If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.

So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.

What is anal fissure?
An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.

What is anal fistula?
Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.

Symptoms of anal fissure and anal fistula
Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.

For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.

Treatment options
To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.

Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly.


Is It Fissure Or Fistula? Don't Get Confused!

What the leymen terms it as wheat allergy, he labels as something which restricts the patient of eating wheat for now and ever and supposes that the whole life is supposed to be without wheat but thanks, not so with homeopathy! Also called gluten-sensitive enteropathy and celiac sprue, celiac disease is an autoimmune digestive disorder, wherein the consumption of gluten-based foods leads to damage to the tissues that line the small intestine. This hinders the ability of your body to absorb the essential nutrients from the foods you eat.

What happens inside -

Under normal conditions, the immune system of the body offers protection against external intruders.
When individuals diagnosed with celiac disease consume gluten-based foods, gluten resistant antibodies are formed by the immune system.
This causes them to attack the linings around the intestines, thus causing irritation in the digestive tract and harming the villi (hair-like structures on the covering of the small intestine which absorb nutrients from the food).
This impairs the nutrient absorbing capacity of the individual, thus increasing chances of malnourishment.
Causes:-

Though there are a lot of supposed causes for this disease, mainstream medicine has not been able to verify any of them as Sureshot one. Thereby, standing still in dark regards cause as well as the cure for it.

However, homeopathy, with the psychosomatic researches in recent decades, believes anger ruling the subconscious mind through the incidences faced in life or by mother during pregnancy to be a predisposing and causative reason for this disease. This becomes still more useful as the patients prescribed on such approach respond well to treatment and are able to digest and assimilate wheat in a couple of months of treatment.

Symptoms - 

The celiac sprue usually gets diagnosed in patients especially children from Not gaining weight/ height for age with anemia and easy fatigue
The consistent upsetting of bowels
Smelly stools and urgent stools after eating.
Other common symptoms may include digestive problems such as: 

Pain Gas
Abdominal Bloating
Diarrhoea
Weight loss
Pale stools
Aphthous ulcers which are basically sores occurring in the mouth
A severe skin rash
Musculoskeletal problems such as bone and joint pain as well as muscle cramps
Seizures
Tingling sensation in the legs which are caused by low calcium and nerve damage
Growth issues in children since they cannot absorb the required amount of nutrients
Irregular menstrual cycles
Other complications associated with celiac disease
Miscarriage or Infertility
Osteoporosis.
This is a disease which weakens the bones and causes fractures. It is caused because of a deficiency of Vitamin D and calcium.
Intestinal Cancer Other birth defects: Such as irregular spinal shape because of the deficiency of certain nutrients, especially folic acid.
Homeopathic Treatment For Celiac Disease -

The homeopathic approach of treating celiac disease is an individual form patient to patient. For a classical homeopath like us, no patient resembles the previous one. Each one has a different story and thus, has to be studied individually. However, the state of mind, anger and mental sensitivity of patient are the foremost for a homoeopath to prescribe successfully. Homeopathy identifies celiac disease to be a hypersensitive state due to immunological reactivity controlled by a genetic tendency and treats it accordingly.

The homeopathic medicines target at controlling the over-reaction of the body to gluten and also aimed at controlling the symptoms. Some of the commonly used medicines are Silica, Phosphorus, Kali carbonicum, Thuja occidentalis, Sulphur, Lycopodium clavatum, etc. but this list is never to be considered as exhausting.

Role Of Homeopathy In Treating Celiac Disesae!

Constipation is a condition characterized by extreme difficulty in emptying the bowels. It is characterized by hardening of the feces. Ayurvedic remedies have been considered since a long time to support healthy bowel movements. Acute constipation can also be a sign of Crohn s disease or irritable bowel syndrome.

Symptoms of constipation:
1. Immense strain during bowel movements
2. Inability to have proper bowel movements
3. A feeling of being blocked up from within
4. Hard and dry feces

How can you get rid of constipation with Ayurvedic remedies?

