HomeAnswersMedical GastroenterologypilesHow to treat piles and anal itching?

I am not able to sit properly due to piles and anal itching. Please suggest medicines.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Sneha Kannan

Published At May 6, 2020
Reviewed AtAugust 9, 2023

Patient's Query

Hi doctor,

For piles, I am taking two Himalaya tablets daily. But I am unable to sit properly due to anal itching. Please suggest a medicine.

Answered by Dr. Ajeet Kumar

Hi,

Welcome to icliniq.com.

You are taking ayurvedic medicine for piles. Sometimes, it can help you, and sometimes, it cannot help you. I suggest you consult a local general surgeon for having examination before taking other treatments. If piles remain for a long time, it causes significant pain and trouble in daily life. For now, you can start taking treatment. You can take Isabgol husk two tablespoons daily irrespective of having soft stools or hard stools. Fiber has many things to do in the gut other than the stool softening effect.

You can take tablet Ciprofloxacin 500 mg (antibiotic) twice daily for five days. You can take tablet Flagyl 400 mg (anti-anerobic)thrice daily for five days. But it can cause some side effects such as gut upset and metallic taste in the mouth. You can use a sitz bath. Put approximately 5 ml of Dettol or any antiseptics in the bathtub filled with tepid water and do it three times a day. Keep your area clean near your bottom. Remove your hairs. Reduce your weight if you are overweight. Increased weight can impair your defecation mechanism and it causes increased pressure under the bottom. It worsens the anal hemorrhoids or fissures in long term. Have a follow-up after a week.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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