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75 yr old suffering with internal piles, mucus discharge daily. Using Anusol cream, suppositories with no help. Remedy ?

hello, l am sevety five yrs old female in good general health but have recently suffered with internal piles and at present have a mucus discharge daily. i have seen my GP and am presently using Anusol cream and suppositries for about ten days but there does not appears to be much improvement.Is there a time scale for improvement?
Asked On : Fri, 3 Aug 2012
Answers:  2 Views:  83
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General & Family Physician 's  Response
Hi welcome to HCMForum. Congratulations at this age you are running with good health. but you should be causcious about any minor ailment. you have consulted a GP for primary treatment, when you dont get complete relief you should consult a surgeon or a gastro enterologist for confermation of the diagnosis.
Piles usually does not present with mucous discharge . Internal piles will have discharge of blood with no pain. External piles have discharge of frank blood pain and feeling the elevation at the anus. at this age you must be causcious about the diagnosis.
Besides i advise you some diet recomendations as avoid spices chillies junk foods. take more of green leafy vegetables pulses fruits and juices to build up good health and to have smooth evacuation of stools. Wishing for a quick recovery. thanks for calling.
Answered: Fri, 3 Aug 2012
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General & Family Physician Dr. Michelle Gibson James's  Response
Hi, welcome to health care magic, I am sorry that you are unwell

Hemorrhoids or internal piles are swollen blood vessels in the rectum, they are rarely common.
The most common causes of hemorrhoids are low fibre diets resulting in straining and constipation, prolonged sitting on the toilet is thought to effect the return of blood to the heart and result in hemorrhoids, aging which can lead to weakening of the muscles. Excess weight and diarrhoea can also result in hemorrhoids.

The treatment would consist of (1)warm baths ( you can use just plain water or add epsom salts or plain salt to it) 2 or 3 times a day this will reduce the swelling and pain(2) high fibre diet, plenty of water (3) some doctors also recommend a stool softener to reduce the straining on the toilet (4)the use of the topical creams and agents you have described.

There are certain techniques to avoid making them worse such as : blotting NOT wiping after using the toilet, baby wipes would be good,
avoid sitting or standing for prolonged periods, when sitting use a cushion,
use cotton underwear to reduce moisture as a result of sweating,
apply ice 2 or 3 times a day for about 10 mins, follow this by a warm compress,
use pain medication

The topical medication works differently for everyone. Try the above techniques along with the medication and hopefully the pain would improve soon

Wishing you the best
Answered: Fri, 3 Aug 2012
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