I was having constipation and a pain while passing stool I went to doctor he gave me two medicine mame tried p and smuth cap. Now I have not got relief from constipation now what shall I do now? Please help me my condition is not good.

Dr. Dawny MathewSexologist6yrs exp

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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. Adequate water intake. Patients suffering from constipation should take adequate amounts of water which can ease the passage of stools. 

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