Case Study: Hemorrhoids and Irritable bowel syndrome; prevention of scheduled surgery


nting pre-surgical support, and scheduled for surgery in three weeks. The onset of the problem was concurrent with severe stress (divorce, death of mother and new job combined). She experienced lots of gas and bloating and crampy pain. There was no blood or mucous in the stool but occasionally some undigested food. Her diet included red meat twice a week, fish, chicken plenty of fruit and vegetables, lots of carbonated water and a lot of refined carbohydrates and sugars (cakes, cookies, sweets). She dra nk no coffee. The only medication she used was a cortisone suppository.


She was asked to remove the red meat from her diet, to reduce the chicken to once a week and eat more fish and vegetable proteins (tofu, beans, nuts, seeds), avoid all refined grains or cereals and all sweetened foods, and as much as possible to eat raw or very lightly cooked.

Vitamin C to bowel tolerance

Flax oil 2 tbsp./day

Herbal Formula

Tilia europea (1:3) (Linden) -- 15 ml

Carduus marianus (1:3) (Milk thistle) -- 15 ml

Dioscorea villosa (1:4) (Wild yam) -- 15 ml

Achillea millefolium (1:3) (Yarrow) -- 15 ml

Collinsonia canadensis (1:4) (Stone root) -- 10 ml

Aesculus hippocastanum (1:3) (Horse chestnut) -- 10 ml

Geum urbanum (1:3) (Averts) -- 10 ml

Althea officinalis (1:3) (root) (Marshmallow) -- 10 ml -- 100 mL

5 mL three times daily

Venetone cream: Witch hazel cream with extracts of Horse chestnut, Red oak, & Calendula and essential oils of Frankincense and Cypress.

Althea officinalis (Marshmallow), Achillea millefolium (Yarrow) and Agrimonia eupatoria (Agrimony) were also given to make a sitz bath.

Therapeutic rationale

I decided to attempt to heal the damaged tissue and if we were not seeing improvement within 2 weeks then to instigate a different protocol to prepare her for a week before surgery.

The intention was to sooth the inflamed tissue using demulcents and to tone and heal the tissue using astringents. Dioscorea was included as an anti-inflammatory with tissue specificity for the large bowel. Carduus was included to improve overall liver f unction and to reduce the possibility of chronic liver damage due to stagnation and congestion.

The vitamin C was used to bowel tolerance as a natural laxative that also supports immune function. Flax oil was included as an anti-inflammatory.

The dietary changes were intended to facilitate optimum bowel function while exerting as little stress as possible on the immune system and the liver.


Three weeks later she returned to tell me that she felt almost 100% better. Within a week of changing her diet and starting the herbs she had no more urgency or looseness, no pain, virtually no discomfort from the hemorrhoids. Her doctor had canceled the surgery and she had reduced the use of the suppositories significantly.

She agreed to continue with the herbal program unchanged for another 2 months before slowly reducing the dose to 5 mL twice a day for a month then once a day for a month. I also prescribed GastroFort tea: Chamomilla recutita (Chamomile), Carica papaya (P apaya leaf), Foeniculum vulgate (Fennel), Glycyrrhiza glabra (Licorice), Filipendula ulmaris (Meadowsweet), Cinnamon and Ginger.

I saw her several times over the next few months and she just continued to get better and better. Eventually she was off all medications, both prescription and herbal except the digestive tonic tea and occasional use of the cream as needed. She maintaine d a very good diet, and learned that wheat was a definite trigger for attacks of diarrhoea. Her bowel movements were completely normal and she had no more pain.


By Chanchal Cabrera

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