stools.

Hard, --- MOST OF THE TIME HARD.

No of stools. MOSTLY ONCE A DAY.

Normal,
Constipated.
Loose.
Dysenteric.

NORMAL WITH 3 PRUNES A NIGHT, OTHERWISE CONSTIPATION.

Piles. ANAL FISTULA


Bleeding; ---- SOMETIMES

Blind; ----???

Protruding; -----???

itching---- ON ANF OFF

Burning, ----- VERY RARE

Fissures, ---- NO

Painful, ---- NOT REALLY

Fistula. YES

Aggravated by; ----------- SOMETHING IN SPICES CANT FIGURE IT OUT.


Ameliorated. ???

Urine. NORMAL (YELLOW OR WHITE)

Profuse/scanty; --- SOON AFTER I DRINK COFFE OR TEA. WITH DRINKING WATER IT IS NORMAL.

-Frequent, ----- MORE FREQUENT AFTER TEA OR COFEE.

Dribbling, ----- USE TO 4 YEARS BACK BUT IS IT NOT A PROBLEM UNLESS STOMCH IS UPSET.

Burning, -----NO

Involuntary—----NO

Day/Night, ???


Colour, YELLW OR WHITE

odour, ODORLESS

painful, NO

deposits, NO

sugar, NO

stones (Kidney/Bladder).
Position in which urine passes easily. ---- NO

Breathing.
Any complaints: ------
Bronchitis; Asthma, Rapid, Oppressed, Rattling, Wheezing,
Difficult Expiration/inspiration.
-----------------------NO

Cough. ---------- NO

Hollow/Harassing/Tickling/Spasmodic.----------- NO

Expectoration.
Taste, Odour, copious/little., watery, Tenacious. ------- NO

Sexual. Male.

Desire: strong/weak.
Erection.Strong/weak
Emission. ----------- WEAK WITH NO DESIRE.

In sleep, during stool/too early. NO


Coition, any complaint during, or after.
History of venereal diseases. NO



Sweat. If excessive.
Where/When/Odor of sweat/Does it stain clothes/Color of the stain.
Very little sweat (Dry skin)
Partial Sweat on; Head/Face/Soles or others.

DOESNOYT SWEAT, DRY SKIN.


Sleep.
Normal/Sound/Disturbed/Difficult/Too sleepy/Sleeplessness/Unreflecting.
----------NORMAL-----------

Position in sleep.
Lies on back/on right/left./lies on abdomen/Head rose. ----------
KEEP CHANGING POSITIONS LIES ON EITHER RIGHT OR LEFT, NEVER SLEEP ON BACK OR UPSIDE DOWN.

Dreams.Pleasent/Unpleasent/Nightmare/Snoring.

DREAMS ARE MOSTLY PLEASANT, I THINK I SNORE SOMETIME.

Modalities.
At which time the complaint is aggravated/Ameliorated.
Under what circumstances the complaint is aggravated/Ameliorated.
In what season the complaint the complaint is aggravated/amelioration.

NO SPECIFIC TIME NO SPECIFIC SEASON.

Mental attitude.
Sensations.
Ball or plug/burning/heat/benumbing/bruished/bursting/splitting/chilly/cramps/constricting/contracting/dizziness/vertigo/emptiness/fullness/itching internally/tingling/lethargy/itching/scratching/hammering/neuralgic/hammering/numbness/restlessness/scraping/sinking
---------- NOMAL

feeling/jerking/twitching/stiffness/rigidity/stinging/sprained/dislocated/throbbing/pulsating/trembling/quivering/tightness/tension./any other.
---------- NORMAL -------


any other complaint anywhere in the body.

CRAMPS FROM VERY CHILDHOOD.

I will be back with the remedy.

sajjad.

To cure chronic disease like this, personal symptomns are necessary.In your case prsonal symptoms are missing.
Keeping in view your physical symptoms only the possible remedy is silicia.Take silicea 200c three doses 8 hour apart and repeat after 15 days.On other days take calcarea flourica 6x,5 tablets thrice daily.
sajjad.

Sajjad Bhai,

this is for me or for brother murhty1976?

It is for both of you.The reply of murthy and Mohammad ali is more or less the same.

sajjd.

Today I started seeing wetness on one left side of anus.
I suspect it as Anal Fistula, as I experienced similar thing in 1992 and got it operated and after that there was no problem.
I am not diabetic and no blood pressure.

Please somebody advice me what medicines and care will help in coming out the situation fast.

Thanks
Gopinath

questionnaire answers are below
Please indicate a normal condition of health by writing ’N’.
1. A moderately experienced pain, by putting one plus (+); a severe one by two pluses (++), and a very severe one by three pluses (+++).
2. Where two opposite conditions are given together (e.g. tall/short), strike off the one which is not applicable.
3. Put a cross(x) against questions not applicable to the patient.
Date.

Sex; M
Occupation. --lecturer
Address. --- Aundh,Pune
Married/Unmarried. -----Married----
Height: Tall
Build: Normal.
Age. -------48years


A. (A) Please state briefly the serious complaints the patient has suffered from since childhood.
B. Nature of complaint. Year of occurrence. How long did it lost. Any recurrence thereafter.
C. Any history of Asthma, T.B, Cancer, Psoriasis, Insanity or any other disease.
No
2. Present (Chief) Complaint. Please state all the disorders patient has latterly suffered from---even if he considers any of them unimportant, or not related to his main complaint.
May be past couple of years stiff back is the problem and I take nimesulide which relieves me

Part of the body affected.

Sensations and complaints.

Modalities. Aggravation/Amelioration.

Probable cause.

3. Any disorder of senses of Taste/Smell/Hearing/Vision/Touch.- Past four years I feel that I have some hearing disorder. But I am able to hear well.

( Appetite/Hunger; normal .

Does he feel filled up after a few morsels of food---------------Abdomen bloated---------Flatulence (Gas)/------Heartburn/-------Eructation.---------- No


Food Items. Cravings. Aversion. Disagree.
Sweets.
Salty things.
Sour things.
Milk.
Eggs.
Meat/Fish.
Butter.
Spices(Condiments)
Potatoes/Starchy food.

Fried things.
Drinks, Warm/Cold.
Drinks, ice cold.
Onion/Garlic.
Raw vegetables.
Juicy, refreshing things.
Alcoholic Liquors.
Any other.

Thirst. Please indicate the intensity of his thirst with suitable ticks.
Thirsty (Drinks a lot in a day).
Thirst less (Drinks comparatively little in a day):
Quantity and frequency: Thirst for large/small quantity and at long/shorts intervals.
Stools. Please indicate severity with plus marks:

Nature of stools. Soft, Hard, Bloody, Slimy, with urging, Must strain, No of stools.

Normal,

Piles.
Initial stage, bleeds only whenever stomach is constipated and that to only after cleaning it bleeds very less.

Aggravated by; -----------Ameliorated.

Urine.
Normal

Profuse/scanty; ----Frequent, -----Dribbling, -----Burning, -----Involuntary—Day/Night,
Colour, odour, painful, deposits, sugar, stones (Kidney/Bladder).
Position in which urine passes easily.

Breathing.
Any complaints: ------
Bronchitis; Asthma, Rapid, Oppressed, Rattling, Wheezing,
Difficult Expiration/inspiration.
Normal.

Cough. Sometimes but it is dry cough
Hollow/Harassing/Tickling/Spasmodic.

Expectoration.
Taste, Odour, copious/little., watery, Tenacious.

Sexual. Male.

Desire: strong/weak.
Erection.Strong/weak
Emission. In sleep, during stool/too early.
Coition, any complaint during, or after.
History of venereal diseases.

Normal, no history of venereal diseases.
Cold or Hot (Burning) Sensation.
Cold/Hot (Burning in:Vertex/Eyes/ears/Face/Stomach/Abdomen/Back/Palm/Soles.Any other.
Normal

Sweat. If excessive.
Where/When/Odor of sweat/Does it stain clothes/Color of the stain.
Very little sweat (Dry skin)
Partial Sweat on; Head/Face/Soles or others.

