I am 20 year old male studying. I have piles problem for past one year. At first it was painful and slightly bleeds then I didn't care for it because it didn't gave any problem during stools. So what should I do now? Leave it untreated or have to visit doctor?

Dr. Bhagyesh PatelGeneral Surgeon16yrs exp

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Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Primary requirement is to get checked with consultant surgeon for procto anoscopy evaluation for the diagnosis and further management.* Primary guidelines for better outcome till that time Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxativesas Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400) mg after meals for control of pain, burning if no history ofdrug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care. 

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Dr. Vaibhav Kapoor'sGeneral Surgeon8yrs exp

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Hi piles can be painful and it an cause bleeding. Conservative measures like sitting in warm water that's is sitz bath ,taking laxatives like isabghol ,eating high fibre diet will solve your problem immediately ,but giving only temporary relief .definitive treatment for piles is surgical management .laser treatment for piles is definitive management .it is painless ,10 min procedure which solves your problem permanently .post surgery you will be on proper diet chart and certain pelvic floor exercises will be taught to you ,to avoid constipation in long run. 

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