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    Suggest treatment for hemorrhoids

Posted on Mon, 31 Jul 2017 in Digestion and Bowels
Question: Dear sir, I am suffering from painless bleeding from anus ocassionally during evacuation for last three years. A mass from anus comes out during evacuation daily which goes back within 1 to 5 hours.Also there is swelling at one side of anus & 3 lumps form after evacuation which gets fixed within few hours. i visited a general surgeon & he said it to be piles 2nd grade. i am presently on daflon 500 3 times a day & proctosedyle cream for last 10 days.no bleeding after medication. can i use proctosedyle for 30 days. also is rubber band ligation suitable for me or any other process. kindly suggest where hospital should i get it done at XXXXXXX or XXXXXXX where do i get latest technology for painless treatment. i have heard crh o XXXXXXX system is best & painless. is it available in XXXXXXX if so where.
Answered by Dr. Sunil 41 minutes later
Brief Answer:
go for laser surgery.

Detailed Answer:

Thanks for query

As per your history you have grade 2 diagnosed hemorrhoid.
As per the protocol stage 2 is managed conservatively while surgery is not done however non invasive methods can be given a try.

Suggestion for conservative management are-

Start taking laxative 10-15ml once daily before going to bed instead of using proctosedyle use Ruticool ointment.

continue oral Calcium Dobesilate(Daflon) for 3 months. Initially twice daily for 3 weeks followed by once daily for 10 weeks. .

Add isabghol husk to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.

-A probiotic should also be taken regularly with these medicines. Probiotic improves overall digestion and relieves constipation if not relieved even after 3 months of aggressive therapy proceed for Rubber bands ligation- inexpensive and are easy to deploy. It's a daycare procedure usually done under local anesthesia. The success rate varies from about 85%.
crh o'regan system is available on top notch hospital in XXXXXXX like Dhirubahai XXXXXXX XXXXXXX

Go for laser therapy,Its virtually painless and very successful.
For rubber band ligation-
Kolkata-Bellue vue hospital.
NewDelhi-Medanta the medicity(biggest hospital in asia with latest technology)

Thank you

Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Sunil 3 days later
Dear sir,
Thanks for ur reply. I have started medicines as per your reply. Kindly let me know the centres for laser therapy at XXXXXXX or XXXXXXX Also is rubber band ligation at belle vue clinic, XXXXXXX & Medanta, XXXXXXX is done by CRH O XXXXXXX procedure or any other. Also i was considering indraprastha apollo, XXXXXXX Are laser & crh o XXXXXXX procedure available there. Will it be good option to visit there. Kindly suggest.
Answered by Dr. Sunil 10 hours later
Brief Answer:
Follow up answer.

Detailed Answer:
Hi again,
In Medanta its done by latest technology.
See laser is a very normal non invasive surgery if done frequently in top notch hospitals like in XXXXXXX XXXXXXX XXXXXXX etc.
Apollo,Medanta XXXXXXX Fortis all are same.
So just do some background research on your doctor and get the procedure done.
Above answer was peer-reviewed by : Dr. Kampana
Answered by
Dr. Sunil


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