Brief Answer:
hemorrhoid.

Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
I've gone through your details.
I am a Gastroenterologist and would be addressing your concerns.
As per your queries answers are-
Its hemorrhoid.Hemorrhoid in physiological state act as a cushion composed of arterio-venous channels and connective tissue in the rectum that aid the passage of stool, but due to excess pressure in the abdominal area or pelvic area blood vessels near the anus are engorged and swollen and their walls becomes stretched, thin and irritated by passing stool.
Suggestion for conservative management are-

Start taking Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Don't just use any stool softener.

-Secondly, instead of using PreprationH use a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc. It will provide much better relief marketed as brand name Ruticool.

Thirdly, request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% cases.

Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.

-A probiotic should also be taken regularly with these medicines. Probiotic improves overall digestion and relieves constipation.
However, if not relieved even after 3 months of aggressive therapy proceed for Rubber bands ligation- inexpensive and are easy to deploy. It's a daycare procedure usually done under local anesthesia. The success rate varies from about 70-80%.

Strict lifestyle modification should be followed along with medications-

Take simple organic and vegetarian home cooked low-fat food for few days.
Avoid alcohol, smoking aerated beverages, junk food like pizza burger etc.

Take lots of probiotic rich food like yogurt.
Increase your fiber intake take oats, wheat, barley, vegetable and fruit like Pear, apple, and oranges.

No aerated beverages.
Take fiber containing easily digestible food.
Avoid red meat.
Drink a glass of lukewarm water before going to the washroom in morning.
Take Sitz bath.

you can meet a surgeon for digital examination and he can palpate the mass
Hope I provided you with the information you wanted.

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Brief Answer:
Follow up.

Detailed Answer:
Hello my dear patient,
I can understand the level of frustration you must be feeling but i would like to tell you that there are two types of hemorrhoids.
1)External hemorrhoids
2)Internal hemorrhoids

Most likely your hemorrhoids are internal and therefore they are located deep inside the canal.
Possibility no 2- is that it can be a carcinoma or a benign mass and a sample of biopsy have to be taken and studied under a microscope.

Presence of mass is not a contraindication for colonoscopy . Infact in tumour's biopsy samples are taken through colonoscopy only. I would suggest you to consult a better gastroenterologist in person and get a colonoscopy done.


Milk of magnesia is a laxative and can be used safely for long period of time.
Warm regards.


Regards

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