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DOI: 10.1055/s-0037-1601117
Treatment of hemorrhoids with individualized homeopathy – an open observational pilot study
Behandlung von Hämorrhoiden mit individualisierter Homöopathie – eine offene Beobachtungsstudie
Publication History
Publication Date:
21 March 2017 (online)
Aim:
Controversies and disagreements exist regarding conventional treatment strategies of hemorrhoids due to relapse, inefficacy and complications. We intend to evaluate the role of individualized homeopathic treatment in hemorrhoids.
Materials and methods:
In this prospective, open, observational trial, hemorrhoid patients were treated using five standardized scales measuring complaints severity and anoscopic score. Patients were intervened as per individualized homeopathic principles and followed up monthly up to 6 months.
Results:
Intention to treat population (n = 52) was analyzed at the end of trail. Statistically significant reductions of mean bleeding were ascertained: (month 3: -21.8, 95% confidence interval [CI]: -30.3, -13.3, P < 0.00001, d = 0.787; month 6: -25.5, 95% CI -35.4, -15.6, P < 0.00001,d = 0.775), pain (month 3: -21.3, 95% CI -28.6, -14.0, P < 0.00001, d = 0.851; month 6: -27.6, 95% CI -35.6, -19.6, P < 0.00001, d = 1.003), heaviness visual analog scales (VASs) (month 3: -8.1, 95%CI -13.9, -2.3, P = 0.008, d = 0.609; month 6: -12.1, 95% CI -19.1, -5.1, P = 0.001, d = 0.693),and anoscopic score (month 3: -0.4, 95% CI -0.6, -0.2, P < 0.0001, d = 0.760; month 6: -0.5, 95% CI-0.7, -0.3, P < 0.0001, d = 0.703). Itching VASs was reduced significantly only after 6 months (-8.1, 95% CI -14.6, -1.6, P = 0.017, d = 0.586)..
Conclusion:
Under classical homeopathic treatment, hemorrhoids of patients improved considerably in symptom severity and anoscopic scores.
Trial Reg. CTRI/2015/07/005958.
Keywords:
Hemorrhoids, homeopathy, observational trial, visual analog scales.