ANAL FISTULA- FISSURE _{Page 39 of 195}

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..

I believe that the Metronidazole gel (Metrogyl) is not eliminating all the bacteria after every stool. I have prescribed Polyfax Ointment which should also be available in India and you can use it instead. This must be massaged internally using a gloved finger coated with the ointment from the top downwards to promote the discharge of the pus from the external os which you state is 1.5 Inches away from your anus. Quite frankly I have not encountered an external opening which is so far distant and all I can hope is that my standard therapy will also help your case.

You state:
'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..'

It is important for you to do everything possible to drain out the pus as often as possible if you wish to be cured.

I presume that you are using all the other remedies listed 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.

Please confirm.

I am using all the medications prescribed by you except Nat Phos 6x as i have no problems of constipation. Also I have inquired at my medical store here they do not have Polyfax ointment... any other substitute??

You can check with a doctor for an equivalent to Polyfax ointment which is a combination of

Polymyxin B Sulphate 10,000 IU
Bacitracin zinc 500 IU

I have not done medicine and cannot prescribe an alternative. Polyfax is a very old and well known antibiotic and I have often prescribed it for patients who presented anal problems for internal use and it has invariably helped them.

Hi I am desperately trying to treat a perianal abscess, not a fistula at this stage. I had one emergency surgery and had a seton put in place. Now my abscess has come back and just as big, it is still draining little bits here and there but obviosuly not fast enough. the fluid is buildign up quickly again. It was well on the mend for two weeks. the last week though,my nightmare is coming back!! I am on Metranidozole. I am having 3 X sitz baths with salt or colodial silver every day . i have just started on silica 6 X. how long does silica take to work to start excreting pus? IS silcia harmful or Ok to tkae? and is the treatment different for an perianal abscess abscess or fistula? if my abcseess isnt going down again by the 31st of march i am getting booked in for more surgery whch i really need to avoid !!!

I am copying below a definition of Perianal Abscess on eMedicine and would like to know if yours is any different from the standard Abscess that many patients present in the Anorectal region.

'A perianal abscess represents an infection of the soft tissues surrounding the anal canal, with formation of a discrete abscess cavity. The severity and depth of the abscess are quite variable, and the abscess cavity is often associated with formation of a fistulous tract.'

Please vist the link below for the full article by eMedicine

http://emedicine.medscape.com/article/191975-overview

You state that your surgeon has already left a Seton in place. I do not understand the reason why he did so since I presume this was your first encounter with him. I do not think that this Seton was at all necessary as an Abscess is the least difficult of anal problem to cure as the lesion is usually more outside than inside the anus. It is possible that he was intent on increasing the severity of your lesion to keep you depending on him for attention regularly in the future.

This is the price of modern medicine and surgery that the unsuspecting patient is compelled to pay today.

I shall copy my standard instructions on the 'Joepathy' that I have prescribed for many cases similar or more advanced than your that have been cured and I would urge you to read all the 39 pages on this thread ASAP.

Joepathy therapy for treatment of Anal Problems:

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.

You have inquired:

' i have just started on silica 6 X. how long does silica take to work to start excreting pus? IS silcia harmful or Ok to tkae? and is the treatment different for an perianal abscess abscess or fistula?

Please rest assured that Homeopathic remedies have never caused any harm when prescribed by those who have the experience in doing so.

Please confirm that you will abide by my instructions as otherwise I will only be wasting my time in trying to help you to overcome the least problematic of anal ailments which I am convinced your surgeon is doing his best to exacerbate for obvious reasons.

In your own interest I would urge you to seek an alternate opinion before you consent to any further experimental surgery at the end of this month.

