Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Intero-External Piles with? Sentinel Piles.This sentinel pile seems to have got infected lately, from the
Fissure in ano, which holds the stools in its ulcer even after wiping at end of defecation.Long standing sitting profession has lead to
stress and resultant
constipation.Those present for 2-3 mths,are mostly due to external Piles, which was there earlier. Those joined lately seems to be from-Internal painless piles.Due to the packed anal opening and infection, it got strangulated and had discharge from the strangulated internal piles.these secretions has lead to itching lately, and is not because of Ringworm infection and is not the possibility even.
With this diagnosis is known,and needs to be confirmed from Surgeon's physical examination.
Remedy -
Would be By High ligation of Internal Piles and Anal Dilatation -under
Spinal Anaesthesia.If the fissure in ano is confirmed / or accompanying would be resolved with -Wide Anal Dilatation-with 4 finger level.
Excision of the Sentinel piles, needs to be done by -debridement of the ulcer of the Fissure in ano.
With all this correction- it would be 3-4 weeks for you to come to normal.
Bland High fiber diet- after recovery would be natural dilator for the fissure and would not recover there after.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS