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Internal Piles grade 1
The stool you see firmer is without constihenz 3 and the other pic you see is with constihenz 3.
Can I continue using constihenz 3 for 2 weeks and see if it makes any changes.
I have already used it for 25 days but then stopped and instead used softovac which made my stool bulky and it worsen the condition more.
Please suggest what should I do I only want my stool to be like the 2nd pic you see
Answers (16)
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Jo photos aapne bheje hain usme stool kabhi loose aur kabhi thoda formed lag raha hai, ye usually gut motility issue ya IBS type pattern me hota hai, zyada serious nahi lag raha.
Constihen 3 aap 10–14 din ke liye try kar sakte ho, lekin isko long term bina doctor advice ke continue mat karo. Ye sirf stool regulate karta hai, main problem ko cure nahi karta.
Softovac aapko suit nahi kiya kyunki usme fiber hota hai jo kuch logon me stool ko bulky aur sticky bana deta hai, especially jinko already IBS type symptoms hote hain.
Target stool normal banana shaped, soft but formed hona chahiye (type 3–4), aapka aim sahi hai.
Abhi aap ye karo: Constihen 3 short term lo, saath me 2–3 weeks ke liye probiotic add karo, pani achha piyo, spicy oily junk kam karo, coffee aur chai thodi kam karo, aur daily ek fixed time pe washroom jaane ki habit banao.
Agar stool me baar baar blood aaye, weight loss ho, severe pain ho ya raat me baar baar loose motion ho to fir test karana zaroori hai.
Overall ye functional issue lag raha hai, thoda diet aur routine se theek ho jata hai. Agar 2–3 hafte me improvement na aaye to ek baar gastro consult kara lena better rahega.
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Grade 1 piles is reversible, with correction of constipation.
Take tab dulcolax 10mg after dinner.
Drink hot water at time of sleeping and after waking up in morning.
Avoid taking meal late in evening.
Take more of green, leafy vegetables, fruits like orange, pappaya, berries.
Drink more water during day.
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You should take syrup cremaffin plus syrup 10 ml bd.
Next Steps
eat lots of salad,,papaya,fruits
do some brisk walk for 20 min/day
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Gastroenterologist
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See
You can use medicine but ask yourself do you have any pain while defecation or pain
You better try to solve it with diet and hydration
And take medicine SOS
The aim is to keep stool soft
Thank you
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Don’t worry, this is quite common in grade 1 piles. Your aim should be to keep stools soft and well formed like the 2nd pic, not too hard or too bulky.
You can continue Constiheenz 3 for another 2 weeks if it was suiting you better. Sometimes bulk forming agents like Softovac can increase stool volume and worsen symptoms in some people.
Along with that Drink plenty of water.Take moderate fibre not excessive .Avoid straining or sitting long in toilet
If symptoms don’t improve, we can review and adjust treatment accordingly. You can follow up with your reports.
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Includes more fibres diet if you are not taking softovec or any prokinetic.
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"Grade 1 Internal Piles are primarily managed by keeping the stool soft and consistent to prevent straining. It is quite common for patients with underlying Hypothyroidism to experience a 'rebound' of firm stools once laxatives are stopped, as the metabolic rate affects gut motility. Since you found relief with Constihenz 3 (which typically contains PEG and Electrolytes), you can safely continue it for another 2 weeks to allow the anal canal and any associated irritation to heal. The goal is to avoid the 'bulky' stool effect caused by fiber supplements like Softovac, which can sometimes aggravate a sensitive anal canal or fissure."
Next Steps
need some personal history from your side
do connect and consult for the further treatment plan
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Serup loose
0-0-10ml
Then gradually increase dose accordingly
Fibre diet
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do 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. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Colonoscopy needed
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