Smuth Cream For Piles

I am having piles which is neither bleeding nor giving heavy pain? Is it dangerous? I had last bleed on before 6/7 days ago but now I have nothing just there seen little muscles near place from where I poo. And I had given an ointment ‘anovate’ by doctor from my dispensary and I am using it. What should I do now?

Dr. Anjanjyoti Sarma 91% (1041 ratings)
MCh (Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
I am having piles which is neither bleeding nor giving heavy pain? Is it dangerous? I had last bleed on before 6/7 da...
Hello lybrate-user. U might be having grade 1 or 2piles. To control these ,u need to ensure 2.5 litres of water intake daily, plenty of fibres in your food, to avoid all junk foods, to sleep early and wake up early, to go to toilet every morning and not to strain, I f you can do these, you can say bye bye to piles. Thank u.
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I am 21 years old men, I am suffering from fissure. I am using smuth gel on the advice of doctor from 2 days, but I feel headache and problem in hearing as well. What should I do? Please tell me.

Dr. Anjanjyoti Sarma 91% (1041 ratings)
MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
Hello, the ointment (smuth)you are using is for piles . you may change it to Anorelief or EScot,to be applied with your finger twice daily . For headache, it should subside if you take plenty of water and fruits.
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Hello doctors thanks for reply me for my question especially Dr. Sk.tandon and Dr. Jayvirsinh. I have one question doctor please reply me. I had a lot of unprotected gay oral sex and one time anal sex. I had all symptoms of hiv. I did hiv, hbsag, hcv, tpha at 6 weeks. I did hivduo, hcv, hbsag, hsv1 and 2, chlamydia, tpha, at 127th day all came negative. Now in 18th month of last exposure. Now I have some health issues. White coating tongue still 10 months I am having. Body burning, 1st december I had a 3 lump in anal area. My doctor examine and he tells look like piles. 1.tess gel 2.smuth cream 3.bandy plus 4.varisil 5.pa 650 6.dulcolax. Lump size reduced but now have rice shape lump it look like anal warts I am so much confused. 1.i searched in internet anal warts become anal cancer. I have hpv ah doctor. 2.any hpv test available in tamilnad. 3.if I have hpv can I get marriage because coming feb 1st I am going to marry. 4. My wife will get hpv through me. 5.if I marry means can I get child and child will get hpv. 6.can I take hpv vaccine my age 32. 7. If I get marry vaccine can prevent hpv strains and my wife too. 8. My wife will get hpv vaccine. Please reply my question doctors please help me please.

Dr. S.K. Tandon 93% (53294 ratings)
M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE)
Sexologist, Sri Ganganagar
If you have any doubt about hpv. Get hpv test of you. If come negative be relax for more contact me on line.
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Can an anal tag increase if mistreated with external piles treatment? There was no pain no bleeding no constipation just itching 3 times in 1 year and it was just a small inflammation like rubber I used to clean anus with dettol wash because I was involved in high physical activity that caused sweating in summers so I thought it may cause infection so I used dettol wash and when it wasn't going so I became worried and consulted doctor she gave me dermikem oc max ointment and ofloxacin 200 mg tablets for 3 days (6 tablets) and continue using dermikem oc max it was getting fine but completely fine after 10 days when I consulted her again she gave me more 6 tablets for 3 days but it became different dark and ball shape and consulted doctor again then she said it's external piles and gave anovate ointment, metrogyl and pilon tablets for 5 days then consulted after 5 days it was getting dried she stopped metrogyl tablets and started cefixime tablets after 3-4 days that. Became more worst a big red hard bump (so painful irritating) I consulted her then she said I must have eaten something like ginger onion garlic but I didn't no outside spicy food and gave pilex tablets by himalaya and smuth ointment that hard bump have gone in 10 days but my anal swelling condition is still bigger than I first consulted her and after after 10 days I started getting white discharge from vagina and swelling in vulva I never experienced this before I keep myself clean no poor hygiene I think so much medicines caused me this yeast infection good bacteria has been killed by antibiotics now yeast infection is fine after 15 days but allot of medicines caused my boweling movement on alternate days even when i'm taking 2-3 fruits daily and drinking 12-13 glass of water and no junk or spicy food. And that bump is still bigger than I first consulted her. Please provide more information she's a bams doctor if I should consult somewhere else please suggest what kinda doctor. I'm seriously messed i've spend alot but still problem is not gone I really can't afford so much expenses and after applying aloe of ointment I guess my anus area skin is getting dark and damaged i'm not sure but I think because it's not same like before. Please help.

