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What is the treatment for thrombosed piles?

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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. Pooja Pardhi

Medically reviewed by

iCliniq medical review team

Published At December 15, 2016
Reviewed AtAugust 11, 2023

Patient's Query

Hi doctor,

I have been suffering from thrombosed piles since two years. Initially, it took a week to subside. I showed it to doctor, who has conducted a physical examination and he had diagnosed it as thrombosed piles. Before 11 months, when I was exercising in gym, I again suffered from thrombosed piles. It was very painful. I could hardly walk. It took about a week to heal. I have stopped exercising. The moment I start surya namaskar or lift weights in gym, I have bled. There is no external fistula. I have shown it to a gastroenterologist before six months. He said, let it recur and then we will see what is to do and now it appears fine. What is the treatment for this? Can I lead a normal, active life again? Why cannot I start exercise? I tried homeopathy treatment, but it was of no use. Is it thrombosed piles or something else?

Answered by Dr. Pooja Pardhi

Hi,

Welcome to icliniq.com. I have gone through your query and can understand your health concern. It's important to consider piles as a potential cause of your pain and bleeding, but it's crucial to rule out other underlying factors. I recommend consulting a surgeon for a thorough examination and appropriate intervention if necessary. If a thrombosed pile is identified, it may need removal. Adopt a diet with less spicy and oily food, increase fiber intake through salads and green leafy vegetables, and ensure adequate water consumption. Using a laxative at night can be helpful, and it's essential to avoid straining during bowel movements, engage in regular exercise, and refrain from heavy weight lifting. Sitz baths, involving warm water with a bit of dettol, three times daily for about 20 minutes each time, can provide relief. Applying Diltiact gel (Diltiazem) twice daily to the perianal and anal regions can help alleviate pain. Remember, a confirmed diagnosis is vital for effective treatment, so I encourage you to consult a surgeon promptly for a better quality of life post-treatment.

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

Dr. Pooja Pardhi
Dr. Pooja Pardhi

Internal Medicine

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