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Is This Bump A Hemorrhoid? Its On The Lefr Side ?what Are My Treatment Options? Can You Tell Whether They Are Internal Or External?

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Posted on Thu, 23 Aug 2018
Twitter Thu, 23 Aug 2018 Answered on
Twitter Fri, 7 Apr 2023 Last reviewed on
Question : is this bump a hemorrhoid? its on the lefr side of my rectem. my family on both sides has a history of hemorrhoids
doctor
Answered by Dr. Ramesh Kumar (6 hours later)
Brief Answer:
Follow up suggestions.

Detailed Answer:
Hi,
As per your history and the attached image, your case appears to be grade 3 hemorrhoid.

As per the protocol stage 1 to 3 are managed conservatively while surgery is done on stage 4 hemorrhoid.

Suggestion for conservative management are-

Request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% of cases.

-A probiotic should also be taken regularly with these medicines. Probiotic improves overall digestion and relieves constipation.Strict lifestyle modification should be followed along with medications-

Take simple organic and vegetarian home cooked low-fat food for a few days.
Avoid alcohol, smoking aerated beverages, junk food like pizza burger etc.

Take lots of probiotic-rich food like yogurt.Increase your fiber intake take oats, wheat, barley, vegetable and fruit like Pear, apple, and oranges.

No aerated beverages.
Take fiber containing easily digestible food.
Avoid red meat.
Drink a glass of lukewarm water before going to the washroom in the morning.
Sitz bath.
Internal or external would be differentiated by a surgeon after manual examination.
Hope I provided you with the information you wanted.
In case you need further advice feel free to ask.
Thanks
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hi again,
As it can be seen its external hemorrhoid however to be fully sure go for examination by a surgeon or MD.
Regards!
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar (5 minutes later)
ok thank you for the detailed list of optoins. however i am still unsure if they are internal or external hemorrhoids
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2901 Questions

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Is This Bump A Hemorrhoid? Its On The Lefr Side ?what Are My Treatment Options? Can You Tell Whether They Are Internal Or External?

Brief Answer: Follow up suggestions. Detailed Answer: Hi, As per your history and the attached image, your case appears to be grade 3 hemorrhoid. As per the protocol stage 1 to 3 are managed conservatively while surgery is done on stage 4 hemorrhoid. Suggestion for conservative management are- Request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% of cases. -A probiotic should also be taken regularly with these medicines. Probiotic improves overall digestion and relieves constipation.Strict lifestyle modification should be followed along with medications- Take simple organic and vegetarian home cooked low-fat food for a few days. Avoid alcohol, smoking aerated beverages, junk food like pizza burger etc. Take lots of probiotic-rich food like yogurt.Increase your fiber intake take oats, wheat, barley, vegetable and fruit like Pear, apple, and oranges. No aerated beverages. Take fiber containing easily digestible food. Avoid red meat. Drink a glass of lukewarm water before going to the washroom in the morning. Sitz bath. Internal or external would be differentiated by a surgeon after manual examination. Hope I provided you with the information you wanted. In case you need further advice feel free to ask. Thanks