Tremor – Hands more in trouble

Tremor – Hands more in trouble

NERVOUS SYSTEM – Tremor – Hands more in trouble

Tremor means shaking or trembling or being unstable. Medically it is termed as paralysis agitans. Even though tremor is a simple and a non-life threatening disorder, it can make one’s mind collapse like the tremor of the earth. The sufferers who just will not be able to hold a cup of coffee to drink or who cannot sign will have that sort of mind. Nature will be appreciated for its coordinated movements when one loses them.

Tremors are shaky involuntary movements (occurring on their own) occurring just like tic, twitch, epilepsy, chorea, dyskinesia, myoclonus, etc. You cannot find a technique to stop it. It can occur in anyone at any time. It may be persistent or occasional, regular or irregular and usually has oscillatory character. It can occur in any part of the body or in the whole body, i.e., head, neck, hands, legs, trunk, tongue, etc. But its effects are more pronounced in the fingers/hands, since they are not always supported like other parts and also used for very fine movements. It may be accompanied by rigidity (tightness of the muscle) or flacidity of muscle.

Commonly, one will tremor when facing a new, tensed situation, unfamiliar circumstance or event, etc, i.e., while going for exam, attending an interview, meeting high officials, hiding the truth, signing important documents, etc. Having tremor at that time makes one feel embarrassed for fear of failure in task execution/skilled performance, even though they know and can do everything. In due course, they will be avoiding those occasions, making themselves functionally disabled or handicapped to that specific task. Most often, youngsters feel tremor as a part and parcel of sexual weakness which has been rewarded to them for their over sexual indulgences. Of course, tremor can alarm. But it need not to be related to that. Tremor occurring in cold temperature, i.e., shivering, is a compensative mechanism of the body to produce heat to combat cold.

Assessment –One would have tremor for very fine movement – like threading a needle, aiming for

a win in games like golf, billiards, carom board, shooting gun, etc. These should be considered as normal just like our oscillating mind. Medically, tremor will be associated with various activities and movements (with and without support), i.e., writing, lifting, touching tip of the nose by index finger of extended hand with closed eyes, standing erect with closed eyes, etc.

Incidences and causes – In olden days, tremor was more commonly seen in elderly people, but nowadays, worries, anxiety, tension, overtime job, sleeplessness pushes even youth to suffer from tremors. Additionally, the habit of stimulants, i.e., coffee, alcohol, smoking, drugs, adds fuel. Also using chemical medicines has this sort of tremor as side-effect. All incidences are seen more in people over the age of 50, irrespective of sex. It can occur due to unstable joints / movements and weakened muscles. Even though tremor can occur in the head, legs, body, vocal cord, etc., its incidences are more in the hands.

Regarding ultimate cause – most often it is found to be multi-dimensional with facets of age,

stress, tension, anxiety, sleeplessness, sugar level, genes, injury, stroke, paralysis, other diseases, etc. In broad spectrum it can be classified as

• Physiological tremors – that occur in everyone at any time, i.e., due to age, anxiety, fear, fatigue, tension and shouting with anger, lowered sugar levels, dehydration, alcoholism, withdrawal symptoms of alcohol, smoking, drugs, etc. They will go off once the situation or circumstance gets adjusted or with withdrawal of stimulants or drugs.
• Pathological tremors – occurs due to diseases like diabetes, neurological disorders, thyroid dysfunction, etc.
• Psychological tremors – are often induced to attract others for betraying their weakness – It will not be there during their sleep and while they are distracted.
• Essential tremors – are the most common tremors where one cannot find a cause. It may or may not progress to cause difficulty in day-to-day activities. It is more common in adults and often
  
  misdiagnosed in children.

Pathology – Tremor is supposed to be the oscillation between the coordination of mind and body. Stability and movement is usually carried out by our cerebellum i.e., hind brain. Our body positions are kept informed to the brain by vestibular apparatus in the ear. Scientific evidences have now proved and identified certain specific parts of brain which cause these tremors. They are thalamic nucleus, globus pallidus and basal ganglia. They are collectively called as central (neural) oscillators. Disorders in basal ganglia generate ‘Parkinsonism’. Dysfunction of cerebellum, thalamic nucleus and globus pallidus make other tremors.

