Hemorrhoids. And reduce hemorrhoids!

Detailed history and Clinical examination needed which is a limitations of online consultation. Please do following lifestyle and dietary modification. • Small and frequent meals ( Divide your meal in 6 to 8 meals per day) • Plenty of water 3-4 litters per day if no contraindications • High fiber diet like salads green vegetables and fruits  if no contraindications • Regular exercise like brisk walk with profusely sweeting • Do medication for reduce the anxiety and stress • Good sleeping habits • Chew your food well before swallow • Keep 2-3 hours gap between last meal and sleeping timings. • Add curd and buttermilk in diet • Weight reduction with targets of BMI 24 kg/mt2 • Maintain proper position during passing stools. Can put block under feet. • Do not put pressure during passing stools • Avoid alcohol and smoking if any,  • Avoid excessive oily food, carminatives , beverages , tea,  coffee,  prolonged fasting, chocolate, free suger and free fat specially Trans fat • Avoid heavy meals for evening hours TREATMENT ADVISED under supervision of gastrontenterologist doctor or physicians • Lactifiber powder 2 scoops per day with glass of the lukewarm water bedtime • Syrup Cremaffine 10 ml bedtime with glass of lukewarm water/milk (Dose titration/modification as per your need for target of soft stools) REVIEW gastrontenterologist physically for clinical evaluation as soon as possible

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