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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Difference Between A Sentinel And Hemorrhoid Piles?

Hi Doc, I was diagnosed with a sentinel pile a couple of months back. After completing a full course of medicine, it had gotten cured. But, it seems to be relapsing now. I am afraid if that is a form the normal piles that people generally have. Could you please tell me what is the difference between a sentinel and hemorrhoid piles?
Wed, 19 Apr 2017
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General Surgeon,  's  Response
Respected User, hi I evaluated your query thoroughly.
*I would love to clearly make you doubtless.
@SENTINEL TAG / PILE : It`s external skin tag
- you can see on your own no consultant is required to diagnose it.
- usually asymptomatic except occasional pain.
- bleeding only if there is associated fissure(skin laceration) or sever
constipation.
- not curable by any medicines.
- not requiring treatment if not troublesome, surgery if more discomfort.
@ INTERNAL HEMORRHOIDS :
- lies inside your anal canal.
- it`s diagnosis of Consultant Surgeon done by Proctoscopic examination.
- 1st degree : usually asymptomatic, occasional pain / discomfort only.
- 2nd degree : symptoms on & off as bleeding , discomfort after
evacuations , constipation induced aggravation of pain, burning etc.
- 3rd degree : last stage where all internal hemorrhoids are prolapsed
outside at anal opening, highly problamatic even difficulty to sit also.
- 1st degree doesn`t require any intervention ,
- 2nd degree can be under control with conservative treatment for times
surgery for lifetime solution.
- 3rd degree requires only surgery no role of conservative treatment.
Hope this clears your query.
Thanks for using Health Care Magic and reviewing my answer.
Regards.
Wishing you fast and speedy recovery from the same.
Bye dear take care.
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What Is The Difference Between A Sentinel And Hemorrhoid Piles?

Respected User, hi I evaluated your query thoroughly. *I would love to clearly make you doubtless. @SENTINEL TAG / PILE : It`s external skin tag - you can see on your own no consultant is required to diagnose it. - usually asymptomatic except occasional pain. - bleeding only if there is associated fissure(skin laceration) or sever constipation. - not curable by any medicines. - not requiring treatment if not troublesome, surgery if more discomfort. @ INTERNAL HEMORRHOIDS : - lies inside your anal canal. - it`s diagnosis of Consultant Surgeon done by Proctoscopic examination. - 1st degree : usually asymptomatic, occasional pain / discomfort only. - 2nd degree : symptoms on & off as bleeding , discomfort after evacuations , constipation induced aggravation of pain, burning etc. - 3rd degree : last stage where all internal hemorrhoids are prolapsed outside at anal opening, highly problamatic even difficulty to sit also. - 1st degree doesn`t require any intervention , - 2nd degree can be under control with conservative treatment for times surgery for lifetime solution. - 3rd degree requires only surgery no role of conservative treatment. Hope this clears your query. Thanks for using Health Care Magic and reviewing my answer. Regards. Wishing you fast and speedy recovery from the same. Bye dear take care.