ANAL FISTULA- FISSURE _{Page 38 of 195}

Hi, I just wanted to know if recurrance of abscess in an anal fistula can lead to cancer??

I regret that I am not qualified to give you a categorical answer to your question.

However I feel that it is very likely that an Abscess which is usually the least serious of the 3 Anal problems can be cured in a few weeks if the patient uses the therapy I have described in detail on this thread, which has cured many cases.

As a result the chances of the patient presenting Cancer are very remote.

Thanks Joe. I am so fed up with this recurrence of pain and pus....

One thing good is that the recurrence is after a month or so and it usually lasts for 6 to 7 days....

I have started your therapy and I am very positive about it. Hope this tract closes and heals soon.

And hope no more surgeries :-)

I am suffering from anal fissure from last 8 months, it is not very inside, it is on outer lining.
blood is not much, sometimes a drop, some times just a tiny spot, when I take stool softner and laxative it doesnot bleed, but when I stop it bleeds like once a week or once in ten days.

Pain is after passing stool,it goes after 30 minutes to 1 hrs, I am taking high fiber diet, some times I take isabgol. Some times it feels that anus is geting sore or hard. So I take sitz bath when I feel discomfort is more.

I feel itching also, and I think it started because of itching, last year when my I shifted job, I got night shift, and due to change in stool going times and biological clock changed i got itching, so may be i rubbed it hard and after that this fissure came, and now it is not healing. Now i dont rub and after some time itch subsidise itself.

My stool is not very hard but first 1 inch of stool is some times hard and whenever that is it opens that fissure. and due to night shift I pass stool during night around 12:00 AM , and that time I see blood spot, in day time i havent seen spotting.

Due to night shift,I sleep around 4:00 AM morning till 10:00 AM, then after BM i go to gym as in night shift your physical activities are very restricted, so i joined gym. Then I have my lunch(breakfast for me) around 2:00PM and then sleep around 2 hrs to get ready for my working. Dinner at 9:00 PM, and then some snacks at night as feel hungry working till 3:00 AM.
I not very senstive, but get angry quickly and then also cool down quickly. Like medium spicy food, but now very limited due to fissure. NO major illness, had stone 5mm couple of times 2007 and 2009, passed it. No anxieties, stress some times related to work, but basically cool person.

I apply Anovate cream when i pass stool, but I stopped as some one said it has steroid. and now applying olive oil, but i think it is not helping so i am looking to switch back to Anovate cream. from alst three weeks I am taking Homeopathy medicine..but it is not beneficial, dr changed medicine after 2 weeks but now pain has increased. What medicine doctor is giving generally homeo doctors dont tell, just they give you a bottle.

Please help me in getting this off, I dont want to be habitual of stool softners and laxatives, I want a permanent solution. or at least log term.

My age is 34, I drink lot of water to avoid reoccurance of stone and keeping stool soft. Please help me I want to get it healed. Surgeon has said for surgery but i dont want to go for it till it is last resort.

To AB

Please read the many cases listed on this thread in the previous pages to enable you to evaluate the response of the patients whom I have treated with the therapy which I have prescribed and shall copy below:

I shall note the Remedies prescribed below:

Silicea 6x Dose 2 tablets taken thrice daily to expel the pus from the lesion.
Arnica 30c in the Wet dose a capful of the bottle taken thrice daily to increase the flow of blood which in turn will help to rebuild the tissue.
Nat Phos 6x Dose 2 tablets taken twice daily after meals to soften the stools.
Ferr Phos 6x Dose 2 tablets taken twice daily to improve the quality of the blood to help heal the lesion.
Antibiotic Ointment like Polyfax or equivalent which is used internally on the tip of a gloved finger inserted into the anus after every bowel movement to keep the bacterial count as low as possible in the lesion.

The Wet dose of any Homeopathic remedy is made as follows:

Order the remedy in a 5ml Ethanol pack in a bottle with a dropper arrangement.
If this is not available the Dry dose in pellets may be use but this is not as effective as the remedy in the original Ethanol pack
Get a 500ml bottle of Spring Water from the nearest supermarket.
Pour out about 3cm of water from the bottle to leave some airspace.
Insert 3 drops of the remedy into the bottle or 5 Pellets and shake it hard to produce bubbles. This is homeopathic succussion and must be done every time before a capful of the bottle which is the dose is taken as directed.

