Please suggest. Does 100% piles go away with medicine or surgery is must because right now I do not have any major problem but little bit itching like pain so what should I do know continue medicine or go for surgery.

Dr. Bhagyesh PatelGeneral Surgeon16yrs exp

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Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Primary management is always conservative, if not better control then only surgery is the way.* Primary guidelines for better outcome Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxatives as Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400 mg) after meals for control of pain, burning if no history of drug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.  

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