A35 yrs old male pt suffering such kind of lession on anal region... symptoms...mild bleeding and pain in during and after defecation of stool. purulent discharge itching c.constipation habits...hit desire of food and daily alcohol intake occupation.govt.bus driver all report s r normal...wbc only 12000 respected drs...plz Dx and Rx for dis case.

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Sir i think it is internal haemorrhoids associated chronic fissure which in due time has turned into fistula in ano die to infection. I suggest kshara karma for hemorrhoids and fistulotomy with pratisaraneeya kshara application followed by appropriate medication and sitz bath. Pls give ur valuable feedback sir.

Ok sir..and tx u so much for ur valuable opinion sir
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Internal Hemorrhoids with mostly fistula in ano need proctoscopic examination. Tab chandra kala rasa or muktakamdudha rasa 1bd before food Tab arsha kuthar rasa 2bd or surnadi vati Tab pilex 1 bd or thanks od tab Tab styplon 2 bd or rectone cap Avippattikar choorn 1 spoon at bed time Jatyadi taila +mahanarayan taila or pilex ointment or any good brand Syrup abhayarishtam 10 ml bd Sitz bath with panchvalkal quath choorn or triphala choorn quath

Tx u so much for ur valuable opinion sir
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Ok, continue the above medicines except guava seeds powder. Thank GOD.

Tx u sir
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CA Rectum?

No CA sir
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Advice for Biopsy.... Growth is irregular... VDRL? HbsAg? Unexplained weight loss?

No CA sir....
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Dear Dr Shah External haemorrhoids. Purulant discharge indicating fistula in ano. Advised proctoscopy. Thanks for fine case presentation. With regards

@Dr. Hemant Adhikari Sir. Please share your experience
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Rule out CA Anus.Give KANCHANARA GUGGULU,GUAVA SEEDS POWDER&STYPLON. TAB.FOR BLEEDING WITH PILEX.TAB. PILEX OINTMENT.

No CA sir
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Ca Rectum...

No CA sir
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Rule out CA Rectum

No CA sir
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Tab. Arshokuthar ras bid Tab. Suranvatak bid Tab. Kankayani gutika bid Tab. Aampachak bid Tab. Gandharvharitaki @ night syr. Abhayarist bid Syr. Takrarist bid Lokally chukr tail

Sorry sir... pan CA 100% nasel he sarv alcohol aani aveli , vidahi annamule v vihar- as driver mule aahe. mi 18 varshat ase khup patients treat kele aahet.
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