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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is it advisable to do piles surgery in patient with paralysis?

My mom is sufering from piles. she is having bleeding problem from yesterday. Doctor suggested to do operation. Please advice, because she is having b.p. diabetes, mild paralysis attack before 2 months and she is having problem in her brain : beningn cystic lesion, so is is very risky to do operation, or it will be covered by medicine.
Mon, 27 Mar 2017
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Gastroenterologist 's  Response
Hi dear ,
Wheter to go for surgery or not typically depends on the intensity of problem your mother is having righ now.And that can be decide only by your treating physician,However i would tell you both medical and surgical management here .Surgery is also minimally invasive so can be tolerated well by your mother.
First step in medical management is-
Drastic life style change.
Maintain your food habits. Take simple and easily digesting veg. Food, daily. Cut shot spicy, oily bakery foods and junk foods. Include fiber rich food in diet.Proper exercise, walking helps to maintain physical fitness. Avoid heavy and late night foods, cut shot all stimulants if any. Be to bed in proper time. Take 8 glass of water daily morning.
r, Calcium dobesilate can be tried initally twice daily for 21 days followed by once for 3 months along with application of cream containing Calcium Dobesilate, Hydrocortisone , Lignocaine and Zinc once daily at bed time. It is effective in about 60% patients.Strict dietary restrictions are to be followed if you opt for medical management.

Non invasive procedure are-
Sclerotherapy-An injectible chemical would be injected into hemorrhoid to kill the tissue.It's a relatively painless and out patient procedure.

Band ligation-Small bands will be ligated to base of hemorrhoid, this will cut off the blood supply resulting in shrinkage of hemorrhoid.

Laser or Infrared therapy can be use to coagulate the hemorrhoid.
All three procedures are equally effective. If recurrence occurs, you can go for surgery.

it can be managed medically also, whether to go for noninvasive procedure or not depends on intensity of your symptoms and problems.
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