I note that you have mentioned a Stone presumably in your bladder:

'I drink lot of water to avoid reoccurance of stone and keeping stool soft.'

Please give more details of your stone to enable me to help you.

Thanks Joe, Stones I have already passed, in 2007 it happened to be in right ureter, and in 2009 in left ureter ..they were 4mm, 6mm , my water intake was less, but now i use to drink lot

To AB

Please visit

http://abchomeopathy.com/forum2.php/216770/

'How Joepathy expelled another Kidney Stone'

You may like to take a daily dose of Berberis Vulgaris 6c in the Wet dose as it will dissolve any Calculi that may even now be in the process of being formed in your Kidneys judging by your history of Kidney Stones.

Hi Joe,

Here is my case!

I am 28 male , working as a SW professional in Hyderabad. I was first diagnosed and confirmed that I have anal fissure in August 2009. At that time my family situation was not good. There were lot of problems due to which I spent sleepless nights and lot of tensions and pressures prevailed on me. The doctor has prescribed me an ointment and tablets(Oflaxcin Ornidazole). The issue was fixed in two weeks .. I was back to normal. But then again in November 2009, I was feeling same problem again. I mean there was bleeding in stools with pain and I was not comfortable when I sit in office. Next week I was told that I have internal piles(donno what this situation is) and was operated. This day I didnot know that I made a big mistake by going for surgery.Doctor said it would take two weeks for the healing process. But it didnot cure in two weeks. I observed that there is a tear and bleeding whenever my stool is harder. Then I took second opinion of an MD Surgeon from a big corporate hospital here in Jan 2010. The doctor said I have anal fissures. And this time the MD doctor prescribed me the same tablet but a different ointment(Nitroglycerine). I was on diet. Just leafy vegetables and no spice at all. Had loads of water and fruit juice. I was ok in 14 days this time. But I had in my back of mind that it may come back if I dont stay on diet.So I consulted a good Homeopathy Doctor who runs a chain of proven Homeo clinics in the city such that it doesnt re appear in my remaining part of life. He said its totally curable and this will be my final medicine if I do it as prescribed. He started a course by giving me medicines which run for 15 days duration(slots of 15 days each). At the end of 15 days I have to report him the status. In the first 15 days the pain has gradually increased and it started bleeding on 12 th day and there were ulcers in my mouth as a side effect. When I met him on the 15th day he told it will take 6 months to be cured totally. I was little bit disheartened on listening this but I made up my mind to go ahead seeing the doctors confidence.Now in my second 15 day slot, I am feeling intense pain while passing stools and I feel like there are some sticks kind of things getting in between while I pass stool. I am not able to sit properly and I am putting lot of pressure on my back. I feel like I am sitting on some hard thing near my anus(May be its becoz of some swelling as a result of the fissure)

I request your inputs on my decision Joe. Is there any other way to get this cured/healed in a lesser time.Os shall I go ahead with the remaining 5 months course with the same homeo doctor.
Is it true that with Homeopathy, the problem will first increase and then decrease and 99% cases Homeo will be a permanent solution if we show some patience during the long course.

Thanks in Advance,
rocky

It seems to me that your present homeopath 'good Homeopathy Doctor who runs a chain of proven Homeo clinics in the city' is taking you for a vast ride and is only interested in maintaining you on what you describe as 15 day 'slots' each of which I presume has cost you dearly. I also presume that he is a classical homeopath and if so, your case should be of interest to the classical fraternity to evaluate how classical homeopathy which I do not subscribe to myself, can be deliberately misused by the homeopath concerned to ensure a guaranteed source of income while the patient is kept virtually in suspense and in unnecessary painin the mistaken belief that any ailment has to aggravate to lead to a cure in 'classical' homeopathy. This is far from the truth and you should discover that your Fissure should heal quickly and that the pain you are now experiencing should reduce within a few days.

It would be of interest to learn who your 'Homeopathy Doctor' is with the name of his clinics in your city and what the medicines you were given, presuming that they were labelled.

Presuming that your diagnosis of a Fissure is correct, I am confident that the therapy I have formulated for your condition which I shall copy below, should help you to overcome your problem in a short time.

