Local application of Safoof-e-aelwa in fissure in Ano: A case series
Dr. Mohammad Shakeel Ansari, Dr. Rabia Nizam, Dr. Waseem Ahmad
Introduction: Fissure in Ano is a split in the anoderm extending from anal verge for a variable distance. It is a painful condition. In Unani System of Medicine (USM), it is called shiqaq-e-miqad. In this study, we havestudied four patients who attended surgical OPD of NIUM hospital block with complaints of pain during defecation and bleeding per rectum (P/R). On examination they were diagnosed as fissure in Ano and their sphincter tone was increased with tenderness on digital examination to that extent that we were unable to do proctoscopy. Aelwa, a Unani drug, in form of powder was applied locally at fissure site. It contains potent healing chemical contents. Methodology: Four patients were taken into study after their written informed consent. Sufuf-e-aelwa was applied locally twice a day until complete healing of fissure was achieved. Discussion: The patients usually present with burning and pricking pain at anal region. All the patients we enrolled were investigated routinely and their haematological and bio chemical values were within normal range. Viral markers were negative. Keeping in mind the safety and efficacy of safoof-e-aelwa in cases of fissure in Ano, we have used the same as local application. Conclusion: All patients showed good response to the locally applied safoof-e-aelwa. Their fissures in Ano were healed completely within a short duration. The aim of report is to acknowledge the effectiveness of safoof-e-aelwa in treating patients of fissure in Ano attending Jarahat OPD/IPD NIUM Hospital.