Symptoms – usually vary depending upon the nature of disease and age of the sufferer. Commonly:

• Shaking or vibration or oscillating fingers/hands causing difficulty in performing day-to-day activities like writing, eating, drinking, shaving, dressing, etc.
• Needs support to stop tremors
• Stammering speech depending upon the disease caused and parts affected
• Fatigue and weakness
• Depression and sleeplessness

Types – There are many types of tremors. Its nature, intensity and possibility of cure vary according to the disease or cause. The different types of tremor are

• Action / intention tremor – occurs while starting / when intending to start / while doing functions / movements. It may be for fine or coarse movements or for specific task
• Resting tremor – most commonly it will be a symptom of Parkinsonism. Even though it can affect all parts of the body, most often it is noted in hands as pill rolling tremor.
• Cerebellar tremor – occurs due to alcohol intake, stroke, sclerosis, can be drug induced, etc. It can cause stammering and instability with lack of coordinated movements.
• Postural or orthostatic tremor – occurs due to instability or weak joint / muscles
• Familial tremor – are inherited. Here genes play a major role
• Dystonic tremor – occurs due to impairment in muscle tone. It will usually have betterment by support and rest.
• Senile tremor – occurs in aged persons

Diagnosis and investigation – Commonly, the patient himself comes with diagnosis or with suspicion of cause for actual complaint (when it is related to his habits or anxiety or tension). But the patient needs to be analysed with CT or MRI scan and EEG (if necessary) to rule out involvement of the brain. Also the patient should go for routine blood tests, urine tests and hormonal assay to analyse anaemia, thyroid dysfunctions, metal poisoning, etc. With detailed case taking or history, laboratory investigations and physical or neurological examinations, the patient can be diagnosed for the specific condition and treatment plan can be aimed at.

Complications – Feeling disabled or handicapped to do specific tasks in spite of having all the body parts makes one depressed. Also in severe cases, difficulty in coping with day-to-day activities makes the sufferer think if it is worth living.

Prevention and management – One needs to monitor stress, sleep, diet, medication and stimulants for preventing as well as managing tremor.

Be

• Open minded and share your feelings or fears
  
• Busy with work or job to forget all sort of illnesses
• Active and do physical exercises regularly
• Regular with medications

Avoid

• Racing against time
• Circumstances which favour anxiety
• Overloading brain / mind anticipating trouble
• Addictives – drinking alcohol / coffee, smoking and drugs
• Being more cautious about it since it makes the complaint progress
• Unnecessary medicines
• Stopping stimulants all of a sudden – better to taper it

General treatment – If tremor occurs only during fine movements, people usually manage by themselves without going for any treatment but if it disturbs day-to-day activities, one will get depressed soon and go for treatment at the earliest. One should be aware that it will be always worth attending a dysfunction in the start-up itself.

Commonly, neurotransmitters blockers or anti-seizure medicines or beta blockers, mild tranquilisers or calcium channel blockers with supplements are prescribed to treat tremors according to the causes. Actually, with treatment, many drugs can help but nothing seems to cure it ultimately. Also side-effects of the drugs can frustrate.

In rare cases, as a last resort, surgery (deep brain stimulation or thalamotomy) will be advised. Even though there are a good number of success stories in these cases, occasional failure or side-effects like loss of speech, paralysis, fatality, etc., make the sufferer think about it in extreme condition only.

Homeopathic approach – Suppressing a tremor can be done by any means, i.e., simple support can suppress the tremor, alcohol can suppress tremor, anti-seizure drugs can suppress tremor, sedative medicines can suppress tremor. But, their dependency, inconvenience, side-effects and increasing dosage in due course makes one seek alternative treatment to get rid of tremors. Stress reduction is crucial to have good effect, but constant suffering makes the sufferer more annoyed and would often increase it. In spite of it all, stress reduction certainly helps in getting out of tremors without side-effects.

With any system of medicine, early treatment is the best; if it is opted very late or in advanced condition, then any system will only be able to reduce it to a limit. Homeopathy is in no way

an exception to this. One would be compelled to accept this. But sometimes, with proper Homeopathy treatment, it can be minimised even to near normal without any side-effects. Selection of Homeopathic medicines usually depends upon the cause of the disease, nature of the illness, its progress and symptoms presentation. Also, the patient needs to be educated about the complaint, need for lifestyle changes (if any) and management, to meet life’s challenges easily without any dejection. Homeopathy can surely ease their condition further by supporting nerves, muscles, brain and coordinating their function for comfortable living.

