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Treatment for piles and constipation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Constipation
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   HI,
User :   el
User :   hello
Doctor :   How can i help you ?
User :   my grand ma is about 75 yrs old and has heamorrhoids which is permamently hanging down the anal opening.she is constipated too though no bleeding is there.what are the treatment options for-piles and also constipation.
User :   u can talk to me in medical terms i m a final yr mbbs student
Doctor :   there are medical tretements for constipation, but for the heamorrhoids surgical resection would be the best
Doctor :   Good , Doc
User :   the problem is that she doesnt want to have a surgery
Doctor :   Now the pace mathes
Doctor :   Can i know her age ?
User :   told u 75
Doctor :   Sorry , had been thro she is 75
User :   ok
User :   so?
Doctor :   Ok the compliance for surgery in that age is scarce
User :   ya
User :   n she also doesnt want it too
Doctor :   There are no direct medical remedies to remove the heamorrhoidal tags
User :   oh
User :   i have been hearing a lot bout staplers thse days
User :   will it be helpful in her case?
Doctor :   only you can bring down the pressure in the anastomoses my few medcines ( ayurveda)
Doctor :   Yes , staples are recent trend ,
User :   and for constipation would u give laxatives only?
Doctor :   but it also does need cooperation from your grandma
User :   ya but it is a minor surgery na?
Doctor :   Yes laxatives are the only choice
User :   she is afraid of having a major surgery
User :   but they have got their own side effects too
Doctor :   Considered , the compliance counts of the fear for surgery
Doctor :   They do have , but the need over crosses them
User :   no other treatment option for constipation whch is more natural than thm?
User :   thm=laxatives here
Doctor :   You can supplement her food with fiber or even you can go for fiber preparations available in market
Doctor :   Like Isopgul
User :   she takes thm anythng else?
Doctor :   Syp Lactulose can help
User :   wat else?
Doctor :   First tel me what all have tried ?
User :   almost all laxatives,isopgul too,lactulose also
Doctor :   liquid paraffin ?
User :   i was looking for somethng whch is more natural and has lesser side effects thn them
User :   yup that too
Doctor :   polyethylene glycol ?
User :   no
User :   but is it also an osmotic laxative?
Doctor :   You can try that, its one of the safer
Doctor :   or even is more helpful docusate
User :   what does docusate have in it?
Doctor :   whiceh is a potent stool softener
User :   ok
User :   that could b tried
User :   and wat bout its side effects and contraindications if any?
Doctor :   it itself is a stool softner available in name of colace
User :   ok
Doctor :   not many , its a natural derivative only thing to be worried would be dehydration
User :   ok
User :   got that
User :   now wat for piles?
Doctor :   You can take her for staples, for conservative symptom alleviation
User :   conservative like sitz bath?
Doctor :   you can give her tab PILEX one BD
User :   wats in pilex?
Doctor :   Sitz bath is to prevent drying up of the tags and the subsequent irritation
Doctor :   its an ayurvedic preparation from Himalaya
User :   ya it helps na
User :   ok
Doctor :   which has shown good symptomatic improvement
User :   i made her do tht n she felt better
User :   ok
User :   and what else?
Doctor :   That would suffice , as i told you surgical resection is the remidy
User :   nothing else?
Doctor :   medical ?
User :   but u said na that as the age is more surgery would be non compliant?
User :   any
Doctor :   Yes , if your grandma is ready for stapls you can take her for , since its a less invasive it would be a right choice if she is ready
User :   ok
User :   and any other medical?
Doctor :   For itching and pain relief insert tablet size frozen clarified butter or coconut oil on piles
User :   actually she can walk only using stick and most of the time has to sit
User :   because of whch many a times there is discomfort
User :   as there is friction wth
Doctor :   most of the remedies aim at preventing the irritation over the tags ,
User :   ok
Doctor :   you can follow sitz and the coconut oil for that
User :   ok
User :   when to apply and how many times
User :   wont it stain the clothes?
Doctor :   Twice a day morning and night
User :   ok
Doctor :   yes, that can be prevented by using cotton pads
User :   ok
User :   fine
User :   thank u doctor
User :   would u mind helping me on a mental health query?
Doctor :   Is there anything i can help you with ?
Doctor :   Please go on
User :   ok
User :   i have a problem\
User :   with the thng that i cant make out when to think for urself and when for others
Doctor :   Yes, proceed
Doctor :   When do you encounter that ? any specific situation ?
User :   see i am v giving in my relationships
User :   and sometimes do that even at the expense of myself
User :   so want to know when to think for others and when for myself
Doctor :   see i am v giving in my relationships , Pardon me i didnt understand this
User :   like i will give u an example for that
User :   v that means v caring,v helping
Doctor :   Yes , please
User :   my relationships matter a lot for me
User :   example
User :   once last yr i had my 6th semester exam of ent
Doctor :   Ok
User :   it was evening before the exam
Doctor :   Ok
User :   n i was having severe leg pain
User :   so i thought i would rest a bit and\
User :   then study
User :   suddenly my frnd called me
Doctor :   Ok
User :   and told me to go to the travel agent and see for the status of the ticket to her
User :   home
User :   and i went there
User :   it is quite far frm my place
User :   and even far frm her
User :   s
User :   i found tht
User :   the shop ws closed
User :   i cam eback
User :   it was about 9 in the night
User :   then slept
User :   and could study for only 3-4 hrs
User :   and that showed in my result
User :   there?
