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Piles cream
Hi,
Pls.let me know best cream for piles pain...
Its with no bleeding
Kindly suggest.. pain while passing motion later some hours its reduce
Answers (22)
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Anovate rectal cream , apply with clean finger to affected side . You can apply 2 a day
For more discussion you can contact me directly on Practo
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It could be due anal fissure rather than the piles.you can apply anobliss cream twice daily,and any stool softener to avoid constipation
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-Pain during and after passing stool without bleeding → more suggestive of internal hemorrhoids with spasm or possible fissure overlap
-Pain reducing after few hours supports local irritation/inflammation
-Common cause: constipation, hard stool, straining
Next Steps
-Topical creams with local anesthetic (e.g., lidocaine) + mild steroid for short-term relief
-Warm sitz bath (10–15 min, 2–3 times daily) → most effective symptomatic relief
-Stool softeners (lactulose/isabgol) to avoid straining
-High fiber diet + fluids
-Avoid prolonged sitting on toilet
Health Tips
-Do not rely only on creams → bowel habit correction is key
-Avoid spicy/oily food temporarily
-If severe pain persists → rule out fissure (needs different treatment)
-If bleeding or swelling appears → clinical exam required
Contact me anytime on practo for further consultation
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U can apply crema gel _L - LA before passing stools (t.d.s)
For pain u can take zerodol -sp - bd
Next Steps
u can take isbhghool husk _1/2 spoon in 100 ml of warm water
Health Tips
eat lots of green vegies and banana and add papaya ,salads ,buttermilk ,curd to ur diet
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Hello. Based on your description, the intense pain during and after bowel movements even without bleeding is often associated with an anal fissure (a small tear in the lining) rather than piles. The pain lasts for hours because the local muscles go into a temporary spasm.
Recommended Topical Management:
To help with the pain and healing, you can use a combination cream containing a local anesthetic and a calcium channel blocker to relax the muscle.
Shield Rectal Ointment or Anovate Cream: Apply locally before and after bowel movements to numb the area and reduce inflammation.
Rectiv or Trofodermin (if available): Specifically helps in relaxing the sphincter muscle to stop the 'lingering' pain.
Lifestyle & Home Remedies:
Sitz Bath: This is the most effective remedy. Sit in a tub of warm water for 10-15 minutes, 3 times a day. It relaxes the muscles and significantly reduces pain.
Fiber Supplement: Use Isabgol (Psyllium husk) or Cremaffin syrup at bedtime to ensure stools are very soft. Hard stools will prevent the tear from healing.
Hydration: Drink at least 3 liters of water daily.
When to see a specialist:
If the pain does not improve in 5-7 days or if you notice any swelling or discharge, please consult a General Surgeon for a physical examination.
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Kindly consult, need to give proper details on this .
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Please consult.
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Avoid constipation or strain of any kind like much cough, lifting heavy weights, etc.
Apply venusmin ointment 2 times daily over piles. Do hot Seitz bath, twice daily.
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Hi
Do sitzh bath twice daily with warm water
Take fibre full food and drink adequate water 5 litres per day
Next Steps
Anovate cream is best for relief
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For haemorrhoids it is best to do 3 things
1. Make sure you dont have hard stools so eat lots of fiber and drink lots of water else just take
2tsp of syp cremaffin at night
2. Use creams and do sitz bath for pain cream like Anovate helps reduce inflammation
3. In case of bleeding take
Cap calcium dobesylate 500 mg twice a day
Or incase of extensive bleed take tab trenexa 500 mg sos and immediately consult a surgeon for further management
Next Steps
Now there are laser sx available and can remove piles in 3 sessions
Health Tips
best still to consult via practo to get further details and provide detailed history
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Zerodol sp three times a day after food for 3to5 days for pain.
Anovate/shield/oxyurate are the creams. Seitz bath Sit in hot to warm water 7 min.
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Hello there, piles is a vague term if not diagnosed previously, it is better to get diagnosed and to get treatment accordingly. Just take any painkiller for now and get consulted online , as I need detailed history about your problem for better treatment.
Next Steps
Drink plenty of water
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For hemorrhoids causing pain without bleeding, topical application of Himalaya Pilex Forte or Smuth Cream or Shield Rectal Ointment
Next Steps
Use a sitz bath soaking in warm water for 10 15 minutes immediately after passing motion. Since your pain is triggered by passing motion, you must prevent hard stools. drink a lot of water take fiber supplement like Psyllium Husk and a stool softener to slide out the stool without pressure.
Health Tips
If pain persists beyond a week despite these steps, consult a General Surgeon You may have an anal fissure (a small tear) . Do not sit on the toilet for more than 3 to 5 minutes as it increases rectal pressure. Use a small stool to raise your feet while sitting on the toilet this aligns the rectum for easier passage. Drink plenty of water daily to keep stools soft. Never force a bowel movement if it doesn't happen, get up and try again later
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Pain is different and pipes is different. Be sure of the cause first. Kindly consult with me on 94 two six eight six 78 nine six.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Yuvraj Arora Monga
General Physician
29 yrs exp
Delhi
Thank you for sending across your query to Dr.Monga Medi Clinic.You can use Jatyadi tail mixed with coconut oil We at Dr.Monga Medi Clinic provide very good solutions for such problems.For any further enquires you can go for online consultation
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
Anovate cream
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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