Hello XXXXXXX,
Thanks for your query.

Tobacco consumption in the form of gutkha / pan masala definitely worsens haemorrhoids ( piles ). Please stop the habit in view of piles and general health and well being.
You can read the following link :
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Also, you need to make dietary adjustments to decrease piles, and the gas and bloating that you have.
Take regular exercise, as it helps bowel movements.
make a habit of drinking atleast 4 - 5 litres of water / fluids everyday.
Avoid eating too much at a time.
Avoid heavy, spicy, greasy food.

Making simple lifestyle changes through diet and exercise is usually the first recommendation.

Increase the fibre in your diet and aim to eat 25-30g of insoluble fibre a day, such as wholegrain bread, cereal, and fruit and vegetables.
The body is unable to digest insoluble fibre, so it passes through the bowels and helps other food and waste move through more easily.
Also drink plenty of water. Aim to drink at least six to eight glasses of fluid a day and avoid too much caffeine (found in tea, coffee and cola).
Avoid straining to pass stools because it may make your haemorrhoids worse
after passing a stool, use moist toilet paper rather than dry toilet paper to clean your bottom .
Using baby wipes can help ease any discomfort that you have after passing a stool XXXXXXX the area around your bottom rather than rubbing it

Creams, ointments and suppositories, available over-the-counter from pharmacies, can be used to relieve any swelling and inflammation that you have around your back passage. However, they will only treat your symptoms and will not cure the haemorrhoids themselves.
These types of medicines ( such as the ones you are taking ) should only be used for five to seven days at a time. If you use them for longer than this, they may irritate the sensitive skin around your anus. Any medication you use should be combined with the diet and self care advice above.

If medicines and diet and lifestyle modifications fail to relieve you, you might consider the following options :
Banding is a procedure that is sometimes used to treat second and third degree haemorrhoids.
Banding involves a very tight elastic band being placed around the base of your haemorrhoids to cut off their blood supply. The haemorrhoids should fall off within seven days of having the treatment.
Banding is usually carried out as a day procedure and you should be able to return to work the following day.

Sclerotherapy is another common treatment for XXXXXXX haemorrhoids. It can be used as an alternative to banding.
A chemical solution is injected into the blood vessels in your back passage. This relieves pain by numbing the sensory nerve endings at the site of the injection. It also hardens the tissue of the haemorrhoid so that a scar is formed. After about four to six weeks, the haemorrhoid should decrease in size or shrivel up.
Infrared coagulation, also know as infrared light, can also be used to treat haemorrhoids.
A special device is used to burn the haemorrhoid tissue. One or two bursts of infrared light can cut off the circulation to small XXXXXXX haemorrhoids, such as grade one or two haemorrhoids.
Surgery is sometimes recommended to treat large XXXXXXX haemorrhoids, or those graded as three or four.

If the typhoid was completely cured before 2 months, do not worry about it. Just avoid eating outside and maintain food hygiene within your home.

take care and feel free to ask for further clarifications.

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Dried beans, peas, and other legumes, including pinto, black, baked or kidney beans, split peas and garbanzos are all high fibre foods
XXXXXXX cereals: XXXXXXX Buds, All-Bran, 100% XXXXXXX Raisin XXXXXXX – XXXXXXX is often used to enrich breakfast cereals, benefiting people looking to increase their daily values of high fibre foods consumption.

Fresh or frozen lima beans – lima beans, like many other legumes, are a good source of fibre, being an almost fat-free source of quality protein. Lima beans have both soluble fibre and insoluble fibre.
Fresh or frozen green peas – green peas have a high value of about 5% of its composition in fibre
Dried fruit: figs, plums apricots and dates – dried fruits help intenstinal health. It enforces the regulation of bowel function. Dried plums are well known in common experience to alleviate constipation, as they are high fibre foods.
Raspberries, blackberries and strawberries – raspberries’ aggregate fruit structure adds to its nutritional value, increasing the proportion of dietary fibre, making it one of the plant foods with the highest fibre contents known, up to 20% fibre of its weight.
Sweet corn: on the cob or kernels.
Whole wheat and oats is one of the high fibre foods you can take, instead of white bread
Broccoli – high in fibre as well as vitamin C
Baked potato with the skin – the skin, when crisp, is the best part for fibre. Almost half of a potato fibre is in its skin. Boiled or mashed potatoes can also be good, but not french fries, as they contain a very high amount of fat.
Plums, pears, and apples: These are all high fibre foods. The skin is edible, and are all high in pectin.
Greens: spinach, beet greens, XXXXXXX collards, turnip, methi, bathua, palak etc. are high fibre foods.
Nuts: specially almonds, Brazil nuts, peanuts, and walnuts .
Bananas – these not only have an over average percentage of fibre, but they are also regarded as one of the most nourishing foods, for its wide range and quantity of nutrients.
Carrots – they are XXXXXXX in fibre, but especially in vitamin A.
Coconut (dried or fresh-sparingly, both are high in fat content) – most of a coconut’s fibre is in its skin, which makes the percentage of fibre in a coconut about 10%. Drinking its water reduces the percentage to around 1-2%.
Yes, you can have mosambi.
Do not have juices, have fresh whole fruits.
That helps best.

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Thank you for the appreciation.
Please feel free to leave a user review if satisfied.
Take care.
Am always open to further questions.

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