I am having piles and it seems like my internal hemorrhoid is bleeding. Usually I used to have problem with external one and I used to take 20 ml duphalac in night for five days and I have seen the difference on the next day itself. But now I am not getting relief even when I have taken 20 ml in morning and night. I am 6 weeks pregnant and I am not sure how dosage is safe for me? Kindly advise to get relief from this bleeding and pain.

Dr. Kiran Kumar Poonaganti KumarGeneral Surgeon19yrs exp

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Breyer do ahead with surgery either open r laser as it’s grade iii medical treatment usually will have failure rates 

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Dr. S K Singh, Sushruta Ano Rectal Institute Piles And Fistula TreatmentGeneral Surgeon35yrs exp

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Pls take adequate high fibre diet like Ghia Tori Tinda pumkiin etc And add butter and milk to your diet . Avoid straining while passing stools . This may help u  

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Dr. Pallawi PriyaGeneral Surgeon10yrs exp

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Keep in mind that pregnancy constipation can often be prevented with lifestyle changes. For example: drink plenty of fluids. Water is a good choice. Prune juice also can help. Include physical activity in your daily routine. Being active can help prevent pregnancy constipation. Include more fiber in your diet. Choose high-fiber foods, such as fruits, vegetables, beans and whole grains. If you take iron supplements, mention the constipation to your health care provider. Although iron is an important nutrient during pregnancy, too much iron can contribute to pregnancy constipation. You might have to take a stool softener if you are taking an iron supplement. Peg based laxatives like pegmove are usually considered safe in pregnancy for sporadic use. However, if you are having severe constipation and bleeding, you must consult your doctor.  

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