Case Series on Individualized Homoeopathy for Haemorrhoids: Quantifying Pain and Bleeding Relief

Abstract

Haemorrhoids represent a prevalent anorectal condition characterized by pain, bleeding, pruritus, and discomfort, often leading to diminished quality of life. Conventional therapeutic modalities ranging from pharmacological interventions to surgical procedures may offer transient relief or entail invasiveness. Homoeopathy, as a system of individualized medicine, utilizes symptom totality to guide remedy selection and may provide a non-invasive, long-term therapeutic alternative. To document and evaluate the clinical outcomes of individualized homoeopathic management in patients diagnosed with internal haemorrhoids, using a validated patient-reported outcome measure. This case series comprises three adult patients presenting with internal haemorrhoids at a homoeopathic outpatient clinic. Each case underwent comprehensive homoeopathic case-taking, repertorial analysis, and remedy selection in accordance with classical homoeopathic methodology. Symptom severity and treatment response were assessed using the PROM-HISS (Patient-Reported Outcome Measure–Haemorrhoidal Impact and Satisfaction Score), a validated instrument for evaluating haemorrhoidal disease burden and patient satisfaction. Clinical outcomes were monitored over a follow-up duration of 2 to 3 months, focusing on changes in pain, bleeding, itching, and anorectal discomfort. The reports were presented according to PITCH guideline. All three patients demonstrated notable symptomatic improvement, with marked reduction in bleeding and pain observed within 4 to 8 weeks of initiating treatment. No adverse events were reported during the follow-up period. The individualized remedies prescribed included Phosphorus, Natrum muriaticum, and Sulphur, selected based on the totality of symptoms and constitutional characteristics. The therapeutic response suggests a favourable outcome in chronic haemorrhoidal presentations under individualized homoeopathic care. This case series provides preliminary evidence supporting the potential efficacy and safety of individualized homoeopathic treatment in the management of internal haemorrhoids. The findings underscore the value of patient-centric, non-invasive approaches in proctological care. Further research through controlled clinical trials and larger cohort studies is warranted to substantiate these outcomes and elucidate the role of homoeopathy in integrative anorectal therapeutics.