I have developed piles or haemorrhoids after taking antibiotics or flagyl 500 three times a day for a few days. My stool is very hard and causing pain during bowel movement. How and why this happened? How can I treat this condition?

PandianGeneral Surgeon26yrs exp

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Hello welcome Mr. koustav when there is pain and hard stool, it may be fissure rather than piles. If possible kindly upload the photos you need antibiotics analgesics and douching of anal region with antiseptic solution. Ano metrogyl ointment for local application drink plenty of oral fluids avoid spicy foods avoid tea coffee beverages avoid carbonated bottle drinks eat green leafy vegetables and fruits rich in fibre diet kindly consult with me onLybrate for priscription and better treatment advice.  

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Dr. R. N. BiswasAyurvedic Doctor8yrs exp

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If you are using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, western toilet increases constipation. Since constipation is a bigger factor behind piles, before treatment anal endoscopy (examination) is must, only ayurvedic kshara sutra therapy or kshar karma is a unique ancient technique, which is proved to be an effective treatment of anorectal disorders. It is commonly recommended in patients suffering from piles. According to world health organisation (who), kshar sutra therapy is better than any modern surgery for piles & fistula. This is nonsurgical procedure so no need of hospitalization or bed rest, piles disease will never be again in life, we will provide you demo video for the treatment procedure, please contact us for more details at sushruta clinic, new delhi-45. 

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Dr. Anjanjyoti SarmaGeneral Surgeon22yrs exp

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Hello, any anorectal problems starts mainly with altered bowel conditions or straining. So if your stools are really hard, then your anus is not allowing it to come out easily and that's why it is so painful. To get rid f it, you need to soften your stool with the help of taking plenty of water, a stool softener like cremaffin plus. To sit in warm water will give you much relief. Also applying (e.g. Anorelief /escot/ fidonal) to the anus with the help of fingers will define help.  

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Dr. S K Singh, Sushruta Ano Rectal Institute Piles And Fistula TreatmentGeneral Surgeon35yrs exp

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This may be due to anal fissures which are caused due to injuries to the anal lining by passing hard stools. As a result you have acute pain and spasm of the anal canal. You should take high fibre diet, adequate fluid intake and some mild laxative like haritaki churna, sitz bath may help you. For further support you may call the reception at sushruta anorectal institute. 

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Dr. Diptangshu DasGeneral Surgeon8yrs exp

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Hello. This pain during defecation is likely due to anal fissure. For the time being, avoid hot, spicy and non veg food. Drink plenty of water. The treatment involves using laxative syrup, using local anti-inflammatory cream, pain relievers and sitz bath. If everything fails, then only surgey. Being a laser proctologist from serampore, I would like you to visit me or take an appointment for proper consultation.  

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