Title: Prospective Clinical Study of Hemorrhoids with Individualized Homeopathic Treatment
Author: Dr Indrajeet P. Shah
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.58
Abstract
Aim and Objective: To study the efficacy of individualized Homoeopathic Treatment in patients suffering from haemorrhoids and to assess change in their quality of life (Short Form-12 Health Survey)6
Methods: It was a single-centered, prospective, interventional study conducted at MNR UHC Homeopathic OPD in Sangareddy, from Jan 2018 to June 2018. At 0 day (Baseline) and 180 days standardized measuring scale were used like, SF-12 questionnaire, VAS and Anoscopic score. Homoeopathic treatment was given to patients suffering from Haemorrhoids.
Result: Total 15 patients were included in the study. Statistically significant reductions of mean bleeding (90 days : 6.67, 95% confidence interval [CI]: 0.59, 12.74, P 0.0337; days 180: 21.33, 95% CI 8.58, 34.09, P 0.003 d = 14), pain (90 days: 2.33, 95% CI 2.33, 4.39, P 0.029; 180 days: 32, 95% CI 21.92, 42.08, P <0.01, d = 14), and anoscopic score from 0 day and after 180 days p 0.170) were achieved. Itching VASs reduced significantly only after 6 months (5.33, 95% CI 8.83, 2.29, P = 0.002, d = 14).Significant differences were also found in the Quality of Life (QOL)‑SF 12 in physical domain [difference -19 (95% CI: -25.92, 12.08)], and psychological domain [difference -0.47 (95% CI: -7.84, -0.29](p ≤ 0.05). Anoscopic score at the end of the study it was less statistically significant.
Conclusion: Individualized homoeopathic treatment has made significant improvement in the patients suffering from Haemorrhoids pertaining to the symptom’s severity and overall perception of QOL in physical and psychological domains.
Keywords: Haemorrhoids, Homoeopathy, VAS (visual analogue scale), QOL, SF 12.
References
- Shah Siddharath H., API Text book of Medicine. 7th edition revised reprint Mumbai; the Association of Physicians India, 2006 573pp.
- R.C.G. Russel, N.S. Williams, C. J. K. Bulstrode, Baily and love short practice of surgery, 23rd edition, London; Oxford press 2003 ;1128pp.
- Chatterji B P Short textbook of Surgery, vol 2 second edition, Culcutta, Sen J N, New central book agency 1981,258-26pp
- Kasper D L, Fauci A S Longo D L, Braunwald E, Hauser S C, Jameson J L Harrisons principles of internal medicine, vol 2 16th edition, The Mcgrow-Hill companies Inc USA, 2005, 1801pp.
- en.wikipedia.org/wiki/hemorrhoids.
- https://www.rand.org/health/surveys_tools/mos/12-item-short-form.html
- Vijay Padmakarrao Ukhalkar1, Gopal Rathi2, Ramesh Jadav3 and Sanjay Tamoli*4, An Open Labeled, Single Centre, Prospective, Clinical Study To Evaluate Efficacy And Safety Of Arwl12 Capsule In Patients Suffering From Internal Hemorrhoids, International Journal Of Pharma And Bio Sciences, April; 6(2): (P) 309 – 323.
- Douglas Mackay. “Haemorrhoids and varicose veins: A review of treatment Alternative medicine review 2001 April; 6(2): 126-140.
- Sudarshan SR. A case of bleeding piles cured with Puls. The Homoeopathic Heritage 1991;16:195‑6.
- Riss, F. A. Weiser, T. Riss, K. Schwameis, M. Mittlböck, A. Stift, Haemorrhoids and quality of life, 26 October 2010. (https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1463-1318.2010.02480.x)
- Carsten Maurischat, Peter Herschbach, Achim Peters & Monika Bullinger, Factorial validity of the Short Form 12 (SF-12) in patients with diabetes mellitus, Psychology Science Quarterly, Volume 50, 2008 (1), p. 7-20.
- Hahnemann Samuel. Translated by Boericke William. Organon of Medicine, 6th ed. New Delhi: B Jain Publishers; 1979.
- S. Chakraborty, Roja Varanasi, A. K. Majumdar, KishanBanoth, Sunil Prasad, M. S. Ghosh, M. N. Sinha, G. Ravi Chandra Reddy, Vikram Singh, Chaturbhuja Nayak, effect of homoeopathic lm potencies in acute attacks of haemorrhoidal disease: a multicentric randomized single‑blind placebo‑controlled trial, Indian Journal of Research in Homoeopathy / Vol. 7 / Issue 2 / Apr-Jun 2013, page 72 to 76.
- Vijay Padmakarrao Ukhalkar, Gopal Rathi, Ramesh Jadav And Sanjay Tamoli, An Open Labeled, Single Centre, Prospective, Clinical Study To Evaluate Efficacy And Safety Of Arwl12 Capsule In Patients Suffering From Internal Hemorrhoids, International Journal Of Pharma And Bio Sciences, Int J Pharm Bio Sci 2015 April; 6(2): (P) 309 – 323.
- Mentes B, Gorgui Ahmet, Tatlicioglu E, Ayoglu F, Unal S. Efficacy of calcium dobesilate in treating acute attacks of haemorrhoidal disease. Dis Colon Rectum 2001; 44:1489‑94.