Homeopathic treatment
The patients of fistula in ano are usually advised surgery for their problem. But
this is just a temporary solution as invariably it recurs. Also a lot of complications
can occur due to surgery like urinary retention, bleeding, thrombosed hemorrhoids,
fecal impaction, incontinence of stool, anal stenosis because of fibrosis, delayed
wound healing and what not.
Invariably patients come to a homeopathy doctor after many years of suffering and
sometimes after going through multiple surgeries.
The medicines will first work to control the infection in the area thereby preventing
attacks of the abscess formation. Later, the remedies will start new tissue development
to close down the tract. When the process of redeposit is complete the opening closes
down. This is a prolonged process
and the time required varies from person to person, depending on the length and
depth of the tract and most importantly on the susceptibility of the patient to the remedies prescribed.
There are 72 remedies in homeopathy. I choose the best suited remedies for a particular
patient by analyzing the case diligently.
For example, Hepar sulphuricum is chosen when the patient complains of a large and
extremely painful boil near the anal region. The person has a sense of a splinter.
This remedy causes the abscess to open up and the pus drains out. It works like
a surgeon's knife while draining abscesses. The skin is extremely sensitive. We
use this remedy with good results.
Sometimes I use Silicea when there is a tendency for the pus to form easily and
this does not heal completely. Thus, over a period of time, a fistula in ano develops.
The patient has chronic constipation. The rectal muscles do not function properly.
The problem alternates with chest complaints. In Silicea the abscess and fistula
leave thick scars.
Bacillinum may be used by me as an intercurrent medicine in a case of fistula in ano.
It is used when other remedies fail to completely cure the case. This remedy will
improve the vitality and clear up the case.
Tuberculinum koch comes to my mind for chronic cases where there may be more than one
opening of the fistula tract. The healing powers of this patient are very poor.
He does not respond to remedies as the homeopath may expect. In such a case one
must always think of Tuberculinum. The discharge is thick green and blood streaked.
A fistula usually takes almost one to two years to heal. Hence patients
should have a lot of patience while on the treatment in order to achieve a complete
and permanent cure.
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What is anal fistula
Fistula means an abnormal connection or passageway between organs that do not normally
connect.
Most commonly it occurs near the anus. This condition is termed as fistula-in-ano.
It occurs when a boil or an abscess develops in anal glands. If the opening of these
glands get blocked then the infection gets confined to that area as it is unable
to drain out into the rectum. It balloons up to form a pus boil or an abscess and
it will keep growing inwards to form a tract. This tract is called fistula whose
primary opening in inside the anal canal and secondary opeining is in the perianal
skin.
Every time the opening gets blocked an abscess will develop and the tract will increase
in size. Sometimes in a chronic case we may see more than one opening and multiple
tracts.
It can happen in 10 out of 100,000 population. It is more common in males. It is
usually common in people aged between 30 and 50 years.
Causes
- Anorectal abscess (most common cause).
- Piles or hemorrhoids.
- Anal fissures.
- Surgery for piles or fissures usually give rise to fistula in future.
- Constipation.
- Crohn disease.
- Carcinoma.
- Anal fissures.
- Actinomycoses.
- Chlamydial infections.
- Radiation therapy.
Symptoms
- Perianal discharge.
- Pain.
- Swelling.
- Bleeding.
- Diarrhea.
- Skin excoriation.
- External opening.
Lab investigations
- Fistulography.
- Endorectal/endoanal ultrasound.
- MRI.
- CT scan.
- A barium enema/small bowel series to rule out inflammatory bowel disease.