Hello doctor, My acupuncturist gave me herbs to take rectally for anal fissure which I had previously been taking orally. They are in a lower dosage (25 ml rectally they had been 180 ml orally). When taking them orally, they had to be taken before bed, which helped me to have a good sleep with quite vivid dreams. Taking my first dose rectally, I am feeling mildly stoned. Is this safe?
Hello. I do not know what medications you are taking. Is it Ashwagandha per the recommendation of an acupuncturist? But I have seen your attachments (attachment removed to protect patient identity). There are several tags like structures seen, and it may cause a fissure in the anus. There are some other causes to this concern like constipated bowel, passing hard stools, and anal sphincters spasm, etc. The treatment depends on the condition. If you have constipated bowel and passing hard stool then you can take the following medicines.  1. Avipattikar Churna 3 gm, Arshoghni Vati 1 tablet twice a day after meals.  2. Abhayaristam 15 ml twice a day with an equal amount of water after meals.  If it is due to anal sphincters spasm then it needs dilatation. Avoid spicy, fried, and junk foods. Drink plenty of water. Do regular Kapalbhati and Pranayama like Anuloma Vilom Nadi Sodhan, and Bhramari.