Hello Doctor, I am facing problem in my anal area, when I am going to toilet to pass stool I feel pain and itchiness in the area. As the opening of the anal muscle is swollen. I feel pain when the contraction of muscle happen there in the area. It becomes little difficult when going to toilet as there is a pain in the area due to swollen muscle. Initially it used to be itchy feeling there but now I feel pain along with it. Please suggest some medicine to get rid of this issue. Thank you.

Dr. Nash KamdinGeneral Physician28yrs exp

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Dear Lybrateuser, - Your problem appears to be due to hemorrhoids (piles) as per your description - avoid constipation & straining at stools - have more of fibre containing foods such as fruits, vegetables, whole grains instead of refined ones, legumes, peas, nuts, sprouts - have plenty of oral fluids including 8-10 glasses of water for proper hydration and digestion - avoid fried, spicy & junk foods - mix a tablespoon of isabgol powder in a warm glass of water & have it one hour before bedtime - take tablet pilex twice a day - apply Smuth gel before & after defecation - do regular exercise like walking, jogging, yoga for proper digestion. 

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