Dr. sivanath
Internal Medicine
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Patient's Query
Hi doctor,
I am a software engineer. I got an external hemorrhoid for the past two days. There is no bleeding, but it is painful. Also, there is no constipation as such. Seven months back, it used to happen frequently and it used to go away on its own in a few days. I was exercising earlier and now stopped for the last three to four months. I am taking Pilex tablet and cream. I need to get quick relief as I have to travel. Please help.
Hi,
Welcome to icliniq.com.
You can apply Anovate cream (Beclomethasone, Phenylephrine and Lignocaine) for three to five times a day. Remember, all the local acting cream has duration of action of four to six hours and need to be applied again. If pain is severe, then try oral medication like Dolo 650 (Paracetamol) or Diclofenac. Please meet a surgeon for permanent surgical treatment. Thank you and take care.
Patient's Query
Thank you doctor,
Is it to be operated for sure? I was of opinion that some food causes this. When I moved to a new country, the very next day I got it. So, I immediately switched to fruit diet and it got cured in three to four days. Same way, I had no issues for the last seven months. Around three days back, it happened suddenly. I was at my home and did not eat anything outside. But, the food had changed for sure. Also, I had been thinking that because of my sedentary lifestyle this is happening. My BP, cholesterol and triglycerides were on the higher side.
Hi,
Welcome back to icliniq.com.
Constipation does increase the problem. The first step to treat is conservative management like fiber-rich diet and application of local cream. The further decision of intervention is based on the grade, which need to be determined after examination. Many number of daycare procedures are available like sclerosing, ligation and cautery with laser, etc. A surgery is required if there is associated fecal incontinence and Doppler guided intervention. Since all these procedures are based on surgical experience and grade of hemorrhoid, I suggested the surgical consultation. Neglecting the complaint may increase the grade making surgery mandatory when it can easily be dealt now. Thank you and take care. Regards.
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Internal Medicine
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