Skin, Glands/Bones.
Nature of disease.Where/Dry/Oozing/Itching/Moist/Watery/Viscid/Bloody/Pus/Burning.

Sleep.
Normal/Sound/Disturbed/Difficult/Too sleepy/Sleeplessness/Unreflecting.

Position in sleep.
Lies on back.
Snoring sometimes.

Mental attitude. : Cool
Sensations. : Normal
[message edited by gopinath0110 on Sun, 24 Apr 2011 03:42:25 BST]

Do you have any pain in the anal area?

'started seeing wetness on one left side of anus?

How many drops of pus, its thickenss and color?

What kind of pilesdo you have?

Any burning or itching?

Any bleeding?

Regards
Nawaz

Dear Dr.Nawaz Khan
Thank you very much for the response.very kind of you.

Do you have any pain in the anal area?
very light pain.

'started seeing wetness on one left side of anus?
yes since yesterday
How many drops of pus, its thickenss and color?

very light watery, 5-6 drops,seen on undergarment

What kind of pilesdo you have?
External piles

Any burning or itching?
No
Any bleeding?
Only at the time of constipation may be few drops of bleeding for couple of days. This is there since may be six years or so.

Thank you

Kind regards
Gopinath
[message edited by gopinath0110 on Sun, 24 Apr 2011 14:42:04 BST]

Hi Gopinath,

I would like you to take Sulphur 200C, 4 drops in 1/4 glass of mineral water, 3 times a day, only for 1 day. Not daily, please take only for 1 day. Take the 2nd and 3rd dose with a gap of 4 hours.

Report progress in 3 days.

Many prayers for your speedy recovery.

Regards
Nawaz

Dear Dr.Nawaz

Thank you very much for the advice. I will let you know the updates.

Thank you very much for your prayers.

Kind regards
Gopinath

Good Luck Gopinath jee. Thanks for your kind words.

PLEASE HELP ME
I'M SUFFERING SIMPLE ANAL FISTULA FROM LAST 3 MONTHS

I DECIDE TO TAKE THESE FORMULA:

1.Arnica 30C - 1 teaspoon twice daily.

2.Silicea 6x - 2 tablets thrice daily.

Sex: Male

Occuption. Professor

Address. Oruro, Bolivia

Married

Height: Tall 5.8 ft.

Build: Normal

Age. 47 years

A. (A) Please state briefly the serious complaints the patient has suffered from since childhood.

Healthy until my 30s. I sufferend some times HEMORROIDES, buy nothing serius.

When I was 35 I suffered stomach ulcer. I took antibiotics and omeprazol. I feel ok today

I had an anal fissure opperation at age 42.

Anal fistula 3 months ago

No other disease.

2. Present (Chief) Complaint. Please state all the disorders patient has latterly suffered from---even if he considers any of them unimportant, or not related to his main complaint.

None

3. Any disorder of senses of Taste/Smell/Hearing/Vision/Touch.-----------------

None

Appetite/Hunger

Normal

---Flatulence (Gas)/---YES (OCCASIONAL)

---Heartburn/-------NO

Eructation.---------- NO

©.Food items for which patient has a craving of aversions and which disagree with him. ---

None

Nature of stools.

Most of the time soft

Twice a day

Piles. ANAL FISTULA

Bleeding/pus; ---- Watery

Blind; ----???

Protruding; -----???

itching---- After BM

Burning, ----- After BM

Fissures, ---- NO

Painful, ---- 4/10 when BM, and 6/10 1 hour after, after noon 1/10

Fistula. YES

Aggravated by: meat, hoy meal, onion, alcohol

Ameliorated.

Urine. NORMAL

Dear Ronan,

Please take Calc Sulph 200C, 4 drops mixed into 1/4 cup of mineral water, 1 time a day, for 4 days.

Many prayers for your good health.

Regards
Nawaz