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Internal piles
Hi all
I have been diagnosed with internal piles from last 3 months have noticed bleeding on the surfaces of the stool.
I never tried stool softener but I heard it is good to take that can you please suggest a stool softener which i can take daily in order to make my stool better and soft mushy kind.
The first pic you see of anus is without Straining and the second pic is u see is with straining.
Also tell me it is which grade.
Answers (19)
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please stay calm. based on what youâve described bleeding on the surface of the stool for 3 months and a swelling that appears only when straining it sounds like a manageable situation if handled correctly now. In Grade 2 the piles or cushions come out only when you strain like in photo but they go back inside on their own once you stop. This stage often responds very well to lifestyle changes and the right medication without needing surgery
Next Steps
make your stool soft and mushy and stop the bleeding, you need to reduce the pressure during bowel movement. Never sit on the toilet for more than 5 minutes. If it doesn't come, walk out and try later. Straining is what causes the bleeding.
Health Tips
Piles treatment is not one size fits all. we need to fix the root cause which could be your diet, hydration, or even how you sit. If we don't manage this now, Grade 2 can quickly turn into Grade 3, where the pain increases and surgery becomes more likely. schedule a private consultation so I can create a custom diet and recovery plan .
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Piles is fully treatable. Try to avoid all the maida, oily, fried and spicy food in your diet. Include lot of fresh fruits and vegetables in your diet. Avoid non veg in your food and ny s' We have very good treatment for piles along with lifestyle management but for treatment we need a detailed history so it would be best if you come for online consultation
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Siva Simma
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
5 yrs exp
Visakhapatnam
Cremaffin plus 20ml per oral H/S
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It appears to be a second degree hemorrhoid.You can take duphalac 30 ml once a day to avoid constipation
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Plz consult me for better treatment
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Take syp lactulose 10m.l morning and evening.
Apply pulex ointment over anal region. R
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Please consult.
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Grade two
Duphalac syr15 ml at night for five days.
Than switch to isabgol husk two teaspoon two times for 20 days. Its a non habit forming half your piles.
FIRST,
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY .
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Looks like early internal piles (likely Grade 1–2) since bleeding is present and prolapse only on straining.
You can take a stool softener like lactulose syrup (15–20 ml at night) or ispaghula husk (1–2 tsp with water daily), plus drink more water and avoid straining.
If bleeding continues or increases, consult for proper examination and treatment—I can guide you further.
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Do consult
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Avoid fried and junk food
Take more fibrous diet and salads
Increase water intake
Add isabgol husk in your diet ,it can be taken by mixing in atta for chapatis, in curd, in warm milk at night. Don't overdo it , 2 table spoon per day should be enough initially
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Take lot of fibre in your diet.
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From your history:
• Internal piles
• Bleeding on stool surface
• Visible swelling only on straining
Health Tips
• Diet is key:
– High fiber (fruits, vegetables, oats)
– 2–3 liters water daily
• Toilet habits:
– Do not sit >5–7 minutes
– Go when urge comes (don’t delay)
• Avoid triggers:
– Spicy junk food
– Constipation
✔️ Goal: soft, “toothpaste-like” stool (no straining)
⸻
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As seen from the pictures that you have shared with the diagnosis that you provided. It seems as Grade 1 internal haemorrhoids, which are usually painless.
Next Steps
This stage requires only basic lifestyle modifications
- eating healthy diets( avoid spicy, fried and highly processed food)
-Stool softeners( Lactulose- 15 ml once a day, at night, after meals, can be mixed with milk /water- for 1 week)
- stool Bulking agents(isapghula husk- 1-2 teaspoons, mix with 1 glass lukewarm water, drink immediately, and drink another glass of water after it, once a day at night- for 1 week)
-high fibre diet (include salads, fruits, chia seeds in diet)
-adequate hydration (2-3 L of total water daily)
-Avoid straining while defecating
Health Tips
With stool bulking agents- ensure proper hydration
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
Its 2nd grade.you need to stool softener. Take isabgol in evening with plenty of water.its increase fibres naturally in body.if you want syrup form ,then try lactulose syp.after dinner 10-15 ml.consult me on practo for further management and evaluation.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Second
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