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Some problem is there
I have been bleeding through my stool for almost a month now...most of the time I experience constipation, my diet is mostly good but I don't hydrate as often. . There are also lump kind of around my anal area and the part also itches sometimes, it's probably haemorrhoids but I have been taking sitcom forte tablet as prescribed by my physician but the moment I stop taking it the bleeding starts the next day.
Answers (18)
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The symptoms are suggestive of hemorrhoids or an anal fissure due to recurrent constipation, but bleeding for almost a month should not be assumed to be piles without examination.
Next Steps
Increase water and fibre intake, avoid straining, and keep stools soft. A General Surgeon/Proctologist examination can confirm the cause and guide treatment
Health Tips
You can consult me with your symptoms for a proper assessment and treatment plan.
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Surgery consultation is needed to asses whether its hemorrhoids or anal fissure, and if hemorrhoid than they need to asses the grade and accordingly decide whether to treat with medication or opt for surgery. Also to rule oit if there is any other underlying condition.
Next Steps
For symptomatic relief you can take
1.Syp cremaffin 10ml before bedtime 5 days (for constipation),
2.Lignocaine 2% gel local application- after bath/defaecation (for pain relief)
Also 3. Sitz bath
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Piles or fissure
Need proctoscopy by general surgeon to confirm diagnosisso as treatment.
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Constipation, painful defecation and lumps around the anus can occur with hemorrhoids or an anal fissure, but bleeding continuing for a month should not be assumed to be piles without examination.
Please increase fluids and fibre, avoid straining and prolonged sitting on the toilet, and get a proper anorectal examination. Persistent/recurrent rectal bleeding may require further evaluation depending on examination findings.
Kindly consult a General surgeon for further evaluation and treatment.
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You have already mentioned one reversible reason which can help you....that is hydrate yourself well.
Use fiber rich food.
Avoid oily spicy food
Sitz bath
Sitcom forte is used to treat internal and external hemorrhoids (piles), control rectal bleeding, reduce swelling, and relieve pain, itching, and discomfort.
If even that fails to help you,better to undergo haemorrhoidectomy ( surgical removal of pile)
Next Steps
feel free to consult me on practo if you have any further queries
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Needs proper evaluation
Please consult for appropriate treatment rather than continuing medication intermittently.
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See a surgeon and do proctoscopy to see if it is harmorhhoids or any rectal pathology
Rule out fissure
Hydrate properly
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Constipation maybe due to liver problems. Do a liver profile and consult.
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Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.
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Keep hydrated as well because if you have good fibrous diet intake ,but without water or liquid , not absorbed properly and causes bloating ,burping and gas.sitz bath 2 times a day.
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Also take sitz bath
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Physical examination is needed
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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 Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
It needs to be examined in person
Kindly visit a good general surgeon
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