Doctor insights on:
Antibiotics For Piles Treatment
Having UTI on and off for over a year, just finished a six week antibiotic treatment, and there's still blood in urine. Now dealing with hemorrhoids?
I went to the dr 2 weeks ago because I experienced problems in my rectum/anus. When I sitdown its painfully. I have no piles. It feels inflamed. I was on antibiotics for prostate inflammation but that didn't cure the problem. What can this be. I'm only 38
Anal fissure: You likely have a tiny tear in the short distance from the outside (the anus) /inside (the rectum). This short (1") length is the "anal canal" encircled by 2 strong muscles "the anal sphincter." a very tiny tear in the lining of the anal canal creates severe pain before, during, and after a bowel movement, "like passing glass." it may feel you're sitting on a golf ball. See a rectal surgeon. ...Read more
Diet, medication: Simple things such as a high fiber diet, and stool softeners can reduce symptoms. Steroid suppositories or anal creams are also helpful. There are non surgical office based procedures such as rubber band ligation or infrared coagulation which will reduce the hemorrhoids. Surgery is usually reserved for only the most severe cases. ...Read more
How Severe?: The treatment of hemorrhoids depends on their severity. Very mild hemorrhoids often respond to dietary changes to increase fiber and water intake. The most severe can require surgical removal. The moderate ones can be managed with minimally invasive techniques such as rubber band ligation and infra-red coagulation. ...Read more
Banding: Banding is a good alternativeGet a more detailed answer ›
How'd you get them?: "cure" depends on whether the original cause for hemorrhoids persists. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? Have you tried to manage your hemorrhoids before surgically or medically (& with otc or prescription drugs)? Lots to consider here. ...Read more
Many people present with "piles" and this can actually be the issue or one of many other problems that your doctor can help
there are dietary, behavioral, hygiene modifications as well as procedures that can help these common problems. Both constipation and diarrhea can lead to this condition as well it is best if you consult with a general or colorectal surgeon to help with ruling out a fissure. ...Read more
Veins: Hemorrhoids are normal veins in the anal canal. They can become inflamed or enlarged with constipation or prolonged and repeated straining to have a bowel movement. Treated at home by avoiding constipation, drink plenty of liquids, eat more fiber (fruits, vegetables, metamucil), avoid junk foods. See a surgeon if symptoms persist. ...Read more
What can be Treatment done at HOME for High Bleeding Piles (Painless) 4th Stage? What will be my next step now? Thanks
Home treatment: Keeping your stools soft with a stool-softener, drinking lots of water, and eating food high in fiber will help keep your stool soft so as not to irritate the pile, and prevent trauma and re-bleeding. Excellent hygiene after a bowel movement is mandatory. Try moist toliet wipes or shower after a bowel movement, and pat the skin dry between your cheeks. If problematic, consult a surgeon for recs. ...Read more
There are no studies: That I am aware of that support this. Of concern is the high levels of mercury found in shark. ...Read more
Diet and fluids: Since you are not clear whether these are internal or external 'piles' whether they are thrombosed, or bleeding, the best I can offer is warm tub soaks, hi fiber diet and drink 80 - 100 oz of non caffeinated, non alcoholic fluid daily. If they do not improve make an appointment with a local colorectal surgeon for complete evaluation. ...Read more
Is there any permanent solution to piles, I just had a injection treatment in words, is it right?
