"Sciatica & Homoeopathy"

 Definition: Pain through any of the sciatic nerve is called Sciatica. It generally affects only one side of the legs. It starts through the course of sciatic nerve like from buttock to leg. Generally it affects one leg at a time. Sciatic nerve is the longest nerve in the body. 

                                                                       Fig-Sciatic nerve 

*Pain is generally due to compression of the sciatic nerve from herniated disc, bone spur or narrowing

of the spine. Patient may also feel numbness in the affected leg. 

*The word "Sciatica" is exactly used for pain originated due to injury to the sciatic nerve but now a days any pain started from lower back to the leg is called sciatica.

*Sciatica is a common complaints that people are suffering from. Almost 40% people suffer from it. And its a symptom not the condition. 

 *Most of the pregnant ladies may get the sciatica during their pregnancy because of hormone which causes loosening of the ligaments resulting unstable spine.And finally chances of slip disc increased.

                                                             Fig-Sciatica in pregnant lady 

*Anyone between the age group of 30-50 yrs may get the sciatica. 

Symptoms: 

1. Location-Pain starts from the lumbar region of spine & radiates to buttock & down towards the leg. This is the "Hallmark of Sciatica". Sometime pain also radiates to front of the leg.

1. Character- There will be an excruciating kind of pain from mild to severe . Sometime patient has burning sensation and sometime its like electric shock.Pain  may be sometime constant or comes & goes suddenly. 
2. Sensation- There is a numbness or tingling sensation in the affected leg.

Causation: There are two(2) major reasons for compression of sciatic nerve to cause pain. 

1) Herniated Disc of spine 2)Spinal Stenosis and 3) Very rarely a Tumor in spine.

Herniated Disc of spine- This is the most common cause of the sciatica. It creates a pressure on the nerve root. Because of this pressure on the root the nerve, central part of the vertebral disc which is gel like,bugling out through the vertebra & compresses the sciatic nerve. About 1-5% people have slip disc at certain level in their life.

                                                                 Fig-Vertebral disc

Spinal Stenosis- Spinal stenosis is a degenerative disc disease which reduces the space between the vertebrae. Because of this low available space, there would be pressure on the spinal cord & nerves. This is very common in old age group people. 

                                                                     Fig-Spinal Stenosis   

Spondylolisthesis-When one vertebra overlaps over the another, this condition is called spondylolisthesis. Due to this, space for the nerve entry is reduced & it can pinch out the sciatic nerve. 
Trauma/Injury- Any trauma or injury to sciatic nerve may cause the sciatica. 
Tumor- Any tumor in the spine especially in lumbar area may compress the sciatic nerve and resulting in sciatica.

                                                                Fig-Spinal Tumor

Piriformis Syndrome- This is very rare & uncommon neuromuscular syndrome in which piriformis muscle becomes tight enough placed deep in buttock.This muscle is placed directly above the sciatic nerve and it causes pressure or irritation on the sciatic nerve if gets affected like spasm.  

Risk Factors: 

1. Age- whatever problems  you are suffering from, there is always an age related risk factor  & same in sciatica too. With the advancement of age, there is narrowing of the spine resulting in bone spur causing the compression to the sciatic nerve resulting in pain. 
2. Obesity-Obesity is one of leading rick factor behind most of the problem like Hypertension, Diabetes etc. Excess fat due to obesity creates a pressure upon the sciatic nerve resulting in sciatica. 
3. Occupation-Sometime your occupation may also play a risk factor for sciatica. Occupation like caring heavy loads, making your body twisting frequently may affect your sciatic nerve but it rarely happens. 
4. Sitting- Sitting for a long time in a position may also affect your sciatic nerve. This is found in slow active people more than in active people.
5. Diabetes-with diabetes chances of nerve damage increases & that increases the chances of sciatica.

Complication: In most of the cases people get recovered from sciatica either with home remedies or if not done, some simple treatment. Its very rarely complicated in following forms. 

1. Complete benumb condition of the affected leg resulting in Drop Foot.
2. Weakness of the affected limb 
3. Bowel or bladder function hampered 

Diagnosis: We may diagnose the sciatica with numbers of laboratory tests available as of now. But it all depends on the need that test the basis of the symptoms of the patient. 

