Diagnosis ???. Rx ??? Pain+++ Effective area very sensitive to touch.

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? PERIANAL ABSCESS.. NEED'S.. I&D .. BS..ANTIBIOTICS WITH NSAIDS AS PER REQUIREMENT..

Perianal abscess.... Tab augmentin 620 mg TDs Tab rantac 150 mg bd Tab hifenac p bd Tab chymoral forte bd Tab metro 400 mg TDs Syp duphalac 15 ml od SOS I and d

KIND OF ANAL FISSURE

Dx-- Perianal abscess /Anorectal abscess . Rx-- Hepar Sulph -- 6 .frequent repetition.

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Perianal abscess, Hepar sulph, Silicea , Myristica cerifera , which suits the Constitution, Hepar sulph and Silicea not to be given if the patient had past History of Tuberculosis

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DX Abscess RX Hepar Sulphur 6 qid

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Perianal absces. Hepar -sul 30 tds Calendula gel externally

Perianal Abcess. Avoid prolonged sitting and straining while defaecation. Take plenty of fluids to keep the body hydrated. Tab Rabeprazole 40 mg TDS Tab Metronidazole 400 mg TDS for 10 days Tab Ciprofloxacin 500 mg BD for 10 days Tab Zerodol SP BD for 10 days Tab Chymotrypsin + Trypsin TDS for 10 days Ointment Anovate for LA Sitz Bath with Povidone- Iodine ointment. If constipation is Chronic,then Syrup Cremaffin 15 ml with 250 ml Water OD HS.

Abscess, Silicea may be helpful if indicate

Boils Gunpowder 200 Hepar Sulph 200

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