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Suggest Treatment For Haemorrhoids While On A Steroid Suppository
Question: I am wondering if there is a prescription other than a steroid suppository for hemorrhoids? I was given the suppository which did nothing. I have been suffering with a severe flare up for about 6 weeks now
Brief Answer:
Calcium dobesilate.
Detailed Answer:
Hi,
Firstly thanks for choosing HealthcareMagic for your query.
As per your query, yes, recent trials have shown some drugs to be effective in patients with hemorrhoids. Though not always effective but success rate is almost 50-60%.
First and foremost is calcium dobesilate- according to various trials, a success rate of ~86.21 percent with cessation of bleeding plus lack of severe anitis anoscopically at two weeks were achieved with calcium dobesilate. Dosages are started intially at 600mg twice daily for 21 days followed by 600mg once daily for next 3 month.
A low-fibre diet or inadequate fluid intake can cause constipation, which can contribute to hemorrhoids in two ways it promotes straining on the toilet and it also aggravates the hemorrhoids by producing hard stools that further irritate the swollen veins. Hence use of lactulose syrup is advised daily to make stools thinner and easier to pass.So though not a direct medication yet it may play wonders if followed carefully. Take a lot of Movicol( husk) to add bulk to stools. prune juice can be taken.
Just using steroid will not help use a combination of hydrocortisone with lignocaine(local anaesthetic) and calcium dobesilate(vasoactive) like Ruticool.
I hope this answers your query.
Follow up questions are welcome.
Thanks!
Calcium dobesilate.
Detailed Answer:
Hi,
Firstly thanks for choosing HealthcareMagic for your query.
As per your query, yes, recent trials have shown some drugs to be effective in patients with hemorrhoids. Though not always effective but success rate is almost 50-60%.
First and foremost is calcium dobesilate- according to various trials, a success rate of ~86.21 percent with cessation of bleeding plus lack of severe anitis anoscopically at two weeks were achieved with calcium dobesilate. Dosages are started intially at 600mg twice daily for 21 days followed by 600mg once daily for next 3 month.
A low-fibre diet or inadequate fluid intake can cause constipation, which can contribute to hemorrhoids in two ways it promotes straining on the toilet and it also aggravates the hemorrhoids by producing hard stools that further irritate the swollen veins. Hence use of lactulose syrup is advised daily to make stools thinner and easier to pass.So though not a direct medication yet it may play wonders if followed carefully. Take a lot of Movicol( husk) to add bulk to stools. prune juice can be taken.
Just using steroid will not help use a combination of hydrocortisone with lignocaine(local anaesthetic) and calcium dobesilate(vasoactive) like Ruticool.
I hope this answers your query.
Follow up questions are welcome.
Thanks!
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Is there a specific medication I can ask for? and are there specific foods I should be eating
Brief Answer:
Follow up answer.
Detailed Answer:
Hi again,
Yes calcium dobesilate is available by this name(generic)
Lactulose is avalialble by trade name Looz or Duphalac while ointment is available by brand name Ruticool.
Diet modifications:
Take psyllium husk 10 grams daily with half cup of water.It increase the volume of stool and helps in easy passage of stool without straining.
Drink at least 8 glass water daily.
Avoid over-spicy and oily food.
Avoid dairy products.
Take 1 cup of fruits (except banana) daily.
Drink juice along with fibers.
Use oat and wheat in food.
Take at least 25-30 grams of soluble fibers daily.
Take a probiotic regularly.
Avoid meat and eggs try to shift to vegans diet.
In short, eat simple natural and organic food.
Regards.
Follow up answer.
Detailed Answer:
Hi again,
Yes calcium dobesilate is available by this name(generic)
Lactulose is avalialble by trade name Looz or Duphalac while ointment is available by brand name Ruticool.
Diet modifications:
Take psyllium husk 10 grams daily with half cup of water.It increase the volume of stool and helps in easy passage of stool without straining.
Drink at least 8 glass water daily.
Avoid over-spicy and oily food.
Avoid dairy products.
Take 1 cup of fruits (except banana) daily.
Drink juice along with fibers.
Use oat and wheat in food.
Take at least 25-30 grams of soluble fibers daily.
Take a probiotic regularly.
Avoid meat and eggs try to shift to vegans diet.
In short, eat simple natural and organic food.
Regards.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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