Namaskar Sir, I had problem of blooded piles from around 3-4 years. Initially I had taken some ayurvedic medicine and blood stopped and I ignored the pile but then pile became large and those became third and fourth degree pile. In january this year I had undergone a combination of milligan morgan and cryo surgery. After that I had faced lot of problems initially with the bowel and I used to get traces of blood sometimes. After surgery I am facing some issue regarding gas. I have started a lot of gas after that. Although this gas releases but the thing is I do not take much spicy food and eat very simple food and do not get constipation too. Also even after 10 months I get traces of blood with stool sometimes. Is it ok or can it happen due to soft tissue? Whenever I had gone for examination and doctor examined the anal area everything was ok he said. Last time I had gone to him in june. Also tell about my gas issue, could it be a side effect of surgery? Should I undergo some examination?

Dr. Amit VermaGeneral Physician18yrs exp

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Dear ,gas formation is not at all linked to the operation.It might be due to other causes.for persistant blood in stools ,plz take examined by expert surgeon .. Here are tips to prevent gas - Eat smaller meals;Don't overeat� -Limit fluids intake during meals. As it increases stomach distension.� -Avoid foods and drinks that trigger acidity (e.g. Fatty ,Spicy foods, onions, garlic, peppermint, chocolate, coffee,tea, citrus fruits or juices, tomatoes, cola or alcohol) -Stop smoking.�& Avoid alcohol;Stress may increase stomach acids -Wear loose-fitting clothes.Tight clothes or belts can constrict your stomach. -Do daily exercise.like walking;It keeps you upright, allowing gravity to aid digestion -Don't lie down after eating.Wait at least 2-3 hours after meal before sleeping. Avoid late night snacks�.Elevate the head end of bed by 6-8 inches. Sleep in left lateral position. HOME REMEDIES:.Dried ginger ,dried fennel or Ripened guava can speed up digestion of food� -TREATMENT:�-Antacids, like SUCRAMAL/DIGENE/Mucaine gel, may give relief.� -For severe cases,tablet Pantocid ?DSR/Sompraz-D/Rabicip-D.These are taken twice daily before meals as these reduce acid production in the stomach. 

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