Health Condition 1: K648- Other hemorrhoids Health Condition 2: K640- First degree hemorrhoids Health Condition 3: K641- Second degree hemorrhoids Health Condition 4: K642- Third degree hemorrhoids
Conditions
Interventions
Intervention1: Individualised Homoeopathic Medicines: Individualized Homoeopathic
Medicines will be administered in centesimal potencies,
selected according to
homoeopathic principles. The
dose and re
Sponsors
Dr Naveeta
Eligibility
Inclusion criteria
Inclusion criteria: 1. Both sexes of Age group above 18 and below 60 years, irresepective of their race caste religion and socioeconomic status 2. Clinical diagnosis of haemorrhoids confirmed by digital rectal examination with proctoscopy 3 . Goligher Grade I to III internal haemorrhoids 4. Symptomatic patients ( one or more of: rectal bleeding, prolapse reducible spontaneously/ manually, pain/ discomfort, pruritus, mucoid discharge , constipation / straining). 5. Symptom duration more than 2 weeks
Exclusion criteria
Exclusion criteria: 1. Acute thrombosed external haemorrhoid with onset less than 72 hours. 2. Concomitant anorectal conditions likely to confound outcomes: anal fissure with significant pathology, fistula-in-ano, perianal abscess, pilonidal disease. 3.Red-flag features suggesting alternative serious pathology (unexplained weight loss,persistent change in bowel habit especially if more than 40 years, melena) unless malignancy is ruled out. 4. Inflammatory bowel disease (Crohn s disease, ulcerative colitis) or radiation proctitis. 5. Portal hypertension, rectal varices, or known advanced liver disease. 6. Severe anemia (e.g., Hb less than 8 g/dL) or hemodynamic instability due to bleeding disorder. 7. Significant uncontrolled systemic disease, uncontrolled diabetes, advanced CKD, decompensated heart failure, active malignancy,immunosuppression). 8. Pregnancy or lactation 9. Recent anorectal surgery (within 6 months) or haemorrhoid-specific procedures (rubber band ligation, sclerotherapy, infrared coagulation) within last 3 months. 10. Current use of haemorrhoid-specific topical/systemic therapies or other alternative-system interventions unwilling to undergo a washout ( washout period 2 weeks). 11. Diagnosed case of mental illness / psychiatric/ life threatening illness/any organ failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To find out the effectiveness of individualized homoeopathic medicines in the treatment of Haemorrhoids using Haemorrhoid Symptom Severity Score (HSS score) focusing on improvement in the severity of symptoms such as Bleeding , Prolapse and Pain. Timepoint: 1 year (12 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To identify the group of most effective Homoeopathic medicines for management of Haemorrhoids 2. Evaluating the quality of life of participants using ARSSQoL, monitoring adverse effectsTimepoint: 1 year (12 months) | — |
Countries
India
Contacts
Public ContactDr Naveeta
Dr B R Sur Homoeopathic Medical College, Hospital And Research Centre
Outcome results
None listed