                                                                   Fig-SLR Test

1. Straight Leg Raise Test-This is the clinical procedure where you have to lie on the floor straight overr you back on the floor & both legs should be straight. Then slightly raise your leg keep it stretched as maximum as you can, if you feel at certain point then  mark that point  because that may be the pin point for nerve involvement. 
2. X-ray- A simple pain x-ray of spine may figure out the bone spur or herniated disc.
3. MRI- With this procedure we can see the cross section images of the spine & a details study of bone and soft tissue.
4. Electromyography(EMG)-This is the confirmatory diagnosis to find out the narrowing of spine via impulses produces by the nerve & your muscles responses. 

Management & Treatment:

Managements

1. Exercise-Doing regular exercise is the most important preventive measure for sciatica. 
2. Posture-Sitting posture is also very important to maintain your muscles curve & alignments. 
3. Cold packs- Cold application over the affected area may relieve your pain. This should be done 3-4 times in a day.
4. Hot packs- Sometime hot application may also give some relieve. You can use it as per your comfort. 

Treatments

A)Conventional Mode of Treatment: 

Most of the consulting physicians practicing the old school medicine and give the muscle relaxants & medicines depending upon your level of your pain. 

Depending upon the cases anti-inflammatory drugs & corticosteroid injections are also given to relieve the pain &swelling of the affected nerve. 

If you are responding to the above the line of treatments, your physician may think about the surgery but its very rarely indicated. If your pain is at the severe level with extreme weakness of lower extremities & also you have somewhat lost the bladder & bowel control, then only your doctor may advise the surgery for you. But you doctor consider the surgery within a year of your sufferings. Now in this regards, two(2) kind of surgeries are considered:-

1)Microdisectomy-

   This kind of surgery is especially performed when the herniated disc is the cause of sciatic nerve. It is one the minimal invasive surgery via which a fragment of herniated disc is removed,which is responsible for creating a unnecessary pressure on the sciatic nerve. 

2)Laminectomy-

   This kind of surgery is performed to remove the lamina of the vertebra because in some cases it may cause the pressure on the sciatic nerve. 

 

B)Alternative Mode of Treatment-Homoeopathy:

As I always say, there are many modes of treatment available in our great country India for any kind of diseases.

But people mostly prefer to take it from Old School of Medicine(Allopathy) as their first choice and when some percentage of them do not get any satisfied results , they would take a move to other options available in medical field.

Yes, here we are talking about the world's 2nd largest practicing system of medicine called Homoeopathy.But it does not mean that you should not take Old School of Medicine in your first choice because here I am just expressing the people's thought that I have been seeing in my day to day practice.

Homoeopathy has a great scope for treating the every kind of disease for last 200 years. And had been giving the wonderful satisfied results so SCIATICA can be also treated & managed very well in Homoeopathy. And yes, it does mean that you have to stick to the treatment for a longer period. Its a magical treatment & its the only  pathy which can cure the Sciatica forever. 

If other health conditions is a cause,medical treatment is necessary accordingly. 

Medically there are many treatments available in market as of now with different names as per the different company establishments but motive of  all those treatments available in the medical field is only to give a better relieve not the cure.

Following medications  you may opt for your sciatica. So, before opting any kind of treatment you should have a proper consultation with Dr.

 

You may consider following remedies as per their indications:-

1. Ammonium mur: Severe long continued sciatica, pain in left side, > by slight walking & relieved by lying down . Tearing,stitching & ulcerative pain in heels> by rubbing , < at night in bed. 
2.  Angustura: Boring & laming type of pain along the sciatic nerve on the posterior part of thigh. When stretching , a pressing kind of tension in the anterior muscle of thigh. 
3. Argentum nitricum: Ischias antica,cramp like pain from hip down to knee, paralytic weakness of limb < mornings but especially after dinner.
4. Calcarea carb: Sciatic pain caused by working in water, < from limb hanging down and > by elevating the knees.  

                                                     *Homoeopathy-All In One*

"Boils & Abscess with Homoeopathy"

 Its very strange to know that people are still with doubt in their mind for Homoeopathy whether this pathy would help or not. However, its a fact to be known by everyone now that Homoeopathy is a proven science & it works. By seeing this scenario in this era, now I can clearly understand that our pathy has still a long way to go and that is a good thing because stagnation is a sign of decline. 

Why  I am saying this because a person came to my clinic with this kind of thought with his 4 year old daughter. Just after entering the Doctor cabin he asked me the very common question about her daughter's complaint, could it be cured???. And what a astonishing expression he had at that moment. 