Dr. Karuna Chawla 95% (121284 ratings)
BHMS
Homeopathy Doctor, Noida
Can an anal tag increase if mistreated with external piles treatment?
There was no pain no bleeding no constipation j...
1. Take home cooked, fresh light food. Take a lot of green vegetables n fruit. 2. Increasing the fibre in your diet is known to be as effective as injections for preventing further problems 3. Increasing your fluid intake which can help prevent further problems with haemorrhoids 4. Avoiding straining and constipation which is the most useful thing patients can do to prevent the problem coming back. If the fibre content of your diet is not sufficient to keep your stools soft, then a fibre supplement can help. 5. Maintain active life style 6. Curd is good for u. 7. Avoid fast foods, spicy n fried foods Homeopathy has very encouraging results. Consult online with details
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Can medications make external piles more worse? Before I was fine with the small inflammation I had on my anal edge since one year no pain no itching no discomfort while sitting standing. But when I started consulting doctor it's getting more worse. She gave me medicines and ointment to apply on that area and within a week it became thrombosis (a hard lump with blood clot) and caused me so much pain almost 10 days and during this I noticed vaginal yeast infection even when i'm cleaning that area more properly. I hadn't experienced this thing ever since I noticed this lump first one year ago. And when this hard lump with blood clot got fine and now i'm experiencing starting of same irritation that I experienced when this blood clot occurs. She told me I must have eaten something hot like garlic ginger onion when honestly I haven't. No spicy food or outside. Even i'm eating fruits daily. Having curd or milk daily. Before medication I haven't experienced this thing even when I was eating more garlic ginger and maida items too and now i'm not even eating these things still it's like this. She gave allot of medicines (12- ofloxacin, 20-pilon tablets, 15- metrogyl tablets, 20-cefixime tablets, 60- pilex himalaya still consuming pilex, anovate ointment first 10 days then when I consulted her for worst condition of thrombosis she gave smuth ointment (still using) and a powder to use in water while having sits bath two times. I'm now sick of all such things. What should I do now? Please suggest me.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Delhi
Can medications make external piles more worse? Before I was fine with the small inflammation I had on my anal edge s...
Most likely diagnosis of your health problem is not right. So better consult another doctor for 2nd opinion. You can visit sushruta ano rectal institute also. For further support, you may call reception at sushruta ano rectal institute.
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Hello sir, thank you so much for your reply. I'm further answering to your reply 1 hour ago on my question related to piles, I attached my question at the end of this reply. So there is no bleeding. And as you suggested it may be anal fissure (fissure is like a tear) but there is not cut or tear. I just had small inflammation on the anal edge and I got tensed then I consulted a doctor she gave medicine as i've written in my first. And as I mentioned it got worst after taking medicines from second doctor she told me it's external piles she gave me medicine for 5 days and asked to come again. I went after 5 days she gave me another tablets and after 2 days it got worst it became like thrombosis external piles and that's painful but no bleeding no cut or tear she said I might have eaten something hot like garlic, ginger, onion etc but I didn't eat these things but before starting this treatment I use to alot that time didn't but within a week of this treatment this happened now i'm taking pilex tablets of himalaya and using anovate ointment during bowel movement and having sitz 2-3 times daily putting a antibiotic powder she recommended and after sits bath a cream name smuth. I don't know what to do now. It's been a week still painful. Can you please help me with the right treatment or something I should do to heal from it. This was my question "i noticed a lump on my anal edge in september 2019 and I thought it's normal pimple and I ignored that it'll go away own but it didn't almost 2 months and then I used coconut oil on it. It reduced in size but again. But appeared again and I used coconut oil again its just reducing in size not going away later in lockdown physical activities stopped then I felt itching there and used coconut oil again it helped me to get rid of itching but not that lump. After sometime I used glycerin to get rid iff it but didn't work. Then I went to a doctor she examined and she said this is fungal infection. And she gave me ofloxacin 200 tablets and dermikem oc max ointment to apply there. I used it for 15-20 days but didn't work but that lump was getting bigger that ofloaxin 200 tablets caused me (extreme headache, dizziness, constipation and body pain ). Then I consulted another doctor and she examined and said it's external piles and she gave me anovate ointment to apply and pilon and metrogyl 400 tablets. And asked me to come after 5 days. When I went she gave me cefixime tablets. Twice a day also have sits bath twice a day. And after two days my piles got worst I consulted her again and she said may be I eat some hot thing like garlic onion or ginger but I eat it usually it never got this worst and painful. Before having medicines I never experienced pain there and then she prescribed me pile tablets of himalaya for 30 days and a cream name smuth to apply thereafter having sits bath and a pain killer if I feel pain it's been 5 days that worst blood clot swelling isn't going away. Please help me to know about it better and what to do further.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Delhi
Hello sir, thank you so much for your reply. I'm further answering to your reply 1 hour ago on my question related to...
Pain and swelling associated with external piles could be managed by sitz bath; anti-inflammatory medicines etc. Size of external piles will reduce considerably by this treatment. But you should not expect external piles will disappear by this treatment only. You need to get these removed either surgically or by graded ksharsutra treatment. Surgery is not a right choice for the reason of recurrence of the problem and other complications. However, these can be removed conveniently by graded ksharsutra without any complication. No hospitalization or bed rest is required in graded ksharsutra treatment. You can continue your normal routine activities as usual in this treatment. For further support; you may call reception at sushruta ano rectal institute.
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I have piles lump problem from 12 days. I am taking medication (smuth cream and augmentin 625 tab, cremaffin syp)

