Pain during stools with frothing

49 yrs/male complaint of pain during stools with frothing less stool more frothing since 2 months pain is more with hard stools, better after stools stools have streaks of dark blood patient is afraid to go for stool Generals- appetite- normal thirst- decreased desire and aversion- not specific stools- unsatisfactory, painful urine- normal sleep- disturbed dreams- N.S Patient is a government employee Emotional desires company Religious P/D- Anal fissure Dx? Rx?

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IT'S A..CASE OF.. ? ANORECTAL.. PATHOLOGY.. ? ANORECTAL.. STENOSIS.. ? FISSURE IN.. ANO ..
May be fissure on Ano ??? Firstly proper examination...
Nux.vomica 1m/3dose Nitric acid30 tds
Amaja Lakshana Langhana is the solution
0
Sepia 1m once
Rx Nux vom.
try this - Kamdudha vati 2x3 Triphala guggulu sukhasarak churna/anulomak Xylocain jelly before motion Jatyadi ghee/ Sankjeerak(Talcum powder) + navaneeta after motion for local application. if not relieved with medication then go for anal dialatation under g.a. for stenosis.
Needs counselling calmness symphony music cucumber, muskmelon cool food, alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods banana .cold pressed coconut oil massage and in naval lime juice pineapple with black pepper sprouts kalijeeri lime juice
Anorectal investigations For Conferming Disease Arshogram Test. Pilax Tab Arogyavardhini Vati Kankayan Vati Triphala Guggulu Abhayarishta Pilax Ointment.
D/d Dysentery, Amoebiasis Stool investigation recommended Homoeopathically go for the totality Advise enough water intake, fibrous foods
Panchsakar churana Pirval pisti Mukta sukti Giloya satva Abhiptrkara churna (Mix karke leve labha hoga) Gulkand ka sevan kare
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