HomeAnswersMedical GastroenterologypilesHow to manage symptoms of piles?

Medicines are not reducing pain and bleeding due to piles. Please help.

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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 August 14, 2020
Reviewed AtAugust 21, 2023

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

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).

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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