Feel embarrass to consult doctor as I feel that I have piles since my anus is swollen one side as I can sense lump one side (external) and my motion also not good .I have faced same problem four years back I below used tablets upon my friend suggestion PanTocho 20 mg tab wysolone 10 mg ampoxin 500 mg cap combiflam tab Currently I am using the same since 10 days but didn't see any changes it looks like its increasing .please advice.

Dr. Dawny MathewGeneral Physician4yrs exp

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Conservative measures to decrease straining and constipation in hemorrhoids/piles many patients see improvement or complete reduction of many symptoms with 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. Topical hydrocortisone can reduce some symptoms of piles but prolonged use is not recommended. Adequate water intake. Patients suffering from hemorrhoids should take adequate amounts of water which can ease the passage of stools. 

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