Homeopathic medicines commonly used in cases of tremors are Agaricus, Ambra grisea, Apis mel, Aur met, Arg nit, Ars alb, Avena sativa, Belladonna, Calc phos, Cannabis indica, Causticum, Damiana, Ferrum phos, Gelsemium, Heloderma, Hyosyamus, Hypericum, Kali phos, Lachesis, Lathyrus, Lycopodium, Natrum mur, Nux vom, Physostigma, Plumbum met, Pulsatilla, Rhus tox, Selenium, Silicea, Stramonium, Strychinum, Tarentula, Valeriana, Zinc met, etc. These Medicines should be taken under the advice and diagnosis of a qualified Homeopath.

for new hope

Dr. S. Chidambaranathan, BHMS, MD (Homeo)

Laxmi Homeo Clinic

24 E. New Mahalipatti Road

Madurai, TN 625 001

India

Tel:  +91-452-233-8833 | +91-984-319-1011 (Mob)

Fax: +91-452-233-0196

E-mail:  drcheena@yahoo.com

www.drcheena.com / www.drcheena.in

(Disclaimer - The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)

Adenoids – Guards of the lungs

Adenoids

CHILDREN DISEASE – Adenoids – Guards of the lungs

Nose – the prominent attraction of the face – works as a passage, a filter and a humidifier of the air entering into it. It is a very sensitive part with rich source of blood supply, sensitive nerve endings, sinuses and glands. It further aids in phonation and smelling the odour which enhances taste. The action of the nose usually gets altered with environmental factors (i.e. temperature, high altitudes, humidity, etc.) and infection. Enlarged adenoids – one among the common nose complaints – often distract nose functions and can distort nose shape too in due course.

Adeno is the Greek word for gland. Medically, Adenitis is meant for infection of the gland (for eg – Lymph adenitis refers to an infection in the lymph gland) and adenopathy refers to diseases of the gland.

Adenoids are a pair of glands present normally in every one during childhood. It is placed between the nose and throat in the end of soft palate. Adenoids can be considered as the natural guards that protect our lungs from entry of disease or its agents, as tonsils do in the mouth. Adenoids, the tonsils of the nose, are also called Pharyngeal tonsils. It is mainly made of lymphoid tissue which works for immune/defense mechanism. Usually, adenoids shrink and get atrophied after the age of 8 and so it is considered of no use after that.

Adenoid’s functions are supposed to be:

• It monitors the quality of the air which enters our body
• It plays a major role in body immune mechanism, but most probably in childhood
• It traps the germs that enters into the body by its antibodies and drains it into the lymph vessels for drain or elimination
• By becoming a swollen inflamed mass, it alerts our body when any infection enters our body
• It is helpful in forming lymphocytes (white blood cells) which protect our body as defense mechanism.

Even though adenoid could do all these functions with its lymphoid tissue, our modern scientific era go on excising adenoids when it gets enlarged to show any symptoms. This shows our rudimentary knowledge in science still hasn’t realised its significance.

Hope, nature will teach us later. Nature never put anything as a waste or makes it useless.

Incidence – Adenoids are more common in children than adults since adenoid glands get atrophied after a certain period of life (mostly after the age of 8). Male children have higher incidences than female children. The reason is unknown. Also, it is more common in children who have allergies.

Causes – Usually, enlargement of the gland certainly indicates increased working of the gland i.e. reaction towards the disease or infective agents (bacteria or viruses or fungi). Sometimes even without any infection, the adenoid gland may remain swollen obstructing the airway. It also occurs as an allergic reaction to allergens, for example, pollens, cold stuff, food preservatives, drugs, etc.

Symptoms – The most common complaints of adenoids are repeated attack of cold, cough and nose block. The other symptoms of enlarged adenoids are:

• Difficulty in breathing – due to the blockage of airway by enlarged adenoid. This may lead to snoring. Whistling snore can be heard loudly at night due to more relaxed adenoid during sleep.
• Nasal discharges and nasal phonation
• Mouth breathing mostly at night, but in advanced cases, in daytime also
• Restlessness at night due to sleep apnoea (large pause between two breaths)
• Attention deficit and tiredness – due to restless sleep at night, there will be more tiredness during day time.
• Poor growth and development with air hunger and lack of appetite or aversion.
• Excess salivation and dribbling of saliva when mouth breath predominates to avoid dry mouth.
• Bedwetting

Children suffering from enlarged adenoids should be treated with immediate attention, since it often happens to persist as infective pockets which keeps spreading infection to the nose (to cause sinusitis), throat (to cause throat ulcers, tonsillitis) and ears (to cause pain and hearing loss). Normally, children outgrow the adenoids over time as adenoids usually get atrophied or shrunk (regress) in the second decade of life.

