Successful Homeopathic Treatment of Intersphincteric Fistula-in-Ano

A 33-year-old male patient (Patient ID: 50861) consulted at the Life Force Malleswaram branch on 4th March 2023 with complaints of recurrent fistula-in-ano. The patient had been suffering from fistula-in-ano for the past 3 years; his condition had remained relatively stable for about 2.5 years, but he experienced a relapse in the last 3 months. He came up with Complaints of Anal swelling with pus discharge, occasional bleeding, and episodes of fever, and he had a needle-pricking-like sensation pain in the anus, which was triggered by exertion. There was also irritation around the anus, particularly while sitting for extended periods. Patient stated there was no history of constipation during the course of the illness.

A transanal ultrasound done on the same day revealed an intersphincteric fistula in the left anterior perianal region at the 12 o’clock position.

The internal anal opening was located 0.5 cm away from the external anal opening.

No side branches were detected, which indicated a relatively straightforward tract—often considered a favorable prognostic factor.

During the first consultation, a comprehensive case history was taken, including evaluation of the patient’s physical and emotional health.

Physical generals:

The patient follows a vegetarian diet. He had an average appetite and decreased thirst, along with a strong craving for spicy food.

Despite his symptoms, his bowel movements and sleep patterns were regular. At the time of consultation, he weighed 73 kg.

Family Background:

He works at a multinational company (MNC) in Bangalore. 

He lives with his wife, a homemaker, and their 2-year-old son

His father has diabetes, and his mother suffers from hypothyroidism.

Past Medical History

There was no previous history of major illnesses or surgeries. 

Mental and Emotional State:

The patient presented as mild, polite, and gentle in communication. He also had high anxiety, particularly related to his health.

He was affectionate and caring toward his family.

Based on the totality of symptoms and constitutional assessment, he was prescribed the homeopathic medicine Sulphur by Dr. Shah.

Follow-Up Progress:

30.04.2023: On his first follow-up,

The boil from the first opening was almost healed, and pain and discharge from the second opening had reduced. But a new boil had developed 10 days ago, with pain and mild discharge. Medication was continued.

16.07.2023: There was no significant improvement. Two new openings had developed, with persistent discharge and increased pain for the past 2.5 months. There was a mild relapse in the case. 

10.11.2023: The patient reported 50–60% improvement in his old boil, discharge, and swelling have improved to a greater extent. 

No new boils were observed, the existing tracts were healing, and pain had decreased. 

11.01.2024: The patient felt overall better, with no pain, no discharge, and a significant reduction in irritation and swelling.

05.03.2024: 90–95% improvement was observed, with continued progress and no recurrence of boils or symptoms for the past six months.

His case was considered clinically cured.

After several years of discomfort and inadequate relief from previous treatments, the patient achieved lasting recovery through individualized homeopathic care. He expressed his sincere gratitude to Dr. Shah and the Life Force team for their effective, non-surgical approach, which resolved his chronic fistula-in-ano within a few months.

Conclusion:

This case demonstrates the successful, non-surgical management of a chronic and recurrent fistula-in-ano using individualized homeopathic treatment. Despite suffering from the condition for more than 3 years, with frequent relapses and new fistulous openings, the patient experienced steady and sustained improvement over a few months of consistent care. This case demonstrates the importance of a personalized, constitution-based approach, along with regular monitoring and patient involvement for long-term success.

- Case study written by Dr. Shweta R, associate Doctor to Rajesh Shah, MD (Hom)