This type of question comes to a person's mind from two(2) preferences, firstly, he had tried all the possible ways or pathies to get ride of the complaints from which her daughter suffering or he has no any believe in our pathy just to take a chance. Here, that person came from the first preference because he has tried all the possible ways for his daughter. 

A lean thin emaciated girl child sat beside me with no expression on her face, extended hands facing towards me and telling me by her gesture doctor please cure me. Girl sat very silently. Both the palms & soles are covered with boils & abscess and crusty ones after discharge of pus & blood.

                                          BEFORE 

She did not mutter a single word during the history taking and mostly from her father I had to take the details & others. Whatever I asked, her father explained me in detail but after giving  more than 1/2 an hour I could not find anything on which I could prescribe any remedy to the baby. After finding  nothing alarming for any remedy I have decided to given the PLACEBO-The 2nd Best Remedy as of now but before finalizing the prescription baby's father told me in requesting mood that doctor if possible kindly give some medicine also for her stool problem.It was the moment he told me & I asked what stool problem she has???. 

Then her father told, doctor she has a very bad habit you know, she never did her potty by sitting. "Actually she only passes her stool or may be she feels better to pass her stool in standing position." After listening this from her father, the remedy automatically comes to my mind for her & It was the CAUSTICUM. Then Causticum 0/1 was prescribed for her Boils & Abscess and asked to review after 21 days. 

After 21 days, when I just saw the patient, child was totally changed like a smile on the face, physical activity like a child, means I could not believe she was that patient. A charm on her face has returned & that expression was saying, " Doctor I am getting well now". This is the magic of HOMOEOPATHY and that's why I always say,  Homoeopathy-All In One. What a wonderful pathy our Master Hahnemann has given to us and still some Homeopaths are not utilizing its magic. Anyhow, Master Hahenmann always said, try to find out the uncommon peculiar symptoms of the case because that will be the key point in your prescription. What he had told us 200 yrs back & now we are experiencing this still today. In the same manner Causticum 0/4 lastly given & she had cured from long standing Boils & Abscess. 

                                                      

                                                                          AFTER  

Now this  is the pathy which cured her long standing problems even & she is now from from any healthy issues. Not only the skin problems she is also free from her peculiar nature of passing stool, which is not even understood by physicians of Old School of Medication. Because they only consider the material body not the individual person at all. 

This is the magic of Homoeopathy & we can see how Homoeopathy is effective even in those cases which is neglected by Old School Physicians & not recovered by anti-biotics & all. 

                                                              

                                                          *Homoeopathy-All In One*

"Peripheral Artery Disease & Homoeopathy"

 Definition: Peripheral Artery Disease also named as Peripheral Arterial Disease is a clinical condition characterized by less blood flow to the lower limbs due to narrowed lumen of lower limbs arteries. Its one of the common circulatory problem of lower limbs. Its also called Peripheral Vascular Disease.

Features: 

1. It may also affect your arms but mostly the lower limbs are involved. 
2. Its a sign of fatty deposits in lumen of your arteries commonly known as atherosclerosis. 
3. It lowers down the blood flow to the kidneys,stomach & arms. 
4. Americans are mostly commonly affected by PAD than any other racial groups.
5. Males are frequently affected than females. 

Clinical Features: 

Mostly the people are not aware that they are suffering from PAD because its asymptomatic & they suddenly diagnosed with it as they face sudden cramp  & pain in lower limbs. 

1. Cramping may in hip & calf muscles after physical activities like walking, stretching arms or climbing something. You may also feel pain. 
2. Weakness and numbness of leg 
3. Coldness of the affected leg in compare to other leg .
4. Changes in the color of affected leg in compare to other. 
5. Hair loss in the affected leg or less growth of hairs in compare to other leg.
6. More glowing of skin in the affected leg.
7. Erectile Dysfunction in men .
8. Brittle toenails. 

Causes: 

Atherosclerosis: Atherosclerosis is the prime reason for the PAD. It cause shrinkage of lumen of arteries resulting in less flow blood. Usually it occurs in arteries of heart disease & all over the body but when it happens to limb, it causes PAD.

In atherosclerosis there is formation of plaque inside the lumen of arteries due to presence of fat & Cholesterol. Their formation process is very slow even we are unaware about. It makes our arteries harden & narrow & ultimately arteries lumen becomes smaller which would not allow to pass much blood flow.

