I'm 33 old married women with 2 small kids.(height 5'4 weight 58 kg) I have a problem of piles. In initially it started before 3 months n with tighten stool n pain only. I had pilex tabs plus ointment for month but situation got worsen. Then I started lactulose syrup 25-30 ml before bed continued for 2 months, there were no pain but still was having only one time chapatis n having oats in breakfast n in dinner. There was a little muscular structure was outcome after one month when it started but after lactulose it became smaller n got inside anus again. Then doctor suggested me to have joint pancharisht after meals n replaced lactulose with 10 ml of freelax plus syrup. First some days were no change. After using one bottle of the syrup my stool again gonna tighten up again I started lactulose 30 ml (since last 5 days) little bit better i'm feeling but today I saw very little amount of blood in stool. Doctor please help.

Dr. R N BiswasAyurvedic Doctor9yrs exp

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If you are bleeding and pain is not at all, then it is the symptoms of hemorrhoids (piles) and if you are bleeding or burning sensation and pain is very much then it is a symptom of anal fissure, the medicine can heal the wound but if the anal muscle is tight then the wound will recur again and again so first of all use indian style toilet, 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 & fissure. If you are feeling itching & burning, your anal muscles become unusually tight, this is symptoms of anal fissure, also don't suggest for any anal surgery like fissurectomy or laser, some complications may occur after surgery & it takes too much time to heal the anus wound, by that time you will also suffer pain and trouble, you should get some ayurvedic therapies like ayurvedic matra basti, ayurvedic kshar karma & anal dilatation. After that you will never have a fissure again. You'll be fine in just 10 days. 

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Dr. Shriniwas DeshpandeGeneral Surgeon30yrs exp

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History is suggestive of hemorrhoids. Pr exam and proctoscopy will help the examining surgeon to give precise opinion. Meantime avoid straining at stools. Increase dietary fibers wich should include good amount of cucumber, carrots and green leafy vegetables.  

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Dr. Anjanjyoti SarmaGeneral Surgeon23yrs exp

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Hello lybrate-user, from history, you are having piles (probably 2nd degree. To get rid of it, you should avoid 2 things - constipation and straining. Straining is a habit, if you have it then peter to change or control it, for control of constipation, you should regularly take at least 2.5 litres of water, plenty of veggies and fibres. If you are more comfortable in taking lactulose, then there is no harm in taking it regularly for long term. Also a tab called daflon 500 which is easily available and very helpful in piles. Hope it was helpful.  

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