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Which stool softener
I want to ask I have internal piles issue ,the main issue of bleeding is tip of stool is little hard.
Although I have relief from constihenz3 but I want some syrup which can make stool liquidy and also can be taken for long term
Please suggest something as it is internal piles grade 1
Answers (21)
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I will help you get relief from your piles if you wish to know do consult at practo which I can definitely help you relieve from piles pain
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Thanks for sending across your query.
Piles treatment is not only taking laxatives but a complete treatment is required to cure piles as well as constipation.
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Take triphala
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Take looz syrup _5ml bd if not relieved can increse dose to 7.5ml.
And psyllium husk _1/2 teaspoon 100 ml of warm water during night
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You can take sofotovac to avoid constipation
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Take Dupahalac 10ml after dinner, more of green leafy vegetables, pappaya, orange.
Drink more water, glass of hot water before sleeping and after getting up.
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Isabgol(psyllium husk) will be better option.You can take for longer period also.If not you can take lactulose syp, it works well but should limit to few days only ,should not take for longer time.Increase in water intake and fibre intake and avoid spicy food helps well.Do sitz bath ,it will also help.
Next Steps
Check blood hemoglobin level also.If you are having bleeding for long time then hemoglobin may drop below normal
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Psyllium husk.
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You have Grade 1 internal piles, and your main issue is hard tip of stool → causing bleeding.
So the root problem is constipation, not piles itself.
Next Steps
Best syrup options (safe & commonly used):
• Lactulose syrup (examples: Duphalac, Looz, Lactihep)
Health Tips
• Drink 2.5–3 liters water daily
• Add fiber: oats, fruits, isabgol (very helpful)
• Avoid:
• Excess tea/coffee
• Spicy, fried food
• Do not sit long on toilet
• Sitz bath (warm water) daily → reduces bleeding
⚠️ Avoid:
• Habit-forming stimulant laxatives (like bisacodyl) for long-term
• Overuse → can cause dependency & electrolyte issues 
⸻
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Cremafin pink/ duphalac syr10 ml at night.
Followed by
Softovac powder two tsf two times for 20 days it promotes healing natural herbal isabgol
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Isabgol .it has no side effects and natural also.you can use for it longterm also.otherwise in market lactulose syp.is also good.
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Take water and fibre food dat makes ur stool smooth and easy to pass the stool
Don’t strain forcefully
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You can try Isabgol powder or lactulose syrup
15 ml dissolved in half a glass of water before bedtime.
Next Steps
Try to include more fruits, vegetables , fibre and water in your diet.
Health Tips
Long term use of Lactulose is not advisable as it can also cause deficiency of certain minerals, so try to include more fibre in the diet.
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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. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Syrup Duphalac 15ml once after dinner
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Apply smuth cream if I hav hard top stool
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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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. 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. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
You can increase the intake of fibers in your daily meals
Avoids spicy foods and consult for further management
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