Concluded Case

Anal fissure

Male 42 years, no H/ T, no DM severe pain with burning sensation.

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Concluded answer

Probably it is acase of anal fissure with sentinel piles.

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Suspected external piles with fissure Ointment practosedyl locally Sitz bath

Thank you @Dr. Vipin Bihari Jain sir
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Cool food boiled diet alkaline diet juice soups of veg.needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri green leafy vegetables cabbage juice in morning coriander juice beetroot

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Dusparsakadi kashayam 15 ml bd bf Kankayana gutika 2 TD AF Putivalkasavam 20 ml bd AF Vanasuranathi leham 1 tsp Af bd Sathatuda ghrutham external application after wash

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Patient may have Posterior Fissure as he have Tag... Patient may need Anal Dilation Advise for Sitz Bath using Sphatika Bhasma + Sukoshna Jala Jatyadi Tailam 5ml P/R

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POSSIBLY LICHEN SCLEROSUS WITH SKIN. TAGS.. EXTERNAL. HEMORRHOIDS

Thank you @Dr. Dinesh Gupta sir
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Probably it is acase of anal fissure with sentinel piles.

Thank you @Dr. Tapan Kumar Sau sir
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External haemoroid ,

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