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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hemorrhoids

I started having a lot of really smelly gas last August along with some constipation which was unusual for me. I had always been very regular in my bowel movements. I was due for a colonoscopy so I had one done in September. Everything was ok. Then, about January, I started having streaks of red blood in my stools, accompanied at times, with mucus-looking stuff. I went back to the doctor who did the colonoscopy and he did a sigmoidoscopy. Found some hemmoroids and banded them and said that was probably the problem. I continued to have the streaks of blood and mucus. I went back and he put me on a diet and told me to take Miralax every day, which I have done. The gas, the mucus, and at time, the blood continues.
Wed, 6 May 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

Treatment of hemorrhoids or piles depends on its degree.

For that,it should be examined by general surgeon by per rectal or proctoscopy with routine blood count and electrolytes.

If it is 1st or 2nd degree piles then it can be managed conservatively means without surgery.

You might require topical steroids like anovate cream,oral antibiotics (ofloxacin with ornidazole),antiinflammatory,antihistamines and laxatives or purgative if constipation with other supportive treatment like hot seitz bath and avoid oily,spicy and non-veg diet with high intake of dietary fibers like salads.

If it is 3rd or 4th degree means partial or complete rectal prolapse then surgery is the best way to get cured with all above conservative treatment.

Consult general surgeon for further advise.

Thanks and regards,

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Suggest Treatment For Hemorrhoids

Hi, Welcome to health care magic, Treatment of hemorrhoids or piles depends on its degree. For that,it should be examined by general surgeon by per rectal or proctoscopy with routine blood count and electrolytes. If it is 1st or 2nd degree piles then it can be managed conservatively means without surgery. You might require topical steroids like anovate cream,oral antibiotics (ofloxacin with ornidazole),antiinflammatory,antihistamines and laxatives or purgative if constipation with other supportive treatment like hot seitz bath and avoid oily,spicy and non-veg diet with high intake of dietary fibers like salads. If it is 3rd or 4th degree means partial or complete rectal prolapse then surgery is the best way to get cured with all above conservative treatment. Consult general surgeon for further advise. Thanks and regards,