You will order the remedies listed and take them as prescribed below:

Silicea 6x Dose 2 tablets taken thrice daily to expel the pus from the lesion.
Arnica 30c in the Wet dose a capful of the bottle taken thrice daily to increase the flow of blood which in turn will help to rebuild the tissue.
Nat Phos 6x Dose 2 tablets taken thrice daily after meals to soften the stools.
Ferr Phos 6x Dose 2 tablets taken twice daily to improve the quality of the blood to help heal the lesion.
Antibiotic Ointment like Polyfax or equivalent which is used internally on the tip of a gloved finger inserted into the anus after every bowel movement to keep the bacterial count as low as possible in the lesion.

The Wet dose of any Homeopathic remedy is made as follows:

Order the Arnica 30c in a 5ml Ethanol pack or Liquid Dilution in a bottle with a dropper arrangement.
Get a 500ml bottle of Spring Water from the nearest supermarket.
Pour out about 3cm of water from the bottle to leave some airspace.
Insert 3 drops of the remedy into the bottle and shake it hard to produce bubbles. This is homeopathic succussion and must be done every time before a capful of the bottle which is the dose is taken as directed.

Please feel free to address any doubts you may have about using my therapy as it is important that it is followed precisely to ensure a rapid cure of your ailment which I believe is due to continued re- infection of your anal area with the bacteria in each passing stool which will not permit the lesion to heal.

Drink plenty of fluids and try not to sit too long as sitting will only serve to increase your pain. You can use an inflatable rubber tube like the tube of a Bajaj to help you to sit more comfortably.

hello Dr. Joe.
I am suffering from ano fistula since last 12-14 yrs. if i remember correctly.After getting kharsutra therepy by a renowed ayrvedic medical surgeon with success rate as high as 90% didn't get suucess in my case.And after that i didn't show courage to go to him twice not even to dicuss reasons.Before surgery i had 1 opening but after surgery i got 2 openings & intial 1 got closed by ayrvedic treatment.In recent times that also got opened.After discussing with allopath family doc. i decided not to go for surgery.But very lately i thought try homeopathy though i don't know any 1 with successful cure but with varied results.But still , i think homeopathy will help me .
Anyways doc i have started the following medicine from today:
Silicea 6x Dose 2 tablets taken thrice daily to expel the pus from the lesion.
Arnica 30c in the Wet dose a capful of the bottle taken thrice daily to increase the flow of blood which in turn will help to rebuild the tissue.
Nat Phos 6x Dose 2 tablets taken thrice daily after meals to soften the stools.
Ferr Phos 6x Dose 2 tablets taken twice daily to improve the quality of the blood to help heal the lesion.
Antibiotic Ointment like Polyfax or equivalent which is used internally on the tip of a gloved finger inserted into the anus after every bowel movement to keep the bacterial count as low as possible in the lesion.
Just wanted to confirm ,do you think in my case this order of medicine will work .
Pls advice at your earliest.If any other instruction,restriction,food habits then pls. let me know.For your knowledge since childhood i am pure veg.never smoked or had drink.ocassionlt take food outside otherwise less spicey food is my daily routine.Rest all syptons like puss mixed with bllod comes after 7-10 days pores get closed afterwards i feel pain & get relax wen it release puss again.Hope these info will help you to decide on medicine.my last hope
Thanks
Prashant

You have read my instructions on this Thread and it is now up to you to follow my prescription precisely and report your response in about 10 days.

Your diet as indicated by you is OK.

You will have to exercise for at least half hour daily as this helps the therapy.

ok noted for exercise.I'll report on progress after 10 days.
Thanks alot.

Myristica seb 3x should be better for this ailment(anal fistula)->10+10+10 drops before meal.

Update on progress:
After much poking and prodding around my Dr. determined that I am not suffering from an anal fistula but a peri rectal abscess. This problem had been recurring for 5 months after the delivery of my baby. I began the joe therapy but soon found out i was pregnant and then became reluctant to use anything that was not absolutly nessecary.

I went to my dr. and he opened up the abscess (in office under local anesthetic). He had to clean out the abscess of all the bad tissue that had formed as a result of the abscess opening and closing multiple times. After cleaning (debriding) the abscess, i had a wound vac put on the wound. So far this has been a miracle for me. The wound vac was annoying and uncomfortable for 2 weeks, but healed my abscess very quickly. I now have only a small opening that we are treating with somekind of silver antibiotic and a bandage that is able to cover what is left of the opening and still allow me to have BM. Each time I get the dressing changed it has improved dramatically!
I truly hope this is the end of my issues with this abcess as we got good healthy tissue to heal it this time with the wound vac.
I appreciate all the support I recieved from this forum and wish everybody the best of luck!

