Dr. Sanjeev Singh Chawla

DHMS(CHD), BHSD
HOMOEOPATHIC PHYSICIAN AND CONSULTANT

Dr. Sanjeev Singh Chawla is the second generation of doctors in his family carrying over the legacy of his father Dr. Lal Singh's Vision, “Homoeopathy to be the first line preferred choice of treatment.” Inspired and motivated by his father's vision Dr. Sanjeev Singh Chawla's mission was also aimed to set new standards for Homoeopathy, making the science most popular system of medicine benefiting the suffering humanity by preventing, early detecting and curing diseases to make everybody healthy by using all its natural laws and remedies. 

Highly impressed by his father's dedication and love for humanity Dr. Sanjeev Singh Chawla joined the same stream of medicine and graduated in the year 1991 from Homoeopathic Medical College, Chandigarh. As he has inherited all his professional qualities from his family tree and his 3rd decade of medical career is full of successful memories of curing simple to even worst diseases. He never worked for awards but awards followed him. Not only as a doctor but also a genuine human being who is totally focused to his patients a simple positive note of life against any odds.

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What is homoeopathy?

Homoeopathy is the most refined natural system of medicine which is founded and based on the Natural law of 'Similia Similibus Curantur' means 'let likes be treated by likes' and the word Homoeopathy also advocates this where 'Homoeos' means 'Similar' (not same) and 'Pathos' means 'Suffering'. Came into existence in 18th century and founded by Dr. Christian Friedrich Samuel Hahnemann, a famous German physician of allopathic medicine who was disappointed by the uncertainty and lack of any fixed principal of healing. In 1790 while translating Cullen's 'Materia Medica' from English to German he became highly dissatisfied by reading that Cinchona bark cures malaria because of its bitterness by which it kills the parasite. To prove this he himself started taking the cinchona juice twice daily for few days he was surprised when attacked by the symptoms very similar to malaria. This unexpected result set up in his mind a new chain of thoughts and he conducted similar experiments on himself and others with different medicines and the result was same and came to conclusion 'that medicines cure diseases only because they can produce similar symptoms in healthy individuals'. The whole of Homoeopathy is derived from this law.                        Readmore...

 

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Anal Fissure Expanded Information

An anal fissure (fissure-in-ano) is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. Fissures are quite common in the general population, but are often confused with other causes of pain and bleeding, such as hemorrhoids.

Anal fissures can occur at any age and have equal gender distribution. Most (85-90%) fissures occur in the posterior (back) midline of the anus with about 10-15% occurring in the anterior (front) midline. A small number of patients may actually have fissures in both the front and the back locations. Fissures located elsewhere (off to the side) should raise suspicion for other diseases (see below) and will need to be examined further.

WHAT ARE THE SYMPTOMS OF AN ANAL FISSURE?

The typical symptoms of an anal fissure include pain and bleeding with bowel movements. Patients note severe pain during, and especially after a bowel movement, lasting from several minutes to a few hours. Patients often notice bright red blood from the anus that can be seen on the toilet paper or on the stool. Between bowel movements, patients with anal fissures are often relatively symptom-free. Many patients are fearful of having a bowel movement and may try to avoid defecation secondary to the pain.

WHAT CAUSES AN ANAL FISSURE?

Fissures are usually caused by trauma to the inner lining of the anus. A hard, dry bowel movement is typically responsible, but loose stools and diarrhea can also be the cause. The inciting trauma to the anus produces severe anal pain, resulting in anal sphincter spasm and a subsequent increase in anal sphincter muscle pressure. The increase in anal sphincter muscle pressure results in a decrease in blood flow to the site of the injury, thus impairing healing of the wound. Ensuing bowel movements result in more pain, more anal spasm, diminished blood flow to the area, and the cycle is propagated. Treatment strategies are aimed at interrupting this cycle to promote healing of the fissure.

Anal fissures may be acute (recent onset) or chronic (typically lasting more than 8-12 weeks). Acute fissures may have the appearance of a simple tear in the anus, whereas chronic fissures may have swelling and scar tissue present. Chronic fissures may be more difficult to treat and may also have an external lump associated with the tear, called a sentinel pile or skin tag, as well as extra tissue just inside the anal canal, referred to as a hypertrophied papilla.

Quite commonly, anal fissures are misdiagnosed as hemorrhoids by the patient or the primary care physician due to some similar symptoms between the two. This delay in diagnosis may lead to an acute fissure becoming a chronic one and, thus, more difficult to treat. Misdiagnosis of an anal fissure may also allow other conditions to go undetected and untreated, such as serious infections or even cancer. These less common causes of fissures include inflammatory conditions and certain anal infections or tumors, such as Crohn’s disease, ulcerative colitis, syphilis, tuberculosis, leukemia, HIV/AIDS, or anal cancer. These diseases cause atypical fissures that are located off the midline, are multiple, painless, or non-healing after proper treatment.

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