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    Fissure - Case Presentation - Dr. Janaranjani

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    Sailash Manavalan
    A 28-year-old female housewife presented with pain in the anal region, difficulty passing stool, and bleeding for 3 days. She underwent gradual anal dilation over multiple visits. Her pain decreased with treatment of herbal medications, sitz baths, and topical applications. At follow-up, she had no pain or bleeding and was advised to continue medications and lifestyle modifications.

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    Fissure - Case Presentation - Dr. Janaranjani

    Uploaded by

    Sailash Manavalan
    41 views10 pages
    A 28-year-old female housewife presented with pain in the anal region, difficulty passing stool, and bleeding for 3 days. She underwent gradual anal dilation over multiple visits. Her pain decreased with treatment of herbal medications, sitz baths, and topical applications. At follow-up, she had no pain or bleeding and was advised to continue medications and lifestyle modifications.

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    A 28-year-old female housewife presented with pain in the anal region, difficulty passing stool, and bleeding for 3 days. She underwent gradual anal dilation over multiple visits. Her pain decreased with treatment of herbal medications, sitz baths, and topical applications. At follow-up, she had no pain or bleeding and was advised to continue medications and lifestyle modifications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    41 views10 pages

    Fissure - Case Presentation - Dr. Janaranjani

    Uploaded by

    Sailash Manavalan
    A 28-year-old female housewife presented with pain in the anal region, difficulty passing stool, and bleeding for 3 days. She underwent gradual anal dilation over multiple visits. Her pain decreased with treatment of herbal medications, sitz baths, and topical applications. At follow-up, she had no pain or bleeding and was advised to continue medications and lifestyle modifications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 10

    Case

    Presentation
    Patient Name : K. Sharmila
    Age : 28
    Gender : Female
    Occupation : Housewife
    Address : Tambaram
    Religion : Hindu
    Marital Status : Married
    Date of Admission : 29/04/2022

    • Chief Complaint:
    Patient c/o Pain in the Anal region, difficulty in passing motion and
    Blood in stool since 3 days

    • Associated Complaint:
    Patient a/c/o burning sensation in the Anal region since 3 days
    • History of Present Illness:
    Patient 28/Female, was apparently well before 3 days, she suddenly
    developed Cutting type of pain in the Anal region along with difficulty in passing
    motion and Blood in stool. She also complaints of Burning sensation in the Anal
    region since then. She has now come for Medical intervention.

    • History of Past Illness:


    No known history of relevant Past illness and Surgery

    • Family History:
    No known Genetic disorders running in family. No Consanguinity
    • Personal History:
    Ahaara : Mixed Diet
    Agni : Vishamagni
    Koshta : Kroora
    Mala : Baddha, 1 time/day
    Mootra : Prakruta; 3-4 times / day, 1 times/night
    Nidra : Prakruta, 7-8 hours/day
    Habits : Tea, 2 times/day
    Nature of Work : Hard Manual
    Procedure for Anal Dilatation:

    • Patient is made to lie down in Lithotomy position.

    • The Anal region is wiped of with Povidone – Iodine Solution.

    • Lignocaine Jelly is taken and applied over the anal opening.

    • Then Index finger is slowly introduced into the anal opening and dilated.

    • Slowly Index and middle finger is introduced and dilated by pushing from
    inwards to outwards

    • Anal pack made with Gauze and Lignocaine jelly is introduced and kept.
    • Treatment Notes:
    Date Nireekshana Chikitsa
    27/04/2022 c/o Difficulty in passing Motion along Anal Dilatation is Done (2 finger dilatation)
    with Blood in Stool since 3 days
    Tab. Drakshadi Kashayam Tb (BF) 1-0-1

    Tab. Chiruvilvadi Kashayam Tb 1-0-1

    Tab. Anuloma DS 0-0-2

    Advised for Sitz Bath in Triphala Churna +


    Water

    After cleaning External Application of


    Jatyadi Thailam
    • Treatment Notes:

    Date Nireekshana Chikitsa


    02/05/2022 c/o Pain while defecation, No bleeding Anal Dilatation is Done (3 finger dilatation)

    Tab. Drakshadi Kashayam Tb (BF) 1-0-1


    Tab. Chiruvilvadi Kashayam Tb 1-0-1

    Tab. Anuloma DS 0-0-2

    Advised for Sitz Bath in Triphala Churna +


    Water
    After cleaning External Application of
    Jatyadi Thailam
    • Treatment Notes:

    Date Nireekshana Chikitsa


    10/05/2022 c/o Pain decreased, No bleeding Anal Dilatation is Done (4 finger dilatation)

    Tab. Drakshadi Kashayam Tb (BF) 1-0-1

    Tab. Chiruvilvadi Kashayam Tb 1-0-1

    Tab. Anuloma DS 0-0-2

    Advised for Sitz Bath in Triphala Churna +


    Water

    After cleaning External Application of


    Jatyadi Thailam
    • Treatment Notes:

    Date Nireekshana Chikitsa


    16/05/2022 Patient has come for Follow up. Tab. Drakshadi Kashayam Tb (BF) 1-0-1
    No Pain, No bleeding
    Tab. Chiruvilvadi Kashayam Tb 1-0-1

    Tab. Anuloma DS 0-0-2

    Advised for Sitz Bath in Triphala Churna +


    Water

    After cleaning External Application of


    Jatyadi Thailam
    • Advice to the Patient:

     Avoid Spicy, Hot food and consumption of Fast Foods

     Advised to take Buttermilk frequently

     Avoid straining during defecation.

     Follow the Medication regularly.

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