Dr. Vineet Singh 92% (8894 ratings)
BAMS,PGDHA,MS(Ay)., Post Graduate Diploma In Hospital Administration (PGDHA), MS(Ay)
Ayurvedic Doctor, Varanasi
I have piles lump problem from 12 days. I am taking medication (smuth cream and augmentin 625 tab, cremaffin syp)
Such problems get definitely cure by Ayurveda treatment include medicine and Ksharsutra procedure, we treat lots of such cases successfully in our Varanasi centre.
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I noticed a lump on my anal edge in september 2019 and I thought it's normal pimple and I ignored that it'll go away own but it didn't almost 2 months and then I used coconut oil on it. It reduced in size but again. But appeared again and I used coconut oil again its just reducing in size not going away later in lockdown physical activities stopped then I felt itching there and used coconut oil again it helped me to get rid of itching but not that lump. After sometime I used glycerin to get rid iff it but didn't work. Then I went to a doctor she examined and she said this is fungal infection. And she gave me ofloxacin 200 tablets and dermikem oc max ointment to apply there. I used it for 15-20 days but didn't work but that lump was getting bigger that ofloaxin 200 tablets caused me (extreme headache, dizziness, constipation and body pain ). Then I consulted another doctor and she examined and said it's external piles and she gave me anovate ointment to apply and pilon and metrogyl 400 tablets. And asked me to come after 5 days. When I went she gave me cefixime tablets. Twice a day also have sits bath twice a day. And after two days my piles got worst I consulted her again and she said may be I eat some hot thing like garlic onion or ginger but I eat it usually it never got this worst and painful. Before having medicines I never experienced pain there and then she prescribed me pile tablets of himalaya for 30 days and a cream name smuth to apply thereafter having sits bath and a pain killer if I feel pain it's been 5 days that worst blood clot swelling isn't going away. Please help me to know about it better and what to do further. A ointmentton.

Dr. Sharyl Eapen George 93% (1176 ratings)
General Physician, Ooty
I noticed a lump on my anal edge in september 2019 and I thought it's normal pimple and I ignored that it'll go away ...
You definitely have a hemorrhoid. It will hurt even more if you are constipated and when you strain while defecating. Hence try to increase the fiber in your diet and you can also use isabgol powder if you have constipation. Avoid breads and maida based products as they increase constipation. Add more fruits and vegetables to your diet. The pain will automatically reduce when the clot dissolves which takes a minimum of two weeks provided there is no strain. Continue sitz bath and smuth cream as prescribed. If you found my answer helpful, please leave a like. Thank you.
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Hi I have hemorrhoids with fissures, i'm taking daflon500, zerodol sp, smuth ointment and lactihep syrup but i'm not seeing any betterment in my hemorrhoids! i'm on my 4th day of medication! should I have to continue the same treatment or what I have to do? How long it will take to see permanent cure!

Dr. Prakhar Singh 94% (9607 ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Hi I have hemorrhoids with fissures, i'm taking daflon500, zerodol sp, smuth ointment and lactihep syrup but i'm not ...
You should not take any medicine without doctor's advise as it may be harmful. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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Hello doctor, I am a male aged 28. After passing of stool I felt a fine particle (sized approximately 0.5 mm to 1 mm) came out of anus but not every time, it may comes out twice of a week if only when my body temperature increases. And it will goes in after 2 minutes (max). Please tell me what is this problem called & how can I cure it?

Dr. Shigil Mathew Varghese 89% (26 ratings)
MD - General Medicine, MBBS
Internal Medicine Specialist, Thodupuzha
Hi, thanks for your query. I feel what you are trying to describe is piles (haemorrhoids. Based on the information you provided probably grade 2 haemorrhoids. For time being eat a fibre rich diet (fruit, vegetables, cereals and wholegrain bread); drink plenty of water and avoid straining while going to toilet. You may apply smuth cream around anus if you experience pain during defecation. Kindly consult a general surgeon who might advice you for a proctoscopy to confirm the diagnosis.
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