How can I manage recurrent piles?

Hello,

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Well, I can understand that you must be very concerned about your problem, but taking Anovate which is a Baclomethasone considering diagnosis in disguise; is not a wise decision otherwise. I must suggest you to get your self examind with a gastroneterolgist or a general surgeon by digital rectal examination and a proctoscopic examination. The proctoscopic examination includes a device assisted vision of the rectim and anal canal. This will not only find the cause of your pain but also stage or grade the severity of the problem.

Meanwhile you can use Diltiazem gel 4 to 6 hourly on days when you have pain. You can also use Xylocain gel 2 % four to six hourly on days of pain. Let me know if you have any other relevant information which might help me to diagnose your case, or if you can upload a picture of the anal area that can help us to reach to diagnosis.