     2.Risk Factors: There are certain factors which can enhances the condition.

-Family History of similar disease. 

-Diabetes

-High Blood Pressure

-High Cholesterol. 

-Smoking

-Obesity 

3.Complications: If PAD is caused by some deposits in your blood vessels, it may lead to following complications. 

a)Critical Limb Ischemia- Ischemia is a condition where there is less oxygen supply to the cells due to less blood flow. So, when there is any injury or infection in the limb & not treated for a long time it may leads to gangrene & amputation of limb is done. 

b)Stroke- Once atherosclerosis happened to the limb, it may not be limited to limbs only.Fatty deposits may also affect  your  heart  & brain. 

Diagnosis: PAD is easily diagnosed by following.

1.Physical Examination: There is weak or loss of pulse below narrowed area of artery. A whooshing sound will be there & cab be heard easily by stethoscope. Poor  healing of wound in affected area. 

2.Anti-Brachial Index: PAD is diagnosed by measuring the pressure in leg & arm and then comparing it..

3.Ultrasound: Doppler ultrasound technique is used to see the blood flow to the artery & also it is visualized the blockage arteries. 

4.Angiogram: Its a confirmatory test by which doctors easily diagnose PAD. An dye has been put into your blood stream and then X-ray has been taken out to see the blockage of arteries. 

5-Blood Test: Blood test should be done to find out the risk factors. 

Management & Treatments:

1. Diet:Try to take a healthy diet & maintain a healthy weight. 
2. Monitor Your Health Issues: Check out your existing health issues like  High Blood Pressure, Diabetes & Cholesterol & maintain at the optimum level because all of them are risk factors for PAD. 
3. Physical Exercise: Exercise regularly like 30 to 45 minutes 3 days in a week. Physical activity is the most important tool to make it better.Most of doctors recommend this to their patients.This simply increases the blood flow  to the extremities.
4. Stop Smoking: Smokers have 4 times higher chances to get PAD than non smokers. They have also high chances to get heart disease & stokes easily.  

There are several remedies in the Homoeopathy which are really helpful in PAD. 

1.Arnica Montana: Arnica acts as a blood thinner and it helps in prevention of thrombus formation. 

2.Aurum Metallicum: Aurum Metallicum is one of the great medicine for Peripheral Artery Disease.There is valvular lesion with high blood pressure. Rapid, Feeble & irregular pulse. Patient is  mentally depressed with suicidal tendency. 

3.Baryta Carb: It also very helpful medicine for PAD. Pulse hard & full with rapid pulsation when lying on left side. 

Like this there several other remedies in homoeoopathy, which are very usable in Peripheral Artery Disease. But you should always consult your nearby homoeopathic physician. 

                                                          *Homoeopathy-All In One*

"Hemorrhoids & Homoeopathy"

 In the past few weeks there were many patients to whom I have consulted regaring their acute & chronic diseases.Most of them are better now and few are under the convalescence period. But among them there was a very interesting case which was really an inspiring case for us. Today we elaborately will discuss about that case. 

It was a case of Hemorrhoids. But before we discuss how inspiring that case was we should  have a solo knowledge about the diseased condition that patient was suffering from.

                                                                Fig-Hemorrhoids

Hemorrhoids: Heamorrhoid is nothing but a varicose condition of the anerectal region  where veins become dilated,elongated &  tortuous. 

Types: Broadly it is categorised into 2 major types 

1)External:- In this type, veins are covered by skin. 

2)Internal:- In this type, veins are covered by mucous membrane. 

In some cases existence of 3rd type is also noticed called interno-external where upper part covered by mucous membrane & below one is covered by skin. And this is the advanced stage of heamorrhoid. Clinically it is seen that most of the heamorrhoids are internal one. 

Etiology: There is no exact reason for varicosity of veins but etiology for the same divided into 2 major groups A)Primary B)Secondary 

A)Primary

a)Anatomical Factors: Anatomically there are certain factors which accelerate the conditions.

1) Veins in anal region lax the sub-mucous coat  

2) There is no valve present in veins 

3) Veins flow against the gravity

4) Contraction of muscle during defeacation. 

b)Hereditary Factors: Congenital weakness may be sometime responsible for varcosity of veins. 

c) Exciting Factors: Exciting factors like long continued straining, contipation & colitis nay be act as exciting cause. 

