Dr. Nageswara Rao
Diabetology
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Patient's Query
Hello doctor,
I am 30 weeks pregnant. Went to doctor with three thrombosed hemorrhoids. Doctor gave me cream and suppositories. I am in agony and cannot move without being in pain so went back to doctor today who said they need to be drained. I spoke with the surgeon in the hospital who advized that because I am 30 weeks pregnant they will not give me general anesthesic to drain them. And instead keep doing the cream and suppositories and also ice packs and rest.
My question is that the piles are easily the size of two grapes in one and I cannot even sit down. I have to lay down and cannot do anything. Has anyone experienced this size of piles before and will they just decrease in size and if so what is the normal timeline as I am finding the pain hard.
Hi,
Welcome to icliniq.com.
Piles in pregnancy can happen due to increased intraabdominal pressure. For patients who have hemorrhoids before pregnancy they increase more. Now as it is 30 weeks you can wait for another 6 to 7 weeks. They may decrease in size once delivery is over or else you can go for surgery. Now use cream locally. Increase fibre in food.
Patient's Query
Thank you doctor,
Do they look really bad in the picture? Will the pain go out of the piles? And if so when? When will they decrease?
Hi,
Welcome back to icliniq.com.
As you already consulted doctors regarding treatment I did not comment much on medication. You can go for sitz bath: Keep warm water plus 2-5 ml Betadine lotion and sit in that for 10 minutes will relief pain. Avoid straining during stools, increase fibre and water intake. Take Lactulose or Lactitol or Cremaffin oral suspension if needed (if you have hard stools or constipation). Apply creams containing Calcium Dobesilate plus Hydrocortisone plus Lignocaine--SMUTH locally for pain relief and reduction in size of piles. You can take painkillers, mostly take Tramadol, if needed.
Patient's Query
Thank you doctor,
After delivery? Really? I can barely walk. I cannot sit down, cannot do anything and the pain is off the scale. It is constant. Painkillers do not work. Will anything bring down the swelling at least? This is now day 5 and pain has got worse. I cannot even sleep at night. Please help.
Hi,
Welcome back to icliniq.com.
If they are very painful, avoid sitting too much time. Apply AloeVera gel over piles, apply Smuth cream, pain killers, if all these methods fail and severe pain is still there, surgery is the best option.
Patient's Query
Thank you doctor,
I cannot sit down. I cannot do anything at all. I have been bed bound all week. When should swelling go down? Will they burst due to the soreness of them?
Hi,
Welcome back to icliniq.com.
Piles very painful, they swell much bigger during pregnancy. Treatment I already mentioned. If pain is unbearable only solution is surgery, but in your present situation it is dangerous to go for it. Piles size will reduce after delivery. Drink plenty of water, take high fibre diet. Sitz bath for pain relief. Ointment locally- (ointments usually contain Lignocaine). AloeVera gel also you can use. Pain relief medicines, Tramadol tablet daily twice or Aceclofenac twice daily you can use.
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Diabetology
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