“Fistula in ano for last 10 years. I also have severe constipation and the stools are very hard. There is a lot of gas especially after eating meals. My blood pressure also remains high.”

Review after 2 months of treatment: “Dear Dr. Rohit, as per your prescription dated 10.6.08. I have good relief in fistula and discharge. Sometimes little discharge of pus is there which is much less than before. Constipation is also better but in gases the relief is not that great. My B.P. is also now controlled and it is usually 130/84 or 135/88. Please advice me further treatment. Thanks.”