Sir I have piles from 5 years but no bleeding when I go to toilet then my anal blocked stool is not going easily some time itching and I think it is fissure pls suggest me sir.
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Constipation is the basic cause of piles and fissure. You need a laxative. This relieve your problem. Ideally you need to tackle the basic problem constipation. Constipation may be of different types and may be due to various reasons. Indigestion is the most important cause. Proper guidance on dietary items and diet schedule, water intake, exercise, sleep may help a lot. Some herbal remedies provide good remedies for indigestion and constipation.
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You need to be examined by a general surgeon and proctoscopy to be done to find out what exactly it is, if it is a fissure then keep your stool soft by taking plenty of fluids orally and high fibre diet even you can take syp cremaffin 3 to 6 tsf hs daily, use ointment lox anally before defecation and ointment nitrogesic anally qid for 6 months, proper treatment follows according to examination.
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