35 years old man reported with complaints of bleeding with stools and painful defecation. He had severe pricking pain in the rectum since 2 days and this would be worsened while passing stools and when sitting.

Mr. R. G (Patient Ref. No. L-4112) a 35 years old male patient reported to the clinic with complaints of bleeding with stools and painful defecation(passing of stools) since 2 days. He had severe pricking pain in the rectum and this would be worsened while passing stools and when sitting. The pain was continuous and lasted throughout the day and he would not even be able to sit comfortably at any given time of the day. The bleeding with stools was scanty and in the form of streaks. The consistency of stools was normal but he could pass only small quantities at a time because of the pain. He had been diagnosed as having Fissure-in-ano and had been advised surgery for the same. He had been operated for fissure, 8 years ago and this was a relapse of the similar complaints again. He was not willing for surgery since the condition had recurred even after surgery.

He had been diagnosed with diabetes recently and was on medication for the same. Apart from this, he had complaints of irritable bowel syndrome and lumbar spondylosis in the past for which he had been on homeopathic medication with significant relief.

His appetite was normal and thirst for water had increased. He was fond of salted and spicy foods and bread. He had aversion to sweets and vegetables. Structurally he was on the obese side.

In the past, he had been operated for fissure-in-ano and had no other major medical or surgical illnesses. There was a strong family history of Diabetes where almost everyone in his family had been suffering with it. Besides this, his father also had hypertension and cataract.

He lived in a joint family and had business of his own. He had recently become irritable about trifles and would get angry easily when his work would not get completed on time. His anger would be short-lived and he would calm down soon. Most of the times, he was cheerful and preferred to be in company. He had fear of high places and of dogs. There was marked anxiety about his health and would particularly see to it that he took care of himself and kept himself fit. He had been through a major stressful period recently, when his 4 years old daughter had been diagnosed with cerebellar ataxia (post-viral infection) and was admitted in the hospital for some time. He was very tensed about her health because of this neurological disorder that she had developed.

Based on this history, he was prescribed Nitric Acid 30 along with Capsicum 200 for his complaints. Within a week, the patient reported that the pain while passing stools was more than 50% better. At the end of about one month of treatment, he was completely free from his rectal pain and bleeding. The frequency of stools had also come down to twice a day, which was his normal frequency. He was very much relieved that he could get rid of his complaints without surgery.

Remark: The remedy prescribed in these cases is patient-specific i.e. it has been prescribed based on the symptoms specific to the patient at that point of time. It is advisable that the patient does not indulge in any self-medication.