Complications – When infected adenoids are left untreated, infection can enter/spread to sinus or lungs or ear or digestive tract. Also due to constant nose block, oxygen quotient of the body will be lowered which will reflect in nutrition, growth and health status of the child. The sidetracked breathing technique (mouth breathing) in the long run will cause dull face or facial distortion like elongated face, high arched palate, protruding and prominent teeth, pinched nose with loss of furrows where it joins lips, etc. Sleep apnoea (i.e. pause of breath in sleep) can also occur rarely and threatens one’s life with chocking. Recurrent cold, cough, ear pain (CSOM – chronic suppurative otitis media) can cause tinnitus and hearing loss.

Diagnosis – Highly enlarged adenoids can be seen deep in the nose, when the nose is widened and examined with torch. Or otherwise (for small to moderate size) adenoids can be seen only with the help of special mirror designed to visualise the upper back of the throat. The following tests may be necessary to confirm it clinically.

• Endoscopy
• X-ray
• CT scan or MRI scans
• Blood analysis – Tc, Dc, Esr, Hb% to evaluate infection and its intensity

Prevention – Treating infections then and there and avoiding continuous allergic sneezing with proper medication will surely help prevent the occurrence or recurrence of adenoids.

Also caring for general health with nutrituous diet and good ventilation will make one stay away from infection, inflammation and enlargement of adenoid glands. Further, for prevention,

Avoid

• Blowing nose vigorously
• Acidic drinks like cold beverages
• Tin-packed foods with preservatives
• Direct blow of air from fan or air-conditioner

Use

• Room Humidifier when room heater is often used.
• Nasal spray to moisten the nose when it seems to be dry and irritated

General treatment – Nature and intensity of the adenoid complaints will usually vary from child to child. Generally, each and every child requires treatment according to the presentation of the complaints. Allopathy works mostly towards

1. Focus on infection – Anti-inflammatory drugs and antibiotics
2. Relief of pain or symptoms

a. For relief of pain – analgesic
b. For allergic conditions- Anti-histamine drugs

These methods of drug selection will always be followed to manage the situation or condition. In course of time, when the disease becomes resistant to antibiotics or any medicines, then as a last resort, to root out recurrent infection, doctors advice removal of the enlarged adenoids (adenoidectomy). Surgery has its own complications like weakening of immune mechanism, nose bleeding and rarely regurgitation of food / fluids into the nose. And in any way, before the age of 8, adenoids removal should be strictly avoided, since it plays a main role in immunity of the children. But after that, if the condition is absolutely necessary, i.e. mass is in huge size and fibrosed, obstructing the whole passage of respiration and doesn’t respond to any medicines at all, then it is better to go in for surgery to ease and free the respiration.

Homeopathic approach – Enlarged adenoids are not a pure surgical complaint. They can be cured in 70 – 80 per cent of cases. In Allopathy itself, there is a lot of controversy in removing adenoids and tonsils. They also switch over to surgical option only when complaints recur in uncontrollable intensity with resistance to antibiotic and other drugs.

Homoeopathy always follows Nature’s rule, so it never admits removal as a cure. It means healing as making healthy, not as removing. If you are going to remove, it is just like removing the guards who often get attacked by burglars while safeguarding us, which is not wise. The right way is that we have to make them strong to fight infection in a better way without any sensitiveness or allergic tendency. Homeopathy often provides it.

Homeopathy treatment is patient-oriented (i.e. not disease-oriented). It enhances and stimulates the immune mechanism of the sufferer to fight against disease or its agent on its own. It can also avoid allergic reaction in nose and adenoid enlargement, focusing and treating the patients with characteristic symptoms of patients i.e. in Homoeopathy, medicines are not selected to act against the disease or to kill the bacteria directly, but for increasing resistance, giving no chance for recurrence. Properly selected remedy quickly supports the body mechanism and clears the complaints at the earliest. Homeopathy reduces the size of the adenoids after controlling the infection and congestion.

