Chronic Constipation and Homoeopathy
Chronic Constipation and Homoeopathy
Chronic Constipation and Homoeopathy
INTRODUCTION
The diagnosis is primarily symptom-based, relying on the patient’s self-report of symptoms; however, the
description of constipation symptoms varies significantly among patients. Common symptoms may
include infrequent bowel movement (Psora), hard stool (Psora), too small stool (Tubercular/ Psora),
difficulties with stool expulsion (excessive straining) (Tubercular/ Psora), feeling of incomplete
evacuation (Psora) or simply a patient description of ―a feeling of being constipated‖ without any of these
constipation-related symptoms.
• Loose stools should not be present and there are insufficient criteria for IBS (Tubercular/ Syphilis)
Abbr. - ACG: American College of Gastroenterology; CC: chronic constipation; IBS: Irritable Bowel
Syndrome
I NCIDENCE
Chronic constipation (Psora) appears to be very common in the general population although its prevalence
varies depending on the diagnostic criteria used. Chronic constipation disproportionately affects women
compared with men (2.2:1), and the prevalence increases with age.
S YMPTOMS
Symptoms may be benign but chronic constipation can significantly reduce life quality, and, if left
untreated, can result in fecal impaction (Psora), incontinence (Psora/ Syphilis), and, very rarely, bowel
perforation (Psora/ Syphilis).
Irritable Bowel Syndrome (IBS) (Tubercular/ Syphilis) is the most common and best studied functional
gastrointestinal (GI) disorder.
C LASSIFICATION OF IBS
IBS is classified as diarrhea-predominant (IBS-D) (Tubercular/ Sycosis), constipation-predominant
(IBS-C) (Tubercular/ Psora), or mixed—a combination of both (IBS-M), depending on the most prevalent
bowel pattern. This sub-classification is determined by stool frequency, form, and passage. However,
because the predominant symptom often changes over time, it is not uncommon for a patient to alternate
between these IBS subgroups or between different functional bowel disorders such as IBS-C or IBS-D
and functional constipation or functional diarrhea.
D IAGNOSIS OF IBS
There are no biological markers or specific tests for the diagnosis of IBS. The diagnosis is therefore based
on identifying a cluster of clinical symptoms that are consistent with the disorder and excluding other
conditions by looking for clinical alert signs and performing limited diagnostic testing.
M ANAGEMENT OF IBS
Since the pathophysiological mechanisms underlying the disorder are not known, the current approach to
management is based primarily on the patients’ predominant symptoms and overall wellbeing rather than
on a specific underlying etiological mechanism. The treatment is determined on basis of totality and the
peculiars- whether pain, diarrhea, or constipation is predominant and the targeted symptom is treated
using the same medications as in other conditions.
E TIOLOGY OF CONSTIPATION
There are many causes for constipation. The disorder may be secondary to systemic diseases (e.g.,
hypothyroidism (Psora/ Syphilis), hyperparathyroidism (Psora/ Sycosis), diabetes mellitus (Tubercular)),
gastrointestinal diseases (e.g., mechanical obstruction due to colon or rectal cancer), neurological
disorders (e.g., autonomic neuropathy (Syphilis), Parkinson’s disease (Psora/ Syphilis), multiple sclerosis
(Syphilis)). Another common etiology is the use of prescription or over the counter (OTC) medications
that slow down the intestinal transit.
Chronic primary or idiopathic constipation is primarily a diagnosis of exclusion which is made when the
other possible etiologies have been ruled out. Once primary idiopathic constipation has been diagnosed
and ―red flags‖ suggesting other serious diseases such as colon or rectal cancer have been eliminated,
empiric treatment may be started with an appropriate follow-up to assess the response.
Anticholinergics
Tricyclic antidepressants
Antiparkinsonian drugs
Sympathomimetics
Antipsychotics
Diuretics
Antihistamines
Calcium supplements
Iron supplements
NSAIDS
Antidiarrheal agents
Patients with primary constipation can be further evaluated for the underlying pathophysiological
mechanisms of their constipation. Using functional tests of the colon and anorectum, primary constipation
can be divided into three separate subgroups:
3. Obstructed defecation
Slow transit Constipation refers to a decrease in colonic transit particularly in its proximal parts (i.e., the
ascending and transverse colon).
Normal transit constipation refers to patients who meet the criteria for chronic functional constipation but
testing of their colonic transit is between normal limits. These patients often have misperceptions of
normal bowel movements and some may have psychosocial disorders.
Obstructed defecation refers to organic/mechanical obstruction at the level of the rectosigmoid colon or
pelvic floor, or functional obstruction due to failure of the anorectal and pelvic floor muscles to relax
during defecation.
Bulk-forming agents are organic polymers that absorb water. These agents increase stool mass and water
content thereby making it bulkier, softer and easier to pass. e.g. bran, psyllium and methylcellulose. These
agents are often used as the first line treatment of constipation.
Stool softeners, like docusate sodium and docusate calcium, are surface-active agents that facilitate water
interacting with the stool in order to soften the stool, make it more slippery, and easier to pass. These
agents are often used as OTC medications for constipation.
Osmotic laxatives are poorly absorbed ions or molecules that create an osmotic gradient within the
intestinal lumen, drawing water into the lumen and making stools soft and loose. Examples of this group
of agents include poorly absorbed electrolytes such as milk of magnesia, magnesium citrate, and sodium
phosphate; poorly absorbed disaccharides such as lactulose and sorbitol; and polyethylene glycol 3350
(PEG). These agents are usually used for short-term treatment of constipation or for intermittent use in
chronic constipation. The PEG solution is also used for intestinal purges in preparation for diagnostic
procedures (e.g., colonoscopy) or surgery.
