Managing Pain and Discomfort: Coping Strategies for Anal Fistula Patients

Managing Pain and Discomfort: Coping Strategies for Anal Fistula Patients

An anal fistula is a tiny tunnel that connects an infected gland within the anus to a skin hole around the anus. Fistulas are typically caused by an infection that begins in the anal gland. While blocked anal glands and anal abscesses are the most common causes of an anal fistula, it can also occur as a result of Crohn's disease, radiation treatment for cancer, trauma, STDs, Tuberculosis, and Diverticulitis.

Fistula symptoms include the following:

  • Swelling and pain around the anal entrance
  • Fever
  • Itching and tenderness in and around the anus
  • A foul-smelling or bloody discharge
  • Stool passing discomfort
  • A persistent feeling of exhaustion
These symptoms will differ depending on the degree and location of the fistula. As soon as you become aware of any of Instead of self-diagnosing these symptoms, see a doctor right away. The infection can worsen and necessitates medical intervention. The fistula will need to be diagnosed, treated, and maybe surgically repaired. However, your doctor may advise you to practise certain activities to temporarily alleviate or cope with the pain and discomfort. Anal fistulas can arise at any age, however the typical age for patients with this ailment is around 40. 

Is exercise beneficial for Fistula?

If you have a fistula, your doctor may recommend frequent exercise to help you manage your symptoms. Exercises that are strenuous should be avoided. Depending on your situation, the doctor may recommend a few simple exercises to help relax the anal muscles and ease bowel motions. Physical stimulation on a regular basis It also reduces the likelihood of constipation and promotes circulation. Let us look into some fistula exercises to help you cope with the pain and discomfort.

6 Fistula-Friendly Exercises and Yoga

Vajrasana is the first asana.

This exercise, often known as the thunderbolt posture, must begin by kneeling on the floor. A yoga mat should be placed for comfort. Sit back on your legs, bringing your knees and ankles together. Make sure you sit up straight, with your buttocks on your heels and your thighs on your calves, with your big toes on both feet touching. Keep your arms relaxed, your head straight, and your chin parallel to the ground as you place your hands on your knees. Concentrate on your breathing as you inhale and exhale air slowly into and out of your lungs. Hold this position for 5 to 10 minutes before gradually increasing the time.Limit your daily time to about 30 minutes. This activity has various advantages, including easing digestion and constipation.

Malasana is a yoga pose. 

This deep squat exercise, also known as the garland posture, will help open up your hips and groyne to counteract the tightness that comes from sitting for long periods of time. Begin by standing with your feet apart and bending your knees, then lower your buttocks towards the floor into a squat position. Bring your upper arms inside your knees and clasp your hands in a prayer pose. Maintain a straight spine, with your buttocks going towards the floor and your shoulders relaxed away from your ears. It may take some time to master this posture, but consistent practise will assist. Stay for five breaths before relaxing.and attempt this exercise again for the greatest results. 

Prapadasana 

This exercise has several variations and is recommended for fistula patients to increase awareness of the lower body. You must balance your body on your toes with your heels up, then lift one leg into a lotus stance in front of your heart. The toe balance posture improves flexibility and aids in the release of tensions and heaviness in the body. Maintain a down and back posture with the shoulders and sternum pressing forward. Continue in this position, or gently inhale the arms up over your head, palms together. Hold your breath for 2-5 seconds.

Uttanapadasana 

The lifted leg exercise must be performed. This is accomplished by lying on your back on the floor with your legs straight and clasped together. Place your hands on either side, palms down. Inhale and lift both legs off the ground, knees completely straight and toes pointing outward. Raise your legs till they are perpendicular to the ground and hold this position for as long as you can while breathing regularly. Exhale and slowly lower your legs. Uttanapadasana, when practised regularly, improves digestion and provides temporary relief from fistula.

