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How to manage symptoms of piles?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My mother is suffering from piles. She has bleeding during bowel movements with pain. She has bleeding every time while trying to pee with painful bowel movements. She is suffering from this issue for three days. She has pain while having bowel movements alone. Her stool is normal. She has a past history of this similar issue. But her problem got resolved after taking medications in the past. But there is no relief due to medications at this time for reducing the pain or bleeding.

Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

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Hi,

Welcome to icliniq.com.

Your mother can take capsule Tranxemic acid 1 mg twice daily for three days for stopping the bleeding. Please mention whether she has hemorrhoids alone. Hemorrhoids cause painless bleeding. An anal fissure is caused due to a breach in the lining of the anal canal. It can cause painful bleeding. For pain, she can also use Xylocaine gel 2% (anesthetic) three to four times daily with nozzle or Diltiazem gel three to four times daily. She can take Isabgol husk daily. Take two tablespoons daily with water. She needs to do some blood and stool tests to rule out the cause of bleeding. She may require a colonoscopic examination of the large bowel for screening purposes. Have a follow-up with the results of the investigations.

The Probable causes

Your mother is having bleeding per rectum or hemorrhoids or anal fissure or ulcerative proctitis or colitis.

Investigations to be done

She needs to do a complete blood count, serum CRP (C-reactive protein), ESR (erythrocyte sedimentation rate). She needs to do stool examination with a stool test for ova and parasites, stool test for fecal calprotectin, stool test for C difficle (clostridium difficile) toxin, IHA (indirect hemagglutination assay) titer for E. Histolytica (entamoeba histolytica).
Medically reviewed by Dr. Sneha Kannan
Published At July 8, 2024
Reviewed At July 8, 2024

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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