Non-surgical management of anal fissure through individualized homoeopathic medicine: A compiled case report

The wide inoculation of westernisation or so-called modernisation has changed our daily habits and life style. Thus, Indian’s socio-cultural habit, food and life-style have been changed. These life style modifications have major impact on people health, resulting in increase of Gastro intestinal, Cardiovascular and other related diseases. This has brought harsh on people productive life too. Among these “Anal fissure” is one of the most important diseases, which is severely painful condition and badly affects one’s productive life. A 35year old male present with Anal fissure with severe cutting pain during and after defecation since 6months. The patient was treated with Nitric Acid in increasing potencies (30, 200) for 3 months, with significant improvement and no recurrence of symptoms for the last 1 months. The outcome was measured using the REALISE score every 1 months, and the causal Attribution of homeopathic medicines was assessed through the Modified Naranjo Criteria for Homeopathy. The REALISE score overall score was 17, but after 3months of treatment, it was 4. The Monarch score was +9, which suggested a ‘definite’ causal relationship between the medicine and the outcome. This report suggests that a properly selected homeopathic medicine can be beneficial in treating Anal fissure.