General Surgery

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Urgent question

Can I visit general surgeon for piles?  Or a more specialised doctor? I don't think going to general physician is a great idea??
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Hemorrhoids grade 1

I have had anal swelling for the past month. Initially it was mild but has increased over time. It started after a bike ride, followed by diarrhea and sudden swelling. A gastroenterologist prescribed IBIS tablets for my IBS and Anovate cream. Diarrhea stopped, but swelling increased. After that I went to  proctologist who diagnosed grade 1 hemorrhoids and prescribed Anobliss cream, Benefex DS tablet 2 times a day and a stool softener at night. I am using these from last two days with sitz baths. Swelling reduces temporarily but returns after bowel movements. I have no pain or bleeding, only discomfort and heaviness in anal. Will this resolve permanently? Is surgery or sclerotherapy needed? Can I use ice packs after sitz baths for swelling? For reference I am attaching images here . . Sorry in advance for gross images.. Please suggest any treatment which will reduce this swelling to nill
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Varicose veins

What should be done after this stage.. along with compression stockings... varcooil is also used intermittently
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Had an pus & fluid leakage

Can anyone help me in understanding this report. As doctor said I have to undergo surgery only & its fistula whereas in mri it's mentioned that no fistula tract found. Thanks Swapnil Garg
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PILES PROBLEM

My daughter suffering from piles from 1 month Pain with bleeding from yesterday in stool Kindly give valuable remedies
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Fibroadenomas

Breast may Fibroadenomas hone se rib and shoulder pain is possible in some place . When period time pain lot and other time pain less.
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Left breast problem

Left nipple–areola itching for about 1 to 2 week   Redness and dryness around the left areola  Skin feels wrinkled, thickened, and lumpy/hard around the areola (surface level)  Burning sensation othe areola  Increased nipple sensitivity  Pin-prick / needle-like pain, especially:   after removing a bra  sometimes even without touching  Pain feels superficial, not deep inside the breast  Symptoms reduce during sleep  No relief despite using Cetaphil moisturizer  No bra wires; even soft bras trigger discomfort  Occasional underarm discomfort on the same (left) side when touched  No nipple discharge  No bleeding, crusting, or open sores  No fever  No rapidly spreading redness  No known trauma    Age: 19  Has PCOS
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Piles or something else

I have been experiencing the following problems: I have developed small warts (skin growths) around the outside of my anal area. There is a large swelling or mass in the center (as shown in the attached photo). please examine this and let me know if this is piles or something else? Will this require medication or surgery
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Assistance required please

I have too much pain in the upper abdomen radiating towards the back and causing me lot of discomfort and sufferance from past two weeks. I am having severe GERD with esophagitis grade B and fatty liver. I do have reoccurrence of hiatus hernia. I am a Bariatric patient completed my sleeve gastrectomy in the year 2020. Bcoz of the GERD complexity I have got ineffective esophageal motility also in manometry. Doctor suggested me for a roux en y gastric bypass as options are limited for me with a long term PPI use which is presently not functioning on me. But suddenly from past two weeks I have severe stomach pain radiating towards the back and getting sticky stool which is not going easily from the WC. Yesterday I did USG whole abdomen and they found infiltration of Pancreas where they couldn't see the tail as it was obscured by bowel gas. Please suggest as stomach is in bad pain which is getting difficult to manage.
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What can i do reduce spasm in anus canal

,anus i am having acute anal fissure , doing stiz bath twice a day Taking medicine *Aceclofenac, Paracetamol & Serratiopeptidase Tablets *Aceclofenac, Paracetamol & Serratiopeptidas Omeprazole Gastro-resistant Capsules IP 20 mg Amoxyclin & Potassium Clavulonate (((((Having soft tool but shrinked annal block the soft stool to hard pass (plz help ) ))) drinking water taking fibre diet Doing stiz bath
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