Stimulant laxatives increase peristalsis in the large bowel and fluid and electrolyte secretion in the distal
small bowel and colon. These agents include anthraquinones (senna, cascara, danthron),
diphenylmethanes (bisacodyl and phenolphthalein) and castor oil.
Secretory agents – this group is currently represented by Lubiprostone. It works by activating chloride
channels on the small intestinal mucosa and thereby leading to chloride rich intestinal fluid secretion that
increases luminal water content and stool hydration.
Prokinetic agents – These agents act by increasing intestinal motility and thereby accelerating intestinal
transit. Tegaserod maleate is a 5-HT4 pre-synaptic receptor agonist that enhances the peristaltic reflex,
increases colonic motility, decreases visceral hypersensitivity, and facilitates secretion into the colonic
lumen.
H OMOEOPATHIC TREATMENT OF C HRONIC C ONSTIPATION
R EFERENCES
1. Auerbach-Wilderness_Medicine.4ed 15. Geriatric Medicine An Evidence-based Approach
4. Clinician’s Pocket Drug Reference 2008 18. Habib_Liver and Pancreatic Diseases Management
5. Current Diagnosis & Treatment In Family Medicine, 1Rst Ed (2007) 19. Harrison’s Principles of Internal Medicine, 17‘Edition
10. Drug Class Review on Constipation Drugs Final Report September 2007 24. Manual of Gastroenterology - Diagnosis and Therapy, 3rd Edition
Oregon Health & Science University
25. McEvoy-AHFS_Drug_Information.2004
11. Feldman-Sleisenger_and_Fordtrans_Gastrointestinal_and_Liver
26. Portland, Oregon 97239
12. Ferri’s Clinical Advisor 2004 - Instant Diagnosis and Treatment. 6th
edition 27. RADAR 10
ABDOMEN - Colic pain - Concomitants – Constipation- all-s. Aloe Alum. cocc. coll. grat. lyc. Nux-v. op.
Plb-act. sil.
Abdomen - CRAMPING, pain - constipation, agg.- all-s. Aloe Alum. bac. carc. cocc. coll. grat. lyc. merc.
Nux-v. Op. Plb. Podo. sil.
ABDOMEN - DISTENSION - constipation, during- alum. am-c. bry. dol. ery-a. graph. hyos. iod. Lach.
mag-m. nit-ac. ph-ac. phos. sep. ter.
ABDOMEN - DISTENSION - constipation; during- alum. am-c. bry. ery-a. graph. hyos. iod. Lach. mag-m.
nit-ac. ph-ac. phos. podo. sep. Tell. ter.
ABDOMEN - DISTENSION - general - constipation, during- alum. am-c. boerh-d. brucel. bry. dol. ery-a.
graph. hyos. iod. LACH. mag-m. nit-ac. ph-ac. phos. sep. ter.
ABDOMEN - FLATULENCE - obstructed - descending colon, with constipation- AUR. IOD. LYC. rhod.
SULPH.
ABDOMEN - FULLNESS - constipation, during- bry. dios. ery-a. graph. hydr-ac. hyos. iod. lach. lat-h.
nit-ac. nux-v. phos. ter.
ABDOMEN - FULLNESS, sensation of - constipation; during- bar-ox-suc. bry. dios. ery-a. graph. hyos. iod.
lach. mand. nit-ac. nux-v. phos. suis-pan. ter.
ABDOMEN - Haemorrhoids - with – Constipation- aesc-g. Aesc. am-m. anac. Coll. euon. kali-s. Nux-v. paraf.
sil. Sulph. verb.
ABDOMEN - PAIN - pressing - sides - left - cry out, making him, with constipation and displacement of
flatulence- sulph.
ABDOMEN - PAIN - sides - left - cry out, making him, with constipation and displacement of flatulence-
sulph.
ABDOMEN - PAIN, - constipation, from- ars. bell. con. cupr. kali-c. merc. op. plb. sil. sul-ac. thuj.
ABDOMEN - PAIN, - cramping, griping - constipation, during- merc. Op. Plb. Podo.
Abdomen - PAIN, abdomen - constipation, pain from- all-s. Aloe Alum. ars. bell. carc. cham. cocc. coll. coloc.
con. Cupr. grat. kali-c. lyc. merc. op. Plb. podo. sil. sul-ac. thuj.
BACK - PAIN - constipation, with- AESC. all-c. euon. FERR. kali-bi. sulph.
BACK - PAIN - General - constipation, with- Aesc. all-c. euon. Ferr. kali-bi. sulph.
BLADDER - PARALYSIS - constipation, with- bry. carb-v. caust. cocc. hyos. kali-c. nux-v. op. plb. sec.
sulph. zinc.
Brain - SCLEROSIS, brain - alternating, with colic, constipation and wrist-drop- Plb.
Cancer - RECTUM, cancer - constipation, with cancer- alum. grat. kreos. plb.
CHEST - WEAKNESS - Heart - accompanied by – constipation- apoc. cact. dig. kali-c. lach. lil-t. naja nat-m.
phyt. spig.
Children - COLIC, infants - constipation, with, caused by stimulating food taken by mother or nurse, much
flatus- Nux-v.
Children - CONSTIPATION, children- acon. Aesc. ALUM. Ant-c. apis bell. BRY. CALC. caust. Cham. Coll.
croc. Graph. Hep. hydr-ac. Hydr. kreos. LYC. Mag-m. meph. Nat-m. Nit-ac. NUX-V. nyct. OP. Paraf. Plat.
Plb. Podo. Psor. sanic. Sep. Sil. sulph. verat.
