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Diet and medication for pain while excreting possibly due to dehydration or constipation - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3158 Questions
User :   hello
Doctor :   Hi
Doctor :   How can I help you?
User :   I have a strangeg problem , don't know how to describe
User :   strange*
Doctor :   ok

Doctor :   Please go ahead
Doctor :   I shall try to help you?
User :   The place from where we excrete, its been more than three weeks & the pain won't go away .. have tried applying "betnovet C"
Doctor :   Ok
User :   initially it was like an ulcer on the inner walls, that time was very hard to do potty ... now its not that difficult but teh pain is constant
User :   do you think its piles , my mom says so
Doctor :   Do you have hard stools?
User :   i was suffering from typhoid, initially i used to have hard stool, but not its normal .. not that hard
Doctor :   Do you bleed while at stools?
Doctor :   When ws the typhoid
Doctor :   and was it treated completely
Doctor :   What is your age
Doctor :   Are you there?
Doctor :   I have to close this window since there is no response from your side, we are available 24/7 please get back to us if you need further medical advice.
User :   give me a sec
User :   u there
Doctor :   Yes
Doctor :   Please go ahead
User :   sorry i had a phone call to attend
Doctor :   Please answer the questions
User :   no, i never bleeded with stools, the typhoid was treated completely & i was asked to take simple food from here on as i had already had 2 typhoid attacs & 1 jaundice
User :   I am 26 years of age
Doctor :   When was the attack
Doctor :   of typhoid?
Doctor :   May I know the medicines that were taken by you?
User :   1st when i was in 10th standard, 2nd (jaundice 4 years back, 3rd typhoid last month & a month prior to that ..
User :   April
Doctor :   How many days course was it?
User :   there were a lot infact i was consulting with your team only .. you may try the history on my diagnosis
Doctor :   Did the current problem start after the treatment
User :   it was more than 2 weeks

User :   yes
Doctor :   How many litres of water do you drink per day?
User :   not sure less than a lit
Doctor :   Do you feel you have incomplete stools every day?
User :   yes
User :   at times i have to go 2 times
User :   not that frequently though
Doctor :   Do you visit loo daily regularly
User :   But the pain is constant after i am done ... it stays like that for hours ..
User :   yes
User :   I work for a US MNC so my meal timings are a bit odd
Doctor :   Ok
Doctor :   After going through your history till now I could find few possibilities
Doctor :   One important thing is dehydration and the other thing is Constipation

Doctor :   The water intake by you is strikingly low
Doctor :   In fact it should be 3 litres
Doctor :   per day
User :   k

User :   i can take that up from today, what about the pain & the ulcer
User :   I hope you understand the pain
Doctor :   Yes I am coming to that
Doctor :   You should regualry visit the loo
User :   its very hard to concentrate on work with this pain, i cannot wear a jeans trouser because of this
Doctor :   without missing
User :   ok
User :   which i do
Doctor :   Oint Anovite
Doctor :   ANOVATE cream
Doctor :   can be applied
Doctor :   But I sincerely advice you to get the Per rectal examination done
User :   i had applied "betnovet C/cloben G" i know its strong and any other ointment won't work ... you sure that i can use this one ??
Doctor :   by a General Surgeon
Doctor :   Do not use BETNOVET
User :   Per rectal examination what would that include ?

Doctor :   Or cloben G
Doctor :   The doctor shall examine the local area
Doctor :   It is important for you
Doctor :   since this is for 3 weeks
Doctor :   Since the use of BETNOVATE
Doctor :   could have
Doctor :   created more problems too
Doctor :   This could be a anal ulcer, Anal fissure or External Hemorrhoids
User :   do you think its something serious ? i prefer fortess & they will ask me for a specialist .. should i visit a dermatologist ?
Doctor :   You should visit a General Surgeon
User :   ok
Doctor :   In FORTIS
Doctor :   you can see a Gen surgeon
Doctor :   But remember the water intake is to be increased
User :   should i go to the same doc who was treating me for typhoid ?
User :   i can send you my blood & urine reports .. i have it now
User :   at that time
Doctor :   You can see him too, but he might refer you to General surgeion
Doctor :   if he is not one
Doctor :   So it is better to see a General surgeon directly
Doctor :   than going to a Medicine specialist
Doctor :   Add green leafy vegetables and fruits to your diet
Doctor :   they add bulk to the diet
Doctor :   and help for soft stools
User :   bulk as in

Doctor :   Have a litre of water immediately
Doctor :   after you brush int he morning
Doctor :   so that you have the pressure for the stool
Doctor :   BULK is in Green leafy vegetables like spinach, methi, coriander
Doctor :   Tomato
Doctor :   All fruits
Doctor :   including banana
Doctor :   One fruit in the night is ideal
User :   To be frank with you, i am a normal smoker .. can that be a problem, please be frank enough ?
Doctor :   Smoking can increase the chances of constipatiohn
Doctor :   Since you are a smoker there is an increased risk
Doctor :   So please get an examination done
User :   for the ulcer in teh anal reagon

User :   sure i will , thanks for your advice.. i am travelling this week so will visit the surgeon next week & get that checked
Doctor :   Have you filled the feedback form?
Doctor :   Till then you can follow my advices
User :   yep

Doctor :   Is there any thing else I can help you with?

User :   That would be it, thanks fro your help
User :   for*
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