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Hemorrhoids
Hemorrhoids have been swelling for the last 2 months. No pain no bleeding. The surgeon has said it's grade 2 to grade 1. But swelling is not reducing. Some tablets and sitz baths were recommended but swelling increased as the stool passed. Cream with nicotinamide was recommended but it hardly helped.. Is there any option here this swelling will go away. Any injection or any procedure on opd basis. Attaching images.
Answers (8)
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Hello.
As shown in the picture and with ur complaints it's definitely Grade 2 Hemorrhoids
Next Steps
It's better to get operated if complaint continue even after 2 months of conservation management.
Health Tips
Take a high fibre diet.
Maintain adequate hydration.
and do regular follow up.
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No tablets will reduce the hemorrhoid swelling surgical management should be done for symptomatic relief sitz bath local lignocaine jelly application before passing stools
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Hello!
The image provided looks inadequate to diagnose, it looks like sentinel skin tags more which could be due to chronic fissure
But final diagnosis Will require Per Rectal examination
can you provide more details?
Similar history in past?
Is it painful? Is it associated with constipation/Hard stools or bleeding?
History of alcoholism?
And most importantly the Eating habits and defecation habits also(Long period on western type latrines/comods)
Next Steps
Currently Continue the sitz bath three times a day,Apply Lignocain jelly as well 15-20 mins before going to washroom
Avoid spicy/Masala food/Tobacco/beverages
avoid food made up of maida
Have a High fibre diet,Include green vegetables,Eggs certainly if you are non vegetarian because you need high proteins currently
Health Tips
most imp,Abstinence from alcoholism if there is any history of
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On basis of these images it is difficult to say that is there is haemorrhoids or not
Get proctoscopic examination done by surgeon to rule Ot haemorhoids
And if is painful unlikely to be harmorroids
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If not reduced on conservative means
Needs surgical interventions
Without surgical interventions nothing is there
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Without any surgical interventions not possible to reduce that swelling
If it is grade 2 and not having any significant complaint like pain fever or pus discharge or any signs of inflammation then nothing to worry... Nothing to be done.
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Dr. Venkata Rama Reddy Dwarampudi
General Surgeon
5 yrs exp
Rajahmundry
Grade 1/2 hemorrhoids are highly treatable and often resolve with conservative, non-surgical methods.
Dietary Adjustments: Increasing fiber intake (fruits, vegetables, whole grains) to prevent constipation and straining.
Hydration: Drinking plenty of fluids.
Topical Treatments: Using over-the-counter creams, ointments, or suppositories (e.g., Preparation H, hydrocortisone) to reduce inflammation and itching.
Hygiene: Using warm baths (sitz baths) to soothe the area.
Medical Procedures (if needed): If bleeding persists, non-surgical, in-office procedures like rubber band ligation, sclerotherapy, or infrared coagulation may be recommended.
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Dr. Manu Maheendran
General Surgeon
13 yrs exp
Kottayam
Hello 🙏
From your description, this appears to be grade 1–2 internal hemorrhoids. Swelling during stool passage is common, even without pain or bleeding.
When swelling does not reduce despite medicines and creams, procedural options are available:
Rubber band ligation
Injection sclerotherapy
Both are simple OPD procedures, usually painless, and do not require admission. They are effective for grade 1–2 piles.
Along with this, it is important to keep stools soft (high-fibre diet, fluids, stool softener if needed), as hard stools will keep aggravating the swelling.
Please consult a surgeon to decide the most suitable OPD procedure after examination.
Hope this helps.
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