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Having problem of hoemmorroids. Taking lot of fibres. Diagnosed with external piles. Suggest? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:Good Afternoon
User:Good Afternoon
User:I am 31 Male here
User:I have problem of hoemorrhoids (piles) since few years
Doctor:Ok. Please proceed with your query.
User:I am a non-smoker, and intake lots of fibre in food
User:I underwent check-up a while back - proctoscopy - and was diagnosed with having XXXXXXX and external piles
User:However, I still decided not to go for operation as the situtation is not very grave
User:Just that once in a while (say once in 6-8 month - Bleeding happens with pain
User:It's again happening since past 3-4 days
User:less bleeding , but lot of PAIN
User:can you advise some external ointment etc. for relief
Doctor:You can use Shield Ointment for local application.
Doctor:That would help in reducing the pain as well as help in healing.
User:ok, hope its easily available... can u also please suggest 1-2 more alternatives if this is not available at the pharmacy
Doctor:You can also use sitz bath with betadine solution.
Doctor:Sitz bath is a process, where you take a wide bucket with warm water in it.
User:yes, ok
Doctor:Then dilute betadine solution in it.
User:how much solution in how much water?
Doctor:After that you can sit in the water for 5 minutes, so that the water is in contact with the anal region.
Doctor:you can pour around 15- 20 ml in 5 litres of water.
User:and then later I can apply shield ointment,...
Doctor:Shield ointment is easily available in the pharmacies.
Doctor:You can also take tablet . Calpol 650 mg 3 times daily for 3 days.
Doctor:All these measures would help to improve your present discomfort.
User:Just in case shield is nt available, any alternatives
Doctor:Please give me a moment, let me just check what other brands are available.
Doctor:Protocream or Anovate cream is also available.
User:Thanks Doc
Doctor:Hope I had been able to help you.
User:Yes, I'll take required medication right away.... Thanks again
Doctor:Is there any other queries I could help you with?
User:Just wanna check should I go for surgery? As itwas prescribed by another doctor?
User:Is surgery effective
Doctor:Surgery is effective. It will reduce the problems you are facing.
Doctor:Again you still have to continue with precautionary measures.
Doctor:You have to have plenty of fluids, vegetables and fruits.
User:Ok... u mean fibre intake and no stressing while bowel cleaning
Doctor:So that constipation does not occur.
User:ok, understand...
Doctor:Also you should avoid lifting heavy materials.
User:But if I go to gym... and do weight training... should I discontinue?
Doctor:In short, you should avoid anything that causes an increase in the abdominal pressure.
User:oh..ok understand
Doctor:I would suggest to avoid weight training.
Doctor:Instead you can do aerobic exercise.
User:Thanks , that would be all... bye doc
Doctor:Thanks for consulting me. Let us know if you have any other health related queries.
Doctor:Bye for now.
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