Suggest Treatment For External Piles And Internal Fissures

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain it seems that you are suffering from Hemorrhoids also known as Piles and the symptoms of bump sticking out from anus along with pain and blood on wiping seems to be due to it.. Hemorrhoids are inflamed and swollen veins that are formed when there is continuous irritation of the veins present in the rectum area and inflammation can lead to pain and bleeding during bowel evacuation.. On the other hand Anal fissures occurs due to a small cut or tear in the anus and extend up the anal canal.. It can occur due to causes like very hard stools and pressure applied to pass the stools can cause tear of the specialized mucosa of the anus known as Anoderm.. Consult a Proctologist and get evaluated and a clinical evaluation and anoscopy can be done for diagnosis.. In case if piles is confirmed then you can be advised: Application of steroid and numbing ointment,Sitz bath that is sitting in warm water tub especially after bowels,High fibre diet along with laxatives like Polyethylene glycol and stool softeners like Docusate to maintain proper bowels,Avoid spicy food and drink plenty of water.. In case of no improvement or recurring symptoms with medical treatment you can be advised surgical procedures like Rubber band ligation, sclerotherapy or Hemorrhoidectomy that is surgical removal of the hemorrhoids.. For fissures along with sitz bath and dietary modifications you can be advised application of numbing ointment and also calcium channel blocker containing ointment like Diltizem.. You can also take painkillers like Ibuprofen if there is pain.. In case of no resolution surgical treatment can be advised.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.