Children - CONSTIPATION, infants- aesc. ALUM. BRY. CALC. caust. coll. Lyc. mag-m. NAT-M. Nux-v.
OP. plb. psor. sel. sep. Sulph. Verat. Zinc.
Children - DENTITION, difficult, teething - constipation, general irritation and cachexia, with- Kreos. nux-v.
op.
Children - FOOD, artificial, ailments from - constipation, succeeds diarrhea- alum. Podo.
Children - INFANTS, general - colic - constipation, with, caused by stimulating food taken by mother or
nurse, much flatus- Nux-v.
Children - INFANTS, general - colic - griping, with constipation in- Nux-v. OP.
Children - INFANTS, general – constipation- ALUM. BRY. CALC. Lyc. NAT-M. Nux-v. OP. Sulph. Verat.
Zinc.
Children - INFANTS, general - meconium, retention, with vomiting of all food, obstinate constipation-
kali-br.
Children - INFANTS, general - nursing, general, - artificial food, constipation succeeds diarrhea- alum. Podo.
Children - MECONIUM, retention, with vomiting of all food, obstinate constipation- kali-br.
CHILL - Chill, etc. - concomitants - stool – constipation- alum. ant-c. Bell. BRY. calc. COCC. dulc. LYC.
NUX-V. Op. sep. Sil. staph. sulph. VERAT.
Clinical - Malaria, infection, ague - gastric - gastric and bilious symptoms, or consequent upon abuse of
chinona or quinine - with bitter taste of food, and constipation- Puls.
Constitutions - ELDERLY, constitutions - blood, quantities of, discharged at once, women, with constipation
and hypochondriasis- psor.
Constitutions - ELDERLY, constitutions - constipation - constipation and diarrhea, alternate- aloe Phos.
Constitutions - ELDERLY, constitutions – constipation- alum. bry. calc. nat-m. Op. Phyt.
Constitutions - HEMORRHOIDAL, constitutions - constipation, with- Aesc. Hydr. Nat-m. Nit-ac. NUX-V.
Sulph.
Constitutions - INFANTS, constitutions - colic - constipation, with, caused by stimulating food taken by
mother or nurse, much flatus- Nux-v.
Constitutions - INFANTS, constitutions - colic - griping, with constipation in- Nux-v. OP.
Constitutions - INFANTS, constitutions – constipation- ALUM. BRY. CALC. Lyc. NAT-M. Nux-v. OP.
Sulph. Verat. Zinc.
Constitutions - INFANTS, constitutions - meconium, retention, with vomiting of all food, obstinate
constipation- kali-br.
Constitutions - INFANTS, constitutions - nursing, general, - artificial, constipation succeeds diarrhea- alum.
Podo.
Constitutions - MEN, constitutions - studious, hypochondriasis, with abdominal complaints and constipation-
NUX-V.
Constitutions - PLETHORIC, constitutions - adults, headaches with congestion, giddiness, flushed face and
constipation- Nux-v.
FEMALE - ABORTION, miscarriage - constipation, with- apis bry. coll. kali-c. nux-v. op. phos. plb. sep. sil.
FEMALE - MENSES - absent, amenorrhea - physical exertion, from, with constipation- cann-s.
FEMALE - MENSES - late, too - would come, as if, and constipation- graph.
Female - MENSES, general - late, too - would come, as if, and constipation- graph.
FEMALE SEXUAL SYSTEM - Complaints during pregnancy – Constipation- alum. Coll. lyc. nux-v. op.
Plat. plb. Sep.
FEMALE SEXUAL SYSTEM - Complaints, preceding and attending flow – Constipation- am-c. coll. Graph.
Nat-m. nux-v. plat. Plb. sep. Sil. sulph.
FEMALE SEXUAL SYSTEM - Puerperium – Constipation- Bry. Coll. nux-v. verat. zinc.
Fevers - ERUPTIONS, with fevers - blotches, large red, over body, and constipation- Cop.
Fevers - INTERMITTENT, fever, ague, malaria - gastric - gastric and bilious symptoms, or consequent upon
abuse of chinona or quinine - with bitter taste of food, and constipation- Puls.
Fevers - TYPHOID, fever, salmonella - constipation, with- Bry. hydr. nux-v. op.
GENERALS - ANEMIA - accompanied by – constipation- alum-sil. alum. alumn. chin. cycl. ferr. graph.
hydr. kali-c. mang. nat-m. nux-v. plb. puls. sulph.
Generals - COMPLEXIONS, general - dark, brunette - brown, olive, disposed to constipation, sad, gloomy,
taciturn- aur.
GENERALS - DIABETES MELLITUS - accompanied by – constipation- carl. graph. kreos. lac-d. nat-s.
GENERALS - PARALYSIS - one side - accompanied by – constipation- alum-sil. alum. alumn. plb.
GENITALIA - Conditions - constipation, agg.- coll. con. fl-ac. Graph. lach. Mag-m. plat. Sep. sulph.
GENITALIA - Female organs - childbed – constipation- alum. Ant-c. BRY. lyc. NUX-V. op. Plat. sep.
GENITALIA - Female organs - pregnancy – constipation- alum. BRY. Lyc. NUX-V. op. Sep.
HEAD - CONGESTION, hyperemia etc. - general - constipation, during- aster. crot-h. NUX-V.
HEAD - CONSTIPATION agg.- alet. BRY. chin. coff. colch. con. crot-h. ign. kali-bi. lach. mag-c. merc.
nat-m. NUX-V. Op. puls. sep. verat.
HEAD - Headache - cause – Constipation- Aloe alum. Bry. coll. hydr. nit-ac. Nux-v. op. rat.
