Dr. N K Anupama

Pain in anal region is most of the time due to anal fissure.You should get your proctoscopy done to confirm the diagnosis.If it turn out as anal fissure then surgery ids required.

Dear lybrate-user, You should note that any external malady expressed by your body is a result of the underlying internal cause. The common causes could be- Due to contact with clothing (tight clothing, hard detergents used to wash) Allergies: in cases of contact with the allergen (specific). Disease conditions: Psoriasis, impetigo, eczema, STDs (genital herpes), etc. The line of treatment should be specific to your cause and individual constitution. It should include internal medicine with external application to provide with a complete and permanent cure. You should: Wear loose clothing (100% cotton). Apply mild products on the area to clear the toxins and keep the region hygienic. Keep your body hydrated. Trust this serves your introductory purpose. Please feel free to contact me. Revert back with your specific signs and symptoms such as pain, itching, odor, perspiration, color, location and any other concomitants for a more specific guide.

Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* This seems most probably hemorrhoids issue.* Recommendations for the same to get better recovery - Drink plenty of liquids.- Consume soft, light diet.- Prefer high fiber diet with whole grains, cereals,pulses, legumes,organic fresh fruits, green leafy vegetables, fresh curd with pro biotics.- Avoid all oily, spicy,non veg, hot beverages, chilly,garlic.- Avoid smoking, alcohol.- Regular walking, exercises help.- Sitz bath (sitting in tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stool) helps to great extent.- Bulk forming laxative as Ispaghula husk 3 teaspoonful at night with a glass of lukewarm water is strongly recommended for best outcomes.* Strictly follow this for 5 days, later than if problem consult your doctor. Hope this will help you for sure. Wishing you fine recovery & a very happy Diwali in advance. Regards dear take care.

Some causes of constipation include: Antacid medicines containing calcium or aluminum Changes in your usual diet or activities Colon cancer Eating a lot of dairy products. Eating disorders Irritable bowel syndrome Neurological conditions such as Parkinson's disease or multiple sclerosis Not being active Not enough water or fiber in your diet Overuse of laxatives (Over time, this weakens the bowel muscles) Pregnancy Problems with the nerves and muscles in the digestive system Resisting the urge to have a bowel movement, which some people do because of hemorrhoids Some medications (especially strong pain drugs such as narcotics, antidepressants, or iron pills) Stress Under active thyroid (hypothyroidism) Management: Try these steps for your constipation problem: Drink two to four extra glasses of water a day (unless your doctor told you to limit fluids for another health reason). Try warm liquids, especially in the morning. Add fruits and vegetables to your diet. Eat prunes and bran cereal. Isabgol, also known as "psyllium husk," is a common health supplement used to treat constipation, other digestive problems, and a few non-digestive problems. It contains 70 percent soluble fiber and, as a result, acts as a bulk-forming laxative. The effectiveness of isabgol largely depends on your individual health needs and the manner in which you take it.Usually, you will need to take 1 to 2 tsp (5 to 10 ml) of isabgol with 1 cup of water (240 ml) or fluid daily at night until your constipation passes. The exact dosage may vary depending on age, medical condition, and response to treatment, however. Eat a well-balanced diet with plenty of fiber. Good sources of fiber are fruits, vegetables, legumes, and whole-grain bread and cereal (especially bran). Drink 1 1/2 to 2 quarts of water and other fluids a day (unless your doctor has you on a fluid-restricted diet). Fiber and water work together to keep you regular. Avoid caffeine. It can be dehydrating. Check on milk. Some people may need to avoid it because dairy products may be constipating for them. Exercise regularly. Go to the bathroom when you feel the urge. Avoid taking unnecessary stress. Medication: Take Schwabe’s Biocombination-4/ thrice daily for 4 weeks.

Frequent micturition may simply be due to anxiety. If you have any burning or pain during urination please get urine routine and culture sensitivity test done. Ultrasound kub may also help in ruling out any stone which may present in similar manner. For anxiety you need to relax. Too much strict schedule and work pressure can result in anxiety. Give some time to sports or games in morning to help yourself relieve any tensions.

Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet

You have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning before brush 2. Take more water in day 3. Take meals at fixed hrs, chew food properly/ completely, no eating quickly 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No smoking, chewing gum, and carbonated beverages. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day 9. Do not drink/ store water in plastic bottles. 10.relax and walk for 30 mts daily 11. Take enough rest- do not lie down immediately after eating. Take dinner 3 hrs before sleeping. No late nights 11. Keep your weight under control. 13. Avoid tea, coffee, alcohol 15. Reduce physical and mental stress. Maintain healthy life style. Do exercise regularly. 16. No unnecessary medicines for medicine contact on private chat good luck..

Hello , take Thuja 200 , 5 drops , once in a week. Carduus pentarken , 2 tabs twice daily. Alpha Liv, 2 tsp , twice daily after meals. Avoid oily and spicy food. Please consult a Dietician for a proper diet. Revert me after 3 weeks.

Go for regular exercise, don't eat junk food. Metformin is given to control glucose production by liver. If your fasting glucose is high, dose of metformin can be increased if there is no contra indication to same.

Hi you need to walk daily for half hour. Have plenty of fluids and salads. Avoid fermented foods like idli dosa and also carbonated drinks.