I am having piles problem since 2012. But now a days means from last one month it's getting much pain. So please can you give suggestion. And beside anus some what like pimples, if I touch it pain is there.

Dr. Surbhi AgrawalGeneral Physician12yrs exp

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I would suggest you Sitz bath: take hot water in a tub and add betadine solution, cover your anal area and sit for 15-20 minutes twice a day if possible thrice a day. It will reduce bleeding and helpful for healing. Wash the anal area with mild soap, pat dry and apply the Lignocaine jelly after bowel movement and at bedtime. Liquid cremaffin plus 2 tsp twice a day. You should prevent constipation by eating healthy food, which contains fiber. Avoid spicy, fatty, heavy meals and meat. Avoid smoking if you smoke. If your symptoms persist, I would suggest you visit a general surgeon for clinical and physical examination to know about degree of hemorrhoids. Treatment (medical or surgical) can be decided by surgeon. Hope I have answered your query. If you have any queries, I will be happy to help you. Thank you. 

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