Perianal abscess, constipation 11573...India
A 27-year-old man visited the practitioner with a painful boil near the anal region, this had been troubling him for over two months. The pain was severe enough to affect his posture and gait, making it difficult for him to walk upright. Upon further inquiry, it was revealed that he had poor water intake and was having only three bowel movements a week over the past year. His stools were hard, and he was not taking any treatment.
On 21 Nov 2022 he was given:
CC4.4 Constipation + CC10.1 Emergencies + CC20.1 SMJ tonic…TDS
In addition, the patient was advised to increase his daily water intake to 2 to 3 litres and adopt a fibre-rich diet.
On 20 Dec, the patient reported complete relief, the boil had vanished, pain had subsided, and he was having regular daily bowel movements. On 21 Jan 2023, dosage was reduced to BD and tapered off gradually before stopping on 20 June.
As of April 2025 he remains symptom-free, with no recurrence of a boil or constipation.