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Q. How can external pile be treated?

Answered by
Dr. Mashfika N Alam
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 06, 2019

Hi doctor,

I have an external pile for the past four days. I use Ibuprofen for pain and also use a tube of Scheriproct. There has been no improvement in four days. Should I get worried or does it take time to clear?

Dr. Mashfika N Alam

Family Physician General Practitioner


Welcome to

If you are using Sheriproct (Prednisolone), there should be at least some improvement because it contains a steroid and it helps clear up the piles within seven days. I hope you are using it correctly. I hate to tell you this but if there is no improvement with topical treatment, you may need to go to the doctor for sclerotherapy. They will use a sclerosing agent as an injection which can effectively cause shrinkage of the hemorrhoids.

My advice would be to not delay in seeking proper treatment, which in your case would be sclerotherapy. If the topical is not working at all, delaying it further might make it worse and then you might require surgery. I do not mean to scare you, I hope you understand. If there has been at least slight improvement with Sheriproct, then continue it for three more days and see what happens. If no significant improvement, go for sclerotherapy.

Preventive measures:

Eat plenty of fiber rich food like fruits and green leafy vegetables, drink plenty of water, avoid carbonated drinks, avoid constipation and straining.

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