HEAD - Headache - Concomitants – Constipation- aloe alum. Bry. euon. Hydr. lac-d. nicc. Nux-v. op. plb.
HEAD - Internal - aggravation – constipation- alet. BRY. chin. coff. con. Crot-h. ign. kali-bi. lach. mag-c.
Merc. nat-m. NUX-V. OP. Puls. sep. verat.
HEAD - PAIN - accompanied by – constipation- alet. Aloe alum. am-c. arg-n. aur. bell. BRY. Calc-p. chin.
coff. Coll. con. crot-h. dioxi. dys. euon. fl-ac. gels. graph. Hydr. ign. iris kali-bi. Lac-d. lach. mag-c. merc.
Nat-m. Nat-s. nicc-met. nicc. nit-ac. Nux-v. op. petr. Plb. Podo. Puls. rat. rhus-t. sep. verat. zinc.
HEAD - PAIN - constipation, with- ALOE alum. am-c. aur. BRY. CALC-P. coff. colch. COLL. con. crot-h.
euon. hydr. ign. iris jatr-c. LAC-D. lach. lept. lyc. mag-c. merc. NAT-M. NAT-S. nicc-met. nit-ac. NUX-V. op.
petr. pitu-a. PLB. PODO. PULS. rat. tor. verat. zinc.
HEAD PAIN - GENERAL - constipation, with- Aloe alum. am-c. aur. BRY. Calc-p. coff. colch. Coll. con.
crot-h. euon. hydr. ign. iris Lac-d. lach. lept. mag-c. merc. Nat-m. Nat-s. nicc-met. nit-ac. Nux-v. op. petr.
pitu-a. Plb. Podo. Puls. rat. tor. verat. zinc.
HEAT AND FEVER IN GENERAL - Concomitants - stool – constipation- alum. am-c. ambr. ANT-T. APIS
Arn. BELL. BRY. Calad. Calc. canth. carb-v. caust. chin. COCC. con. CUPR. DULC. fl-ac. Graph. guaj.
kali-c. kreos. lach. laur. LYC. mag-m. meny. merc. mez. nat-m. nit-ac. NUX-V. OP. phos. Plat. Plb. puls.
rhus-t. sabad. sars. sel. Sep. Sil. stann. STAPH. sul-ac. Sulph. thuj. VERAT. verb. zinc.
Intestines - BLEEDING, intestines, from - women, elderly, large quantities of blood discharged at once with
constipation- psor.
Intestines - CRAMPING, pain - constipation, agg.- all-s. Aloe Alum. bac. carc. cocc. coll. grat. lyc. merc.
Nux-v. Op. Plb. Podo. sil.
Intestines - DISTENTION, from flatus - constipation, during- alum. am-c. bry. dol. ery-a. graph. hyos. iod.
Lach. mag-m. nit-ac. ph-ac. phos. sep. ter.
Intestines - FLATUS, flatuence, intestinal - constipation, during- merc.
Intestines - FLATUS, flatuence, intestinal - obstructed, intestinal - descending colon, with constipation- Aur.
Iod. Lyc. rhod. Sulph.
Intestines - PERISTALSIS, general - inertia, feeling of - of lower, hemorrhoids and constipation, especially
during pregnancy- Coll.
Intestines - PERISTALSIS, general - lost, contractility, in constipation of infants- alum. Lyc. Op.
Intestines - WORMS, parasites, general - children, in - dentition, difficult - constipation, with- Dol.
Liver - ENLARGED, liver - constipation, inability to lie on right side, with recurring attacks of indigestion -
biliousness and constipation- Mag-m.
Liver - WEAK, liver - jaundice, with, from biliary concretions - jaundice and great depression of mind, with
constipation- still.
LOWER EXTREMITIES - Aggravation - constipation and piles, from- ham. lyc. nux-v. ruta sulph.
MENSTRUATION - Concomitants before menses – constipation- aloe alum. am-c. bry. graph. kali-c. lach.
mag-c. nat-m. nux-v. SIL. sulph. thuj.
MENSTRUATION - Concomitants during menses – constipation- alet. ALOE alum. Am-c. am-m. Apis Aur.
bell. Bry. Calc. GRAPH. iod. KALI-C. Kreos. lach. NAT-M. nat-s. NUX-V. op. phos. PLAT. Plb. puls. SEP.
sil. sul-ac. sulph.
MIND - SADNESS, despondency, depression, melancholy - constipation, with- ferr. NUX-V. OLND.
MIND - SADNESS, despondency, depression, melancholy - liver troubles, in - constipation, and- still.
MIND - SHRIEKING, screaming, shouting - children, in - constipation since birth, with- aloe
Pregnancy - CONSTIPATION, during- Agar. ALUM. Ambr. Ant-c. Ant-t. Apis Bry. Calc. carb-v. cocc.
COLL. coloc. Con. DOL. FERR. Graph. Hydr. Kali-c. Lyc. meny. merc. nat-m. NAT-S. Nit-ac. NUX-V. Op.
Phyt. PLAT. PLB. Podo. Puls. sabad. SEP. stann. Sulph. Verb.
Pregnancy - MISCARRIAGE, spontaneous abortion - constipation, with- apis bry. coll. kali-c. nux-v. op.
phos. plb. sep. sil.
RECTUM – CONSTIPATION- abies-c. abies-n. abrom-a. Abrot. acet-ac. acon. Aesc-g. AESC. Aeth. Agar.
agav-a. Agn. aids. alet. allox. Aloe alum-p. alum-sil. ALUM. ALUMIN. ALUMN. Am-c. Am-m. Ambr. ammc.
amp. amph. Anac. anan. anders. androc. Ang. ant-c. ant-t. anth. anthraq. APIS aq-mar. Arg-met. Arg-n.
arge-pl. arist-cl. arn. Ars-i. ARS. arund. asaf. asar. asc-c. asc-t. aster. aur-ar. aur-i. Aur-m-n. aur-m. aur-s.
