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Suggest Treatment For Painful Hemorrhoid
Question: Hello , I had hemorrhoid about 10 years ago. About a week ago I started feeling a lot of pain around my anus I have a very hard painful protusion in my anus. My poop is much smaller them usual and I have a feeling of being really full. My stomach feels hard . I have used anusol for about five days now but no relieve.
Brief Answer:
likely to be due to anal fissure
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear XXXX
Hemorrhoid is unlikely to cause pain unless complicated by thrombosis(clotting of blood). The cause of your symptom is likely to be anal fissure, which is a small ulceration at anal opening. The protrusion is likely to be sentinel pile( No way related to pile, but a overgrowth of skin at the ulceration). Exact diagnosis will depend on clinical examination. It would be very helpful if you could provide clinical photograph of protrusion.
In the meanwhile I would suggest you the following
1. Drink plenty of water everyday:. It will help by mixing with the fiber of diet and give bulk to the stools so that they are well formed and soft.
2. High Fiber diet: Vegetable salad( 2 servings a day), Fruits especially citrus fruits.
3. Avoid Diet causing constipation: Especially those food stuffs containing refined flour like cakes, bread, biscuits, cookies
4. Hot Seitz bath: Add a handful of common table salt in a tub of lukewarm water and immerse the bottom by sitting in it. Every such session should last for 15 to 20 minutes. Two such session a day, one in the morning and one before retiring to bed at night. It would also be benificial to repeat it after every bowel movement. It will help in healing of fissure, decrease pain and relieve internal sphincter spasm.
5. Local application of local anesthetic ointment like Xylocaine will help in relief of pain. Apply it 15- 20 minutes prior to every bowel movements and also before retiring to bed.
6. Nifedepine Ointment: Local application of it will relieve the spasm of internal sphincter and help accelerate fissure healing.
Almost all my patients have benefited from this by religiously following it and making it the part of their lifestyle especially water intake and high fiber diet.
I hope the same will help you too.
Do consult your physician if the symptoms persists or contact me.
In case you need any further assistance, will be glad to assist you.
Wishing you happy and healthy life
Take Care
Best Regards
Dr T Shobha Deepak
MBBS,MD
likely to be due to anal fissure
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear XXXX
Hemorrhoid is unlikely to cause pain unless complicated by thrombosis(clotting of blood). The cause of your symptom is likely to be anal fissure, which is a small ulceration at anal opening. The protrusion is likely to be sentinel pile( No way related to pile, but a overgrowth of skin at the ulceration). Exact diagnosis will depend on clinical examination. It would be very helpful if you could provide clinical photograph of protrusion.
In the meanwhile I would suggest you the following
1. Drink plenty of water everyday:. It will help by mixing with the fiber of diet and give bulk to the stools so that they are well formed and soft.
2. High Fiber diet: Vegetable salad( 2 servings a day), Fruits especially citrus fruits.
3. Avoid Diet causing constipation: Especially those food stuffs containing refined flour like cakes, bread, biscuits, cookies
4. Hot Seitz bath: Add a handful of common table salt in a tub of lukewarm water and immerse the bottom by sitting in it. Every such session should last for 15 to 20 minutes. Two such session a day, one in the morning and one before retiring to bed at night. It would also be benificial to repeat it after every bowel movement. It will help in healing of fissure, decrease pain and relieve internal sphincter spasm.
5. Local application of local anesthetic ointment like Xylocaine will help in relief of pain. Apply it 15- 20 minutes prior to every bowel movements and also before retiring to bed.
6. Nifedepine Ointment: Local application of it will relieve the spasm of internal sphincter and help accelerate fissure healing.
Almost all my patients have benefited from this by religiously following it and making it the part of their lifestyle especially water intake and high fiber diet.
I hope the same will help you too.
Do consult your physician if the symptoms persists or contact me.
In case you need any further assistance, will be glad to assist you.
Wishing you happy and healthy life
Take Care
Best Regards
Dr T Shobha Deepak
MBBS,MD
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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