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Piles haemorride
My mother is 65 and suffering from piles and swelling because of it. Please suggest medicine for her
Answers (57)
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Increased consumption of processed food along with sedentary lifestyle are the root cause of her condition.
Next Steps
She needs to consume food rich in fiber like fruits and vegetables.
Health Tips
Watch out for constipation and if possible use washroom in squatting position.
Answered
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Tab. Daflon 500 mg– often prescribed 1 tab twice daily for a week, then once daily. Helps reduce swelling and bleeding.
Stool softeners/laxatives such as Isabgol husk (psyllium husk), lactulose syrup, or Cremaffin at night (dose depends on bowel movement pattern).
Next Steps
Sitz bath: Sitting in warm water for 10–15 minutes, 2–3 times daily helps reduce pain and swelling.
Health Tips
Sitz bath: Sitting in warm water for 10–15 minutes, 2–3 times daily helps reduce pain and swelling.
Answered
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Hello
For the course of treatment we need to 1st know the grade of piles. As piles may be of different grades, usually the early grades requires very less or no treatment while the other grades requires treatment.
For this, we have to examine the patient . Then plan the action of management.
Next Steps
1. Consult Surgeon/GP
2. Sitz bath 3 times a day for 7 days
3. Isabgol powder 2 times a day
4. High fibre diet
5. No oil/spicy food
6. Avoid processed food
Answered
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1.TAB NORFLOX 400MMG BD
2.TAB ZERODOL P BD.
3.SYRUP LACTOLOSE 5ML TWO TIME DAY IN
GLASS OF LUKE WARM WATER
4.TAKE SITZ BATH ( a warm, shallow bath used to cleanse and soothe the perineum, the area between the genitals and the anus)
5.THEN APPLY LIGNOCAINE OINTMENT IN THAT AREA.
Next Steps
CONSULT GENERAL SURGEON ,/ GASTROENTEROLOGIST
Health Tips
EAT FIBER RICH DIET(LIKE vegetable , fruits,
AVOID SPICY FOOD ,HARD FOOD
DRINK LOTS OF WATER.
Answered
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I don't know what is the basis of your diagnosis for piles. The symptoms of piles and fissures and even chronic constipation overlap. A proper clinical examination by a General Surgeon is required for a proper diagnosis.
Most of the patients who are not happy in spite of repeated treatment schedules actually don't have piles
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Hello,
For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
My WhatsApp number is same as my mobile number . My WhatsApp number is +91959508739nine.
Take a glass of milk daily.
Thanks.
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Dr Praful Mahamuni,
Family Doctor,
MBBS .
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Answered
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Piles is common in old age.
Do symptomatic management.
Bath in warm water with salt inside (sitz bath)
Apply Anovate cream 3 times a day around piles.
Take painkiller if you feel too much pain.
Take cremaffin syrup in night before going to sleep.
Next Steps
relax. take medicine. avoid hot and spicy food.
take fiber rich food (fruits and vegetables).
Answered
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Hello
As you have said your mother's age is 65 years, if she is not having any arthritis and if she can comfortably sit, do arrange for a sitz bath.
Apply Anibliss cream over the local area.
Give her food which is rich in fibre like mullets,towards,oats,fruits,leafy vegetables,cucumbers, carrots, etc.which can enhance the motility of the gut.
Hydration of 8 to 10 litres of water and butter milk twice to thrice daily.
For pain and swelling start giving to her tab zerodol sp tablet twice daily after food.
Consumption of millets,grains,boiled maize cobs,can enhance the bulk of the stool.
Avoid spice and non veg.
Her surgical history and past history is also required to talk in further detail about this
Next Steps
start taking Tab pan D morning and evening 20 min before breakfast and before dinner.
Health Tips
consult a general surgeon clinic if the condition is intolerable
Answered
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Piles with swelling are common at this age, often made worse by constipation or straining. Lifestyle changes along with medicines usually give good relief
Next Steps
She should increase fiber intake, drink enough water, and do warm sitz baths. Stool softeners can be helpful. Suitable creams or suppositories may be started as per proper history taking and consultation, depending on the patient’s need.
Health Tips
Avoid straining at stools. If bleeding or pain is severe or persistent, further evaluation by a surgeon may be required.
For direct consultation you may contact on nine six five zero nine zero one eight seven six
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Zerodol sp3 times a day after food for five days. Oz two.times a day after food for five days.
Anovate ointment to apply locally with index finger first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely before n after defication two times for two weeks.
Softovac two teaspoon with water two times for 10 days.
Light diet, plenty of water n liquid.
Answered
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For temporary relief, Try Sitz bath- Take a shallow basin/tub, fill it two-fourth (approximately) with lukewarm water and make the patient sit hip deep in it for 10-15 minutes. Can do twice or thrice a day.