Aur. bacls-7. bad. Bar-c. bar-i. Bar-m. bar-ox-suc. bar-s. bell. Berb. bit-ar. bol-la. borx. botul. bov. brach.
brass-n-o. bros-gau. brucel. BRY. bung-fa. Cact. cadm-met. Caesal-b. calad. calc-f. calc-i. Calc-p. Calc-s.
calc-sil. CALC. camph. cann-s. canth. caps. Carb-ac. Carb-an. Carb-v. carbn-dox. CARBN-S. carc. Card-m.
carl. carneg-g. cartl-s. cas-s. casc. cassia-s. caul. CAUST. cham. Chel. Chim. Chin. chinin-ar. chinin-s. chion.
chlam-tr. chord-umb. chr-ac. cic. cimx. cina CLEM. cob-n. Coca COCC. COFF. colch. coli. COLL. Coloc.
CON. Cop. cor-r. cortiso. Croc. Crot-c. Crot-h. crot-t. cub. cuph. cupr. cycl. cystein-l. Daph. Dig. Dios.
diphtox. dol. dream-p. dros. Dulc. dys. Elaps ery-a. eug. euon. eup-per. euph. euphr. falco-pe. fel Ferr-ar.
Ferr-i. ferr-p. Ferr. fic-c. Fl-ac. flor-p. Form. friedr. fuma-ac. gaert. gal-ac. galeoc-c-h. galla-q-r. Gamb. gels.
ger-i. germ-met. Glyc. granit-m. GRAPH. Grat. Guaj. guat. haliae-lc. ham. hed. hedy. Hell. helodr-cal. hep.
hippoz. hir. Hydr. Hydrc. hydrog. hydroph. hyos. Hyper. Ign. Iod. irid-met. Iris ix. jab. jac-c. Jatr-c. Kali-ar.
Kali-bi. Kali-br. Kali-c. Kali-chl. Kali-i. kali-m. kali-n. kali-p. Kali-s. kali-sil. ketogl-ac. kola Kreos. lac-ac.
LAC-D. lac-del. lac-f. lac-h. lac-leo. LACH. lact-v. lat-h. lat-m. Laur. led. Lept. Lil-t. limest-b. luf-op. luna
LYC. lycps-v. m-ambo. m-arct. Mag-c. MAG-M. mag-s. malar. Manc. mand. mang. marb-w. med. melal-alt.
meli. Meny. merc-c. Merc-i-f. Merc. MEZ. mim-p. mom-f. Moni. morg-g. Morg-p. morg. morph. Mosch.
mucs-nas. Mur-ac. murx. musa musca-d. myric. nabal. nad. naja Nat-ar. Nat-c. nat-f. NAT-M. nat-ox. nat-p.
nat-pyru. nat-s. nat-sil. neon nept-m. nicc-met. nicc-s. nicc. nicotam. NIT-AC. nit-m-ac. Nux-m. NUX-V. nyct.
oci-sa. OENA. olib-sac. olnd. oncor-t. OP. oscilloc. osm. Ox-ac. oxal-a. ozone paeon. pall. par. paraf. parathyr.
pegan-ha. petr-ra. petr. ph-ac. phasco-ci. PHOS. phys. Phyt. pin-con. pitu-gl. plac-s. plac. PLAT. Plb-act.
PLB. pneu. Podo. polys. positr. pot-e. propr. prot. Psor. Ptel. Puls. Pyrog. querc-r. ran-b. Raph. Rat.
rham-cal. rheum rhod. Rhus-g. rhus-t. rob. RUTA Sabad. Sabin. sal-fr. sang. Sanguis-s. SANIC. saroth. Sars.
Sec. secret. Sel. Seneg. senn. SEP. sil-mar. SIL. silphu. sinus. sol spig. Spong. squil. Stann. STAPH. STRAM.
streptoc. stront-c. STRY. succ-ac. suis-em. suis-hep. suis-pan. Sul-ac. sul-i. sulfa. SULPH. sumb. suprar. syc.
Sym-r. syph. Tab. tann-ac. Tarent. tax-br. tela tell. Ter. tetox. thal-s. thal-xyz. Ther. thiam. THUJ. thymul.
tril-p. Trios. tritic-vg. tub-m. Tub. urt-u. ust. v-a-b. vanil. vario. ven-m. VERAT. Verb. vero-o. vesp. Vib.
viol-o. viol-t. visc. zinc-fcy. zinc-m. zinc-p. ZINC.
RECTUM – CONSTIPATION- abies-c. abies-n. ABROT. acal. acet-ac. acon-l. ACON. adam. ADEPS-S.
adon. aegle-m. aesc-g. AESC. AETH. AGAR. AGN. agri. ail. alet. all-c. all-s. allox. aln. ALOE alst-s. alum.
alumin-p. ALUMIN-SIL. ALUMN. AM-C. AM-M. AMBR. ammc. amph. ANAC. anag. anan. ancis-p.
androc. ANG. ango. ANT-C. ant-s-aur. ant-t. APIS APISIN. apoc-a. apom. aq-mar. aran-ix. aran-sc. aran.
ARG-MET. ARG-N. arge-pl. arist-cl. ARN. ARS-I. ars-met. ars-s-f. ARS. arund. asaf. asar. asc-c. asc-t. aster.
atis. atro-pur. aur-ar. aur-i. AUR-M-N. aur-m. AUR-S. AUR. aza. bac. bacls-7. bad. bamb-a. banis-c. bapt.