Glad to note that your gynecologist was able to help you.

I would like to have more information on the 'wound vac' that you described as it may be possible to be used by patients who suffer from Fistulas. Could you please give me more information on this device ?

In the meanwhile you can take the Arnica 30c in the Wet dose twice daily as it will help heal your lesion.

Hi Everybody,
This is my first e-mail after my cure from fistula.Thanks to the Jeopathy again.I never had any pus so far.
Today I am writing this to give some comment on what I feel is possible to do to relief from ichy around the anus.Well I had this problem which I believe could be because of long seating.AS a solution I am using Petroleum Jelly (SKIN PROTECTANT type).Actually it is stated on the container that this Jelly heals dryness and protects minor cuts,scraps and burns.After using it for around two weeks I got relived from the echy.Besides I think it helps to cure fissure I think.This is just from my observation.Lets hear what eveybody thinks.

Tek

To Tek

I am indeed delighted to learn that the distress you suffered for some years from your Abscess is now history. I am also grateful for your expression of thanks for my Joepathy which as you perhaps are aware is original and was formulated by me alone. You may also like to know that I have never suffered from any anal problems during the past 80 years of my life and it was only by a process of experimentation and modification of the therapy that I believe I have finally achieved a process of treatment which I am proud to call Joepathy specially formulated for anyone who suffers from Anal distress.

I can well understand the agony that you would have originally suffered which would under normal circumstances have been subjected to surgical experiments which would invariably compelled you to suffer so much unnecessary agony not to mention expense which you stated in a post which I copy below would be in the region of $4000. It is not the money alone that is the concern but the danger of the anesthesia coupled with the days you spend on leave from your work and the agony the patient suffers which is attendant on surgical experimentation.

Surgery in NOT the cure for Anal problems including Fistula, Fissure and Abscess. It is my hope that patients who read my Joepathy therapy will use it and hopefully record their response to my therapy.

I can proudly state that my Joepathy can CURE at least 90% of cases that present these Anal problems.

Copy of 2 of your original Posts on the ABC
re: anal fistula- fissure2009-11-02
I had a sergury two month ago for an anal abscess.Two week later my doctor told me that my abscess has developed to anal fistula and I had to do fistulotomy.The doctor told me that I have to have atleast $4000 for the fistulotomy. So I decided to go to the internet and see some other natural medicine.Fortunately I got this website(forum).And started following the arnica and silica combination. Thanks to the people who came up with this medication.My abscess is going down to zero and the swelling near my anas has started to shrink tremendously.I am sleeping with no pain.I feel like my fistula will heal soon.SO please let's keep on using this medication. I know there is some up and down but I am so amazed by the results I am getting.Thanks again to this website!!!!!!!!!!



re: anal fistula- fissure2009-12-16
Hi everybody.Well as I have posted it before I have reduced the drainage almost to zero and no pain at once.After that I had constipation which caused the draining to kind of increase again.But I am still free of any significant pain.I am sleeping sound.drainage is also going down.I am filled with hope.
As a methode to avoid the increase in draining I started applying aleo vera to disinfect the area.I bought aleo vera from vitamin store and started to apply aleo vera ointment deep inside the anus after every bowl movement.Later on I started to use aleo vera three times a day.
Along with this I am taking silica 30 and arnica 30 wet dose.You can find the preparation of arnica wet dose in this forum posts.
I take four tablets of silica three times a day.At first I was taking five tablets of arnica three times of a day.Later on I shifted to arinica wet dose.

BTW, this time I am using a new anti-infection ointment called 'Noe Healer'.Mainly it is used for hemeoroids.However since it is rich in Aleo Vera it helps both for disinfection of fistula and internal or external hemeoroids.It has a minor discomfort at first and it is a little expensive too.But I lkie it now.
One thing very important is being super hygiene like taking bath at least two times a day at first, disinfecting deep inside anus and visinity.
All the above information is already posted in this forum( ABC HOMEOPATHY FORUM) so lets keep on reading to this forum and make personal decisions on how to deal with the fistula.
With patience we will make it!