B)Secondary 

1) Carcinoma of rectum

2)UterineTumor

3) Enlarged Prostate 

4) Portal Hypertension, systemic hypertension etc. 

Clinical Features:

Symptoms:-

-There must be a history of constipation.

-Patient complaints of blood coming with stool & sometime blood may be fresh so its called Bleeding Piles. 

-Condition is mostly painless but in some circumstances there may be pain. 

On Examination:-

1)Rectal Examination-In severe cases when veins getting heavy in varicosity, the adjacent mucosa hangs loosely from the anal opening & there may be anal prolapse also.

Depending upon the prolapse, piles graded into different degrees.

                                                         Fig-Stages of Piles 

a)Ist Degree: No mucosal prolapse. 

b)2nd Degree: Prolapse due to defecation but returns back again. 

c)3rd Degree: Prolapse due to defecation but has to reduces manually .

d)4th Degree: Always prolapsed 

2)Digital Examination-Actually piles can be detected by the digital examination but it reveals the carcinoma of anus. 

3)Speculum Examination-With help of  proctoscope pies are easily visualized where exactly it is positioned. Basically piles are seen in 3,7 & 11 O'clock position.  

So, this is a short description about the piles to keep ourselves updated with this knowledge.Now lets come back to prime discussion how that patient did get  a magical cure.

At around 7 to 8 O'clock in the evening a handsome guy tall,fair in complexion with light hair color with red blushing skin just like imparting redness, entered in my clinic with his fellow friend. And without taking a formal permission he just took his seat along with his friend.After being comfortable in the seat patient's friend then started explaining the patient's complaints in the first instance. Then later on patient himself joined that conversation with me & tried to explain his complaints more elaborately. Till now his friend was giving just the overall complaints of the patient at very superficial level like burning at anus for last few weeks with pricking pain & little bit bleeding too, along with a small nodular mass at the end. Then patient gave an striking history of his complaints.

We the homoeopaths always search for the history because history is one of the most important point in the selection of a remedy, like history of injury , history of suppression etc.Anyway, then patient told me in very desperate way doctor, do you know? this is not the first time I have been suffering from this problem. I had been with this problem 6-7 yrs back also but that time its was very severe & that problem made me frightened & due to that I had to go for the operation at that time. But that was not my desire yet and I had applied multiple ointments also to avoid the operation, then I had found unfortunate one. 

Anyhow, doctor I d'not want to go for operation any more.Please do something for me doctor. This is the whole scenario that patient had expressed in front of me. Now the main task begins  like what would be the remedy & how we will going to select it?

After that I did take whole case history & then finally I prescribed Sulphur 30 two doses in sac.lac & placebo in globules for mental satisfaction of the patient. I also give the Calendular Q for sitz  bath for 2-3 times in day. After 2 weeks of consuming the prescribed medicines, patient did not give any response whether its helping him or not? Suddenly, after 3 weeks Patient came with whole family for the consultation. By seeing this scenario I assumed that patient would get some relieve only & that kind of expression patient had too. Anyhow I finished my consultation for his family. Then at last he came for his follow up, now he told me that doctor what a magical medicine you had given to me, its all gone now. NO burning, NO pain & NO any mass there. Its all gone forever.  You could not imagine how a doctor feel when his patient said that he is better, his problem recovered. But being a doctor we should always cross examine, only we fully believe whether this patient is saying right or not. After verification I found that  this patient is CURED now.

This is magic of homoeopathy and we can  see how homoeopathy is effective in even in those cases where surgeries suggested to the patient.That's why I always said " Homoeopathy-All In One".

                                                                " Homoeopathy-All In One"

"Homoeopathy-The Safest way of Medication for Pregnancy"

Pregnancy: Pregnancy is just a word but when we listen this word ,we become very concern & alert automatically because its related to giving a birth to a new life. So, whenever anything is given to the mother during pregnancy, we have to be very careful and most important if we give any medications and even we do cross check double & triple time before the giving whether it will not give any adverse effects. 

It is a pysiological condition where a female bears the development of a fetus in her womb for about 38-40 weeks. Its a very complicated one & we have to salute our females for bearing the same.

Fig-Homoeopathic Medicine

During this period people always search for natural & effective way of treatment available in medical field & this search ends with Homoeopathy. Females during pregnancy have to take  a lots of Old School Medications(Allopathy) and because of those medications they have to face certain adverse effects too. So for that effects if you are searching for a effective natural treatment homoeopathy is the best option to chosen from the different mode of systems of medicines. 

Homoeopathy & Its Medicines : Homoeopathy is a modern system of medicine where medicines are prescribed on the law of  "Similia Similibus Curantur" which means like cures like.

Homoeopathic medicines are prescribed on the symptoms similarity & given specifically to stimulate your immune system so that our diseased body may return to healthy one in the safest way without any side effects. Homoeoopathic medicines are 100% natural & safe so can be given during pregnancy for any complaints. These  medicines are proved on healthy human beings so there would not be any side effects if given on the basis of simila similibus curantur.

                                                                       Fig-Pregnancy 

Now a days homoeopathic medicines are considered as herbal medicines but herbal one & homoeopathic medicines are completely different. Homoeopathic medicines are associated with herbal but they are not the herbal medicines. Herbal medications are old school medicines made on the basis of pharmacology but homoeopathic medications are made on the process of dilutions & secussions with minimum dose so there would not be any chance for any adverse effects.

Homoeopathic medicines are not the chemical drugs & they are  given in very minute dilution doses so it will neither harm mother nor baby. 

Homoeopathic Medicines for Complaints during Pregnancy with Management:

A.Constipation: Due to increased level of progesterone during pregnancy it causes slow peristaltic movement resulting in hard stool & constipation. 

Management:

-Take meal a regular time interval so defecation would be regular.

-Drink enough quantity of water like 10-12 glass of water /day .

-Add more fibers in your diet so constipation will be better. 

-Do a little exercise on regular basis. 

Medicines:

1.Sepia: Ineffectual urging to pass stool which is hard with downward sensation in stomach.

2.Nux Vom: Continued ineffectual urging  for the stool with a feeling that something still not done along with urine. Stool hard & knotty. Loud flatulence rumblings especially after eating.

3.Opium: No desire to pass the stool but when go, pass small hard stool like dark balls.

4.Alumina: Hard knotty stool with no desire to pass stool, evacuation  preceded by painful urging before stool & then straining at stool.

B.Anxiety 

1.Ars.Alb: Anxiety especially between 12 a.m to 2 p.m. 

2.Arg.Nit: Especially given for calming down the nerves leading to the happily event called delivery.

C.Morning Sickness & Nausea: This is very common complaints that most of the women suffer but it settles down soon after the Ist trimester. But if this complaint persistent for a long time, medical intervention needed. 

Management:

-Take small meal at regular interval to avoid the emptiness of stomach. 

-Try to take simple food & avoid spicy rich food & fried food. 

-Drink sufficient sufficient amount of water like 2-3 lit/day.

Medicines: 

1.Sepia: Especially at the sight & smelling of food. Sepia is one of the most important remedy for this complain during pregnancy. 

2.Tabacum: Especially from tobacco smoke & vomiting.

3.Nux Vom: Especially it whole gastro-intestinal system is involved so it reduces the irritability of whole GI system.

 4.Symphoricarpus Racemosa: Especially for persistent vomiting .

5.Ars.Alb:  Great debility & exhaustion with restlessness. Vomiting if anything liquid taken.

6.Epecac: Persistent vomiting with clean tongue & no thirst.Vomiting may be greenish with colicky pain in abdomen.

D.Heartburn & Acidity: This is present commonly during pregnancy. Its due to back flow of acid contents of stomach through esophageal sphincter. 

Management: 

-Avoid taking coffee, garlic & onion because these food aggravate the complaints. 

-Not eat anything especially 2-3 before going to bed, try to keep head raised as it reduces the chances of reflux. 

Medicines:

1.Ars.Alb: It reduces the burning due to indigestion especially at the pit of stomach. It helps the burning by sipping of water.

2.Nat.Carb: Its one of important remedy for females during pregnancy for weak digestive system and aggravated by  daily products. 

3.Nat.Mur: Its reduces the water mucous associated with sneezing in morning. 

D.Haemorrhoids: Straining at stool & prolong sitting may cause the inflammation of varicose veins & resulting in bleeding during stool .

Management: 

-Do not strain much during stool.

-Try to take frequent warm baths.

Medicines:

1.Collinsonia: Most commonly indicated medicines for haemorrhoids during pregnancy. 

2.Lachesis: Especially during the ist month of pregnancy. 

3.Sulphur: Intolerable itching &  burning at anus < night .

 

                                                         *Homoeoopathy-All In One*