Am 42 Years And Since Yesterday I Am Having Piles

Posted on Mon, 8 Oct 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 8 Oct 2018 Answered on

Last reviewed on

Question : am 42 years and since yesterday i am having piles problem becauze of which i am having severe pain. please do suggest quickest way to treat this issue. thanks

Answered by Dr. Remy Koshy (1 hour later)

Brief Answer:
Need more info

Detailed Answer:
Hello and welcome to "Ask A Doctor"

I have gone through your query, and before I can guide you any further, I would like to know a few related details:
- Do you notice any protrusion of mass from the anal orifice while passing stool?
- Have you notice any fresh bleeding while passing stool?
- Does the mass go back while pushing it back?
- Any history of intake of medications?

Meanwhile, kindly do Sitz Bath, which is sitting in a large basin filled with warm water mixed with salt. This will help in reducing the inflammation and pain.

Kindly revert back with your details,

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Remy Koshy (1 hour later)

thanks for quick revert. please find my comments as below - no i didnt notice any protrusion of mass at impacted area - no bleeding is noticed - there is hard multiple flesh is at impacted area which obstruct passing tool and cause severe pain - i take nerve medicine since long but never caused piles because of that

Follow up: Dr. Remy Koshy (7 hours later)

please revert on priority..

Answered by Dr. Remy Koshy (2 hours later)

Brief Answer:
Explained below

Detailed Answer:
Hello again,
Thanks for writing back,

Sorry for the inadvertent delay in replying you,

From the details you have provided, you seem to have symptoms pertaining to external haemorrhoids, on which a blood clot may have been formed, which is causing the intense pain while passing stool. The clot will dissolve with time.

I would suggest you to do the following:
- Apply ANOVATE cream, this contains analgesic and anti-inflammatory along with a steroid. This comes with an applicator, you must apply it deep within.
- Continue the Sitz Bath, at least 2-3 times a day.
- Take Syrup LACTULOSE 15ml once at night daily, to prevent hard stools.
- Eat more of fiber rich food.
- Please make sure to visit a general surgeon, if you notice any case of XXXXXXX bleeding or if the symptoms persist for long.

I hope this helps,

Please feel free to discuss further,

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy