Painful stool evacuation

43/y/o with Pain in anal region while passing stool for 2 months No h/o blood in stool Soreness around anal verge after stool Patient afraid of going to washroom pain more on hard stools Appetite, thirst- normal Urine- normal On Examination inflammation around anal verge, no fissure, no sentinel tags seen Suggest Diagnosis and treatment doctors

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Advise for laxative and Sitz bath Advise to add Fruits in diet Advise to drink adequate quantity of water Sapta Vimshati Guggulu Pilex Punarnavadi Guggulu

Dear Dr. Ramesh Bhat Sir, Advice for the case. Advice for Madh tailik Basti. Swadista Virechan Churna 1tsp at bed time with 1 1/2 glass of water.

Thank you @Dr. Bhavesh Ramanandi Sir.
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Consider nit ac

The pain is must because of inflamation as you find at anal verge in local examination It is totally because of hard stool If you go for ayurveda Syp Abhayarista 4 tsf with lukewarm water BD Triphala Guggulu 2BD Panchasakar Churna 2Tsf with lukewarm water at night Jatyadi ghrit for LA Krumighna vati BD Adv for More water intake Avoid spicy food and maida Sitz bath with lukewarm water

SUCRAL ANO OINT. APPLY LOCALLY 3-4 TIMES. LACTOLOSE SOLUTION 10ML BDAC X 15 DAYS. PPI OD X 1MONTH. TAB. ALBENDAZOLE+ IVERMECTIN ONE TAB AT BED TIME. TAB. LEVOCTRIZINE 5MG. 1 TAB. OD AT BED TIME X 15 DAYS. GREEN VEGETABLE AND FRUITS INTAKE REGULARLY. AVOID OILY AND SPICY FOOD.

रोगी विबन्ध से पीड़ित है। चिकित्सा संबंधी योग,,,, अंडी का तेल 25 ग्राम रात को सोते समय दूध में मिलाकर नियमित रूप से सेवन कराएं। द्राक्षासव कुमारियासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Adv syp colax MP 10 ml hs, hadensa ointment local application ,sitz bath 5 to 10 minutes daily ,for pain tab vawe sp 1 bd

Sulphur may be effective if constitutionally selected, advise to take proper veg diet and not to take non veg.

Swadisht virechan churan Ishbgool vith milk Cow milk vith cow ghee Adv.rbs ppbs sgpt usg abd

Nux vomica200/3dose once in week Nitric acid30 tds for one week

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