Doctor insights on:
Zambuk For Hemorrhoid
Warm Tub soaks: Eat a healthy hi fiber diet, drink plenty of non caffeinated , non alcoholic fluid daily, more if you exercise or travel by plane alot. 80-100 ounces per day is a good start and go up from there depending on your activity level. Also stop reading on the toilet. Have your bm within 5 minutes or get out and come back when the urge is truly there. ...Read more
Fissure: Sentinel pile is seen in patients who have anal fissure. The treatment is to correct the problems that cause the fissure, initially with medicines to control constipation, creams to relax the anal sphincter. If the symptoms do not improve after medical treatment then surgery is indicated ...Read more
Stool softener or a stimulant laxative for a woman currently taking daflon who has hemmorhoids(&had surgery 9days ago for uterine fibroids removal)?
Miralax (polyethylene glycol): The first-line treatment for hemorrhoids is making the stool soft to stop the trauma and inflammation of the hemorrhoidal tissue. Miralax (polyethylene glycol) or generic versions work well for many people. You should see a surgeon for evaluation and for further treatment, especially if there is any associated bleeding. ...Read more
Two ways: Non surgical: most hemorrhoids can be treated with simple changes to diet and bowel habits. Fixative procedures include tying off the hemorrhoids with a rubber band or using heat, lasers, or electric current to create scar tissue (coagulation therapy). Surgical: surgical removal of hemorrhoids. Some we mix both methods. ...Read more
It depends: It depends on many factors- i.e. How extensive the blood clots are; is this the first event? What is the cause- related to malignancy, post-trauma, related to paraplegia-whether the cause is on going? Whether you have significant hypercoagulable problems like protein c , s deficiency etc. There are many things that have to be calculated to figure out the length of therapy. ...Read moreSee 1 more doctor answer
Why: CABG surgery has been a standard intervention in the us for the treatment of coronary artery disease for many years. You may have it here without any problem. If money is the issue and it can be done in singapore for much less, you may consider this option, but be aware of pitfalls associated with it such as need for follow up, reputation of clinic/mds doing it, etc. ...Read moreSee 1 more doctor answer
Ulcer/Philippines: When I was in the Philippines we treated leg ulcers with dressing changes just the same as we would in the US or the UK or Asia??? How depends on what kind of ulcer. An ischemic ulcer is treated differently than a neurotrophic ulcer and differently than a venous stasis ulcer. ...Read more
Hemorrhoids: Hemorrhoids are very common. They occur from a stasis of blood flow in the blood vessels that go to our lower intestines. As you get older you are less active and sit for longer periods of time. Do not sit on the toilet to read. Use a soft wet type of tissue for wiping. Over the counter medicated pads may help with inflammation. See doctor if worsens. Exercise and eat fiber. ...Read moreSee 1 more doctor answer
Is it the norm to get scheduled for a colonoscopy for hemorrhoids without anyone even checking visually for hemorrhoids? This procedure is costly.
Not the norm ...: But it all depends on the specific scenario & what symptoms are reported. If there is bright red rectal bleeding, nothing else, in a 35 year old, physical exam for hemorrhoids would come first. But if there are additional symptoms, and the person is of the age/risk level to need a colonoscopy for screening, then that procedure would be recommended. It is prudent to question these kinds of tests ...Read more
Can u take horse chestnut supplements for a left varicocele, although i already had a varicocele embolization, for recurrence purposes @ healthy Veins?
Not helpful...: Any supplements would not help correct varicocele since it is the presentation of inherent venous valve defects in spermatic veins, which occurs in some 15% of men. Most of the affected are free of symptoms like ache or pain after long standing and bears no impact to male infertility. Hence, it has to be handled individually at right time in right way to right patient, and no Rx is needed for... ...Read more
Piles-i'm keen for thd as it sounds less painful but doctor(in uk) recommends stapled haemorrhoidectomy has better long term results.What's your take?
PPH works well.: Procedure for prolapsed hemorrhoids or pph is a great procedure. I have been performing it for 8 years with excellent results, high patient satisfaction and very low recurrence rate. The key to the procedure is the location and accuracy of the purse string suture and the experience of the doctor performing it. In experienced hands, it works well. ...Read more
Lots of options, but: "healing" 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 your hemorrhoids been surgically or medically managed (& with otc or prescription drugs)? Are you sure they're hemorrhoids? ...Read more
Give it time: Most "pinkeye" or conjunctivitis is actually viral, so antibiotic eye drops are usually not effective. Viral conjunctivitis tends to run it's course in 7-10 days. It can be very contagious, spreading from one eye to the other or to other people. Hand washing is essential. To be certain it is not a more serious bacterial or fungal infection, you should see an ophthalmologist. ...Read more
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