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Piles condition, bleeding on bowel movements, no constipation. Taking suppositories, tablets, no relief. Two mymectomy surgeries done. Treatment?

My wife had a second mymecthomy 4 months ago. She soon developed piles 6 days after the operation and now she s even started bleeding when she goes to the toilet. The pain has become so unbearable that she s scared of the toilet. She is not constipated and she s even changed her diet for the reason but no sucess. We ve bought all kinds of suppostories(anualsol, sediproct) and venex tablets which haven t worked. She is now on Pilex tablets and anulsol + HC. Kindly advise
Tue, 3 Jul 2012
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General & Family Physician 's  Response
Dear Sir

How are you and your wife? I hope well. Piles or hemorrhoids occur due to excessive pressure on the rectal veins due to which they get enlarged and weak to an extent that they start bleeding. Risk Factors for this are , chronic constipation or cough, excessive straining and family history. What I would suggest is that you see a surgeon, they will perform a Digital rectal exam and endoscopy to confirm the diagnosis. After which you can opt for two treatment methods 1: Surgical, hemorrhoidectomy. 2: rubber band ligation and coagulation or sclero therapy.
You can initially try high fiber diet, taking lots of fluids, hemorrhoidal creams and suppositories, ice packs and sitting in warm water bath for 10-15 minutes every day.

I hope I have answered your question. If you have any more questions please feel free to contact me.

Thank you and Take care of yourself and your wife

Akif Zaidi
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