BAR-C. bar-i. BAR-M. bar-s. bell-p. BELL. benz-ac. BERB. bism. boerh-d. bol-la. bold. borx. BOV. brach.
bros-gau. brucel. BRY. bufo buni-o. CACT. cadm-met. cain. calad. calc-act. calc-ar. calc-chln. calc-f. calc-i.
CALC-P. CALC-S. calc-sil. CALC. CAMPH. canis-exc. cann-i. CANN-S. CANTH. caps. CARB-AC.
CARB-AN. CARB-V. CARBN-S. carc. card-b. CARD-M. carex-a. carl. carneg-g. CASC. cass. cassia-f.
cassia-s. cath-a. caul. CAUST. cean. cedr. cench. cent-u. cham. cheir. CHEL. chelo. chen-v. CHIM. CHIN.
chinin-ar. chinin-s. chion. chlf. chlor. chloram. chlorpr. choc. chr-ac. CIC. cich. CIMIC. cimx. cina citl-vg.
CLEM. cob. coc-c. COCA COCC. cod. COFF. COLCH. COLL. COLOC. CON. COP. cor-r. corn. cortiso.
CROC. CROT-C. CROT-H. crot-t. cub. cupr-act. cupr-ar. CUPR. curc. cycl. cymbop-ci. cypr. cyt-l. DAPH.
dict. DIG. DIOS. dirc. dol. dros. DULC. eich-c. ELAPS elat. emb-r. erech. ery-a. eucal. eug. euon-a. euon.
eup-c. eup-per. eup-pur. euph-hy. euph-l. euph. euphr. eupi. fago. falco-pe. fel FERR-AR. ferr-cy. FERR-I.
ferr-p. ferr-s. FERR. FL-AC. foen. foll. FORM. franz. fuc. fum. GAERT. gal-ac. GAMB. gast. gels.
GERM-MET. get. geum glon. GLYC. glycyr-g. gnaph. goss. gran. granit-m. GRAPH. GRAT. GUAJ. guar.
guare. guat. gymno. haliae-lc. ham. hedeo. helia. HELL. HEP. hippoz. hir. hom-g. hura hydr-ac. HYDR.
HYDRC. hydrog. hydroph. HYOS. HYPER. IGN. ind. indg. indol. IOD. ip. irid-met. IRIS jab. jac-c. JAL.
JATR-C. joan. jug-c. jug-r. kali-act. KALI-AR. KALI-BI. KALI-BR. KALI-C. KALI-CHL. kali-hp. KALI-I.
kali-m. kali-n. kali-p. KALI-S. KALI-SIL. kalm. kaol. kiss. kola KREOS. kres. kurch. LAC-AC. lac-c.
LAC-D. lac-del. lac-e. lac-f. lac-leo. LACH. lachn. lact-v. lam. lat-h. LAUR. lec. LED. lepr. LEPT. LIL-T. lim.
limest-b. lina. linu-u. lith-c. lob-s. lob. LYC. lycps-v. lys. M-AMBO. M-ARCT. MAG-C. MAG-M. mag-p.
mag-s. malar. MANC. mand. mang-act. mang-m. MANG. MANGI. mant-r. marb-w. med. meli. MENY.
meph. merc-c. merc-cy. MERC-F. MERC. merl. MEZ. mill. mit. moni. morg-g. MORG-P. morph. morus-n.
MOSCH. MUR-AC. murx. musa mut. mygal. myric. nabal. naja nast. NAT-AR. NAT-C. nat-f. NAT-M.
nat-n. nat-p. nat-s. nat-sil. neon nicc-met. nicc-s. NIT-AC. nit-m-ac. NUX-M. NUX-V. nyct. oci-sa. OENA.
ol-an. ol-j. olnd. OP. orig. osm. OX-AC. ozone paeon. pall. par. PARAF. parth. ped. peti. petr. ph-ac. phel.
PHOS. phys. PHYT. pieri-b. pin-l. pin-s. pip-n. pitu-a. plan-mi. PLAT. PLB-ACT. PLB. plumbg-eu. plumbg.
plut-n. PODO. polyg-h. polypd-vg. pop-cand. PROT. prun. psil. PSOR. PTEL. PULS. pyre-p. PYROG.
querc. rad-br. ran-b. RAPH. RAT. ratt-norv. rham-cal. RHAM-CATH. RHAM-F. RHEUM rhod. RHUS-T.
RIC. rob. rumx. RUTA SABAD. sabal SABIN. sal-mo. samb-e. samb. sang. SANIC. santin. sapo-so. sapo.
saroth. sarr. SARS. scol. SEC. SEL. senec. SENEG. SENN. SEP. sil-mar. SIL. sin-n. slag sol-ni. sol-t-ae. sol-t.
spig. SPONG. squil. STANN. STAPH. stel. stict. STRAM. stront-c. STRY-XYZ. SUL-AC. sul-i. sulo-ac.
SULPH. sumb. syc. sym-r. symph. syph. TAB. tamrnd. tanac. tann-ac. TARAX. tarent-c. TARENT. tax. tela
tell. TER. term-a. term-c. teucr. thal. thea THER. thlas. THUJ. thymol. thyr. til. trif-p. tril-c. trinit. trios.
trom. tub-m. TUB. ulm-r. uran-n. urt-u. ust. v-a-b. valer. vario. VERAT. VERB. vero-o. vesp. VIB. vichy-g.
vince. VIOL-O. viol-t. visc. wies. wye. xan. zinc-i. ZINC-PHIC. ZINC.
Rectum - CONSTIPATION, general - something, remaining behind, sensation, with constipation- ALOE
alum. lyc. nat-m. Nux-v. sep. sil. sulph.
