In eczematous subjects where the anus is extremely sore and the stools are covered with mucus, with no tenesmus or constriction, **Graphites is the remedy. There is no special irritability of the parts, but the fissures are usually caused by large faeces. The parts are sore and smart.
Nitric acid. [Nit-ac]
From its affinity to the outlets of the body this remedy becomes an important one in fissure where there is a sensation as if splinters or sticks were in the anus. There is much tenesmus and constriction, and a constant oozing of the foetid matter from the parts, with burning, rawness and smarting.
**Ratanhia has much constriction about the anus, which aches and burns for hours after stool, there are cutting and lancinating pains in the rectum, and dryness of the anus with sudden stitches in it. The temper is irritable. It is also a useful remedy for thread worms.
**Sanguinaria nitrate has an irritable itching and burning in the rectum.
Has fissures with much oozing. The anus if offensively moist and sore, smarts all the time. Burning and biting, lasting several hours after stool, may also be present; must walk the floor all night.
Here the irritable sphincter comes to mind and the slipping back of the partially expelled stool. It also has great pain, coming on half an hour after stool and lasting several hours.
**Platina has fissure of the anus, with crawling and itching every evening.
**Krameria. Severe pain after each stool with burning and tenesmus lasting a long time.