Case Study of an Anal Fissure Patient Successfully Treated with Homeopathic Medicines


Abstract
This case study presents the case of a 34-year-old male patient who suffered from chronic anal fissures. He was experiencing severe pain and discomfort, and the problem lasted for 2 years, during which he also tried other treatments. However, the issues of sharp pain in the anal area after passing stools, bleeding, and stress persisted during his conventional treatments. He ultimately sought the homeopathic treatment option and contacted Dr. Singhal Homeo Clinic.
Following a detailed case taking and report observations, the patient started his classical homeopathic treatment with Dr. Vikas Singhal.
Over a nine-month-long treatment, the patient attained gradual but significant relief. As of now, the patient is approximately 60% healed and is undertaking his daily work with ease.
Introduction
Anal fissures are recognized by small tears or cracks in the inner lining of the anal sphincter. It is an increasingly common condition that can be triggered by chronic constipation, a physical injury, or other factors. Patients suffering from anal fissures frequently experience sharp anal pain during bowel passage and prolonged burning afterward.
Patients who are already suffering from fissures for a different reason may experience symptom aggravation or worsening of the condition due to stress or fear.
The present case focuses on holistic and successful ongoing management of anal fissures in a young adult male who received significant relief within months of initiation of his homeopathic treatment.
Case Presentation
Patient: Rajiv Arora (Name changed for anonymization)
Age: 34 years
Residence: Ambala
Mr. Rajiv had been experiencing an anal fissure for 2 years. His symptoms included sharp, cutting pain while passing stools and a persistent burning sensation lasting hours after he was done. He also experienced occasional bleeding. Fear of pain caused him to resist passing stools, which, in turn, caused him anxiety and stress. Stress further contributed to the aggravation of his symptoms and a worsening of his existing symptoms.
His personal life as well as work were critically affected, which added to the stress and emotional turmoil, while the fissure-induced symptoms kept worsening.
His digestive health and emotional composure were taking a direct hit. During this period, he was also put on conventional fissure medications, but these had little to no effect. Disappointed with the results and fearing the worst, he thought of giving homeopathy a try, and after his research, he started his homeopathic treatment for anal fissures under the guidance of Dr. Vikas Singhal.

Homeopathic Management of Anal Fissures
At Dr. Singhal Homeo clinic, Mr. Rajiv started his treatment, which was based on a detailed case analysis by Dr. Vikas Singhal, considering factors like:
- Intensity of symptoms
- Current digestive health
- Emotional or stress issues
- Bowel patterns and constipation
- Sleep patterns and quality
- History of similar or other digestive issues in the patient or the family
After the detailed case-taking process, Dr. Vikas Singhal selected an individualized homeopathic remedy, and the treatment started. The emphasis was placed on the chronicity of the fissure, its intensity, and the psychological burden accompanying the condition.
The medicine was selected based on the holistic healing goal, which could address the symptoms of pain and discomfort in a timely manner and prevent further damage while initiating internal healing.
No ointments or external application creams or gels were prescribed and only oral medications were given to the patient, followed by regular follow-ups to trace the patient’s progress.
This holistic treatment approach quickly helped the patient experience relief, and with continued treatment, the patient received around 60% improvement already within a span of just 9 months. The patient is now more enthusiastic, positive, and on a steady course of recovery from anal fissures.
Results
Rajiv showed progressive improvement over a nine-month treatment period:
First 2 Months:
- Reduction in the pain intensity after passing stools
- A reduction in the burning intensity after passing stools
- Slightly smoother bowel movements contribute to a reduction in fear related to passing stools
- Decrease in fear and anticipatory anxiety
3 to 5 Months:
- Noticeable improvement in pain and burning with intensity and frequency further reduced
- Significant reduction in the episodes of constipation
- No stress related to bowel movements and increased comfort in daily activities
6 to 9 Months:
- Self-reported 50–60% improvement
- No bleeding episodes
- Burning sensation only occasionally and minimal
- Improved ability to sit for longer durations without discomfort
- Better emotional stability, more enthusiasm, and confidence
- Resumed work
The patient’s treatment is ongoing and on a positive trajectory of recovery with individualized homeopathic medicines for anal fissure treatment.
Discussion
Chronic anal fissure often persists because pain leads to constipation, and constipation further aggravates the fissure, creating a recurring cycle. Stress and lifestyle imbalance play key roles in symptom aggravation. In the case of Mr. Rajiv, the homeopathic doctor put him on an individualized homeopathic medicine with periodic and regular follow-ups.
The gradual but steady improvement in pain, constipation, stress, and anticipatory anxiety subsided significantly with the treatment over nine months. This case not only suggests the great potential of individualized classical homeopathic treatment in cases like chronic constipation and anal fissures, but also
“I sincerely thank Dr. Singhal for treating my anal fissure, which I had been suffering from for the past 2 years. The pain and discomfort were affecting my daily life, but with his guidance, treatment, and care, I finally got relief. Dr. Singhal was very understanding, patient, and explained everything clearly, which gave me confidence throughout the process. I am truly grateful for his support and highly recommend him to anyone facing similar health issues.”
– Rajiv Arora (Patient)
Conclusion
This case highlights the potential of individualized homeopathic management in improving chronic anal fissure symptoms. Mr. Rajiv’s steady progress, reduced discomfort, and emotional relief emphasize the importance of a holistic approach supported by lifestyle adjustments and regular clinical evaluation.
Continued treatment is expected to offer further improvement, underscoring the value of patient-centered homeopathic care for chronic conditions.