Alumina: Constipation of infants and old people from inactive rectum.Stool hard, dry, knotty, no desire for stool. Rectum sore, dry, inflamed bleeding. Even a soft stool is passed with difficulty, great straining. Evacuation precedes by painful urging long before stool and straining of stool.
Silicea: Painful with spasm of sphincter. Constipation and stool comes down with difficult when partly expelled,recedes again.Feces remain a long time in rectum.Constipation always before and during menses.Great straining, rectum straining and closes upon stool.Fissures and haemorrhoids.Fistula-in-ano
Graphitis:Costipation.Stools large, difficult, knotty united by mucous thread. Burning haemorrhoids.Smarting pain, sore and itiching anal region. Lumpy stools.Varies of rectum.Fissure of anus.
Other indicated remedies: Mag.mur, Plu.met, Bryonia,Opium , Sulphur , Amm.mur, Nux.vom etc.