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Hi. I am 31 years old guy. I have got two questions to ask. First one is that I have a doubt that I am having piles as after passing stools when I try to wash my anus with water I can feel a small swelling comes out and few minutes after washing my anus it disappears. I don't have any bleeding though. I have a difficulty while stooling as my initial stools are really hard and I have to give a lot of stress during stooling initially. I want to know whether I am having piles or fistula and how to reduce swelling? My second question is that my stools have never been this hard like what I am experiencing these days. What medicine should I take to make my initial stools soft as I have to give a lot of stress during stooling initially. Please help me.

1 Doctor Answered
Dear, 1you are suffering from first degree piles-haemorrhoids. It is not fistula. 2. Hard toilet means constipation which is a lifestyle problem and not a disease. To treat, 1. Increase fluid intake, 2. Takr emolient laxative like duphlec sy or cremaffin plus 1 tsf at night, 3, take naturrolax grannules or isabagol powder 3-4 tsf in at least 300 ml. Of water, 4. Apply zincal ointment twice a day inside anus, 5. Take high fiberand high redue diet, 6. Avoid taking pain killers so far as possible, 7. Increase physical activity like4 walking, playing physical games or exercises regularly, 8. Keep regular hours of sleep and food.
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