Anal Fissure

Hi Simranshi,

Kindly answer my below questions:

Is there a sensation as if splinters or sticks were in the anus?
Is there much tenesmus and constriction, and a constant oozing of the foetid matter from the parts, with burning, rawness and smarting?
Does aches and burns for hours after stool?
Are there cutting and lancinating pains in the rectum, and dryness of the anus with sudden stitches in it?
Does irritable sphincter come to mind and the slipping back of the partially expelled stool?
Is there great pain, coming on half an hour after stool and lasting several hours?
Does crawling and itching every evening?
Does severe pain after each stool with burning and tenesmus lasting a long time?

First week: Nitric acid 200C
Second week: Ratanhia 200C
Third week: Silicea 200C

HOW TO TAKE THE REMEDY:
Please take three doses from each remedy. Just three doses. Not daily.

WHAT IS A DOSE:
Get the remedy in liquid:
Put five drop of the remedy in 20 ml of mineral water, hit the bottle atleast 6 time (shaking the bottle is not enough) and keep it for 5 minutes. Take 5 ML from it. That’s one dose. Do the same procedure for each dose.
for second and third dose:
Hit the bottle atleast 6 time and keep it for 5 minutes. Take 5 ML from it. throught out the remaining remedy and don't use after 3 doses.

TIME OF DOSE:
First dose: At night before sleeping.
Second dose: 12 hrs after the first dose.
Third dose: 12 hrs after the second dose.

PRECAUTIONS:
If there is significant worsening of symptoms (called homeopathic aggravation) after the first dose, then don’t take the second dose.
Don’t take any other homeopathic remedy during this treatment.
Give a break of at least 10 minutes before eating/drinking anything before or after taking the remedy.
During the treatment, don’t eat anything which you have never had all your life.

HOMEOPATHIC AGGRAVATION
Sometimes the symptoms for which treatment is being done can worsen after taking the homeopathic remedy. This is homeopathic aggravation and a good sign. It usually dies down within 24-48 hrs. During this time you can use any non-medicinal means to keep yourself comfortable. If the aggravation seems excessive, you can use any & all means necessary (including taking allopathic medicines) to keep yourself comfortable. Keep your homeopath fully updated if this happens.

HOW TO GIVE FEEDBACK:
A good example of how to report your progress is by giving %age improvement or worsening for all your health problems e.g.
Emotions: e.g. Feeling of happiness improved 40%
Energy level: e.g. Feeling of tiredness reduced 70%
Main health problem: e.g. Nasal discharge reduced 50%
Other health problems: e.g. Acne increased 60%
Anything new: Depression: e.g. Loose stool started
And so on list all your complaints.

HOW TO KNOW IF YOU ARE GETTING CURED:
Any cure in homeopathic treatment will always follow this rule (Hering’s Law of Cure) otherwise it’s not cure, just palliation. The cure must proceed from centre to circumference. From centre to circumference is from above downward, from within outwards, from more important to less important organs, from the head to the hands and feet.

GENERAL INFO ABOUT HOMEOPATHIC PRESCRIBING:
If someone is giving several remedies, without waiting to see the effect of one remedy, then it is totally against the core principles of homeopathy. Such an approach is unlikely to give permanent cure, rather it may distort actual symptoms making subsequent cure even more difficult.

DIETARY & EXERCISE GUIDELINES (for adults):
Use common sense in following these guidelines and ask me if unsure. Homeopathy is not magic and it can only work when all other supportive strategies are also used. To make sure you are cured as fast as possible and stay that way please change your lifestyle to include the following:

1. Start eating half cup of low fat, plain, non-flavored yogurt with live cultures daily in the morning or with lunch. If you have homemade yogurt that’s the best. Yogurt can cause increased mucus generation in some individuals, if you are like that, don’t eat yogurt. Rather start eating roasted black chick peas (also known as Bengal Gram) daily.
2. Stop all processed foods e.g. white bread, white rice, white burgers etc.
3. Eat whole foods only i.e. whole grain bread, brown rice, brown burgers etc.
4. The bread should be high in bran content & the flour should be coarse ground.
5. Start eating a small bowl of salad at least once a day e.g. it should contain cucumber, carrots, salad leaves, tomato and any vegetable you like. Put a dressing of olive oil & raw apple cider vinegar and put some salt & black pepper to your liking.
6. Eat at least 1-2 fruits per day e.g. apple, orange etc.
7. Drink enough water so that your urine is clear. Yellow colored urine is a good indication that you are dehydrated.
8. Eat only when hungry and when eating, don’t overstuff yourself.
9. Focus on food only when you eat i.e. don’t divert your attention by watching tv etc.
10. Exercise:
• Aerobic activity e.g. Start walking at least 30 minutes a day for 5 days a week with your spouse/friend and achieve your target heart rate.
• Strength training e.g. Start weight training at least 20 minutes 3 days a week.

LIFESTYLE CHANGE:
No amount of treatment, be it homeopathic or allopathic, can cure if the persistent cause is not eliminated e.g. if you keep moving a broken bone repeatedly then it will never heal since you are not giving it the required break to heal and set the bone. The same logic applies to constant immense stress (don’t confuse it with daily life stress which is necessary to survive).
Extremely unhappy relationships are toxic in nature and only breed more contempt & ill health unless they are addressed and proper remedial measures are not taken.

Don't drink water along with the medicine. Don't drink or eat any thing for 30 minutes before the medicine and after the medicine.

Avoid Coffee, Tea and Tobacco in any form.

Report back after 15 days with the changes observed during this period.