Rectum - CONSTIPATION, general- abies-c. abies-n. Abrot. AESC. Aeth. Agar. Agn. alet. Aloe ALUM.
ALUMN. Am-c. Am-m. Ambr. ammc. Anac. anan. Ang. ant-c. APIS Arg-met. Arg-n. arn. Ars-i. ARS. arund.
asaf. asc-c. asc-t. aster. aur-m. Aur. bad. Bar-c. Bar-m. bell. Berb. bol-la. borx. bov. brach. BRY. Cact. calad.
Calc-p. Calc-s. CALC. camph. cann-s. caps. Carb-ac. Carb-an. Carb-v. CARBN-S. Card-m. casc. caul.
CAUST. Chel. Chim. Chin. chinin-ar. chinin-s. chr-ac. cimx. cina CLEM. Coca COCC. COFF. colch. COLL.
Coloc. CON. Cop. cor-r. Croc. Crot-c. Crot-h. crot-t. cub. cupr. cycl. Daph. Dig. Dios. Dulc. Elaps ery-a.
euon. euph. Ferr-ar. Ferr-i. ferr-p. Ferr. Fl-ac. Form. Gamb. GRAPH. Guaj. Hell. hep. hippoz. Hydr. Hydrc.
Hydrog. hyos. Hyper. Ign. Iod. Iris jab. jac-c. Jatr-c. Kali-ar. Kali-bi. Kali-br. Kali-c. Kali-chl. Kali-i. kali-n.
kali-p. Kali-s. Kreos. Lac-ac. LAC-D. LACH. Laur. led. Lept. Lil-t. LYC. lycps-v. Mag-c. MAG-M. mag-s.
Manc. mang. med. meli. Meny. merc-c. Merc-d. Merc-i-f. Merc. MEZ. Mosch. Mur-ac. murx. myric. naja
Nat-act. Nat-c. NAT-M. nat-p. nat-s. nicc. NIT-AC. Nux-m. NUX-V. OENA. olnd. OP. osm. Ox-ac. paeon.
pall. petr. ph-ac. PHOS. Phyt. PLAT. PLB. Podo. Psor. Ptel. Puls. Pyrog. Raph. Rat. rhus-t. rob. RUTA
Sabad. Sabin. sang. SANIC. Sars. Sec. Sel. Seneg. SEP. SIL. spig. Spong. squil. Stann. STAPH. STRAM.
STRY. Sul-ac. SULPH. sumb. Tab. Tarent. tell. Ter. Ther. THUJ. tril-p. Tub. urt-u. ust. vario. VERAT.
Verb. vesp. Vib. viol-o. Zinc.
RECTUM - DIARRHEA - accompanied by – constipation- ANT-C. ant-t. bry. Caps. Lach. Nux-v. olnd. Puls.
Rhus-t. Ruta Staph.
RECTUM - DIARRHEA - alternating with – constipation- Abrot. acet-ac. Aegle-f. agar. ail. aloe alum. am-m.
ANT-C. ant-t. anth. Arg-n. arge-pl. ars-i. ars-s-f. Ars. atis. aur-ar. aur-i. aur-m-n. aur-s. Aur. bac. bell. berb.
Bry. but-ac. calc-chln. calc. Carb-ac. carbn-s. Card-m. Casc. CHEL. choc. Cimic. cina Cob. coff. colch. Coll.
Con. cop. cor-r. crot-h. Cupr. Dig. dios. falco-pe. ferr-cy. Ferr-i. Ferr. gamb. gink-b. glycyr-g. gnaph. Graph.
grat. guat. hell. Hep. hom-xyz. Hydr. Ign. Iod. kali-ar. kali-bi. Kali-c. Kali-n. kali-s. Lac-d. lac-h. Lach. Lact.
Lec. lil-t. Lyc. mag-s. Manc. Mang. merc. mez. nat-ar. nat-c. Nat-m. nat-p. Nat-s. NIT-AC. Nux-m. NUX-V.
OP. Phos. Plb. PODO. polyg-h. prot. psor. Ptel. Puls. rad-br. rhus-t. Ruta sang. saroth. sars. sep. Staph.
stram. sul-i. Sulph. sumb. syc. Tab. thymol. Tub. verat. vib. visc. zinc-p. zinc.
Rectum - DIARRHEA, general - alternating, with – constipation- Abrot. acet-ac. agar. ail. ALOE am-m.
ANT-C. ant-t. Arg-n. ars-i. Ars. aur-m-n. Aur. berb. Bry. Carb-ac. carbn-s. Card-m. Casc. CHEL. Cimic.
cina Cob. coff. Coll. Con. cop. crot-h. Cupr. Dig. dios. Ferr-i. gamb. gnaph. grat. Hep. Hydr. Ign. Iod. kali-ar.
kali-bi. Kali-c. kali-s. Lac-d. Lach. Lact. Lec. lil-t. Lyc. mag-s. Manc. Mang. merc. mez. nat-act. nat-c. Nat-m.
nat-p. Nat-s. NIT-AC. Nux-m. NUX-V. OP. Phos. Plb. PODO. polyg-h. Ptel. Puls. rhus-t. Ruta sang. sars. sep.
stram. strych-g. Sulph. sumb. Tab. Tub. zinc.
Rectum - FECES, remained in, sensation, as if - something, remaining behind, with constipation, as if- aloe
alum. lyc. nat-m. Nux-v. sep. sil. sulph.
RECTUM - HEMORRHAGE - anus, from - constipation, with- alum. am-m. anac. calc-p. COLL. lac-d. lam.
morph. nat-m. NIT-AC. NUX-V. phos. psor. sep. vib.
