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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can hard stools indicate internal hemorrhoids?

I had been diagnosed to have external hemorrhoids and i used faktu 2 days before but today i had a bit of blood when wiping, is this normal? Knowing that i had hard stools, do this mean that i have internal hemorrhoids as well? And is it safe to insert faktu ointment into the rectum? Or only for external use? Thank you
Thu, 25 Aug 2016
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General & Family Physician 's  Response
Hemorrhoids are enlarged blood vessels around the anus. The actual cause of hemorrhoids is not completely known. Constipation, pregnancy, child birth, obesity, poor fiber in diet, poor bath room habits, postponing bowel movements, straining whilst lifting or vomiting contribute to development of hemorrhoids. There are two types of hemorrhoids – external & internal or both. Surgery is required for certain types of hemorrhoids. Hemorrhoids tend to get worse over time, and it should be treated as soon as it is diagnosed. Several surgical and non-surgical techniques are used to treat hemorrhoids. There are some preventive measures which I can tell you over here.
1.     Apply locally Faktu ointment every six hours daily
2.     Take high fiber diet such as split peas, lentils, black beans, lima beans, baked beans, whole grains, vegetables such as artichoke, green peas, and sprouts and fruits
3.     Ferrous sulfate tablet – one tablet daily (Brand name – Autrin) for 3 months
4.     Folic acid 5 mg (Tablet Folvite) – one tablet daily for 3 months
5.     Syrup lactulose (Syrup Duphalac) 2 teaspoonful per oral at bed time if you have constipation
6.     Drink 4 – 5 liters of water daily
7.     Avoid weight lifting
8.     Avoid straining while defecating
9.     Avoid coughing
10.     Consult a general surgeon for per rectal examination and diagnosis and further management
11.     Investigation – Hb%
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