Dr. Anjana kumara , MD Scholar, Department of Organon of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Dr. Pradeep kumar , MD Scholar, Department of Organon of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Dr. Bhupendra Arya , MD Scholar, Department of Practice of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Abstract: Haemorhoids are congestion of haemorrhoidal vain. Due to congestion vein engorged.This article provide information about haemorrhoid along with homoeopathy medicine.
Keywords: haemorrhoid , homoeopathy
Haemorrhoids (Greek: haima blood, rhoos= flowing) syn. Piles(Latin: pila= a ball). arises from congestion of the internal and/or external venous plexuses around the anal canal.
Types of haemorrhoids:-
• External Haemorrhoids
Internal haemorrhoids (Greek: haima, blood; rhoos, flowing; synonyms; piles, Latin; pila, a ball) are symptomatic anal cushions and charactically lie in the 3, 7, and 11 o’ clock positions (with the patient in the lithotomy position).
Degree of Haemorrhoids:-
• First degree –bleed only no prolapse
• Second degree – prolapse, but reduce spontaneously
• Third degree – prolapse and have to be manually reduced
• Fourth degree – permanently prolapsed.
• Portal hypertension and varicose veins.
• Other vascular causes ( hyperplasia of the the ‘ corpus cavernosum recti’)
• Diet and stool consistency:A fibre-deficient diet results in a prolonged gut transit time, which is associated with the passage of smaller, harder stools that require more straining to expel. The presence of a hard faecal mass in the rectum could obstruct venous return, resulting in engorgement of the anal veins with the act of straining at stool or sitting for prolonged periods on the lavatory with a relaxed perineum, causing a disturbance of vascular flow.
• Anal hypertonia
• Ageing:The anal cushion of early life, with age, the supporting structures show a higher proportion of collagen than muscle fibres and are fragmented and disorganized.
• Current view: Fragmentation of the supporting structures leads to loss of elasticity of the cushions such that they no longer retract following defaecation.
Other Risk Factors are :
• Lack of erect posture
• Familial tendency
• Higher socioeconomic status
• Chronic diarrhea
• Colon malignancy
• Hepatic disease
• Elevated anal resting pressure
• Spinal cord injury
• Loss of rectal muscle tone
• Rectal surgery
• Anal intercourse.
• Bright red painless bleeding
• Mucus discharge
• Pain only on prolapse
• Anal irritation, which may occur as a result of mucus secretion from the caudally displaced rectal mucosa, minor leakage through a now imperferfectanal seal or difficulties cleaning after defaecation because of the irregularity of the anal verge.
• Anal tags
• Anal fissures
• Anal polyp
• Perianal haematoma
• Rectal prolapsed
• Rectal tumour.
• Strangulation and thrombosis
• Portal hypertension
ALOE SOCOTRINA – Hæmorrhoids protrude like grapes; very sore and tender; better cold water application. Burning in anus and rectum. Constipation, with heavy pressure in lower part of abdomen.
Constipation; large, difficult, knotty stools united by mucus threads. Burning hæmorrhoids.
Painful blind hćmorrhoidal tumours.─Blind hćmorrhoids; with sticking beating or pressive pain in rectum and anus; after a stool and after a meal.─Hćmorrhoids, with pain as from excoriation, shooting, burning pain, and pressure in anus and rectum,
Blind and bleeding hćmorrhoids, with itching, smarting, and pain as from excoriation.─Protrusion of hćmorrhoids.─Hćmorrhoidal tumours with great soreness.
SULPHUR- Suppressed hćmorrhoids, with colic, palpitation, congestion to lungs; back feels stiff as if bruised.─Constant bearing down towards anus; forcing down after sitting.
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