Homeopathic treatment of piles, fissure, and fistula: An observational study

Abstract

Piles, fissures, and fistula-in-ano are common anorectal disorders that significantly impair quality of life due to pain, bleeding, constipation, and discharge. Conventional management—ointments, suppositories, or surgery—often yields temporary relief with high recurrence. This observational study was conducted at Advanced Homoeo Health Center& Homeopathic Medical Research Pvt. Ltd., Indore, and Central Jail to evaluate the effectiveness of individualized homeopathic management in anorectal disorders. A total of 247 patients (aged 18-65 years) were enrolled. Of these, 206 patients (83.36%) completed treatment, while 41 patients (16.64%) discontinued due to irregular follow-up. The majority of patients reported significant relief from pain, bleeding, constipation, and itching, without the need for local applications or surgical intervention. Patients with prior surgical history also experienced better long-term outcomes under homeopathy, with minimal recurrence. Supportive advice such as sitz baths, dietary regulation, and lifestyle modifications contributed to improved results.