Homeopathic Medicines commonly used in cases of enlarged and infected adenoids are Agraphis Nutans, Bacilllinum, Baryta carb, Baryta Iod, Belladonna, Bryonia, Calc carb, Calc flour, Calc Iod, Causticum, Cistus can, Hepar sulph, Hydrastis, Kali bich, Lemna minor, Lycopodium, Merc sol, Nux Vom, Phosphorus, Pulsatilla, Rhus tox, Silicea, Thuja, Teucrium, etc. These medicines should be taken under the advice and diagnosis of a qualified Homeopath.

for new hope

Dr. S. Chidambaranathan, BHMS, MD (Homeo)

Laxmi Homeo Clinic

24 E. New Mahalipatti Road

Madurai, TN 625 001

India

Tel:  +91-452-233-8833 | +91-984-319-1011 (Mob)

Fax: +91-452-233-0196

E-mail:  drcheena@yahoo.com

www.drcheena.com / www.drcheena.in

(Disclaimer - The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)

Anal complaints – Seat of disease

Anal complaints

DIGESTIVE DISORDERS – Anal complaints – Seat (of) disease

People often suffer from anal complaints when they suffer from digestive disorders. It can also happen vice versa. To understand all about anal complaints, everyone should know about the anus and its functions. Any complaint of the anus makes everyone restless and won’t let them take their seat. Also, most of the anal complaints are left untreated or maltreated due to shyness or shamefulness to discuss/show the thing. For example, people may complain of pile mass in anus, but it may actually be a residual of fissure (sentinel pile – skin tag of linear crack). Likewise, some others may complain of pus discharging boil near the anus, but actually it may be an opening of fistula (tunnel passage from anal canal).

For normal good defecation, a good digestion is ultimately necessary i.e. all the way starting from the mastication of food in the mouth. Our digestive tract starts from the mouth (entry door of food) and ends in the anus (exit door). Any food which enters the stomach needs to pass through the coiled small intestines, where most of the nutrients get absorbed. For getting the nutrients and water absorbed, food passes slowly through this long route by swaying motion of the intestines. After reaching the caecum (first part of the large intestine), food has to ascend with ascending colon and arches left with transverse colon and descend with descending colon of large intestines. Finally it will enter the rectum and anal canal to get expelled.

Anus – is the external opening of the anal canal through which faeces (waste product of digestion) are evacuated. It is guarded and controlled by the anal sphincters.

Anal canal architecture – The anal canal is about 3.5 cms long and it starts from the lower end of the rectum and ends in the anus’ opening. The walls of the anus are well guarded with sphincter muscles which always keep it closed, except during defecation. It is also designed in such a manner to control the release of air (flatus) and watery stools i.e. airtight and leak proof.

The anal canal is anatomically divided into two parts (namely upper part and lower part) by pectinate line (bluish pink ring). These two parts are different from embryonic origin, i.e. the upper part is originated from endoderm and it is covered with mucous membranes like covering of the oral cavity. It will be pink or reddish in colour. This upper anal part is supplied by autonomic nervous system and doesn’t have pain sensitive nerve fibres. So, it responds only to fullness and tightness of intestines. The lower part of the anal canal originates from the ectoderm and is covered by skin. It is usually brown or pale white in colour. Unlike the upper part, it contains sebaceous glands, sweat glands and cutaneous pain sensitive spinal nerves like normal skin.

Defecation – The act of passing stool is called defecation. Defecation is aided by the rectum and anal canal. Defecation can be initiated by increasing abdominal pressure, straining at rectum and anal canal, mind, habits, etc. Anus with brain control controls the defecation process accordingly by time, place and circumstances. The waste products, called faeces, which are excrement discharge of the bowels, are expelled through the anus. The intestines usually secrete, excrete and absorb. But the rectum and anal canal have less work in dealing with this digested food. The absorption of water and minerals are low or very little in the rectum and anal canal.

Normal faeces usually have a water content of 60-70 per cent, fat 15-20 per cent, nitrogen 4-5 per cent, inorganic materials 10-20 per cent. The bile pigments colour the stool as brown or yellow. If the content of fat in the stool is more, it makes it pale and to float. The bile pigments and other wastages are usually excreted through faeces. So even during fasting, a small quantity of faeces will be passed on.

