respected drs...plz DX and share ur valuable opinion on did case.....!

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Fistula with internal opening. do finger test to find out the punctum of internal opening. That can guide you the route of fistula. Proctoscopy may be helpful

Totally agree sir...
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It may be the case of Peri-anal Abscess or Fistula with Internal Opening.... Go with Digital Examination..... And treat according to the findings.....

Thank u sir
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Dear Dr Shah DD- Subcutaneous Anorectal Fistula Rectal Abscess Advised Proctoscopy . W with regards

Thank u so much for ur valuable opinion sir
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Chronic fissure leads to fistula but here discharge is there so fissure with secondary infection. Mostly the pt had so much of pain during distal examination. @Dr. P. G. Shah

Thank u so much for ur valuable opinion sir
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Yes , it's internal opening fistula with pyogenic infections , Frank pus formation It's , Silicea ,200 bid with Myristica sebifera Q bid KSHARSUTRA other options

Fistula 1 tab mard extra time vati two bd 2 tab tirfala gogal two bd 3 tab kachnar gogal two bd 4 haridra khand 10 gm two time daily 4 cap p9 two time daily with milk

Blind fistula Go for KS ligation sir

Tx u doc
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रोगी भगंदर से पीड़ित है। चिकित्सा संबंधी योग,,, क्षार सूत्र कर्म से लाभ होगा।

Proctoscopy is helpful in this case of fistula

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Sir what is ur DX..acc to pics.
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