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Consult regarding piles
I am suffering from piles, having pain while evacuating ...pain last for 2 hrs..., having contipation issue also...could you please suggest me something for pain relief or getting relief from contipation
Answers (30)
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It may be due to chronic constipation, hard stools, a low-fiber diet, inadequate water intake, a sedentary lifestyle, and consumption of spicy or junk food. Lack of regular exercise can also contribute to the problem.
You should visit us so that we can examine you properly and guide you regarding diet and appropriate medication
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Low physical stamina. Hair fall. Liver problems. Overthinking. Stress. Decreased hunger. Leg cramps. Late sleeping. Burning palm and feet. White discharge. Everything will be improved including Piles/constipation. Please contact.
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Piles may be associated with anal fissure causing the pain.Avoid constipation,take lactulose syrup 30 ml once a day for a few days.Drink adequate amount of water
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You need to consult to doctor at his/her clinic. Because first of all, a doctor have to examine you that it is piles or something else. Then we can further for treatment
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don’t worry this is very common and treatable 😊
Your pain is mainly due to piles with constipation, so we need to treat both together.
For proper evaluation and complete treatment plan, you can book a consultation with me I’ll guide you step by step.
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Syp Lactulose 3 tag x hs
Xylocain ointment locally
Surgeon opinion
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Pain likely due to piles + constipation. Take plenty of water, high-fiber diet, and a stool softener like lactulose at night. For pain, warm sitz bath 2–3 times daily and apply lignocaine gel locally.
If severe pain or bleeding continues, consult me for proper medicines and examination.
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Hello. I have reviewed your concerns regarding the pain and constipation you are experiencing.
The pain you described, especially it lasting for up to 2 hours after using the washroom, is often caused by a small tear in the lining of the anus (an anal fissure) or inflamed internal/external hemorrhoids (piles). This cycle is usually triggered and made worse by constipation and straining.
To help me give you better advice:
Have you noticed any bright red blood on the tissue or in the commode?
Do you feel a lump or swelling in the area?
Immediate Pain Relief
Sitz Bath: This is the most effective immediate remedy. Sit in a tub of plain warm water for 10–15 minutes, 2–3 times a day. This helps relax the anal sphincter muscle and significantly reduces pain.
Topical Ointments: You can use an over-the-counter soothing cream containing a local anesthetic (like Lidocaine) and a calcium channel blocker (like Diltiazem) if a fissure is suspected. Apply this about 20 minutes before passing stool and after the Sitz bath.
Managing Constipation (Long-term)
Fiber and Water: You must aim for 25–30 grams of fiber daily (oats, whole grains, leafy vegetables) and drink at least 3 liters of water. Fiber only works if there is enough water to move it through the system.
Stool Softeners: Since you have active pain, you may benefit from a mild osmotic laxative (like Lactulose or Polyethylene Glycol) at night to ensure the stool is very soft the next morning. This prevents further tearing or irritation.
Correct Toilet Posture: Using a small footstool to elevate your knees while sitting on the toilet can help straighten the rectum and make evacuation easier without straining.
Recommended Next Steps
I recommend a physical examination (Digital Rectal Examination) by a general surgeon or a physician to confirm if this is a simple pile or an anal fissure, as the treatment for a fissure specifically focuses on relaxing the muscle.
Seek medical attention immediately if you experience:
Heavy, persistent bleeding.
Severe, unbearable pain that prevents you from sitting or walking.
Fever or discharge from the area.
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Lifestyle & Diet (first-line for most patients)
• High-fiber diet: fruits, vegetables, whole grains
• Plenty of water (2.5–3 L/day)
• Avoid straining during defecation
• Regular exercise
• Don’t sit long on the toilet
Next Steps
Medications
• Stool softeners (e.g., Lactulose)
• Pain relief: Paracetamol
• Topical creams: Hydrocortisone cream
• Flavonoids (e.g., Daflon) to reduce swelling
Health Tips
Please book online consultation for further consultation
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Symptoms are suggestive of Hemorrhoids with a possibility of associated Anal fissure (since pain is lasting for a couple of hours after passing stool).
For now you can start:
* Syp Duphalac 15 ml at bedtime for 5–7 days (adjust dose to keep stools soft)
* Ointment Anobliss Ointment apply locally 2–3 times daily, especially before and after passing stool
* Warm sitz bath 10–15 minutes, 2–3 times daily
* High fiber diet (fruits, vegetables) + adequate water intake
Avoid straining and prolonged sitting during defecation.
