I am 36 year old male having irritating and painful anus during stool movement from last 3 months. I have used anti-piles like Pilokill Syrup and Capsules for 4 weeks and stopped. I got some relief. But 3 days back I found blood and pain while stooling and even after the stool movement finishes. I am taking P-6 Capsules from last 3 days; feeling some relief. Will you suggest/advice me on it.

Dr. Promod Kumar KohliGeneral Surgeon39yrs exp

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It may be a fissure or piles or fistula or polyp. It will require a physical examination by a general surgeon to establish the diagnosis. Anal problems improve with general measures but may require surgery. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon. 

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