Brief Answer:
Let me explain you in detail

Detailed Answer:
Hi ,
I gone your query in detail.

Piles and fissure need exclusive treatment for about 6 month along with diet restrictions and lifestyle modifications.
As the primary cause for the piles problem is constipation.
Once your bowel movement becomes normal then your dilated vein( pile mass) should get
shrunken and fissure part should get healed. the whole process need certain duration.

For that you need at least 3 to 6 months time to settle.

Kindly follow the below mentioned treatment advise.

Have regular bowel habits two times per day. For that take plenty of fiber food like pappaya,guva,clustered beans,okra,moringa leave,spinach,pomogranate etc in your diet.
You should not get constipationed any more. take tripala chooranam 5 g along with hot at bed time.

Avoid sitting in a place for more than 30 minutes. Have gentle walk around your working place to avoid constant pressure on anal region.

Take 3 to 4 litres of water daily.
take steamed rice,chappathi along plenty of vegetables and dal,buttermilk, fibre vegetables.

Avoid junk,fried items,fatty and creamy substances.non veg food.

Physical exercise 30 minutes daily should be practised.

Medication:

Lodharasavam 20 ml with 60 ml of warm water twice a day. After food.
Tab.pilex 2 thrice a day.
Daflon tab - 2 twice a day.

Apply pilex ointment in the fissure area twice a day
. continue the treatment and advise without for 3 month. you will recover well.

Hope I clarified your query. Kindly get back to me if there any clarification further.
Thanks and regards
Dr.S. Senthilnathan

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