Question

Hi
I think I had piles, so I went to a doctor and he prescribed me Pantoprazole Sodium & Domperidone (empty stomach), cefixime 200 mg, satranidazole 300 mg and (aceclofenac 100 mg, paracetamol 325 mg & serratiopeptidase 15 mg) all three twice a day. An ointment of lidocaine, hydrocortisone acetate, zinc oxide and allantoin to apply locally for 7 days. I had that treatment. I had two piles. The pain has reduced and the discomfort as well while passing stool but they are not properly healed. What should I do?
I had anal sex earlier, could it be due to that? Other symptoms include itching on the anus, redness and itching on both sides of penis, dead skin at the end of the penis. Please suggest.

Dr.Ojas Potdar · Accepted Answer

Hello sir,
What are hemorrhoids? — Hemorrhoids are swollen veins in the rectum. They can cause itching and pain. Sometimes they can also make you bleed during a bowel movement.
In some cases, you can see or feel hemorrhoids around the outside of the rectum. In other cases, you cannot see them because they are hidden inside the rectum (figure 1).
Should I see a doctor or nurse? — You should see a doctor or nurse if you have any bleeding or if your bowel movements look like tar. Bleeding could be caused by something other than hemorrhoids, so you should have it checked out.
If you do have hemorrhoids, your doctor or nurse can suggest treatments. But there some steps you can try on you your own first.
What can I do to keep from getting more hemorrhoids? — The most important thing you can do is to keep from getting constipated. You should have a bowel movement at least a few times a week. When you have a bowel movement, you also should not have to push too much. Plus, your bowel movements should not be too hard.
Being constipated and having hard bowel movements can make hemorrhoids worse. Here are some steps you can take to avoid getting constipated or having hard stools:
●Eat lots of fruits and vegetables. They have fiber, which helps to increase bowel movements.
●Take fiber powders, wafers, or pills. You should get 20 to 35 grams of fiber a day.
●Take medicines called stool softeners such as docusate sodium (sample brand names: Colace, Dulcolax) or bulk-forming laxatives. Bulk-forming laxatives include psyllium seed (sample brand names: Metamucil, Konsyl), methylcellulose (sample brand name: Citrucel), polycarbophil (sample brand name: FiberCon), and wheat dextran (sample brand name: Benefiber). These medicines increase the number of bowel movements you have. They are safe to take and they can prevent problems later.
What can I do to reduce my symptoms? — Some people feel better if they soak their buttocks in 2 or 3 inches of warm water. You can do this up to 2 to 3 times a day for 10 to 15 minutes. Do not add soap, bubble bath, or anything to the water.
There are also medicines that you can get without a prescription (table 1). They are usually creams or ointments that you rub on your anus to relieve pain, itching, and swelling. Some hemorrhoid medicines come in a capsule (called a suppository) that you put inside your rectum. Others come in a cream that comes in a bottle with a nozzle that you put inside your rectum. It is OK to try these medicines. But do not use medicines that have hydrocortisone (a steroid medicine) for more than a week, unless your doctor or nurse approves.
What if the self-care steps do not work? — If you still have symptoms after trying the steps listed above, you might need treatments to destroy or remove the hemorrhoids.
One popular treatment is called "rubber band ligation. For this treatment, the doctor ties tiny rubber bands around the hemorrhoids. A few days later the hemorrhoids shrink and fall off. The doctor can also use lasers, heat, or chemicals to destroy hemorrhoids. But if none of these options works, there is always surgery to remove the hemorrhoids.
FOR FURTHER QUERIES PLEASE BOOK AUDIO CONSULT TO HELP ME GUIDE YOU MORE

Seratop 5 MG Tablet Health Feed

Doctor I know a lady aged 45+ years she got hited badly on just below the right side of breast and it's causing her a lot of pain but due to she live in backward area she can't take help of a doctor so doctor please suggest me some medicine or balm so that I can help her. Thanking you.

Hello, I had an injury on my lower lip and it has led to the formation of a scar tissue. The part has been swollen ever since and I started taking serrapeptase because I heard it dissolve scar tissue. Please what can I do because it is still inflamed.

I am having a very bad tooth ache since 3 days. Please recommend me some medicine.

My name is Atharva and I am 17 years old. I have a complaint about my lower back, to be specific the area around monkey bone. Whenever I sit the car, area around monkey bone starts paining a lot. Can you tell what might be the possible reasons?

I had epididymitis last may 2015. But pain is still there. In right testis & in right leg. Please let me know what is the reason of this pain.

Hi, m 38 years old female had an accident 15 days back leg fracture n 32 stitches since 8 days m taking kedac p 2 times n chymoral forte 3 times a day pls advise me that is ths tablets safe or harmful if I keep taking ths 2 for more 8 days as my stitches not removed yet .pls help.