Pavanamuktasana (Pavanamuktasana) 


the ground. Hold the inhaled breath for a few seconds before slowly exhaling and raising the back, shoulders, and head off the floor, touching the knee with the forehead. Hold the expelled breath for a few seconds, then slowly inhale and return to your starting position, repeating with the right leg. Hold each stance for 3-5 seconds before repeating. This aids in the removal of stored gases in the digestive tract, relieves pain in the back or abdomen, and promotes diaphragm elasticity.

To begin this workout, lie flat on your back in a relaxed position. Inhale, then bend your right knee and draw it close to your torso with both hands. Maintain a flat left leg.

Siddha-asana is the sixth posture. 

To begin, bend the left knee and grip the left foot with your hands, placing the heel against the perineum and the sole of the foot against the inside of the right thigh. Exhale and bring your right foot as close to the pubic area as feasible, the heel of the right foot should line up roughly with the navel. Touch your knees to the ground, place your hands on your knees, maintain your spine straight, and breathe deeply.

These are some of the exercises that a doctor may advise a fistula sufferer to practise. You can attempt these at home; doing them on a daily basis may keep you healthy and bring some benefits.By improving bowel habits, you can get relief. These exercises promote regular bowel motions, increase anal sphincter control, and aid in the management of daily stress. However, if you have any orthopaedic issues, you should first consult with your doctor before proceeding. 

Exercises to avoid if you have a fistula

While exercise is excellent for you and may provide temporary relief from a fistula, it is crucial to recognise that not all exercises are good for your condition and that if you do not perform the exercises correctly, they may even worsen your situation. Strenuous exercises that tighten the buttock muscles may increase your discomfort.  

Conclusion

You should be aware that by reducing the causes of constipation, you can significantly minimise your risk of developing an anal fistula. To do so,Keep your stools soft by drinking plenty of fluids and engaging in regular physical activity. If you observe any of these symptoms, you should see a doctor as soon as possible because proper diagnosis and treatment are required. If the anal fistula is ignored and not treated, it may reoccur, necessitating surgery.