RECTUM - HEMORRHAGE - anus, from - hypochondriasis, with, in old women - stitches, constipation,
from- NAT-M.
RECTUM - HEMORRHAGE from anus - accompanied by – constipation- alum. am-m. anac. calc-p. Coll.
lac-d. lam. morph. nat-m. Nit-ac. Nux-v. phos. psor. sep. vib.
Rectum - HEMORRHOIDS, general - constipation, with- aesc-g. Aesc. am-m. anac. Coll. euon. kali-s. Nux-v.
paraf. sil. sulph. verb.
Rectum - INACTIVITY, rectum- Aesc. aeth. agn. alet. alum-sil. ALUM. ALUMN. am-c. am-m. ANAC. ant-c.
ant-t. arg-n. arist-cl. Arn. asaf. atro. aur-i. aur-s. aur. bac. bacls-10. bamb-a. Bar-c. bar-i. bar-m. bar-s. bell.
bov. BRY. calc-i. Calc-s. calc-sil. Calc. Camph. cand-al. cann-s. canth. Carb-an. Carb-v. CARBN-S. carc.
caust. CHAM. chel. Chin. choc. Coca Cocc. coff. colch. Coll. Con. crot-t. dulc. euphr. ferr. fl-ac. Gels.
GRAPH. guat. Hell. HEP. HYDR. hydrog. hyos. Ign. iod. Kali-br. KALI-C. kali-chl. kali-n. Kali-p. kali-s.
kali-sil. kreos. lac-d. Lach. Lap-a. Lyc. lycps-v. mag-c. Mag-m. mand. mang. med. meli. merc. mez. mit.
morg-g. mosch. mur-ac. Nat-c. NAT-M. Nat-p. nat-sil. nit-ac. NUX-M. NUX-V. OENA. olnd.
RECTUM - ITCHING - anus - constipation, with- cadm-i. calc. cinch. cur. glon. slag SULPH. x-ray
RECTUM - PAIN - constipation, during- abies-c. asaf. boerh-d. con. graph. nat-m. nit-ac. nux-v. plb. sil.
tarent. vib.
RECTUM - PAIN - sore, bruised - constipation, with- graph. nat-m. nit-ac. sil. tarent.
RECTUM - PAIN - sore, raw - constipation, with- graph. nat-m. nit-ac. sil.
RECTUM - PAIN - tenesmus - constipation, during- asaf. CON. mangi. NUX-V. plb. vib.
RECTUM - SPASMS in - Anus - accompanied by – constipation- caust. Lach. Lyc. Nat-m. nit-ac. plb-act. plb.
sil.
SENSATIONS AND COMPLAINTS IN GENERAL - Infants, affections of – constipation- alum. BRY. lyc.
NUX-V. OP. Sulph. verat.
STOMACH - NAUSEA - constipation, with- asc-t. atis. buni-o. COCC. HYPER. kurch.
STOMACH - PAIN - constipation, with- bry. graph. kali-m. nux-v. phys. PLB.
STOMACH - PAIN - constipation; during- bry. graph. nux-v. phys. Plb. sacch-a.
STOMACH - PAIN - General - constipation, with- bry. graph. kali-m. nux-v. phys. Plb.
Stomach - PAIN, stomach - constipation, with- alum. alumn. bry. graph. nux-v. op. phys. Plb. Sep.
STOOL – Constipation- acon. Alum. am-c. AM-M. AMBR. anac. ANT-C. ARN. ARS. asaf. asar. aur. bar-c.
BELL. bov. BRY. CALC. Canth. caps. CARB-V. card-m. CAUST. chel. CHIN. cina COCC. Coff. colch. coll.
coloc. CON. CROT-H. DAPH. dig. Dulc. ferr. GRAPH. GRAT. GUAJ. hep. Hydr. hyos. iod. KALI-BI.
KALI-C. KREOS. LACH. Laur. led. LYC. Mag-c. MAG-M. mang. Meny. MERC. mez. NAT-M. Nit-ac.
NUX-V. olnd. OP. petr. ph-ac. Phos. PLAT. PLB. psor. PULS. rhod. RHUS-T. RUTA Sabad. sabin. SARS.
Sel. seneg. SEP. SIL. spong. squil. Stann. STAPH. stram. Sul-ac. SULPH. THUJ. VERAT. Verb. ZINC.
STOOL - Diarrhoea - alternating with constipation- ABROT. alum. ANT-C. ant-t. Ars. BRY. calc. cimic.
colch. cupr. FERR. GRAPH. grat. hell. iod. LACH. lyc. merc. nat-c. Nat-m. NAT-S. nit-ac. NUX-V. OP.
PHOS. Plb. Podo. psor. Puls. RHUS-T. RUTA sulph. tab. vib. zinc.
SWEAT - Concomitants - stool – constipation- ANT-C. APIS arn. BELL. BRY. Calc. carb-v. chin. COCC.
con. Dulc. graph. LYC. Merc. mez. nit-ac. NUX-V. OP. sabad. sel. SEP. SIL. STAPH. sul-ac. SULPH. Thuj.
Verat.
TEETH - Dentition - with - constipation, general irritation, cachexia- Kreos. nux-v. op.
Teeth - DENTITION, difficult teething - constipation, general irritation and cachexia, with- Kreos. nux-v. op.
Toxicity - DRUGS, general - constipation, from- agar. alum. Ant-c. Bry. chin. cod. Coloc. NUX-V. op. ruta
sulph.
VERTIGO - CONSTIPATION, during- aegle-m. aloe AMBR. ango. aza. bry. CALC-P. chin. crot-h. kurch.
nat-s. NUX-V. sulph.