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What Is The Best Ointment For Bleeding Piles.can I Use

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Posted on Sat, 9 May 2020
Question: What is the best ointment for bleeding piles.can i use quadriderm for it.
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Follow up: Dr. Bhagyesh V. Patel (0 minute later)
What is the best ointment for bleeding piles.can i use quadriderm for it.
doctor
Answered by Dr. Bhagyesh V. Patel (35 minutes later)
Brief Answer:
Quadriderm not much helpful. calcium dobesilate is best molecule.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my clinical experience, second degree hemorroids are common
cause of rectal bleeding, particuarly in phase of constipation tendency and
certain food habits.

* The Qaudriderm cream contains
@ Betamethasone
@ Tolnaftate
@ Gentamicin
@ Clioquinol as ingredients.

It is mainly prescribed for the purpose of curing various skin infections
including fungal lesion, eczema, psoriasis, folliculitis and others.
Though it can help in hemorrhoids to some extent, it is not a routinely
preferred ointment as better options are available for bleeding
hemorrhoids.

* In my clinic, after clinical examination and confirmation of bleeding
hemorrhoids, I do recommend use of
Ruticool cream containing
@ Calcium dobesilate ( helps shrinking bleeding veins )
@ Lignocaine ( local anesthetic elps pain relief )
@ Zinc oxide ( soothing agent as sore skin is common accomplishment )
for best results.

* In addition to this, following would be helpful tips for you

- Sitz bath ( sitting in a tub filled with lukewarm water 10 minutes each
3 times a day, particularly after passing stool ) regularly.
- Strict diet control to avoid all spices, non veg, dairy fat, junk food if
consuming.
- Prefer more of green leafy veg, cereals, pulses, whole grains, legumes,
organic fressh fruits to get smooth bowel evacuation with plenty of liquids.

- Use bulk forming laxative as Ispaghula husk or Psyllium in case of hard
stool or painful defecation.
- Do regular aerobics.
- Keep weight under control.
- Control of blood sugar and blood pressure are very vital.

- Avoid any blood thinner tablet intake if consuming, as that will worsen the
bleeding tremendously.
- Avoid smoking or alcohol consumption ( if applicable ).
- Avoid anal sex ( if applicable ).

- Certain cases do require consultation with expert Surgeon if bleeding
persist ; to get additional prescription for certain medicines or opinion of
laser surgery, band ligation or other procedure as well.

Hope this information will be helpful in your current condition.
Do feel free to discuss further as per your need.

Wish you best health and recovery.
Regards.

Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Bhagyesh V. Patel (0 minute later)
Brief Answer:
Quadriderm not much helpful. calcium dobesilate is best molecule.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my clinical experience, second degree hemorroids are common
cause of rectal bleeding, particuarly in phase of constipation tendency and
certain food habits.

* The Qaudriderm cream contains
@ Betamethasone
@ Tolnaftate
@ Gentamicin
@ Clioquinol as ingredients.

It is mainly prescribed for the purpose of curing various skin infections
including fungal lesion, eczema, psoriasis, folliculitis and others.
Though it can help in hemorrhoids to some extent, it is not a routinely
preferred ointment as better options are available for bleeding
hemorrhoids.

* In my clinic, after clinical examination and confirmation of bleeding
hemorrhoids, I do recommend use of
Ruticool cream containing
@ Calcium dobesilate ( helps shrinking bleeding veins )
@ Lignocaine ( local anesthetic elps pain relief )
@ Zinc oxide ( soothing agent as sore skin is common accomplishment )
for best results.

* In addition to this, following would be helpful tips for you

- Sitz bath ( sitting in a tub filled with lukewarm water 10 minutes each
3 times a day, particularly after passing stool ) regularly.
- Strict diet control to avoid all spices, non veg, dairy fat, junk food if
consuming.
- Prefer more of green leafy veg, cereals, pulses, whole grains, legumes,
organic fressh fruits to get smooth bowel evacuation with plenty of liquids.

- Use bulk forming laxative as Ispaghula husk or Psyllium in case of hard
stool or painful defecation.
- Do regular aerobics.
- Keep weight under control.
- Control of blood sugar and blood pressure are very vital.

- Avoid any blood thinner tablet intake if consuming, as that will worsen the
bleeding tremendously.
- Avoid smoking or alcohol consumption ( if applicable ).
- Avoid anal sex ( if applicable ).

- Certain cases do require consultation with expert Surgeon if bleeding
persist ; to get additional prescription for certain medicines or opinion of
laser surgery, band ligation or other procedure as well.

Hope this information will be helpful in your current condition.
Do feel free to discuss further as per your need.

Wish you best health and recovery.
Regards.

Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhagyesh V. Patel (42 minutes later)
Can laser surgery be helpful for bleeding piles.Which is the best hospital for laser surgery and what is the general cost.
default
Follow up: Dr. Bhagyesh V. Patel (0 minute later)
Can laser surgery be helpful for bleeding piles.Which is the best hospital for laser surgery and what is the general cost.
doctor
Answered by Dr. Bhagyesh V. Patel (7 minutes later)
Brief Answer:
follow up.

Detailed Answer:
Hi
Thanks for the follow up.

* So far as management of hemorrhoids is concerned, it is always
conservative first in terms of medications, dietary care, sitz bath, life style
modifications etc.
It is those group of patients who do not respond to above measures, need
surgery for cure.

* The laser therapy, stappler, hemorrhoidectmy procedures are various
methods of handling hemorrhoids as per the expertise and center
availability.

For best center and costing, you have to consult your Consultant Surgeon in nearby area to get best help.

Overall, packages start from around 50,000 onwards for hemorrhoids prcedures in general, which varies widely as per the territory, surgeon`s expertise, procedure, hospital and other factors.

Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Bhagyesh V. Patel (0 minute later)
Brief Answer:
follow up.

Detailed Answer:
Hi
Thanks for the follow up.

* So far as management of hemorrhoids is concerned, it is always
conservative first in terms of medications, dietary care, sitz bath, life style
modifications etc.
It is those group of patients who do not respond to above measures, need
surgery for cure.

* The laser therapy, stappler, hemorrhoidectmy procedures are various
methods of handling hemorrhoids as per the expertise and center
availability.

For best center and costing, you have to consult your Consultant Surgeon in nearby area to get best help.

Overall, packages start from around 50,000 onwards for hemorrhoids prcedures in general, which varies widely as per the territory, surgeon`s expertise, procedure, hospital and other factors.

Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Bhagyesh V. Patel (27 hours later)
Sir,Please suggest any specific medicine for bleeding piles which cures it completely.I have high blood pressure for which i am taking concor 2.5 mg daily since 2010.
default
Follow up: Dr. Bhagyesh V. Patel (0 minute later)
Sir,Please suggest any specific medicine for bleeding piles which cures it completely.I have high blood pressure for which i am taking concor 2.5 mg daily since 2010.
doctor
Answered by Dr. Bhagyesh V. Patel (8 minutes later)
Brief Answer:
follow up.

Detailed Answer:
Hi
Thanks for the follow up.

* As per my surgical experience, first of all , clinical confirmation of your
diagnosis of hemorrhoids ( with its level ) is important via anoscopy
examination with consultant surgeon.

* The initial stages of second degree hemorrhoids do respond to medicines
for a long period of times and many do not require surgery for long time.
If the stage 2 of piles is advanced, usually medicines give transient relief
for a period of time and show up with bleeding on & off ; and ultimate
cure is surgery.

* For the medications, there are various products as per the clinician
evaluation, in general

- Pilex is ayurvedic preparation, helpful in many conditions of piles through
its natural properties.
- Calcium dobesilate capsules for capillary bleeding control.
- Trenaxemic acid or Ethamsylate tablets for systemic routes of bleeding
control.

* However, these are supportive medications and the basic life style
modifications as
- laxative for smooth bowel evacuation
- sitz bath
- control of blood pressure
- diet care
are very vital with medications.

* Again I repeat these medicines are supportive and whether they will be
curative or not would be decided by the treating surgeon.

Hope you get well soon.
Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Bhagyesh V. Patel (0 minute later)
Brief Answer:
follow up.

Detailed Answer:
Hi
Thanks for the follow up.

* As per my surgical experience, first of all , clinical confirmation of your
diagnosis of hemorrhoids ( with its level ) is important via anoscopy
examination with consultant surgeon.

* The initial stages of second degree hemorrhoids do respond to medicines
for a long period of times and many do not require surgery for long time.
If the stage 2 of piles is advanced, usually medicines give transient relief
for a period of time and show up with bleeding on & off ; and ultimate
cure is surgery.

* For the medications, there are various products as per the clinician
evaluation, in general

- Pilex is ayurvedic preparation, helpful in many conditions of piles through
its natural properties.
- Calcium dobesilate capsules for capillary bleeding control.
- Trenaxemic acid or Ethamsylate tablets for systemic routes of bleeding
control.

* However, these are supportive medications and the basic life style
modifications as
- laxative for smooth bowel evacuation
- sitz bath
- control of blood pressure
- diet care
are very vital with medications.

* Again I repeat these medicines are supportive and whether they will be
curative or not would be decided by the treating surgeon.

Hope you get well soon.
Regards.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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What Is The Best Ointment For Bleeding Piles.can I Use

What is the best ointment for bleeding piles.can i use quadriderm for it.