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Suggest treatment for hemorrhoids - Online Doctor Chats

Date : 10-Sep-2014
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1504 Questions
User:Hello
Doctor:Hi,
Please proceed with your query
User:actually am facing problems with heamorriods
User:whenever I visit my hometown..where it is hot and humid I have this problem
Doctor:Ok
User:but when I return back to XXXXXXX .where I stay..in a few days feel fine
User:after I have enough amount of water
User:but for few days its very painful
Doctor:Ok
User:even at my hometown I have eough quantity of water but always I feel constipated and get pain
User:please suggest
Doctor:First, has it been confirmed that you have hemorrhoids?
User:I mean I have not visited a doctor as it gets fine when I am back to XXXXXXX
User:so its not confirmed
Doctor:Ok
Doctor:Let me brief you.
Doctor:Hemorrhoids and fissure are two conditions with almost similar complaints.
Doctor:Further each of these condition have subvarities.
Doctor:The type of treatment needed depends on this classification.
Doctor:Without complete details of your life style and an option to physically examine the area during acute painful condition
Doctor:it would be difficult to predict what might have caused and the treatment options.
Doctor:But since you say symptoms occur predominantly at hometown, perhaps this has to do with stress and the type of food you take.
Doctor:I insist that you see a doctor the next time you get this attack.
User:how can I reduce the pain as of now
Doctor:In the meanwhile avoid all spicy food.
Doctor:If you are in pain now, you should try warm sitz bath.
User:does spicy food cause this
Doctor:Yes, increase spices can cause it.
Doctor:Besides the sitz bath, take a stool softener such as syp lactulose 20ml at night before sleep.
User:ok..
Doctor:Also apply Smuth cream.
User:and how can I reduce this condition to occur at my hometown
Doctor:As I said your first step is to identify what exactly this is.
User:first of all as I said its very hot and humid and there and the food is very spicy
Doctor:Based on the exact cause you may need just conservative treatment which involves avoiding spices, drinking lots of fluids and taking plenty of fibre rich food.
Doctor:or surgical remedy.
User:oh
Doctor:The factors that you said are significant. However management will depend on the cause - type.
User:but then it gets cured when am back..but it takes a week time to get back to normal
Doctor:Therefore it is worthwhile to see a doctor during acute painful condition.
User:oh ok..
Doctor:I understand the condition gets normal. However these conditions can be recurring. In some cases, you may have a non painful hemorrhoids persissting which gets painful as you go to your home town.
Doctor:A physical examination is important inview of asymptomatic hemorrhoids.
Doctor:Consult a surgeon especially when you develop symptoms of it.
Doctor:Hope I am clear.
Doctor:Do you have any questions?
User:if a hemorrhoid is confirmed then is a surgery mandatory
Doctor:No surgery is not mandatory.
Doctor:There are various options to treat it.
Doctor:However as I said initially, it depends on the type and degree of hemorrhoids.
User:ok..doctor..thanks
Doctor:Do see a doctor during painful crisis. Treatment options will be clear after the check up.
Doctor:Do you have any more queries?
User:no doctor..thank you
Doctor:Thanks for visiting me here. Bye for now.
User:bye
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