I am 31 year old male , recent made a visit to Ms. got to know suffering from internal piles grade 3 he advised me surgery . From last 5 year am suffering ibs , m not having bleeding and any pain . By adding fibre to diet it is reversible or should I go for surgery pls guide.
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If the pain is there there is more chances of that you may be suffering from a anal fissure and not the piles. I would advise you the following: please read carefully, understand each point and follow strictly. It is you who have to take a proper care and treatment: you can try the following method of treatment and you may not need surgery. High fiber diet. Avoid all the foods and beverages and stress-like conditions which gives constipation or any problem related to gastrointestinal system. Laxative for softening the stool- never allow the dose too much to cause liquid stools. You can try liquid cremaffin plus 2 teaspoonfull to be taken at bedtime (night only). Sitz bath- sitting in a tub with warm water. This is the most and very important- to be done just before passing a stool and after passing a stool. Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean. You can apply liquid povidone iodine locally. Apply nothing else. 5 day course of an antibiotic and metronidazole (you need a prescription of a local doctor) also take probiotics and multivitamins. Avoid stress and mental tensions at any cost; this is a very important factor. Continue this for 3 weeks and most probably you may not need surgery. If the results are positive you have to continue doing all this and take proper care. Per-rectal and proctoscopy examination by a general surgeon to get the exact cause/causes is also very important step. Get this done and give me feedback of the diagnosis told and the effects of the treatment I have suggested. I hope this answer helps you.
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