Yes: Hemorrhoids, aka piles, are a collection of enlarged veins in the lining of the rectum. The symptoms of hemorrhoids include bleeding, itching, prolapse and occasionally pain. There are various grades of severity. In most cases, these are treated by dietary changes to soften the stool so straining is minimized. In some cases, banding of hemorrhoid is successful, occasionally surgery is required. ...Read more
Many: First is diet and fluids, stop reading on toilet, excercise regularly to avoid constipation, correct constipation and or diarrhea. Most hemorrhoids reolve with above. After that is toopical meds, rubber band ligation of internal hemorrhoids, and various forms of hemorrhoidal surgical removal. 95 % of hemorrhoid issues are best treated with diet and fluids. ...Read more
Sure: To reduce the swelling of internal hemorrhoids, you can take fiber therapy or stool softeners to keep your stool soft. Both are over the counter (colace, benefiber, etc) hemorrhoids are aggravated by straining and hard stools. External disease or symptoms such as burning, itching can be treated with witch hazel locally and sitz baths with epsom salts. ...Read more
Several: For 2nd and 3rd degree, rubber banding for internals is an option in select patients. For3rd and 4th degree internals, standard hemorrhoidectomy is in my opinion the best. There are some newer techniques such as stapling, laser, and u/s venous ligation, but the gold standard done in the right patients is the standard surgical hemorrhoidectomy using a scalpel in my opinion. ...Read more
Hemorrhoid Treatment: Many cases of hemorrhoids can be treated with ointments and/or suppositories and stool softeners, without the need for surgery. Any type physician can prescribe these medications. When the hemorrhoids are severe and require surgery, this is usually performed by a general surgeon or a colo-rectal surgeon. ...Read more
Shrink vs remove: External hemorrhoids hurt when inflamed. Creams, ointments can help with flareups as can avoiding constipation by keeping your fluid and fiber up and dropping weight if obese. Still, these things do not remove the hemorrhoid. If a continuing problem or if acutely painful (thrombosed) then excision with surgery is the answer. This can be done as an outpatient. Good luck. Feel better soon. ...Read more
Variable: It depends on size and location of the hemorrhoids. Internal banding in the office for smaller internal hemorrhoids. Surgical options are hemorrhoid removal or hemorrhoid stapling procedures for larger hemorrhoids that may be both internal and external hemorrhoids. ...Read more
Lots to consider...: "cure" depends on whether original cause for hemorrhoids/fissure persists. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? Have you tried to manage your hemorrhoids before surgically or medically (& with otc or prescription drugs)? Lots to consider here. ...Read more
Soften stools: Hemorrhoids are varicose veins of the anus. When they suddenly develop blood clots, they may protrude externally, and become enlarged and painful - called a "thrombosed" hemorrhoid, and often requires surgical removal to lessen the pain. Hemorrhoids that are not thrombosed may be removed with rubber band "ligation". Prevention is best - avoid straining with bowel movements and keep stool soft. ...Read more
Usually bleeding: Bursting of hemorrhoids is equal to tearing open blood vessels. It may be able to stop on its own or surgery might be needed. If it stops, nothing else is needed. High fiber diet is the key to avoid more complications. Rarely, u can have infection and this may need antibiotics or surgery or both. If there is persistent pain, bleeding, fever/chills etc, u need to call ur doctor. ...Read more
Hemorrhoids: Initial treatment consists of warm water baths to rectal area called sitz baths, gentle hygiene with wet wipes and blotting, and application of otc Hydrocortisone cream. Also, dietary changes with gradual increase in fiber, controlling carbohydrates, and increasing water intake. Activity increases help too. Visit with your doctor to make sure that they are hemorrhoids and nothing else. ...Read more
Does an external hemorrhoid require medical treatment?? And is it gonna keep coming back without a treatment??
Is daflon a safe and affective option for hemorrhoid treatment? Where (in the usa) and what brand is recommended if so?
For minor hemorrhoid: It depends on the grade that you have. For early stages it may help (i and ii).Otherwise, a more radical alternative is needed. ...Read more
As per symptoms it seems I am suffering from external hemorrhoid and seek your advice for treatment and related precautions?
You need exam: Need exam by your doctor to make sure it is external hemorrhoid not some thing serious. Can leave them alone if they don't bother you but they will soil underwear, inflame irritate &cause pain, do not disappear on their own with ointments as they are large skin tags with out some surgical procedure (along with internal hemorrhoids).. ...Read more