The scarcity of trained medical professionals continues to be a major concern in developing countries. Lack of stringent regulations permits quacks to impersonate as physicians and administer unscientific and potentially harmful treatment to gullible patients. Even in the 21st century, we continue to come across anorectal complications arising from unscientific management of haemorrhoids by quacks. Quacks are known to inject corrosive preparations in anal fistula as remedy.
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