Increase fluid intake: If you are suffering from constipation, it is vital to drink about 80 ounces of herbal tea or water per day. Warm fluids are the best way to keep your body hydrated. These fluids should be consumed at least 20 minutes before a meal or 1 hour after a meal.
Increase organic oils in your diet: High quality oil helps lubricate your body tissues, so that appropriate amount of fat or oil can remain in the stool. Most oils are healthy, but the healthiest oils include olive oil, ghee and sesame oil.
Eat plenty of healthy fruits: Fruits are fibrous, hydrating and generally pacifying to your body. Fruits such as peaches, soaked prunes, soaked raisins, peeled apples and bananas should be consumed. It is vital to eat the fruits about an hour before your meals. While consuming these fruits, you should chew on them properly to attain maximum benefit. Pineapple juice is also very effective in facilitating bowel movements.
Consume soaked flax seeds or milk with ghee: Before going to bed, you should drink a cup of boiled milk with ghee or a tablespoon of flaxseeds soaked in a glass of water. This is an ideal remedy for constipation.
Herbs:  Triphala  herb (a traditional Ayurvedic herb) are generally prescribed by the Ayurvedic practitioners. It can be taken either in the tablet form or powdered form with a glass of warm water. Psyllium husk is also a natural source of insoluble and soluble fiber. It serves as a bulking agent and a demulcent in the colon. This facilitates the regular passing of feces.

Ayurvedic Ways To Help You Get Rid Of Constipation!

A Gastroenterologist is a physician with dedicated training and unique experience in the management of diseases of the gastrointestinal tract and liver. If you are planning to visit one, you most likely have a problem in one or many organs like esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. 

Visit your doctor to understand the severity of your condition and the course of treatment, as it is obvious that during this time you must be suffering from anxiety and you may not ask the questions arising in your mind. That is why you need to prepare in advance for your first visit with a gastroenterologist. Being an active partner in the doctor patient relationship is bound to have its benefits. Here are some handy tips:

1. Come mentally prepared: Don't let the anxiety get to you. If you need some extra help calming down, try yoga or meditation. You can simply go out on a walk alone to help you focus your thoughts. This is just like any other doctor visit. The good part is that you are taking the first step in easing your discomfort and starting treatment, so go with a positive mind.

2. Maintain a diary of symptoms: It is likely that you are experiencing discomfort from past few days or weeks before you finally realize the need to seek out a specialist. Try to remember as much as possible about the symptoms you experienced in a chronological order. Write down any over the counter medicines you've tried or anything unusual that you may have consumed in the past week. 

3. Take stock of your medical history: It is likely that your doctor may want to know about any historic conditions you've suffered that may or may not relate to your present condition. Many ask you to fill out forms during your first time patient registration which includes many minor details about your medical past. List down any allergies, especially food allergies you have. 

4. Take stock of your recent medical tests: Bring your latest blood tests and imaging tests (X-rays, ultrasounds, MRIs, and CT scans) with you for the doctor's visit. If you have a pre-existing condition like diabetes, thyroid or you suffer from other chronic conditions like increased uric acid, carry your most recent medical reports with you. 

5. Make a list of questions for the doctor: In most cases, the first visit is a crucial factor in determining whether you want to continue the course of treatment with a particular doctor. This comes out of your ability to trust the doctor, his knowledge and diagnosis and an overall comfort level that comes with how well he handles your questions. Start by making a list of questions you want to ask about your specific condition and course of treatment and see if you get satisfactory answers. 

6. Brace yourself: If you want to suggest a treatment option, make sure you read up all about it before you tell the doctor.

6 Tips For Your First Visit With A Gastroenterologist

Hypertension is a condition where the blood has to exert extra pressure to flow through the blood vessels. While there is a genetic component to it, the more strong contributing factors are modified lifestyle and dietary changes. There are also a lot of environmental changes that have contributed to this new epidemic. While earlier people in their 50s and 60s would be diagnosed with hypertension, now there are people in 30s and 40s taking hypertension pills. Excess fat accumulation is the major cause of hypertension in younger patients.

There begins the complexity of the issue. Hypertension which requires medications to control it, they lead to side effects and bring in a host of other diseases like diabetes, and obesity which in turn bring in a whole lot of complications. A more easy way to manage would be to prevent and of course, after onset, look at how naturally it can be managed.

Ayurveda has numerous substances that have been proven to have beneficial effects in controlling blood pressure over the past 1000s of years.

1. Celery or ajwain helps blood vessels to dilate and reduces concentration of stress hormones in the blood.

2. Ashwagandha has a wide range of actions and improves the body's ability to handle physical and mental stress. This in turn improves blood pressure, obesity, and depression.

3. Citrus fruits contain vitamin c which prevents fragility of the capillaries (thinner blood vessels).

4. Cow's urine prevents hardening of blood vessels and is of curative value in those who have blood pressure due to hardening of blood vessels. 

5. Triphala which is a combination of amla, haritaki, and bibhitaki helps reduce inflammation that leads to blood pressure, thereby helping to control it.

