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Rectal Hemorrhoids, treatment and medicines - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can I help you?
User :   hi
User :   i jst spoke to u on phone
User :   regarding Piles
Doctor :   ok
Doctor :   plz continue
User :   ya, wanted to check if there is any particular home treatment for piles... as i dont want to undergo surgery

Doctor :   ok
Doctor :   i will help you in this
Doctor :   can I ask few relevant questions?
User :   i am presently applying "Ashynoty" ointment
User :   ya
Doctor :   ok
Doctor :   what is your age?
User :   29
Doctor :   ok
Doctor :   since when are you facing the same condition?
User :   since last Dec, however it was cure in 5 - 7 days after applying this ointment

User :   now since last 4 days i am again facing this prob
User :   i am also having constipation
Doctor :   ok

Doctor :   since when are you having constipation?
User :   almost 10 yrs....
User :   i mean its a regular feature with me
Doctor :   ok
Doctor :   then it may be the cause for the piles
User :   ya i can understand that, but now i wanted to get rid of piles
Doctor :   did you had any consultation with a doctor for piles in past?
User :   last dec the doctor just advice me to apply this ointment
User :   as it was not that severe
User :   but again this pain have started
Doctor :   ok
Doctor :   which degree of piles were you diagnosed with ?
User :   he was a general physician, he did not say anything like this
Doctor :   ok
Doctor :   is there any bleeding?
User :   he told me if the pain soes not stop then visit a specialist
User :   but last time the pain stop in 5 days

Doctor :   ok
User :   yes, there is some bleeding now, but its more of pain
Doctor :   his diagnosis was exrternal or internal hemorrhoids?
Doctor :   I mean piles were internal or external?
User :   i dont remember and i did not visted him again

User :   now m just applying the ointment
Doctor :   ok
Doctor :   can you feel the bump near your anus by touching with your fingers?
Doctor :   or something protrudes from the anus?
User :   yes
User :   i feel as if some mass is comining out of anus
Doctor :   ok
Doctor :   then it goes back automatically?
Doctor :   or you have to keep it inside by the finger?
User :   its just a small portion, it does not go in

User :   very small portion
Doctor :   ok
Doctor :   so it remains out?
User :   yes

Doctor :   if you try to keep it inside then?
Doctor :   it doesnt goes inside?
User :   no, it doesnt

Doctor :   ok
User :   is it serious kya ?
Doctor :   as per your description it seems to be internal hemorrhoids
Doctor :   fourth degree
User :   hmm, so will i hav to undergo surgery

Doctor :   you have itching, Bleeding?
User :   some bleeding only when in toilet and get hard bowels

Doctor :   ok
User :   itching is till the pain last
User :   last Dec it was only for 5 -7 days of itching and pain
Doctor :   ok
Doctor :   what you are using currently is the protectant
Doctor :   it will cover the pile so that there will not be any irritation and no itching
Doctor :   but is not the definitive treatment
Doctor :   are you there?
User :   yes
Doctor :   ok
User :   so wht will be the treatment apart from surgery
User :   is there any tablet or some gel or some diet which will help me to get rid of this ?
Doctor :   there are other methods also like sclerotherapy, band ligation, cryotherapy
Doctor :   these are not done under anaesthesia
Doctor :   and there are chances of relapse
Doctor :   but if you will take some precautions then the chances of the relapse will be less
User :   k

Doctor :   but the surgery is the best recommended
Doctor :   many patients are first trying some common methods
User :   ic, but what if the itching and bleeding again stop as it stop last time ?

User :   shall i still go for surgery
Doctor :   you can first go for the sclerotherapy or band therapy
Doctor :   in sclerotherapy some injection will be given in the vein protuding and the
User :   as i told u i got this problem after six month.... and during this period there was no pain -- only a small potion of flesh was out of anus
Doctor :   vein will get sclerosed and will detach from the body'
Doctor :   yes
Doctor :   i understand
Doctor :   but sooner or later you will face the problem
User :   ic

Doctor :   as it is a 4th degree pile
User :   oh
Doctor :   so it is better if you can plan for surgery or sclerotherapy or band ligation yourself
User :   and how much will the surgery cost and how much time will this take ?

Doctor :   so that it will not be a alarming situation for you sometime in the future
Doctor :   sclerotherapy or band ligation is a day care procedure
Doctor :   you will be discharged in evening?
User :   ic

Doctor :   and you will be given some tips to prevent piles

Doctor :   surgery is also minor
Doctor :   but will take atleast 2-3 days of hospitalisation
Doctor :   now a days
Doctor :   a Stapled hemorrhoidectomy method is available
User :   oh

Doctor :   which is recent advance
Doctor :   with very less rate of recurrence
Doctor :   Please fill the feedback form
User :   sure

User :   thks doctor

Doctor :   have you filled the feedback form?
User :   one more thhing, how much this surgery will cost me ?
User :   yes, i did
Doctor :   ok
Doctor :   Is there any thing else I can help you with?
User :   no, thks doctor
Doctor :   regarding the cost
Doctor :   Sclerotherapy or bang ligation will cost less than 0000
User :   ic
Doctor :   surgical procedure cost will depend on the procedure, medicines used and the facility availed
Doctor :   but will not be more than 0000
Doctor :   in general
Doctor :   Is there any thing else I can help you with?
User :   thks a lot doctor
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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