Gastrointestinal Disorders
Question #9025
65 days ago
129,609

Hemorrhoids - #9025

Yamini Saraf

I am having pain during and after defaecation and I also feel constipated. Sometimes there is itching. No blood till now. i need to go to the washroom atleast 4-5 times daily to clear my stomach when previously it was done in 1-2 times

Age: 28
Chronic illnesses: None
100 INR (~1.18 USD)
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Doctors’ responses

If you have the problem of passing hard stools - you are at risk of developing hemorrhoids and anal fissure , due to trauma caused while passing hard stools. Initial treatment for hard stools is always conservative and it includes taking adequate water which increases water content of your stools and taking fibre rich diet which increases bulk of stools. Do regular exercise . There are also medicines ( syrups, ointments for local application) to ease your pain and to smoothen the stools. We also advice sitz bath - which is sitting in lukewarm water with an antiseptic addded to it ( like BETADINE solution) . Once pain subsides doctor examines your anal and rectal canal and advice further treatment based on severity of issue
Accepted response

0 replies
Constipation is risk for hemorrhoids and in your case it most probably severe constipation due to lack of fibre...I would advise you take ishgulla(husk) and increase fibre diet along with 3-4 lit water intake immediately,and in case of bleeding kindly get checked with general surgeon

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Hello yamini With regards to your concern Pain during passing stools indicates low fiber in diet and adding fiber to the diet can loosen up the formed stools and can reduce pain during defecation As there is no bleed there is no active fissure or fistula in ano or hemorrhoids as such Regularly take fiber diet This can correct the problem of constipation.

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Dr. Shambhav Chandra
As a highly skilled laser proctologist, laparoscopic surgeon, and weight loss specialist, I focus on providing advanced, minimally invasive solutions to treat a wide range of medical conditions. With extensive experience in laser treatments, I specialize in the non-surgical management of conditions such as hemorrhoids, anal fissures, and other proctological issues, offering patients faster recovery and reduced discomfort. In addition to my expertise in proctology, I am a trained laparoscopic surgeon, utilizing cutting-edge, minimally invasive techniques for various abdominal surgeries. This approach not only enhances the precision of the procedures but also minimizes recovery time, ensuring that patients experience less pain and a quicker return to normal activities. I also specialize in weight loss surgery, including laparoscopic bariatric procedures, to help patients achieve significant and lasting weight loss results. Whether through sleeve gastrectomy or gastric bypass, I work closely with my patients to determine the most appropriate treatment plan tailored to their specific health needs and goals. With a focus on minimal invasiveness, I prioritize patient comfort, safety, and long-term health. I am committed to staying at the forefront of the latest surgical techniques, ensuring that each patient receives the best possible care. My goal is to improve quality of life through personalized, compassionate care while achieving the best outcomes through advanced, modern procedures.
64 days ago
It seems like you’re having fissures more prominent than piles, the painful defecation, itching and urge explains that. Fissures are tiny bruises or cuts on the margins of anal region which are mostly caused by constipation, multiple frequency of stool. You also need a proper physical evaluation by a proctologist. Sitz bath with a pinch of betadine in warm water twice a day will help, As No bleeding yet lignocaine jelly can suffice for the pain Adding a laxative being ishabghul husk will be softening stool Once the irritation stops or subsides, the itching and frequency can come down in control

0 replies
Dr. Madhusudhan K R
I am an experienced emergency doctor and general physician with a strong foundation from my MBBS training. Over the years, I have worked extensively in emergency settings, where I have honed my skills in rapid assessment, stabilization, and management of critical conditions. My clinical experience also spans general practice, allowing me to provide comprehensive care that addresses a wide range of health issues. In addition to my work in emergency medicine, I am capable of handling all surgical diseases. While I do not perform elective surgical procedures, my expertise enables me to manage surgical emergencies and provide pre- and post-operative care, ensuring that patients receive timely and effective interventions. I rely on evidence-based practices and continuous professional development to stay current with advancements in medical care, which enhances my ability to deliver optimal patient outcomes. My approach to patient care is rooted in clear communication, thorough assessment, and a commitment to treating each individual with respect and compassion. I believe that building a strong doctor-patient relationship is key to effective healthcare delivery, and I strive to offer a supportive environment where patients feel heard and valued. By integrating my emergency care experience with comprehensive general practice, I am dedicated to addressing the complex health needs of my patients, ensuring prompt diagnosis, effective treatment, and continuous monitoring for a healthier future.
59 days ago
Hello,as you have constipation with pain,then it is less likely to be piles or hemorroids. It can be anal fissure.Fissure means a longitidinal cut or ulcer in the anal region.It is common these days.Mainly due to eating habits and sedantary lifestyle. Measures u can follow are 1)6-8 glasses of water daily 2)Fiber rich diet(fresh fruits,vegetables) 3)Sitz bath(sit is luke warm water with antiseptic solution in it for 15minutes twice daily) 4)Prefer indian over western toilets 5)Regular exercize and walking 6)Avoid bakery and maida food If it is bleeding and too painful,consult surgeon or proctologist. Thank you

0 replies
From my concept of view sounds like you might be experiencing symptoms suggestive of anal fissures or hemorrhoids, which can cause pain during and after defecation, itching, and a sensation of incomplete evacuation. The frequent need to visit the washroom could indicate constipation with incomplete bowel movements, which can irritate the anal region. Straining during bowel movements or passing hard stools can worsen the pain and lead to discomfort. The absence of blood is reassuring but doesn't rule out minor inflammation or irritation. To manage the symptoms, it’s important to increase your fiber and water intake to soften stools and reduce straining. Eating more fruits, vegetables, and whole grains can help regulate bowel movements. Over-the-counter stool softeners or mild laxatives may offer temporary relief. Warm sitz baths and topical ointments containing hydrocortisone or lidocaine can help ease the pain and itching. However, if the symptoms persist or worsen, it is advisable to consult a healthcare professional to rule out underlying conditions and receive appropriate treatment.

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Dear Yamini, Here are some suggestions to help with your symptoms: • Warm Sitz Baths: Soak in warm water for 10-15 minutes, 2-3 times a day, to relieve pain and itching. • Increase Fiber: Eat more fruits, vegetables, and whole grains, and take psyllium husk at night to prevent constipation. • Stay Hydrated: Drink 2-3 liters of water daily. • Use OTC Creams: Apply creams with lidocaine or hemorrhoid ointments to ease discomfort. • Take Probiotics: To improve gut health and reduce bowel frequency. • Avoid Straining: Don’t sit on the toilet for long or strain too hard. If symptoms persist or worsen, it’s best to consult a gastroenterologist.

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