Dear Joe,

I am using your prescribed dose of medicines & have much relief than expected.I feel, i am the longest period suffering patient of fistula(around 13yrs.).I had pus opening some 3 days back.Unlike earlier this time i didn't realized when pus drained out because there was no pain near that area.I think my balanced diet also help me a bit.But believe me I am religiously taking my medicine doses.Because, I am seeing drastic help because of medicine prescribed by you.
It is really difficult to tell what a patient feel when he sees a ray of hope .Especially suffering for so long.This disease made me a short tempered & irritated man .thanks a ton Joe.
Will report further readings after several days.
Regards
Prashant

I am delighted to learn that my Joepathy has helped yet another survivor who as you state has suffered for 13 long years and still bore up the trauma of a Fistula till today. I can well imagine the relief that you must be feeling that there is light at long last, at the end of the tunnel.

I do not know if you are aware that I have not suffered from any anal ailments throughout the past 80 years of my life. I have however been able, through a process of elimination and the careful selection of remedies, to treat the various phases of a Fistula, Fissure or an Abscess successfully as you can read from the many reports of patients who have used my therapy and have been cured.

I rejoice with you and shall await your report in the near future that you have been cured.

Hi Joe

Thanks so much for your fast reply.

As far as I know this is a standard perianal abscess. I have never had them before...

I went into Emergency at the local hosiptal in heaps of pain with fever, and they actaully diagnsosed it as a 'Batholins Gland abscess'at first, during my surgery to get the bartholins gland 'Marsupilized' the gynacologist had to call in a general surgeon in the middle of surgery ( i was under General anaesethic) as they relaised it was actually a perianal abscess!! (this is the health care system for you!) They didnt even take a sample to see what bacteria casused the abscess.

I woke up had a seton in place to keep the wound open and drain any further infection out of the abscess. I have completely wiped off this hospital now and have got an appointment to see a private surgeon....I have no idea I'm 24Y.O F who was just trusting the Doctors!

I am definitely 100% going to try your remedy and will buy the other products tmorrow, i only have silca now. im willing to give anything a go at the moment, especially now that the abscess is filling up again.

HOw long does it usually take before you see results anyone?

Thanks heaps!!!

To Setareh

I must admit that you certainly surprised me with the information you provided in your last post.

I had presumed that you were M and it is only when you mentioned the Bartholin's Gland that I first realized that you were F. This adds a totally different dimension to your Perianal Abscess and I must admit that I am totally confused with your report and how your gynecologist could have possibly misdiagnosed your Perianal Abscess for a Batholins Gland Abscess as they are located in 2 separate organs in your body.

I now understand that you are 24 years old and that you have a Seton in place in your anus to drain the pus from the Abscess, which was your original ailment.

I have not treated a case like yours before and can only hope that my standard therapy can also help you to overcome your Abscess. I regret that I am not in a position to answer your question as to how long it will take to cure you and all I can advise you at this stage is that you follow the guidelines I have spelt out in my therapy and we can only hope that your abscess will also respond as others have done in the past.

