I have piles since 2 years. There are 3-4 medium sized swollen masses around anal region. It does not bleed always, but when stool passes out, there is severe pain because of that swellings. I feel irritation, pain and itching all the day. 3 months back, I took pilex tablet and ruticool cream for 1 month, but it did give me some comfort. Now I need full cure from this nuisance. Which medicine and cream/ointment do I need to take and for how long for full recovery?

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. lybrate-user, Thanks for the query. Hemorrhoids, if not troublesome, then one needs to continue the conservative treatment as long as it is giving relief. Apart from local application of ointment and oral tablets, you should take good deal of fruits, green leafy vegetables and plenty of water plus fiber containing grains. If these measures do not benefit then surgery is the other option, which will help in a long term relief. Now a days there is laser surgery which is much better. Thanks.  

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