International Journal of Homoeopathic Sciences

Background: Hemorrhoids are one of the most common anorectal disorders, affecting nearly 50% of the population by the age of 50. They result from multifactorial etiologies such as chronic constipation, prolonged straining, vascular dilatation, and connective tissue degeneration. Conventional management often requires surgery in severe cases, but Homoeopathy offers a promising individualized and pathological prescription-based approach.

Case Presentation: A 50-year-old male presented with severe burning pain during defecation and a mass per rectum for 15 days. Local examination revealed a single, smooth, tender swelling at the anal opening diagnosed as grade 2 External Hemorrhoids. Symptoms were aggravated by cold water and sitting, and ameliorated by warm water washing.

Intervention and Outcomes: The patient was initially prescribed Ratanhia 200, Hamamelis Q, and Aesculus ointment, followed by Aesculus 200. Despite improvement in swelling, persistent burning aggravated by cold water led to repertorization using the Synthesis repertory, which indicated Arsenicum album. A single dose of Arsenicum album 200 provided complete and lasting relief. Follow-up after one month showed complete resolution of pain and swelling. Modified Naranjo Criteria yielded a score of +7, supporting a positive causal relationship between the remedy and clinical outcome.

Conclusion: This case highlights the effectiveness of Individualized Homoeopathic treatment, supported by pathological prescriptions, in managing Hemorrhoids without surgical intervention. It demonstrates that partial relief may be achieved even without full individualization, while final remedy selection through repertorization can bring complete cure. Homoeopathy, complemented with lifestyle modifications, offers a safe and holistic approach to Hemorrhoids management. To confirm these results, more extensive research is needed.