Hi Mr. De Livera...
I had the hardest time trying to log on to this forum and hopefully now I'm in the right place. I am a 43 y F who recently noticed (about 3 mos) that I have a perianal fistula. The fistula is pretty small from visually looking at it. It has two teeny abcesses and one of the two opens up every few days with a few drops of blood. Occasionally, there may be a tiny bit of pus, but not all that often. My history goes as follows: 12/93 delivered son vaginally after many hrs. of labor which in the end left me with a huge episiotomy 'V' shape that extended towards my anus. Since then, I have had no problems with that area til now except for the occasional hemorrhoid flare up that I acquired from the pregnancy and birth. I am currently taking Neo Healer which virtually has made my internal/external hemorrhoids disappear. One of the two tiny abcesses is located on the episiotomy scar and that's the one that is opening up. The second abcess rarely bothers me and is so miniscule in size that it isn't hardly noticeable that it is there. What I notice is that when the bothersome abcess gets irritated and before it discharges, the skin in that location gets pink and blue in color like a vein is underneath. Once the abcess breaks, within a day, there usually is no sign that anything was ever there. I unfortunately caused my own demise back in December '09. I was shaving my legs and bikini area in the shower and the razor slipped from my fingers and cut me close to the anus. I didn't think much about it because I knew what I had done and just washed up with soap and water and let it be. It wasn't til about a week later that I noticed a couple of blood drops on my underwear. Upon inspection, I noticed that it was coming from the location that I had punctured the week prior. I have been using your homeopathic method for the past few weeks and have seen a little improvement. I notice though that once I am off the silicea for a short amount of time, the teeny tiny abcess fills up again. I am generally a very healthy person and heal very nicely. I am a health nut and juice veggies/fruits and take a few supplements being aloe vera, Vit. C & E, and Thisilyn (Milk Thistle). I have been keeping track of what I am consuming and found out that dairy, spicy foods, coffee, and beef/pork are irritants to me. I have normal BMs due to taking plenty of fruits and fiber. My question to you is ... is it safe to use silicea on an on-going basis? I know that Rome wasn't built in a day and that this condition takes a while to go away. I won't consider being cut down there because I have done my homework and there is a high occurance of a relapse once you're cut in that area with the stool passing through the bowel area. I am keeping my fingers crossed and hoping that since I know what caused it and am trying to correct it early on, it will be healed. I never realized how many people were afflicted with this condition until reading the many pages on your forum. When I am feeling blue, I try to log on to this forum and read the many stories that others are writing about. It does make me feel that I'm not alone in this situation. Thanks so much for caring and helping others. What you do for others will come back to you one day ten-fold. I will keep you updated periodically as to how my situation is doing. I'm keeping my fingers crossed, praying, and trying to stay positive!

You have posted your present problem on this Forum in time before any permanent damage was caused by the usual chronic infective process that follows every bowel motion both internally and externally. The shaving episode that you mentioned should have been treated by you with an antiseptic ointment and it is unfortunate that your not doing so has exacerbated your problem.

You have made mention of Silicea which you have discovered has helped you. You also state that when you stop it for a few days, your lesion fills up with pus. This is due to the presence of some inner source of infection which my Joepathy protocol for Fistula, Fissure and Abscess has been refined to eliminate the causative factors that are responsible for these Anorectal ailments. I shall copy my protocol which has been used by hundreds of patients who have been cured of their problems below. It is hoped that you will follow my instructions to the letter.

Joepathy Protocol for the treatment of Anorectal Ailments:

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.

It will be necessary to treat your Hemorrhoids immediately after you have resolved your anal ailment. I would not like to add the remedy for the Hemorrhoids as it can result in a Remedy Overload which can be counterproductive.

Please report your response in a week after you start this therapy.

Thank you for your kind words in appreciation of my altruistic efforts to help anyone in distress on this and other Homeopathic Forums I visit daily. I am indeed very conscious of the statement that you made:
'Thanks so much for caring and helping others. What you do for others will come back to you one day ten-fold. '

You may like to know that I am over 80 years of age and I am thankful to God in whom I have an abiding trust for having preserved my in my present state up to now and I do hope that He will give me the grace to continue to help others with my Joepathy for some more years into the future.

Dear Joe, I was regularly taking your medication last week for the pus & blood formation.( Like I earlier mentioned this is a monthly feature. I think there is a tract which is still open inside and that is causing the infection. ) Last week was terrible with a lot of pain that I thought I would have to undergo another surgery.

I am very much relived today as there is no pain and no pus. The area is free of infection. I am keeping my fingers crossed and hope that this remains. Thanks a ton for your advise.

To Kavita

Glad to note that your anal problem which I thought was very unlike others I have treated, is slowly resolving. The pain that you reported is due to the collection of pus and the only way to cure this is to massage with an Antibiotic Ointment preferably Polyfax, internally with pressure applied from the top downwards. This usually pushes the pus which the Silicea has expelled, downwards through the outer opening which in your case you stated was 1.5 inches from the Anus. This is the feature that makes your case so different from other Fistulas which are relatively easy to resolve.

I presume that you are continuing with the therapy I prescribed irrespective of whether or not there is a discharge of pus. I mentioned this point as some patients stop to continue the therapy when they find that they are not in pain without any discharge. The AB Ointment is essential after every bowel movement as each BM reinfects the internal lesion which is what my therapy is designed to eliminate.

Do not consider surgery even when you are desperate for a solution. Surgery is not a solution.

Thanks Joe. Yes I am continuing with your medications daily.

The outer opening is about an inch way and not 1.5 inch which i mentioned earlier.
I am using Metrogyhl Gel after every BM. I am not able to get the combination of
Polymyxin B Sulphate 10,000 IU and Bacitracin zinc 500 IU here at the local stores which you have prescribed.

Glad to note that the Fistula is a half inch nearer to your anus. It is the accumulation of pus that you reported draining out on one occasion in a 200ml flood that I am concerned about as this indicates some major infection inside which is causing it.

The Metrogel alone is not effective and should be used with the Polymixin which will then make it more effective to kill the bacteria in your lesion inside which is the cause of this problem and also the reason why you are suffering unnecessarily.

Mix the two together and keep it in a small box for use when necessary afer every BM or more often.

Please note that I can only advise you and prescribe the remedies and drugs that I know can help you but you must want to help yourself if you wish to be cured

Hi Joe,

Well I don't have good news today. AS I had some pus drained from my cured fistula. It started to swell after two months of no pus no swelling no pain situation in which we thought my fistula was gone. However it started swelling with some discomfort five days ago and the pus accumulated quickly. As a solution I started again your joepathy. Yesterday I was almost to go to doctor to drain it but later on I decided not to go and today the fistula opened itself and all the pus was drained without problem. Now that there is an opening to drain the pus I will keep on taking jeopathy again to give it a second chance to cure. Now my question is along with your prescriptions I am thinking of taking some antibiotic tablets. The reason is that the fistula has a new opening and a lot of blood has been drained with the pus today so I was thinking may be I need antibiotic tablets along with the arnica, silica,Ferr phos, and the antibiotics.The second question is do I have to be on some specific diet like vegetables.My third question is what do you think could be a reason for this fistula to comeback.I seat long hours,doest it affect the fistula.

I look forward to your advice on what to do on this second trial of your jeopathy. I realy want to try it again with a more serious fellow up.

Thanks!

I am sorry to learn that your Fistula has opened up again and is discharging pus and is also bleeding.

In future you must start on my Joepathy as soon as you notice any discomfort and it is important to do so early rather than wait till it gives you some major discomfort and pain.

I presume that you had stopped all the medicines you were using for your Fistula and I would like you to
in future to maintain a twice daily dose of Arnica 30 throughout your life as this helps the body to rebuild any internal damage to the tissues caused by your day long sitting which can cause the constriction of the blood vessels in the Anal region. Alcohol is a direct causative agent and so is red meat, and shell fish all of which must be avoided.

I do not think that an oral antibiotic is indicated at this stage but the internal massage with the AB ointment must be restarted.

You can consider using a special rubber cushion which ensures that the anal region is not compressed. These are sold here in Sri Lanka made of foam rubber and should also be marketed in the US.

Do not ever consider surgical intervention as this will only make a difficult problem infinitely worse.

The foam rubber cushions sold here in SL are hollow in the center and this takes the pressure away from the anal region.

To Joe,
Thanks for your reply.I will follow what you said.I already have the cushion(called donut pillow in US) and I don't drink alcohol at all, I don't eat shell fish too.But I do eat red meat and I will stop it from now on. I don't drink coffee too.I have a question about the arnica 30c.What I have is the arnica pallets and I put them in mineral water to prepare the wet dose.Do you think I should use the other type of arnica 30c?

Thanks!

It is essential that the patient follows the instructions I have given precisely and I shall copy them below again:

Joepathy Protocol for the treatment of Anorectal Ailments:

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 pellets of Arnica 30 you have used are not equal to the Liquid Dilution in Ethanol that I prescribed which you must get if you wish to be cured. It is obvious that the reason why you had a relapse is because you used the pellets and if you did not continue to take the Arnica in the Wet dose even after it was last stabilized, this too can be a cause.