Next Steps
It would be better to get a physical examination done to prevent any further complications.
Health Tips
Add more fibres in diet on a daily basis in the form of Salads, sprouts, fruits like apple.
Answered
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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1. Syp Lactulose 15–30 ml HS × 5 days
2. Ointment (Lignocaine + Hydrocortisone / Hemorrhoid cream)
Apply locally twice daily × 7 days
3. Tab. Paracetamol 500 mg SOS (for pain/fever)
Next Steps
General Advice:
Take high fiber diet, green vegetables, fruits, salads
Drink 2–3 liters of water daily
Avoid straining
Avoid spicy/oily/junk food
Regular exercise, walk daily
Warm sitz bath 10–15 minutes, 2–3 times/day
Health Tips
Please consult a local Surgeon/Proctologist at the earliest for examination and definitive management.
Answered
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Only grade 4 hemmorhoids require surgery.. grade 2 and 3 is done in our patient basis by rubber band ligation.. so I would like to ask if it gets reduced spontaneously or manually? Fo for opd rubber band ligation.
If doesn't get reduced at all then you need to go to surgeon in truth only less than 10 percent cases require surgery due to do modern advancement in rubber band ligation these days done in opd basis ... No operation theatre the
Answered
2/2 people found this helpful
Hiii bro
If you are asking medicine opinion only
Then its
SITZ bath - sit in a warm water for 3times a day for 15mjn
Syp. Duphulac 20 in night
Hight fiber diet
Bro IT has many treatment
Like surgery , laser
U can think of it and consult to surgeon
Next Steps
Change diet and lifestyle first bro
Answered
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Based on the grading of hemorrhoids next step is decided. Usually it is small surgical procedure or something conservative management is also done
Next Steps
plz consult a doctor near you
Health Tips
Increase water consumption
high fiber diet like green leafy vegetables
decrease meat intake
stiz bath are very effective ( check on youtube)
Answered
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Need to be examined by the surgeon to confirm piles and the grade. Only then specific management can be decided on.
Next Steps
Meanwhile u can use
stool softeners like syp. Lactulose 15ml HS x 7days,
sitz bath 15mins everyday (sit in a basin with luke warm water added with salt).
This is the basic treatment.
May need surgical interventions also based on the grade.
Avoid meat, include fibre rich foods.
Health Tips
Surgery consultation
Answered
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For piles with swelling, start with high-fiber diet, plenty of fluids, sitz bath (warm water sitting) twice daily.
Over-the-counter options cream and stool softeners can help reduce pain and swelling.
If bleeding, severe pain, or large swelling persists, she should see a surgeon for further management.
I hope it helps you. If more questions are in your mind, you can reach me for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine.
Answered
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Syrup- Lactulose (10–20 ml at night)
Topical ointments - Lignocaine + Hydrocortison
Tab -Daflon 500mg twice a day
Tab Paracetamol 500mg twice a day
Next Steps
take treatment for 5 days and re consult
Health Tips
High-fiber diet (fruits, vegetables, whole grains)
Plenty of fluids 2–3 L/day
Warm sitz bath 10–15 min
Answered
2/2 people found this helpful
Stool softeners like lactulose or isabgol to reduce straining during defecation.
Topical creams/ointments (e.g., lidocaine gel or hydrocortisone suppository) for local pain and inflammation relief.
Oral NSAIDs (paracetamol, not ibuprofen unless physician approves) for pain control.
Sitz baths (soaking anal area in warm water) twice daily for swelling reduction
Next Steps
Schedule an appointment with a physician for further examination, especially if there is bleeding, severe pain, or prolapse.
Consider blood tests if she is experiencing frequent bleeding to rule out anemia.
If there is marked swelling or prolapse, surgical consultation may be needed
Health Tips
Advise her to increase fiber intake (fruits, vegetables, whole grains) and drink plenty of water daily.
Avoid spicy foods and minimize sitting for prolonged periods.
Do not use over-the-counter steroid creams for more than 7 days without medical supervision.
Seek immediate medical attention if she develops fever, severe rectal pain, or large amounts of rectal bleeding
Answered
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Give her diet rich in fibre or you can give isabgol two spoon with water at night
Anovate cream to apply locally with a clean finger
Make her do sitz bath which is basically giving steam to the anal region it will relax her
Give Tab zerodol sp twice a day after meal for 3 days
If any other complication reach out to general surgeon.
Answered
1/1 people found this helpful
You need surgical procedure for piles if its causing bleeding and pain and discomfort
For easy passage of stools can take syp lactulose at night
Sitz bath - take a large flat bucket and fill woth warm water and little dettol and sit in it to relive pain and inflammation
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