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        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `website_settings` where (`member_code` = 'KARTDADDY') limit 1
        390μsview::frontend.doccure.frontend_master:43u134918292_acemedicare
        Metadata
        Bindings
        • 0. KARTDADDY
        Backtrace
        • 13. view::frontend.doccure.frontend_master:43
        • 15. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 17. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 18. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `main_img`, `name`, `slug`, `short_description` from `packages` where (`status` = 1 and `popular_status` = 1) order by `name` asc
        470μsview::frontend.doccure.frontend_master:45u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        • 1. 1
        Backtrace
        • 12. view::frontend.doccure.frontend_master:45
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `name`, `img`, `package_masters`.`slug` as `package_master_slug`, `status`, `popular_status` from `package_masters` where (`status` = 1 and `popular_status` = 1) order by `name` asc
        360μsview::frontend.doccure.frontend_master:47u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        • 1. 1
        Backtrace
        • 12. view::frontend.doccure.frontend_master:47
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select * from `cities` where (`menu_status` = 1)
        12.71msview::frontend.doccure.frontend_master:49u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 12. view::frontend.doccure.frontend_master:49
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select * from `frontend_themes` where `status` = 1 limit 1
        290μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:73
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `website_settings` where `id` = 1 limit 1
        370μs/app/Helpers/GlobalHelper.php:261u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 13. /app/Helpers/GlobalHelper.php:261
        • 14. view::frontend.doccure.frontend_master:74
        • 16. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 17. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 18. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `website_settings` where `id` = 1 limit 1
        330μs/app/Helpers/GlobalHelper.php:261u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 13. /app/Helpers/GlobalHelper.php:261
        • 14. view::frontend.doccure.frontend_master:80
        • 16. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 17. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 18. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 62)
        340μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 62
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 3)
        310μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 3
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 18)
        300μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 18
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 11)
        300μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 11
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 60)
        290μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 60
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 58)
        320μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 58
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 24)
        300μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 24
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 17)
        300μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 17
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 1)
        300μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 57)
        290μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 57
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 23)
        340μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 23
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select `id`, `package_master_id`, `name`, `slug` from `packages` where (`package_master_id` = 25)
        380μsview::frontend.doccure.frontend_master:139u134918292_acemedicare
        Metadata
        Bindings
        • 0. 25
        Backtrace
        • 12. view::frontend.doccure.frontend_master:139
        • 14. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 16. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:152
      • select * from `website_settings` where `id` = 1 limit 1
        440μs/app/Helpers/GlobalHelper.php:261u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 13. /app/Helpers/GlobalHelper.php:261
        • 14. view::frontend.doccure.frontend_master:210
        • 16. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 17. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 18. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        330μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:314
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select `cities`.`id` as `cityRowId`, `cities`.`name` as `cityName`, `cities`.`slug` as `citySlug` from `cities` inner join `vendor_package_cities` on `cities`.`id` = `vendor_package_cities`.`city_id` group by `vendor_package_cities`.`city_id` order by `cities`.`name` asc
        630μs/app/CustomFacade/Frontend.php:12u134918292_acemedicare
        Metadata
        Backtrace
        • 12. /app/CustomFacade/Frontend.php:12
        • 14. view::frontend.doccure.popUpModelForm.freeAppointment:80
        • 16. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 17. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 18. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        320μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:315
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select `cities`.`id` as `cityRowId`, `cities`.`name` as `cityName`, `cities`.`slug` as `citySlug` from `cities` inner join `vendor_package_cities` on `cities`.`id` = `vendor_package_cities`.`city_id` group by `vendor_package_cities`.`city_id` order by `cities`.`name` asc
        540μs/app/CustomFacade/Frontend.php:12u134918292_acemedicare
        Metadata
        Backtrace
        • 12. /app/CustomFacade/Frontend.php:12
        • 14. view::frontend.doccure.popUpModelForm.freeAmbulance:80
        • 16. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 17. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 18. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        280μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:316
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        270μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:320
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        400μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:325
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        290μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:327
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        290μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:329
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        260μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:331
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      • select * from `frontend_themes` where `status` = 1 limit 1
        270μs/app/Helpers/GlobalHelper.php:60u134918292_acemedicare
        Metadata
        Bindings
        • 0. 1
        Backtrace
        • 15. /app/Helpers/GlobalHelper.php:60
        • 16. view::frontend.doccure.frontend_master:333
        • 18. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:110
        • 19. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:70
      App\Models\Admin\BlogArticle
      542
      App\Models\Frontend_theme
      31
        _token
        ts8x0cX08h0RSNuYDy5EGJy4L1TVVbdipUvup0Du
        _previous
        array:1 [ "url" => "https://acemedicare.in/blog-details/managing-pain-and-discomfort:-coping-strat...
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /blog-details/managing-pain-and-discomfort:-coping-strategies-for-anal-fistula-patients
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
        array:15 [ "accept" => array:1 [ 0 => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7" ] "accept-encoding" => array:1 [ 0 => "gzip, deflate, br, zstd" ] "host" => array:1 [ 0 => "acemedicare.in" ] "pragma" => array:1 [ 0 => "no-cache" ] "user-agent" => array:1 [ 0 => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)" ] "cache-control" => array:1 [ 0 => "no-cache" ] "sec-ch-ua" => array:1 [ 0 => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129"" ] "sec-ch-ua-mobile" => array:1 [ 0 => "?0" ] "sec-ch-ua-platform" => array:1 [ 0 => ""Windows"" ] "upgrade-insecure-requests" => array:1 [ 0 => "1" ] "sec-fetch-site" => array:1 [ 0 => "none" ] "sec-fetch-mode" => array:1 [ 0 => "navigate" ] "sec-fetch-user" => array:1 [ 0 => "?1" ] "sec-fetch-dest" => array:1 [ 0 => "document" ] "priority" => array:1 [ 0 => "u=0, i" ] ]
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