My wife (age 33 years) has been suffering from piles related issues since last 10 years.
It occurred after her delivery (in 2003) and was harmless at that time. We are having an eleven year old daughter.
Recently she started experiencing pain and itching while going to toilet.
Also she could notice blood in stool (occasionally).
So, we decided to visit a hospital and there she had a couple of tests including rectal scanning.
After investigation, doctor informed us that she has been affected by second degree piles, skin-tag and fissure and hence laser surgery is inevitable.
We are really worried. Is there any alternate treatment without surgery?
Presently, an ayurvedic specialist (who is located near our village) has prescribed few medicines (mentioned below) for reducing the pain and itching but not for cure, Hamamelis virginiana ointment at night (to be used on the affected area), ayurvedic medicine for internal intake like Arsohari lehyam and Smooth laxative.
Could you please advise us with proper guidance? Is there any doctor to whom we can consult for a second opinion? My wife is a thyroid patient. Looking forward to your valuable suggestion.
It seems like your wife has second degree hemorrhoids which has also led to her fissure.
The good news is that it can be managed medically. The first line of management is medical management.
Itching is a very common manifestation, which is also known as pruritus. There are certain guidelines:
First, she needs to take regular laxatives and have a high fibre diet. Medicines like psyllium, or mild laxatives such as lactulose will be helpful. It can be taken once at bed time.
She can apply local ointment like Proctosol-HC. This will reduce the pain and itching in the affected area. If that is not available, topical hydrocortisone can be applied. This will reduce her pain.
Strikingly enough, one thing that I missed in your history is sitz bath. I am not sure if your wife has ever heard of it. Often, this is enough to treat piles. The patient is supposed to sit in warm water for 15-20 minutes around 3-4 times a day, preferably in and around bowel movement time. It reduces the pain, swelling and the associated pruritus to a large extent.
The ointment can also be applied in the fissure spot, after proper cleaning of the area. The area also has to be kept as dry as possible.
In later stages if the local doctor feels it is necessary, medicines like nitroglycerin or CCBs (Cacium Channel Blockers) can be applied directly on the affected spot.
Before all this you need to go and get yourself examined by a good reputed general surgeon in your area. Ayurveda is outside my field of expertise and I am not convinced about you using ayurvedic medicines to treat hemorrhoids at this stage.
There are other various possibilties like rubber band ligation, sclerotherapy, cryotherapy, etc. The doctor who examines her may advise a colonoscopy to find out the status of the fissure. My final advise to you is that her condition is treatable and you need not have to worry. She needs to be under a good surgeon. There are various other modalities, which can be decided based on her local findings. Hope this was helpful. consult a general surgeon online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon
Was this answer helpful?
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. to have a fungal infection. I suggest you take Itraconazole 100 mg capsule (Ceastra XL 100 mg), twice daily for two weeks. In addition, I suggest you apply either Loceryl cream or Fungicros cream, twice daily for four weeks. You may also take an o... Read full
.. history, I feel she must be having fissures in the anus or piles (hemorrhoids).
As she is constipated every time she goes to the toilet it stretches the analysis area and can cause tears and bleed. Even the piles can also bleed.
Now coming to the ... Read full
.. understand your concern on this issue.
The photograph which you uploaded indicates fresh blood in minute quantity (attachment removed to protect patient identity).
Fresh blood from the anus on the surface of stool or without passing stool indi... Read full
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.