Importance of defecation – Defecation is discharge or evacuation of bacteria-rich faeces from the body. It is very much important in letting out the waste and unwanted toxic substances from the digestive tract to avoid toxicity. Everyone would have heard of headache, abdominal discomfort, poor appetite, sensation of vomiting, etc., when there is defective defecation. For getting energy, continuous support or intake of food is necessary, but if the stool is impacted or stagnated due to defective digestion and assimilation, then the process will make any one to reduce/avoid intake of food.

Dysfunctions causing anal complaints

Constipation is infrequent and inadequate defecation without satisfaction. It may be due to

• Failure in developing habits
• Controlling the urge for a prolonged period
• Low fibre foods with more spices and chillies
• Liver disorders with defective digestion
• Drugs impairing digestion
• Defective expulsion due to nervous disorders or nerve damages

Diarrhoea is commonly called increased motility of the bowels resulting in frequent evacuation of watery stools with uncontrollable purging. While caring for loss of minerals, the strain of the anus should also be considered. Forcible expulsion of diarrhoea from laxatives or enemas can cause anal complaints like piles and prolapse.

Incidences – One who deviates more from nature in diet, living and sitting habits will usually suffer with anal complaints. Anal problems are rare in children due to their bland diet, unless pathological. The incidence of anal complaints increases with age factor and occurs more commonly in the 20 to 30 age group. Females suffer more commonly than males. Sufferers are mostly

• Travellers who sit for long
• Sedentary workers
• Lovers of chillies and spices
• One who have is prone to constipation
• One who has or is prone to diarrhoea
• Sufferers of liver disorders

Other suspected reasons for development of anal complaints

• Erect posture of man – The evolution of man from an animal on four feet to a human being on two feet is considered one of the main causes for anal complaints, when compared to other animals
• Hereditary – development of piles is often noted to run in families
• Physiological – Pregnancy and delivery can cause increased venous pressure and weakness of the anal canal, so piles or constipation can occur
• Physical strain – exerting while passing stool, coughing, weight lifting, etc., can cause piles, prolapsed anus, etc.
• Pathological – pelvic and rectal tumours, liver and portal vein disorders can cause piles
• Infections in skin and mucous membranes of the anal canal can cause boils and proceed to fistulas
• Blood vessels – due to valvular damage or back flow or resistance pressure exerted by obstruction or disease can cause dilatation of blood vessels
• Ligaments – defective support of anal canal can cause prolapsed anus
• Worries and mental strain can also cause havoc to intestines and anus

Diagnosis & investigations – Diagnosis of anal complaints can be easily made on examination of the anus with finger palpation / proctoscope / sigmoidoscope / endoscopy / barium meal X-ray / biopsy / stool examination, etc. Other than anal complaints, anal examination is also done to detect prostate enlargement in males and to detect the changes in consistency of the uterus, ovaries, cervix, etc., in females.

Complications – if any complaint is left untreated or maltreated, then danger begins to unfold. Infection, bleeding, extreme painfulness, prolapse and strangulation may occur, complicating in their own way.

Cautions and precautions:

• Move more towards greens and nature
• Don’t be sedentary and sit idle for a long time
• Keep good diet for good digestion
• Take plenty of water
• Take plenty of fruits/fruit juices
• Follow regular bowel habits to avoid constipation and strain

Follow hygienic measures in cleaning and caring

Avoid cycling

Common complaints often faced in the anus are:

• Piles or haemorrhoids – dilatation of veins of the anal canal (upper or lower part)
• Fissures – tear in lower sensitive part of anus, which is very painful
• Fistula – tunnel passage developed from boil which gets opened internally into anal canal
• Anal stricture – constriction of the part with the feeling of tightness or compression
• Itchy skin lesions including recurrent boils, since the anus is more prone to bacteria
• Incontinence – defect in controlling or with holding or postponing the defecation process
• Congenital deformities – like miniature anus, imperforate anus

To avoid discomfort, pain, bleeding and unwanted progress of the disease, treatment should be taken at the earliest to heal with all precautionary measures in food, restriction of work/bed rest and juice fasting. Best results are often shown when one reverts to nature in food and habits rather than treatment.

for new hope

Dr. S. Chidambaranathan, BHMS, MD (Homeo)

Laxmi Homeo Clinic

24 E. New Mahalipatti Road

Madurai, TN 625 001

India

Tel:  +91-452-233-8833 | +91-984-319-1011 (Mob)

Fax: +91-452-233-0196

E-mail:  drcheena@yahoo.com

www.drcheena.com / www.drcheena.in

(Disclaimer: The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)