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Piles and lot of pain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
User :   hi
how are you
anybody there
Doctor :   Hi
Doctor :  
How can I help you?
User :   good morning
Doctor :   Hi
User :   doctor
User :   2 days back i had a problem
User :   i
Doctor :  
Ok please continue with your query
User :   i was having a pain while going to toilet
User :   then i sensed a small swelling
User :   pain is ther still now
Doctor :  
Do you mean stool or urine?
User :   stool
Doctor :  
OK
Doctor :  
Do you see blood?
User :   no there is no blood
User :   only the pain is there on th swelling
Doctor :  
Is this the first time you had pain?
User :   yes
Doctor :  
What is your age?
User :   previously i remeber i had this swelling but there was no pain\
User :   i am 28
User :   now i am not able to go for stool because of pain
Doctor :   Do you have visit toilet regularly in the monring
User :   no that much regularly
User :   but often
Doctor :  
How many litres of water do you drink per day?
User :   may be a litre
User :   yes
Doctor :  
I understood your problem
Doctor :   You probably have a swelling of the hemorrhoids
Doctor :  
which is commonly called piles
Doctor :   You need to follow certain precuations to avoid further complications in future
Doctor :  
These precautions start with lifestyle modifications and end with some medicines
Doctor :  
The lifestyle modifications you have to start immedately are
Doctor :  
1) Take 1 litre of water early in the morning daily
Doctor :  
2) Increase uptake of water to 4 litres per day
Doctor :  
3) eat high fibre foods including lot of veggies and fruits
Doctor :  
4) Visit the toilet regularly even though you do not feel pressure
User :   ok
User :   doctor
User :   but doctor
User :   for my pain
User :   what can i do now
Doctor :   Now for the pain

Doctor :  
1) You can apply ANOVATE cream over it twice a day
User :   ok
Doctor :  
It contains a local anesthetic
Doctor :  
which reduces the pain
User :   actually i am in oman now
Doctor :  
You can take a oral pain killer
Doctor :  
Paracetmol 500mg
User :   ok
Doctor :  
Ok I do not know whether you get them over the counter
Doctor :  
otherwise you need to see a Doctor for prescription
Doctor :  
You will be free from pain
Doctor :  
within next two days
Doctor :  
but this pain keeps recurring and the swelling grows if you do not follow the lifestyle changes
User :   i took one pain killer over here
User :   clarithromycin
Doctor :  
That is not a pain killer
Doctor :  
That is an antibiotoc
User :   but problem is i am not able to go for stool beacuse of pain
Doctor :  
It will not be helpful at all
User :   ok
Doctor :   For the pain you need pain killers
Doctor :  
like Paracetmol and Ibuprofen
Doctor :  
before the stool
Doctor :  
30 minutes before it
Doctor :  
You need to have soft stool importantly
User :   ok
Doctor :  
That is why the night prior you have to take fruits like Banana
Doctor :  
and 1 litre of water in the morning before stool
Doctor :  
so that the stool is soft
Doctor :   Hi
Doctor :  
Are you back
User :   yes
User :   doctor
User :   yes
Doctor :  
So did you follow my advice completely?
User :   yes
Doctor :  
I understand yoru current problem is the pain
User :   doctor
User :   currently i am only issue with going for stool pain increases
User :   is this any fistula side
Doctor :  
But the things you can do is to put an pain releiving cream
Doctor :   Whether you have a fistula inside or not can only be said after examining you
Doctor :  
completely
User :   ok
Doctor :  
You do not allow for a proper physical examination unless the pain is releived
Doctor :  
The Doctor shall do a proctoscopy
Doctor :  
which will be done after the swelling is reduced slightly and the pain is not there
Doctor :  
Do you understand?
Doctor :  
So first let the pain be relieved
User :   i sense a small bulgy externally
Doctor :   That is the engorged vein

User :   now i am using a cream called xyloproct cream
Doctor :   Yes
Doctor :  
How many times you use it
Doctor :  
That is ok
User :   which contains lidocaine,hydrocortisone ,zincoxide
Doctor :  
It reduces the pain and swelling temporarily
User :   ok
Doctor :  
I Know about it
User :   3 times
Doctor :  
Fine
Doctor :  
Do continue it for sometime
Doctor :  
Take an oral pain killer
Doctor :  
and drink lots of water
User :   ok
User :   engorged pain means
Doctor :  
and eat lot of greens, veggies and fruits
Doctor :  
for next 15 days
Doctor :  
Engorged
Doctor :   veins
User :   sorry vein means
Doctor :  
It is a blood vessel
Doctor :  
that carries impure blood to the heart
Doctor :  
to get it purified
Doctor :  
BEcause of your irregular lifestyle the pressure is built up in the rectum and it lead to swelling of these veins
User :   ok is this any problem
Doctor :   If you follow my suggestions then you will avoid complications
User :   ok doctor
Doctor :  
All the best
User :   thank you doctor
Doctor :  
Is there anything else I can help you with?
Doctor :  
Please fill the feedback form
Doctor :  
You may store this chat history and refer
User :   if anything can i know your number or anything like that for consulatation
Doctor :  
I also suggest you to get Diet plan from Dietitian
Doctor :  
with more than 80 gm / day of fibre in the food
Doctor :  
You may want to take an online diet plan from a dietitian here
Doctor :  
This really helps you
Doctor :  
and it benefitted many
User :   ok doctor
Doctor :  
I do consult online
Doctor :  
at this time every day
Doctor :  
on the same site
Doctor :  
Except Sat and Sun
User :   ok
User :   can u tell me some fibre foods
User :   which i can take normally
Doctor :  
As I told you greens, veggies and fruits
Doctor :  
all have good fibre
Doctor :  
But how to include them in your daily diet, I think a dietitian is an expert than me
Doctor :  
Some fibre supplements are available inthe pharmacy
Doctor :  
CREMADIET
Doctor :  
to start with but you cannot take them for long time, Is it not?
Doctor :   Thanks for consulting me

Doctor :  
Bye for now
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