Doctor :   Ok
Doctor :   Yes ,
User :   can i tell u one more example
Doctor :   Is that a only example
Doctor :   So, you have gone through many such times you say
User :   ya
Doctor :   Ok, may i know your gender
User :   like this sem only i had my obgy exam and my frnd came in the evening and said she didnt wanted to study ,i went wth her n didnt studied though i wanted to
User :   female
User :   coz if i would she would feel bad bout it
User :   and i would like to tell one more-i have a frnd who is jealous of me,once in a party someone told me that u dance well n her face got pale hearing that and she told me lets do a competition to see who dances better i said no
Doctor :   Ok
User :   and whenver i had to dance again i felt bad and hesitated doing that coz if i will do it
User :   my frnd would feel bad
User :   and i would be selfish doing it
User :   hope u got the point
Doctor :   Yes
Doctor :   No body in this world do any work without an intention ? do you agree
User :   i dont know
User :   u tell ,i am here for advice
User :   plss sir help me
Doctor :   Yes , i think every body will hav an either good or bad intention in doing any act like help ,anger ,mercy or love
User :   ok
User :   so?
Doctor :   You question yourself and know with what intention you help your friends
User :   well coz i care for thm
Doctor :   if your intention is fulfilled then you can continue helping at the cost of your other issues
User :   and i believe in
User :   being a good friend to them
User :   means?
Doctor :   if you are complaining about it then it clearly says your intention is not in caring them but something else
User :   see why i am complaining is because it has harmed me a lot
Doctor :   So consider your intention as priority
User :   frm getting bad marks to disgrace to me
User :   this has lead me to question myself whethr what i am doing is riht?
Doctor :   now your intention changed from caring them to not getting bad mark
User :   right
User :   common doc i want to fulfil every role of my life
User :   with full zeal
User :   i wanna give 100%
User :   to everythng
Doctor :   If you do works with variable intentions then you can never be happy with any of your deeds
User :   i wanna be a
User :   good student,a good friend,a good daughter
User :   all at the same time
User :   getting good marks and wanting to be a good friend are intentions in 2 different fields
User :   u cant mix thm
User :   every1 wants to be both
User :   good student n good friend
User :   cant a gud student be a good friend to his friends?
User :   u r mixing 2 thngs
User :   my intentions r straight
Doctor :   Lets consider your intentions straight
User :   ok
Doctor :   You cant ask for both at a time ,
User :   what?wat u r saying is like a guy cant bea good husband andd good son at the same time
User :   u tell me is that really true?
User :   cant a guy be?
Doctor :   not always
User :   intention vary in diffrent fields
User :   wat?
User :   so u r saying that a guy can only be a good son or a good husband not both at the same time?
Doctor :   But relating to the situation you quoted before i would think you hav no choice than accepting any one
User :   wat u said about intentions
Doctor :   either be happy student or a happy friend
User :   pls dont mix intentions
User :   whie what i want to be
User :   in 2 diffrnt fields
User :   they r very diffrnt frm each othr
User :   i have seen many people
User :   who r gud students as well as gud frnds
User :   u cant mixboth thngs
Doctor :   or you can try this you can give equal chance to both once be a good friend and once a good student
User :   how?
Doctor :   don try to get both at a time you may end up loosing both
User :   didnt get u o pls explain
Doctor :   Choose the friends and choose which exams you can take risk
User :   can u gve some example?
Doctor :   then make a equal deal
Doctor :   i have given you the idea , my examples may be irrelevant to your life
User :   at least tell frm what i did -the examples i told u,how i should have done
User :   how to make an equal deal in thm?
Doctor :   if you have prepared well for ent exam then you shuld help your friend for the tickets
User :   ok
User :   and what for leg pain?
Doctor :   is taking risk of obg exams for friend is not ok then don roam around with friend
Doctor :   leg pain ? you can treat it by urself
User :   when its ok and when its not?
User :   no
User :   i was taking rest that time coz of leg pain
User :   shud i have gone out 4 her tickets at such a time
User :   ?
User :   u thre?
User :   hellooo
Doctor :   Yes, as I am chatting with some patients simultaneously. Please bear with us for a reply
User :   oh ok
User :   sure
Doctor :   it depends on your choice , friend ? or exam and leg pain ?
User :   how would a wise person like you choose on that
User :   ?
Doctor :   Newtons third law ,
Doctor :   does she deserve ?
Doctor :   has she helped me any time ?
User :   ok so does that mean how important is she to me?
Doctor :   yes, clearly
User :   ok
User :   and wat bout the second situation
User :   the obgy exam?
Doctor :   the same
User :   and the jealous frnd?
User :   how to handle tht
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