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Seems like he have external haemorrhoids, need to consult doctors for examination. If it’s quite pain full take anti inflammatory analgesics and consult doctor.

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

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.

The lumps near the anal region with mild pain, especially while walking or moving, could be due to several causes, the most common being: Thrombosed external hemorrhoids – Swollen veins that can form painful lumps near the anus, often due to straining or prolonged sitting. Perianal abscess – A collection of pus due to infection, which can start as a painful lump and may worsen if untreated. Anal skin tags – Usually painless but can cause discomfort if inflamed. Perianal fistula – An abnormal connection between the anal canal and skin, often following an untreated abscess. Pilonidal cyst – If located near the tailbone, it can cause pain and swelling, especially with movement. Given that the pain is mild but persistent, I recommend: Warm sitz baths (soaking in warm water for 15–20 minutes, 2–3 times a day). Over-the-counter pain relievers like ibuprofen or paracetamol. Avoiding constipation by increasing fiber and water intake. Checking for redness, pus, or increasing swelling, which may indicate infection.

**Dear Patient,**  The symptoms you’ve described—**two lumps near the anal area with persistent mild pain during movement**—are highly suggestive of **hemorrhoids (piles)** or possibly an **anal abscess/fissure**. Given the discomfort, it’s important to address this promptly to prevent complications like infection or worsening pain.  Key Recommendations:**  1. **Immediate Care:**     - **Sitz baths** (warm water + betadine) 2-3 times daily for 10 minutes to reduce swelling and pain.     - **Topical ointment** (e.g., Oxyurate) applied gently to the affected area as advised.     - Avoid straining during bowel movements; increase fiber/water intake to soften stools.  2. **Medication Review:**     - The prescribed medications (Tab Oz, Defeort, Zerodol SP) are appropriate for reducing inflammation and pain. However, a **personalized evaluation** is needed to confirm the diagnosis (e.g., rule out abscess or fistula).  3. **Warning Signs:**     - Seek **urgent care** if there’s:       - Severe pain, fever, or pus discharge (signs of infection).       - Bleeding or increasing lump size.  *Why Consultation is Necessary:**  - Hemorrhoids can recur or worsen without proper management.  - An abscess/fistula requires drainage or surgical intervention if missed.  **Next Steps:**  I strongly advise your brother to **consult me for a detailed examination** (including a proctoscopy if needed) to:  - Confirm the diagnosis.  - Adjust treatment based on severity.  - Prevent recurrence with long-term strategies.  **Contact me on WhatsApp for priority care:**  **Eight Zero Zero Nine Eight Two One Three Three Two** 

External piles. Tab Oz two times a day after food 5 days. Defcort 500 two times a day after food for  15 days. Zerodol sp three times a day after food for five days.  Sitz bath take a tub filled with hot to warm water add betaine solution  n sit in it 7-10 min two times a day. Oxyurate ointment locally in anus by index finger first on buthole  than push the finger in anus gentaly,  than rotate the  finger to cover anal mucosa complete ly. Before  n after defication . Two times a day for  two weeks.

Please consult a General Surgeon in your area for a physical examination. It could be an abscess or an infected pile.

Could be due to external hemorrhoids.Ask him to consult a physician in your area for a clinical examination and appropriate treatment.

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What does his major activity of the day include ? Very difficult to comment on the lumps without examination. We can definitely help, please connect to a nearby surgeon.

Take zerodol sp when in pain. Drink plenty of water.

Need more history. Kindly consult for further evaluation

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It's haemorrhoids

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