If this is first time & 2 degree haemorrhoids than conservative treatment , like high fibre diet . Increase fluid intake is sufficient . However on times haemorrhoids creat further problems , cryo or laser surgery can be performed . Injection sclerotherapy also works if appropriately done ,

If associated with pain then fissure needs to ruled out.P/R examination and proctoscopy is needed for the definitive diagnosis.Hemoglobin needs to be done if bleeding is chronic . For symptomatic relief- Syrup Looz 30ml at bed time 2% lox jelly local application 15 min before defeacation Sits bath twice daily Soframycin ointment local app twice daily

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Its hemorrhoids or fissure For hemorrhoid to confirm you have already done colonoscopy. Sit in warm water Syp cremaffin 3tsp HS at bed time