This document discusses homeopathic remedies for various conditions related to anal fistula, including: Nitric acid for fistulas with difficulty passing stools; Hepar sulph when the condition turns to pus; Silicea in the ulcerative stage when the fistula becomes a sinus; Paeonia for excruciating pain after stool; Causticum for fistulas with large piles; and Berberis vulgaris for burning pain in the anus. It provides details on the symptoms each remedy is best suited for.

1. Dr. C. Alagu Pandiaraj

2.  It is a great remedy for anal fistula associated with prolapsed anus.
 Chronic constipation with unable to pass stool.
 Anal fissures with sinking feeling stomach and dull headache.
 Smarting pain while defaecation.
 Haemorrhoids.Gleety discharge from urethra.
 Dull, heavy, dragging pain in back. Stiffness in back.

3.  Anal fistula associated with fissure.
 There is marked burning pain in the anus which lasts for a few hours after
passing stools, extreme exhausted after passing stools.
 Nitric acid is specifically suited to people who experience anal fistulas with great
difficulty in passing stools.
 Haemorrhoids bleeds easily.Haemorrhage from bowels,profuse,bright red.
 Constipation with fissures in rectum stitching pain in rectum.Scanty,dark
offensive like urine, smells like horse urine.

4.  Hepar sulph is advised when the first stage is over.
 There is intense pain, the part is very sensitive and tender and abscess turns into pus.
 There is raw smarting in rectum during stools, remaining long afterwards

5.  Silicea is one of the effective remedy for fistula in anus in the ulcerative stage.
 Here the passage of fistula converts into sinus.
 There is a watery discharge oozing from the fistula.

6.  Bacillium is considered an intercurrent remedy, especially in tubercular patients
who are susceptible to cold.

7.  Myristica is best suited in the early stages of pus formation, Myristica aborts the
pus formation.
 The stool is passing with great difficult because of pain in the anal region.
 Stool mixed with yellow mucus.

8.  There is pain in fistula as if beaten with hammers.
 There is chronic constipation and the stool is offensive.
 The patient experiences a tight feeling around anus.

9.  Paeonia is excellent for fistula in anus with excruciating pain in anus continued
long after stools, must rise and walk about accompanied by pus discharge.
 The person has intense biting and itching in the swollen anal orifice.
 There is ulceration of the anus and perineum, which is purple covered with crusts.
 There is a burning sensation and internal chilliness after passing stools.
 Painful ulcer , from which oozing a offensive moisture on perineum.
 There is sudden pasty diarrhea with faintness in abdomen.

10.  Causticum is excellent for anal fistula with large piles.
 The patient feels great difficulty for passing stools.
 The patient passes stool easily only when standing.
 There is soreness and burning pain in the anal and rectal region.
 The stools are very hard, covered with mucus , shines like grease .
 There is pulsation, pain and itching around the anus and perineum.

11.  Berberis vulgaris is best for anal fistula with burning pain in anus.
 Fistula in anus associated with bilious symptoms and itching around anus.
 There is tearing or smarting pain in anus and perineum.

12.  Fluoric acid is best for fistula in anus accompanied with lachrymal and dental
discharges.
 There is itching and burning around anus.

13.  Calcarea sulph is best for anal fistula with shooting pain.
 There painful abscess about the anus in cases of fistula.
 Another feature is discharge of thick yellow colored pus from the fistula.

14.  Sulphur is another intercurrent remedy for blind fistula.
 Sometimes yellowish, greenish, painless discharge from the fistula