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Dr. Andrew Rynne

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Exp 50 years

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Pile internal with 2 degree at 11 o'clock. Done rubber banding. Best treatment?

I have been transfused 2 units of blood inspite Doctor advised 3 units of blood Blood group A +. The Haemoglobin level 6.3. Blood Picture Microcytic Hypochromic Platelate adequate. I have pile internal with 2 degree at 11 O Clock for the last 30 years. 25 years back rubber banding was done. 1 year back I have been advised for rebanding. What is the best method for pile treatment with my type. Rubber banding is unbearably painful. Is there any painless effective treatment. After tranfusion the haemoglobin level raises to 8.9. Kindly advise me best advice and foods required. Iron tabletes are consuming.
Wed, 10 Apr 2019
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Internal Medicine Specialist 's  Response
Hello,

Piles are treated according to its degree. If it is bleeding with defecation and protrude outside the anus and can not be returned back, then the surgical removal is the best.

If not then conservative treatment would be better, in your case I don't think you need surgical treatment, although you need to take iron shots to correct the anemia you have.

So I advise you to go for another session of banding to relieve your symptoms.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Salah Saad Shoman, Internal Medicine Specialist
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