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@article{189183,
        author = {Dr. Shahajahan Begum},
        title = {Homoeopathic Treatment in Fistula-in-Ano: A Prospective observational Study},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {7},
        pages = {5066-5069},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=189183},
        abstract = {Background: Fistula-in-ano is a chronic ano-rectal surgical condition characterized by persistent pain, purulent discharge, inflammation, and frequent recurrence. Surgical intervention remains the conventional treatment; however, it may be associated with complications such as delayed wound healing, recurrence, and sphincter damage. Homoeopathy, with its individualized and holistic approach, may provide a non-invasive therapeutic option in selected cases of fistula-in-ano. Objectives: 1. To assess the improvement in clinical symptoms such as pain, discharge, inflammation, and local discomfort. 2. To evaluate the healing response of fistulous tracts following homoeopathic treatment. 3. To observe recurrence, if any, during the follow-up period. Materials and Methods: A prospective observational study was conducted on 20 patients clinically diagnosed with fistula-in-ano. Patients were selected based on predefined inclusion and exclusion criteria. Individualized homoeopathic medicines were prescribed after detailed case taking and constitutional evaluation. Patients were followed up regularly over a period of 12 months. Assessment was done using clinical symptom scores and local examination findings before and after treatment. Results:  Out of 20 patients, a majority showed marked improvement in pain, discharge, and local inflammation. Several patients demonstrated partial to complete healing of the fistulous tract during the study period. No significant adverse effects were reported. The recurrence rate observed during follow-up was minimal. Conclusion: The findings of this prospective observational study suggest that individualized homoeopathic treatment may be effective in reducing symptoms and promoting healing in patients with fistula-in-ano. Homoeopathy appears to be a safe, non-invasive therapeutic option for selected cases. Further studies with larger sample sizes and controlled designs are recommended to substantiate these results.},
        keywords = {Fistula-in-ano; Homoeopathy; Prospective observational study; Ano-rectal disorders; Individualized treatment},
        month = {December},
        }