Tek

Joe,
Yes I am very glad to be on the healing end of this process. As far as the wound vac here is what i know. It is a machine that you carry around that applies negative pressure to the affected area or wound. As my wound was in a very difficult to bandage area (right next to my rectum) they had to do some tricky bandaging to get it to seal up. They use foam inside the abcess and then run a foam 'trail' to a larger area (my thigh) where they put the foam disc that has to be in place for the vac to work. Then they seal all around the foam with a dressing or tape and medical adhesive glue. The vac is then turned on and is constantly applying negative pressure to the wound. (you cant really feel that part). The purpose of this is to keep the wound open and pull any drainage away while also prompting the growth of healthy tissue in the wound site. That is a quick overview but you can learn more by searching the KCI wound vac online.
I really hope this could help someone else. I only suffered with this issue for 6 months and it was miserable. Thanks again for your help and support.

Thank you for the information on the Wound Vac. I have checked it out on Google and did not know about it till you mentioned it. I believe that it works by the negative pressure forcing blood to filter into the wound thereby helping it to heal. You have already used it and realized how difficult it is to be used.

Arnica virtually replicates this process by promoting the flow of blood throughout the body and this ensures that the tissue in and around the lesion is fed with fresh blood. Arnica also has an unusual property of ensuring that blood is attracted to any area in the body that is wounded and thereby helps to heal the lesion.

I also advocate taking Ferr Phos 6x in my therapy for Fistula to increase the Oxygen content of the blood which also helps to heal the lesion.

The Silicea 6x helps to expel the pus and other debris in the lesion.

I believe that the therapy I have formulated which I have recorded in posts above is far superior to the Wound Vac as this apparatus is not easy to be used on a wound. It is doubly more difficult to be used on the Anus to cover the area affected by a Fistula or an Abscess.

Dear Joe,

I am currently taking all the medications you have recommended for my fistula. The pain and pus along with blood has started again after a month. Its like a monthly cycle for me... I use a hot water bag sometimes, which relieves me of the pain.

Kindly advise.

Thanks & regards

Can you please give me details of your case as I cannot get them even though I tried to do so by clicking on your name.

Please complete the Patient's questionnaire on the link below and I shall try to help you.

http://www.abchomeopathy.com/forum2.php/43416/

Dear Joe, How should i send the attachment?? Should i just cut paste it here ??

NCH - Questionnaire
--------------------------

A homoeopath needs to know some more information besides knowing your name of disease, like location of illness, organ affected, type of sensation, modalities, mental & physical disorders, causations, concomitants strange or rare or peculiar symptoms, personal history of illness, family history with serious or chronic sickness.

This information will help the homeopath to select a proper medicine for you. If you are not sure about the answer of some the questions mentioned below, please leave them blank but do not fill with wrong entries. Underlined entries are most important to answer. You may get help from your Medical Nursing Staff before submitting this proforma. (Homeopath)
-------------------------------------------------------------------------------
Personal Information:
-------------------------
Full Name: Kavitaaa
(You can use your alias if you want to be anonymous)
Sex: F
Age: 37
Weight: 56
Height: 5.6”
Temperature: 99 deg
Blood Pressure: Normal
Color of Tongue: Pink
Occupation: Service
Optional Information:

-------------------------------------------------------------------------------
Detail Patient History
-----------------
Name of Disease:- Anal Fistula
(Diagnosed by Your Medical Doctor
Or if you know the name of your disease)

Patient Description:-
(Important: Write your major complaints
& symptoms briefly in your own words priority wise.)

I had a fissure surgery in February 2009. I developed an abscess in the left buttock. I was hospitilized again in March, 2009 to drain the pus out. The doctor made a slit in my lower buttock and left it open for all the pus to drain out completely. A lot of pus was removed nearly 200 cc. Now though the gap has healed, their is still pus formation and drainage for a tiny hole which is luckily open. I underwent another surgery in October 2009 where the doctor inserted a fistula plug. Though the pus has reduced a lot, I still face this problem every month of pus, pain and blood oozing. It stays for a few days and vanishes.

Cause of your disease / Problem: Initially I was operated upon for fissure which developed into abscess and now fistula.

(If you don’t know leave it blank)

Period of Disease / Complaints: February 2009
(Day, Month or Year when it was started)

Results of major Laboratory Tests:
(Investigations / Pathology Reports)
a.
b.
c.

Comfortable Position:- sitting or sleeping
(Which activity / position / work
make you better and provide relieve
in your disease or problem?)
Worse state of disease:- walking or standing
(Which activity / position or work
when perform make you discomfort
and creates uneasiness or pain?)

