56 yr male, c/o burning n pain after defecation, bleeding wid stool, constipation.. dx n rx ?

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Sentinel skin tags

haemorrhoids. byoshadi churna. 1 tsf hot water. arshoghani bati 300miligram 1×3.

Fissure with ex pile mass, RX abhayarista. Kul tab 2 bid. Jatyadi taila extl.

Ascoulus hip,ratanhia,nux vom

Anal fissure Nitric acid200

Sir lookes appear like a c.anal fissure Wd senital tag....but also rule out by finger PR and proctoscopy for assessing int hemorrhoids.... If hv no hemorrhoids.... TT.. First line of d TT is ....give lord dilation WD agnikarma WD all necessary investigation.... Then u can suggest d medication ...! Thanks for sharing such a nice case@Dr. Ravi Thorat sir

P/r done there is spasm, ll tke for dilatation n excn of tags... Thnx sir ji
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NO DOUBT FOR NITRIC ACID 200...BD + PILGO TABLETS....QID.. FOLLOW UP - 10 DAYS

1-Changeri ghratam,2-changeri kalk+bala tailam

Chronic fissure in Ano with sentinel external tag. Treatment- laxatives Topical metronidazole + Lignocaine + sucralfate ointment Tab cefixime + ornidazole B.D for 7days A PPI with prokinetic Sitz bath In case of no response, lords anal dilatation with excision of sentinel tag

Rx Acid nit 200 and Aesculus hip Q

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