Brief Answer:
?Hemorrhoids with Fissure In Ano with Acidity and gases/Under Investigation

Detailed Answer:
Brief Ans-?Hemorrhoids with Fissure In Ano with Acidity and gases/Under Investigation

Hi,Dear,Welcome with your query to HCM.
I studied your query and reviewed with your health concerns.
The behavior of the Hemorrhoids seems to have changed lately,as you have not checked it with Surgeon.
Evaluation of your Hemorrhoids-
Gradually it seems that the painless earlier bleeding has developed in to painful event with hemorrhoids sometimes getting painful.This is a very characteristic of impending complication of painful bleeding.
Currently accompanied Acidity and gas problem is being tackled with medicines, but that also is taxing your health status,as you get light headed feel after the bowel movements, which is indicative of infective colitis taking over with other hemorrhoid complaints.

Investigations-
In this scenario, I would suggest you to have Second Opinion from Surgeon, and get the Anal Examination with Proctoscopy if need be.

My Impression about your hemorrhoids-
Internal Hemorrhoids with painless bleeding with Fissure In Ano with External Sentinel Piles with Constipation and Acidity(?Duodenal Ulcer-doubtful)

Treatment Suggested-
I would treat such a case by-
a-Conservative -Antibiotics - like ciplox with Metrogyl/plenty of fluids / with a Bland diet/ with stress on high fiber diet.At opportune time I would plan a needful Surgical Procedure as suggested below.
b-Surgical Planned procedure-Like-
-Excision of the Internal Hemorrhoids,which you seem to have/
- along with Anal Dilatation- to control Constipation and anal spasm complicating health/
- along wth Excision of Anal Fissure with Sentinel Hemorrhoids- if need be

Impression-
Though You seem to be stable Still,are really in position to lead NORMAL LIFE,if you take above steps and implement them at the right time, in near future.
Nothing is to be Worried as the things are on the border,but not worst still.

Hope this reply would help you to plan further treatment with your doctors and to recoup fast,by taking opportune steps of treating your hemorrhoids soon, as suggested.

Welcome with any further query in this regard,to be replied in next session.

IF satisfied with this reply,Will appreciate YOU,to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at HCM services.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Internal Hemorrhoids with painless bleeding with Fissure In Ano

Detailed Answer:
Brief Ans-Internal Hemorrhoids with painless bleeding with Fissure In Ano with External Sentinel Piles

My Impression about your hemorrhoids-
Internal Hemorrhoids with painless bleeding with Fissure In Ano with External Sentinel Piles with Constipation and Acidity(?Duodenal Ulcer-doubtful)

Hi,Dear,thanks for the updated query.
I will attend as per your last query which in real has 4 sub- queries,to the point-

Q-final query. I tend to have notable bleeding in some bowel movements and sometimes they don't bleed at all-
Ans-Dear,sometimes you bleed more with SPLASH IN THE STOOL PANS- which is due to the Constipaton with strong obstruction to pass stools,which is more at that event,
And when you mostly have eaten high energy non-veg/spicy food with alcohol? in case you take it?which makes the stool hard.
At such occasions You should have 2 Banana Milk /or thin watery sweet-Butter Milkshakes on that day to counter.

Q-. Is this characteristics of hemorroids or is their any other possibility I should look into?? -
Ans-This heavy bleeding with hard stools accompanied with constipation and heavy obstruction is very common,association with each of the hemorrhoid cases.So you need to drink plenty water / fluids and juices, which with inbuilt sorbitol sugar,keeps your stool soft and prevents from becoming more hard in given condition,explained as above.

Q- When I do bleed it's bright fresh blood. Just would like to cover all possible bases. -this fresh blood is very characteristic of any rectal and colon-bleeding.In your case we know it is from the Internal Piles earlier and lately with painful Fissure In Ano,caused from hard stools,which is the result of your lifestyle and food habits.
The base of your bleeding is the Internal Piles with Fissure In Ano-with painful anus,when you get painful bleeding.
No Cancerous / or Polyp causal base is there with your case and you should not worry for any Cancerous Bleeding.
Proctoscopic Examination By a Surgeon would fix this worry,as it would lead proper investigations with Contrast CT with Barium Enema(Colonic Cancer/Benign Growths,causing this fresh bleeding) and Colonoscopic Biopsy(for Multiple Polyps with Cancer)

Q-I'm very worried due to bleeding more than usual with different stomach pains that alleviate with the medicines I mentioned before.
Ans-If you are worried go for series of check ups and before taking any further decision from time to time,Keep Me updated, to guide you property,as demanded and desired by you.

Hope this reply would help you to plan further treatment with your doctors and to recoup fast,by taking opportune steps of treating your hemorrhoids soon, as suggested.

Welcome with any further query in this regard,to be replied in next session.

IF satisfied with this reply,Will appreciate YOU,to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at HCM services.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Painless Bleed of Internal Hemorrhoids with Painful Bleedof Fissure In-Ano

Detailed Answer:
Brief-Ans-Painless Bleed of Internal Hemorrhoids with Painful Bleedof Fissure In-Ano

Hi,Thanks for the highly appreciative comments.

If you really mean them,Write Excellent Feedback Comments to spread the word,on the Webworld at HCM services,for all the needy patients like you.

I hope with this reply,you are devoid of worries,which you had;regarding this emergency health issue,you had since lately.


When in trouble for health issue Just contact Me,Before taking any further decision from time to time.
Keep Me updated, to guide you property,as demanded and desired by you,anytime regarding your all the health issues.

Hope this reply would help you to plan further treatment with your doctors and to recoup fast,by taking opportune steps of treating your hemorrhoids soon, as suggested.

Welcome with any further query in this regard,to be replied in next session.

Will appreciate YOU,to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at HCM services.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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