Itching & Pain in anus

male/52 years complaint of itching and pain in anus since 6 weeks Pain- during stool , hard stools, eating spicy things Itching++ Tenderness+ heavy feeling in anal region better after stool Hypertension- B.P-158/88mmhg On Rx appetite- normal thirst- normal desire- sour things stool- constipated urine- normal Thermals- hot P/D- anal fissure Suggest diagnosis and treatment Doctors

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Avoid oily and spicy food. Change the life style. HTN with Constipation very danger for middle age patients. Constipated stool turned semi solid, intake fiber diet and plenty of water. Antianthalmetic/Antiworm Liver tonic

Karela,lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried,dates ginger carrots pomegranates muskmelon cool foods raisins apricots, healthy marital life, boiled diet,khus lep, sulpha if tolerant.cleanliness reqd

रोगी अर्श से पीड़ित है। चिकित्सा संबंधी योग,,,,,, अर्श कुठार रस 2 रत्ती सुबह शाम सेवन कराएं। पाइलेक्स किरीम गुदा में प्रवेश करने के लिए। अभयारिष्ट द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Avoid spicy,oily, junk fermented and packed food and Tea, Tobbaco and alcohol also. Erandbhrushta haritaki with lukeworm water at bedtime. Tab.Rectocare 2-0-2. Tab.Pilex fort 2-0-2. Pilex oint for local application after taking steam.

Tab.Dolokind plus bid for 1 week Tab.Metrogyl 400mg bid for 1week Cap.Pan D od before food for 1week Syp.Creamaffin 10ml bid with a glass of water CREAMA GEL for anal application Advice sitz both 2 times a day

Dear Dr. Nipun Roy Sir, Advice for the case. Tab. Suran Vatak 1 tds. Tab. Arsh Kuthar Ras 1 tds. Eranda Bhrasta Haritaki Churna 1 tsp with 1 1/2 glass of warm water at bed time.

Turmeric + salt sitz bath Neem 1 td af Castor oil 1 tsp with milk at bed time Avoid all spicy oily foods

Triphala qwath sitz bath Arshkuthar ras Abhayarista Pilex cream Avipittakr churn Avoid spicy oily food

Sulphur 200 single dose Nux vomica 30 TDs Collinsonia Q 10 drops BD

Sulphour 200/3dose Nux com 30/tds for one week

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