Change of Weather:- No
(Does change in hot and cold
season have any impact on your
disease or symptom?)

Hot & Cold Application:- I am comfortable with Hot application.
(How do you feel in hot or cold
application or when you take bath
or live in warm or cold room)

Good Time: forenoon
(At what time you feel trouble-free
or comfortable or painless?
Morning / forenoon / evening / night etc?)

Worse Time: evening / night
(At what time you feel uneasiness or discomfort?
Morning / forenoon / evening / night etc?)

Thirst:- ok. Not much.
(How is your thirst?)
Appetite:- Good
(How is your appetite?)



List of medicines used so for:
(Homeopathic and allopathic or Herbal, if any etc)
a. Silicea 30X
b. Calc Sulp 6 X
c. Ferrum Phos 6 X
d. Arnica 30

Habits:
(Explain in detail where necessary)
Are you addict of alcohol? No
Are you a smoker? No
Are you fond of drinking tea? No
Do you like salty/spicy items or sweet stuff? I like sweet and salty. I don’t eat spicy food.
Are you vegetarian or carnivore? Mostly veg. I eat no chicken. Eat mutton, fish and eggs
How is your bowel movement? Fine. Not constipated
(Loose motion or constipation etc)
Are you slim smart or obese etc? Slim
Do you have craving for any food / drink etc? Nothing particular. Mostly sweet.
Do you have any wart or mole on your body? Mole on my back/ spine
(First check your body with care)

List of your major past illnesses / diseases:- No.
(examples: Mumps, chicken pox, whooping
cough, pneumonia, malaria, typhoid etc)
a.
b.
c.


List of major closed family persons diseases:- (Examples: Asthma, Cancer, Diabetes
High Blood Pressure, Rheumatism or T.B)
a. Mother – Diabetes (which is under control)
b.
c.
Detail of your past Vaccination Chart:-
(If you remember)
a.
b.
Further Explanation:-
(If not covered above)

I have copied your email response to the Questionnaire above and have to inform you that your problem is by no means straight forward for me to resolve like many of the cases that I have helped and cured on this Thread.

I am copying your problem as described by you below:

'I had a fissure surgery in February 2009. I developed an abscess in the left buttock. I was hospitilized again in March, 2009 to drain the pus out. The doctor made a slit in my lower buttock and left it open for all the pus to drain out completely. A lot of pus was removed nearly 200 cc. Now though the gap has healed, their is still pus formation and drainage for a tiny hole which is luckily open. I underwent another surgery in October 2009 where the doctor inserted a fistula plug. Though the pus has reduced a lot, I still face this problem every month of pus, pain and blood oozing. It stays for a few days and vanishes.'

I can well understand your anxiety to avoid further experimental surgery as it will be never ending but the problem that I have is to visualize how the Fistula developed into your lower buttock which you state was left open by your surgeon for the pus to drain out and you also state that nearly 200ml of pus was removed. Can you indicate the distance between the anus and the lower end of your Fistula ? Where does all this pus accumulate ?

I can visualize a large internal cavity and I cannot understand how you are able to sit with that large lesion in your buttock. You state that you suffer from this syndrome monthly but you do not indicate if you suffer from any pain, fever or other discomfort. Can you quantify the volume of pus you expel monthly?

Pus can usually denote infection and is the body's way of expelling the dead tissue and bacteria. The Silicea 6x you are taking with the Arnica 30c will help the lesion to heal.

I note that you are taking Calc Sulph 6x which I did not prescribe. Can you inform me the reason why you are taking it?

You are not using the Antibiotic Ointment internally as instructed. It this possible in your case? This will help to keep the bacterial population internally at the top end of your Fistula in check and hopefully will promote the cure.

Have you been prescribed any antibiotic by your surgeon post surgery? if so what is it?

I shall try to help you when you respond.

Dear Joe,

I am comfortable sitting but discomfortable while walking/ standing because of the pain. The distance between the anus and the lower end of the Fistula is about 1.5 inch away.
After surgery the doctor prescribed me Metronidozile 400 mg for 5 days alongwith combiflam for the pain. I use Metrogyl gel internally after my BM.

I think there is a tract internally wherein the pus accumulates. When pressure is applied then blood and pus oozes out. This happens every month..