Hi Mr. De Livera,

Just an update from last week. If you remember, I was the unfortunate soul who caused by own demise with the shaving mishap. Since reporting last Friday, I have gotten my period which usually exacerbates the whole problem. I am happy to report, that the fistula area only got a tiny bit swollen in this last week. Fingers crossed, it looks like this therapy is either correcting the problem or at least controlling my symptoms. I am very thankful for any kind of progress or relief from this condition.

I have a few questions that I hope you can answer for me....
How long is it safe to use all these cell salts? Especially the silicea and the ferrum phos? I know from reading your many posts that arnica in the wet dose should be taken for life, but how about the rest? How safe is it to be using the antibiotic ointment? I've been using that also religiously so far without any irritation but was wondering is it safe to be using it on a long time basis. The type of ointment that I'm using is called Neosporin which is sold in the States. I believe it is the equivalent of your 'Polyfax'. Thankfully I have not had any type of adverse reaction to using it but wonder how safe it is to use internally since on the tube itself it reads that it is not to be used internally.

I am feeling pretty good right now knock on wood and am very hopeful that this condition will resolve itself sometime in the near future. Thanks again for all your help. Looking forward to your reply. Have a wonderful weekend.

To Joe,

Thanks for your reply. I am planning to order the Arnica Liquid Dilution in Ethanol.I think I need help on which one to pick. I found one it says Arnica Montana, Radix(type: liquid dilution, Potency:30x, size:15ml,30ml or 50ml , Alcohol %: 20% or 87%).I want to know the potecy,size and Alcohol % info from you.

Thanks!

To Overalready

Glad to learn that my therapy is helping you. I believe that it is the Arnica that has helped with your monthly problem as this response has been reported by many who have confirmed that for the first time they noticed the reduction of both the usual pain and bleeding that attended their period.

Answering your question on the safety of the remedies you can take all but the Silicea for as long as you feel the need. I have proved that Arnica in the Wet dose is safe for life as I have taken it since 1996 nightly. Ferr Phos 6x will increase the oxygen carrying capacity of your blood which the Arnica will help to spread throughout the body.

The AB ointment is only to be used as needed and when you discover that you are OK you can then stop it. Its use 'internally' is not dangerous as the rectum is not similar to using it in the mouth.

I believe that in a few days you should be OK.

Do keep us informed.

Arnica Montana RADIX is not the correct remedy. This is the root of the Arnica which the ABC for some reason markets but it is not used in Homeopathy.

Please order Arnica Montana 30c Liquid Dilution 87% Alcohol 15ml which is the smallest pack. You will only use just 3 drops and the 15ml should last you a generation or more.

Do not order the 30x as this is not the 30c I have prescribed.

Hi Mr. De Livera,

Today is day 10 of your 'Joepathy' for fistula. Unfortunately, yesterday I partook of some food for the holiday that I probably shouldn't have eaten, and today I am paying for it. (Did not have any alcohol!) Thankfully, I have no swelling, pain or redness. I do, however, had a small amount of blood come from the teeny opening of the fistula a bit a go... Bright red. It happened when I went to the bathroom and wiped myself with a baby wipe. I have not had any pus or inflammation from that site for over a week and was very hopeful that things were headed in the right direction.

A question for you..... When I noticed I had a small amount of red blood on the baby wipe, I looked with a mirror and noticed that once again the area where the blood was coming from had a deep blue appearance to it. Probably about 2 mm round not elevated or red. Do you know if the blue color is probably just blood that has pooled up under the skin, or do you think this could be a vein underneath. By tonight or tomorrow morning the blue appearance will once again be gone and there will be no trace of it. The hue of the skin almost looks like the color of my hemorrhoids when they thrombose. Since the perianal skin is so close to the anus, I was wondering if this is just a vein that is weak in this area now from the injury I caused myself and also from previous being cut with the butchered episiotomy from years ago. Do you know of any other cell salt that helps strengthen veins and capillaries? I believe if this area could be strengthened, my ailment would disappear. I'd appreciate any thoughts that you have concerning the above.

Thanks again for reading my post and hope to hear from you soon.