International Journal of Homoeopathic Sciences

Haemorrhoids are common anorectal disorders characterized by dilated and displaced vascular cushions of the anal canal, frequently presenting with bleeding, pain, itching, and prolapse. Chronic haemorrhoidal disease significantly affects quality of life and often leads to surgical recommendations when conservative measures fail. Homoeopathy offers an individualized, non-invasive therapeutic approach aimed at addressing both local pathology and constitutional susceptibility. This case report documents the successful management of chronic bleeding haemorrhoids using individualized homoeopathic treatment.

A 63-year-old female presented with a two-year history of recurrent protrusion per anus associated with intense itching, burning pain, and intermittent bleeding, aggravated during and after defecation and by dietary factors. The condition was unresponsive to conventional medical management, and surgical intervention had been advised. Based on a comprehensive evaluation of her local symptoms, general modalities, past history, and emotional state, Nitric acid 0/3 was prescribed. Clinical progress was objectively assessed using the PNR bleeding classification system.

Within two weeks of treatment, rectal bleeding significantly reduced and subsequently ceased. Progressive improvement was noted in burning pain, itching, and prolapse, with complete relief achieved by the fourth follow-up. The PNR bleeding score improved from 13 at baseline to 4 after treatment, indicating a sustained therapeutic response without recurrence. This case highlights the potential effectiveness of individualized homoeopathic management in chronic haemorrhoids, offering a safe, economical, and patient-centred alternative to surgical intervention.