PILGO OINTMENT - 25GM

Pilgo ointment Relieves piles (blind/ bleeding), fissures of anus & prevents recurrence.

Haemorrhoids are vascular structures in anal canal that can get swollen and inflamed. Internal haemorrhoids are present above the dentate line and presents with painless, bright red rectal bleeding when defecating. External haemorrhoids are present below the dentate line and result in pain and swelling in the anal region with darker bleeding.

In about 40% cases of pathological hemorrhoids there are no significant symptoms. Typical symptoms associated with hemorrhoids are pain, bleeding, pruritus, burning and swelling. On examination, skin tags, fistula or fissure, prolapsed or thrombosed hemorrhoids and blood can be found.

Internal hemorrhoids often result in painless, bright red rectal bleeding during or after defecation. Blood usually covers the stool, called hematochezia, is on the toilet paper or drips into the toilet bowl. Stool is normal coloured. There may be an associated mucous discharge, perianal mass, itchiness and fecal incontinence.
External hemorrhoids, when thrombosed, often result in pain and swelling in the area of the anus which resolves in 2-3 days. It can also cause itching in the surrounding anal region.

Anal fissure is a break or tear in skin of anal canal and presents with bright red anal bleeding. It can be painful when acute. Untreated fissures can develop a skin tag called sentinel piles which covers the fissure and causes pain and discomfort. Fissure extends from the anal opening and is usually located posteriorly in the midline. Avoiding straining when defecating, maintaining proper hygiene, high fibre diet and good intake of water are some measures that can help in prevention and management of anal fissures.

Action of Ingredients:

Hamamelis virginica: The principle action of this remedy is on the veins especially of rectum, genitals, limbs and throat, producing venous congestion, varicose veins, hemorrhoids and hemorrhages. Hemorrhoids with much bleeding and marked soreness of the part, the back feels as if it would break. Tense, bursting feeling in hemorrhoids, joints or lower limbs.

Hydrastis canadensis: Acts especially on mucous membranes. Prolapsed and fissured anus. Haemorrhoids; even a light flow exhausts. With associated constipation, with sinking feeling in stomach, and dull headache. During stool, smarting pain in rectum. After stool, long-lasting pain. Contraction and spasm.

Aesculus hippocastanum: The hemorrhoidal tumors project from the rectum. They are of a bluish - purple color, are accompanied with sharp, shooting, cutting pains and severe aching in the sacral region. Hemorrhoids, with much pain but little bleeding.

Ratanhia: This remedy is indicated in fissure of the anus. There is excruciating pain after each stool, accompanied with burning and tenesmus which may last for hours.

Paeonia officinalis: It is of service in fissures and ulcers of the anus and perineum, which are purple in color, are covered with crusts and attended with biting and itching in the anus; each stool is attended and followed with severe pain.

Viburnum prunifolium: This remedy is indicated in cases where fragile skin capillaries are damaged, such as tiny haemorrhages just below the surface of the skin, as well as bruising and haemorrhoids.

References:

1. Materia Medica by Boericke
2. Nature's Materia Medica by Robin Murphy, MD
3. A Manual Of Materia Medica, Therapeutics And Pharmacology By Blackwood, Alexander Leslie