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Hi Sir I Am 39 Yr Old Male Having Problem

Posted on Thu, 1 Apr 2021

Question: Hi sir I am 39 yr old male having problem of piles for almost 2 years. Earlier it was not that much disturbing. Sometimes it came out during bowel movement and goes inside by its own. And due to some constipation problems also were there and I had undergone colonoscopy in November 2020 and it came normal. But for last 2 days the pile comes out and it remains there after bowel movement also. I am having severe pain and unable to sit properly because of this pain and not able to do any kind of physical activities. After sitting some comfort is there. While sitting and when stand from seating position both time severe pain is there. What to do sir. Any home remedies will do or whether I have to go for treatment

Answered by Dr. Dr.P.Ratnakar Kini (18 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
You are having grade III hemorrhoids .
It is better to go for treatment.
Meanwhile you can do the following for pain relief-
1. Sitz bath for 10 minutes twice a day
2. Apply Anovate to the anal verge after sitz bath
3. Take Stool softerners/laxatives to ease your bowel movements- Tae Cremadiet duo 2 scoops in 250 ml of water every night.
4. Take Dolo 650 three times a day
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.P.Ratnakar Kini (6 hours later)

Sir Thank u so much for your reply. Regarding treatment actually what is the best treatment option. Whether medicine alone can do or surgery is needed. And if surgery needed what will be the consequences like duration of hospital stay, expense of surgery, after effects of surgery etc....

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

Sir I didn't get creamadiet from the medical store. Instead I got cremaffin..whether that is ok

Answered by Dr. Dr.P.Ratnakar Kini (13 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Cremaffin is a different kind of laxative.
You can buy a different brand of Cremadiet DUO ( Isapghul + Lactulose).
There are may different options like banding, sclerotherapy, surgery etc.
The cost varies among different hospitals.
You can discuss about these with the surgeon.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (8 hours later)

Sir I had colonoscopy 4 months back and doctor said everything is normal. Why they have not found my hemorrhoids in colonoscopy. And one more thing is that frequency of my urination is increased now. Whether it has any relation with piles. And one more thing is that only one year before i have noticed piles. Before that I had no symptoms at all. And this is the first time I am having pain because of piles. My wife is also having piles and she is having it more many years. But she never had this kind of pain. Then how my piles is grown this much in one year sir

Follow up: Dr. Dr.P.Ratnakar Kini (5 hours later)

And sir what oa your opinion about the surgery using laser technology

Follow up: Dr. Dr.P.Ratnakar Kini (13 minutes later)

Sir I have uploaded my colonoscopy result also. Pls have a look on that report also

Answered by Dr. Dr.P.Ratnakar Kini (22 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
May be it was smaller at that time.
Increased frequency of urination has got nothing to do with piles.
If it is persistent get an urine analysis and blood glucose test done.
Pain may be due to clotting of blood inside it. It can be confirmed only with examination. The other possibility is an associated fissure.

Regarding surgery, you can discuss with a surgeon.
Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Yogesh D