6. Jatamansi - by helping the free radical damage on the arteries, it protects the arteries and prevents cholesterol accumulation. It also is a very well-proven stress reliever and has additional benefits on hypertension.

7. Arjuna - by helping the metabolism of the bad cholesterol in the liver, this protects the inner lining of the heart and thereby helps control hypertension.

8. Calcium and potassium containing substances help remove sodium and thereby improve blood pressure.

9. Natural herbs like brahmi, sarpagandha, shankhpushpi, and chandana are effective ayurvedic cure and treatment for hypertension.

10. Rasayana treatment from ayurveda is having excellent results, however everyone requires unique rasayan as per their body types.

11. Watermelon helps in dilation of the blood vessels.

12. Aloe gel, barberry, calamus, valerian, skullcap, gotu kola cayenne, myrrh, motherwort, hawthorn and jatamansi have all been shown to help manage hypertension over thousands of years.

13. A glass of warm milk mixed with saraswat powder is also helpful for patients with high blood pressure.

These are natural remedies which were a part of diet since times immemorial. Including them in the diet, reducing processed foods, regular exercise, avoiding alcohol and smoking can be some natural ways to prevent and if required control hypertension. Stress is here to stay, but can definitely be managed with a little conscious effort.

Control Blood Pressure With Ayurveda

Chest pain may be caused by multiple problems within the body and while being a problem in itself, may also be a symptom of a bigger underlying problem. Chest pain may be caused by anything from simple chest congestion due to a cold to something far more serious such as the onset of a heart attack. While it is important that life style changes be made to prevent major issues, homeopathy can provide relief for many symptoms till extensive medical steps are taken to correct the problem.

Some causes of chest pain
1. Angina
2. Onset of a heart attack
3. Atherosclerosis
4. Weakness of the arteries
5. Weakness of the heart muscle
6. Palpitations
7. Bradycardia
8. Chest congestion or cold

Symptoms associated with chest pain

Stable angina   Vice like constriction or choking, pain may be spread to right or left arm or both, dyspnoea before pain.
Unstable angina   Chest pain occurs at rest.
Pericarditis   Pain radiates to the left side of the shoulder which gets worse by lying in a flat position.
Pneumothorax   Severe chest pain along with shortness of breath, cyanosis, restlessness and collapse.
Pneumonia   Sharp pain which, gets worse by taking deep breath and coughing.
Pulmonary embolism   Short rapid breathing, sharp pain in middle of the chest that is worse by deep breathing.
Gastroesophagial reflux disease   Difficult painful swallowing, pain in the middle of chest which, extends to neck, back and shoulders.
Myocardial  Vomiting, dyspnoea features of shock, profuse sweating, fever, low blood pressure, pulse small rapid and irregular
Homeopathic remedies for various kinds of chest pain

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which a patient is suffering.

The aim of homeopathy is not only to treat chest pain, but to address its underlying cause and individual susceptibility of the patient. For this patient s current symptoms, past medical history and family history are taken into account. There are many homeopathic remedies which cover the symptoms of chest pain and can be selected on the basis of cause, location, sensation, modalities and extension of the pain. For individualized remedy selection and treatment of chest pain, the patient should consult a qualified homeopathic doctor in person. In medical emergencies like myocardial infarction and pulmonary embolism, immediate hospitalization is usually required. Some important remedies are given below for the treatment of chest pain:

Arnica mont.   Chest pain with sore and bruised feeling.
Ranunculus b.   Good remedy for intercostal rheumatism, sharp stitching pain in the chest along with dyspnoea.
Kali carb.   Stitching pain in the chest,  which gets worse between 2-3 A.M
Actea racemosa.   Pain worse on the right side.
Bryonia   Chest pain is of stitching, burning and stabbing in nature, is worse by motion and better by rest and pressure. Thirst for large quantities of water and dryness of mucous membranes often accompanies.
Rumex c.   Sharp stitching pain through the left lung, often with cough.
Stannum   Knife like stitches, worse on bending forward and left side.
Phosphorus   Violent tickling cough, chest pain due to tuberculosis of lungs or pneumonia along with oppression of the chest.
Aconite   Chest pain due to pneumonia of first stage along with anxiety and restlessness.
Robinia   Burning pain behind sternum due to hyperacidity.
Strophanthus   Chest pain is of stitching and twitching in nature and often of cardiac origin.

Chest Pain - Can Homeopathic Remedies Treat it?

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