I am from khammam. I am suffering from fistula. May I know the treatment. How many days to recover. How to treat I even have piles. May I know the diet habits ?
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If your piles produce only mild discomfort, I may suggest over-the-counter creams, ointments, suppositories or pads based on your medical history. These products contain ingredients, that can relieve pain and itching, at least temporarily. Don't use an over-the-counter cream or other product for more than a week unless directed by doctor. These products can cause side effects, such as skin rash, inflammation and skin thinning. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.Â
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A good surgeon will operate for fistula and for piles. After surgery one needs only 2-3 days in hospital for i/v antibiotics and 5% dextrose or ringer lactate to restore balance of minerals in body as food intake will be restricted. You will be on soups minus fats, semisoild food, no spices or foods causing bulk and distention. You will be given a list of aftercare after the operation.Â
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FOr fistula you need surgical correction . No special diet for fistula or piles except avoid much spices . Piles are haemorrhoids that become inflamed. Haemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers. Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4 cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common. Symptomatic haemorrhoids affect at least half the population at some time in their lives before the age of 50. In the majority of cases, piles are effectively treated with over-the-counter medications, a good fluid intake, and by following a diet high in fibre. In severe cases, the piles may have to be surgically removed. About 10% of patients who go and see their doctor about piles eventually require surgical intervention. Internal haemorrhoids are classified into four grades. ?Grade 1 - there are small inflammations, usually inside the lining of the anus. They are not visible ?Grade 2 - larger than grade 1 haemorrhoids, but also inside the anus. When passing a stool, they may get pushed out, but return unaided ?Grade 3 - often called 'prolapsed haemorrhoids'; these appear outside the anus. The patient may feel them hanging out. They can be pushed back in if the patient presses with their finger ?Grade 4 - these cannot be pushed back in and need to be treated by a doctor. They are large and stay outside the anus all the time. External haemorrhoids are called perianal hematoma. These are small lumps that are located on the outside edge of the anus. They are very itchy and can be painful if a blood clot forms inside (thrombosed external haemorrhoid). Thrombosed external haemorrhoid requires medical treatment straight away PILES OCCUR when the blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (haemorrhoids) can develop when pressure increases in the lower rectum. This may be due to: ?Chronic constipation9 ?Chronic diarrhea10 ?Lifting heavy weights11 ?Pregnancy12 ?Straining when passing a stool. 13 The tendency to develop haemorrhoids may also be inherited. The risk of developing piles grows with age Treatments for piles In the majority of cases, piles resolve on their own without the need for any treatment. Treatments can help significantly reduce the discomfort and itching that many patients experience. Diet - piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or switching your cereal breakfast to bran. Water is the best drink, and the patient may be advised to increase his/her water consumption. Some experts say too much caffeine is not good. Simple things you can do yourself to help prevent piles: 10 ?Try not to strain when you go to the toilet ?Avoid laxatives ?Exercise. Ointments, creams, pads and other OTC medications - there are some over-the-counter (OTC) medications which help soothe the redness and swelling around the anus area. Some of them contain witch hazel, hydrocortisone, or some other active ingredient which can relieve symptoms of itching and pain Surgery - used for particularly large piles, or grades 3 or 4 haemorrhoids. Generally, surgery is used if other procedures were not effective. Sometimes surgery is done on an outpatient basis - the patient goes home after the procedure.Â
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Many patients see improvement or complete reduction of many symptoms with conservative measures which can be tried at home. Warm baths bathing in tubs with warm water alleviates pain and severity of piles. Ice can also relieve the pain of acute thrombosis. The sitz bath can be tried for symptom relief. Sitz bath is done by sitting in a bowl of warm water to which salt is added. It is usually done for about 20 to 30 minutes twice or thrice a day. High fiber diet a high fiber diet includes more than 25 g of fiber per day. Many hemorrhoidal symptoms reduce when dietary changes are made. Addition of fiber supplements to already existing diet is a good plan. Toilet habit retraining and stool softeners patients should sit on the toilet seat only for the time required to evacuate the lower bowels. Persistent straining or prolonged sitting can lead to increased size of hemorrhoids. Stool softeners can be taken to soften stools if there is hard stools which can cause undue straining while going to toilet. Topical agents topical ointments and creams can be used to decrease itching and inflammation. Topical hydrocortisone can reduce some symptoms of piles but prolonged use is not recommended. Adequate water intake. Patients suffering from hemorrhoids should take adequate amounts of water which can ease the passage of stools.Â
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