This should give symptomatic relief in a few days. However, as pain is significant and prolonged, exact cause (piles vs fissure) may need confirmation and treatment adjustment accordingly.
If symptoms persist beyond 3–5 days, worsen, or if there is bleeding, a follow-up consultation is recommended for further evaluation and management.
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Zerodol sp three times a day after food for five days. Locally apply oxyurate/anovate/shield any one with index fingerfirst on buthole than gently push inside anus rotate the finger to cover anal mucosa completely before n after defication two times for two to three weeks.
Use softovac powder two tsf two times for 20 days its stool softener herbal non habit forming. For three days use duphalac syr10 ml at night
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Tab sitcom forte 1 tab bd
Ointment anobliss tds
High fiber diet
Laxopeg sachet 17 gm bd
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This looks like a problem of external hemorrhoids. There could be associated anal fissures also. constipation should be treated as it forms a vicious cycle with the piles
Next Steps
Consult a doctor preferably a general surgeon to exam the area and plan the treatment
Health Tips
Fibre rich food,plenty of water,sitz bath, Lactulose/Isagol can be used for 2-3 weeks until the fissure/pain decreases
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First diagnose is it piles Or not. Piles causes flesh like mass coming out and in Independently or with some action by you. Probably you're having fissure. What I suggest :
1. Plenty of fibers(it'll loosen and form your stool)
2. Plenty of water(3-4L/day)
3. Sitz bath(take bucket where you can sit. Fill half of it with Luke warm water and add 3 scoop betadine) sit for 10-15 minutes twice a day for 10 days
Next Steps
if it's not resolving within 3-5 days. you can contact me for any medication if needed. Because it might require examination to rule out any infection and avoid unnecessary tests.
Health Tips
don't eat junk food, less fiber food in the mean time. don't eat fibers if you're having SIBO/IBD/IBS
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Do consult
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1).Try isabgol with Luke warm water or curd for constipation. Also include more fibrous diet and fruits.2). For piles you need to do sitz bath technique 3 times a day for 15 minutes each time.3).lignocaine gel and anovate gel for pain control.4).others things you know already like avoid spicy,oily,tea,coffee in access.
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"The symptoms you are describing—sharp pain during evacuation that lasts for up to 2 hours—suggest that in addition to Piles (Hemorrhoids), you may have developed an Anal Fissure (a small tear in the lining of the anus). This is very common when chronic constipation causes the passage of hard stools. The 2-hour lingering pain is typically due to a 'sphincter spasm,' where the muscles of the anus tighten involuntarily after being irritated by hard stool
Next Steps
Need some more history from your side to give you better treatment plan
so connect with me and consult now
Health Tips
Avoid sitting on the toilet for long periods and avoid straining. If you notice bright red blood in the stool or if the pain becomes unbearable, a physical examination by a General Surgeon is necessary to rule out a perianal abscess. For a detailed clinical evaluation, a specific medication prescription for pain and constipation, and direct follow-up, you can consult me directly through my profile."
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Kindly give full history and take an instant consultation or contact me at 9999 x 104 x 408.
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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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. Abhishek Sharma
MBBS
1 yrs exp
Kangra
Istly understand, that constipation will put stress on the bowel and make evacuation of bowel tough.
And the more you will fear evacuation harder the stool will get and cause more constipation.
1. A stools softner like lactulose can be taken orally.
2. Can do sitz bath( take providone iodine solution, dissolve in warm water, put all of this in a tub ) and sit in it three times a day.
3. Locally lignocaine jelly can be applied.
Next Steps
should visit and get it examined
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
Will help you
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Take cap smuth after dinner
Apply annovate cream thrice daily
Consult online will guide you further
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sakshi
General Physician
1 yrs exp
Dehradun
you have to firstly look for your constipation for which you have to start syrup lactulose bcoz constipation causes lots of complications avoid spicy and heavy food and dont put any pressure on you anal area
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Dr. Mohammed Salman Mohiuddin
General Physician
5 yrs exp
Hyderabad
Do betadine sits bath
Next Steps
consult a proctologist
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Duphalac
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Dr. Danish Qureshi
General Physician
15 yrs exp
Jaipur
take lactovis syrup 15 ml daily at night
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Fibre rich diet
Drink plenty of water
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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.