Brief Answer:
Calcium dobesilate plus preparation H and lactulose.

Detailed Answer:
Hello and thanks for asking,

Two treatments are there,

Initially, we start with conservative management for at least 3 months...
Suggestion for conservative management is-

Start taking Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Using laxative would prevent straining while defecating.

-Secondly, start using Preparation H (a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc) locally over the prolapsed hemorrhoids.

-Thirdly, request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks.

Add Metamucil/Fybrogel 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. Take it 2 tsp twice daily with half a cup of lukewarm milk.

If still not relieved go for Hemorrhoidectomy. In which it would be removed by the surgeon.

Hope I answered your query.
Follow up are welcome
Thanks

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