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Suffering with piles problem
My aunt suffering with piles problem when she go to lavatory she looses blood heavely what to do right now sir how to control bleeding up to consult the doctor
Answers (8)
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Start with the following medications for 7days, and visit a general surgeon soon.
Tb. Trenexa 500mg BD
Tb. Ethamsylate 250mg BD
Tb. Daflon 1000mg BD
Tb. Calcium Dobisilate 500mg BD
Tb. Ciplox TZ 1. BD
Tb. RazoD 1. BD
Syp. Lactulose 30ml H.S.
Warm sietz bath with KMnO4 (potassium permagnate) 20 min BD
Ointment Hemolit 3-4times per day
Next Steps
visit a general surgeon, and depending on grade of hemorrhoids get operated if necessary.
Health Tips
don't strain too much while defecating, that will cause more bleed. Take lots of green leafy vegetables (high fiber diet) and plenty of water.
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Hi looks like your aunt it is having a a hemorrhoids which has punctured causing it to bleed heavily. Ideally e c requires a proctoscopic examination in a clinic or hospital by a certified General Surgeon. If there is active bleeding then we put a lignocaine soaked gauze piece to arrest the bleeding ...
However If the bleeding is controlled the following treatment is prescribed
1) Tablet Daflon 1gram - (three times a day for 4 Days ) followed by( twice a Day for 3 days) followed by (once a day after breakfast for 1 week ) this drug increases the venous tone of the hemorrhoids and reduces bleeding
2) syrup Cremaffin Plus 20ml in the night - this syrup reduces the hardness of the stools which will prevent for the injury to the piles
3) Sitz Bath - take a tub filled with lukewarm water and add half a cup of Betadine solution into it and sit in it for 15 minutes twice a dayA warm sitz bath could be helpful to relieve congestion and edema by aiding venous return from the perianal area.
4) high fiber diet - rich in green leafy vegetables and fruits. Avoid meat and eggs for at least two weeks
Next Steps
when possible please visit a General Surgeon
Health Tips
depending upon the results of the proctoscopic examination the doctor might advice surgery for just medication and follow up also show the patient requires a blood examination to look for anaemia as the patient has blood a lot through the piles if anaemia is there the patient might also require blood supplements such as iron tablets or if the anaemia is very severe ( Hb<8g%) then blood transfusion is required.
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First priority is to control heavy bleeding. She should take tab trenexa one tab twice daily for 5days Tab daflon 1000mg once tab thrice daily for 4days and then tab daflon 1000mg one tab twice daily for 3days then continue tab daflon 1000mg daily. Since she is having heavy bleeding she may need surgery Laser or stapler haemorrhoidopexy
Next Steps
she should immediately start taking tablets as suggested to control bleeding. High fiber diet with plenty of liquids orally to avoid constipation and straining for stools.
Health Tips
If bleeding is not controlled or excessive she should meet a surgeon immediately
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Hi! According to your complaints she is loosing blood during motion that means she will be anemic. So first check her haemogram which is a blood test. Piles needs to be checked by a surgeon and according to the size and grade of the piles treatment differs. So meet a general surgeon. You can give her syp cremaffin 10 ml once daily for few days but this is temporary. She should also take sitz bath which your doctor will explain
Next Steps
check blood haemogram and if hb is less than normal she will require treatment for anemia.
take appointment with Dr and don't delay.
Health Tips
use high fibre diet, more leafy vegetables, lots of water 3-4 Lt/ day. lignocaine jelly for local application at anus to ease motion
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Dr. Ashok Kumar Verma
General Surgeon
22 yrs exp
Ghaziabad
Hi
As per your Aunt history I can help her a lot
. But as per my opinion, I need proper history like ,what's her age, duration of problems, any constipation and pain, any associated illness like cardiac, any drug- blood thinner, or any surgery /fever or patches over body..
Actually real treatment always need these answer for better treatment..
I will advise you to see me personally with all available reporta with pt. I need to proper examination first to provide you best treatment..
Don't worry, I have helped lot of patients with this problem.. if somebody have suggested u surgery take a second openion then proceed
Because if it's piles , I do a painless lesser or stapler surgery which is mostly become painless and early return to home like office procedures
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Dr. Nidhi Sood
General Surgeon
32 yrs exp
Delhi
Ideally if its a diagnosed case of piles, we have to stage the case and treat it. For that, P/R and Proctoscopy should be done.
Meanwhile, you should take medicine for constipation like Cremafin plus/ Smuth syrup, along-with tablet Venusmin 300mg three times a day for 10 days. In addition, take cap Daflon 3 times a day and Anovate ointment to apply.
Best to get her examined by a qualified surgeon.
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Dr. Mohammed Jameel Ahmed
General Surgeon
28 yrs exp
Nagpur
Hi
Ideally one has to examine but.....
Use following
Tab Daflon 1gm twice daily for 10 days
Syp cremaffin plus 20ml daily
Use high fiber diet
Pilex ointment locally Thrice daily
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.