Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Dear Patient,  I understand your frustration after struggling with piles (hemorrhoids) for **2 years** despite trying various treatments. Your persistent **pain and burning** suggest chronic inflammation or possible complications (e.g., thrombosed hemorrhoids, fissures). Here’s a structured approach:  Key Recommendations:  1. Immediate Relief:     - Topical Anesthetic + Anti-inflammatory** (e.g., lignocaine + hydrocortisone cream) for temporary relief.     - Warm Sitz Baths** (3x/day) with **Epsom salts** to reduce swelling.  2. Non-Surgical Interventions:     - Rubber Band Ligation (for prolapsed piles) – minimally invasive, high success rate.     - **Sclerotherapy** (if bleeding is primary issue).  3. Lifestyle Adjustments:     - High-fiber diet(30g/day) + **3L water daily** to soften stools.     - **Avoid straining/spicy foods**.  4. Medication Review:     - Homeopathy lacks evidence for piles. Switch to **phlebotonics** (e.g., Diosmin) under medical supervision.  Next Steps:  Your case requires **clinical examination** (grade of piles, rule out fissures/fistula). Surgery is **not always needed**, but delayed treatment can worsen symptoms.  Consult me for a personalized plan. Reach me on WhatsApp at **eight zero zero nine eight two one three three two** to discuss further. 

Zerodol sp3 TIMES after food for five days for pain. Lidocaine gel + oxyurate ointment in 2:1 ratioto apply locally by index finger first on buthole than gently push inside the anus rotate the finger  to cover gel n ointment to all anal mucosa before n after defication two times  for 3 weeks. Diet change to be continued. Plenty of water n liquid. Salad, fruits,  fiber. Non spicy non fried food. Add oat in diet. Continue  Seitz bath.

Try warm sitz baths, increase fiber intake through foods like whole grains and fruits, stay hydrated, and use witch hazel compresses or over-the-counter creams to help alleviate piles symptoms.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Do connect and consult

Treatment depends on the severity of the piles.As you have tried all the available treatments, you need to consult a surgeon for a clinical examination to determine the exact cause, it's severity and manage accordingly.

New few more details. Kindly consult for further evaluation

Drink plenty of water. Fibre rich diet. Avoid oily foods and junk foods.

Surgery consultation

Need few more details Kindly consult

Yoga and a surgeon’s consultation

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.