Suggest Remedy For Severe Anal Pain While Suffering From Piles

Posted on Mon, 31 Aug 2015

Question: Hi , I am suffering from Piles which Doctor said are of Grade 2 . There is no any serious effects i am facing due to this Piles but sometimes in the midnight a severe pain starts at Anus portion . This pain is so severe that literally I get awake from fast sleep . This pain is unbearable which last for 5 - 6 minutes . After this time on its own this pain stops and everything becomes Normal as if there was no pain at all . This happens once in a 2 month or 3 months . What is this phenomenon actually ?? I am not able to understand . Pl help . Also please suggest remedial measures on this .

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
Fissures should be ruled out.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query. Fissures can give such pain. Even hemorrhoids can give such pain. Using hemorrhoid creams with anesthetic will be helpful for this. Sits bath is also good. Proctoscopy will be helpful to rule out complications.

Hope this may help you. Let me know if anything not clear.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (14 hours later)

Dear Sir ,

Thank you for your valuable reply . I have now below queries :-

1. If I ignore this pain and do not do any medication at all for this , will there be any serious implications in the long run ??

2. Please prescribe the hemorrhoid creams as you have suggested in your answer so that I can start using them .

3. What exactly is the meaning of proctoscopy. Pl explain in detail . What do we come to know after doing this proctoscopy . ? What is the cost ?

Kindly revert back on this .

Thanks & Regards
XXXX

Answered by Dr. Nishad BN (5 hours later)

Brief Answer:
Explained below.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

If you don't treat hemorrhoids or fissures it may go to Next stage or form complications like fistula.

Hemorrhoid creams you can use the one which contains local anesthetic like cinchocaine and corticosteroid like hydrocortisone. There are various brands available over the counter like proctosedyl. Stool softeners will be helpful also. You can use non habit forming stool softeners like softovac at bed time. Taking vitamin b12 supplements is good also.

Proctoscopy is a instrument to visualize anal canal. This is usually done as outpatient procedure by general surgeons or gastroenterologist. It is not expensive. More accurate diagnosis and management is possible by performing this.

Hope this may help you. Let me know if anything not clear.
Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Nishad BN (2 days later)

Dear Sir ,

Thank You for your reply .

Based on your above reply are you suggesting that I should immediately go ahead for Operation of hemorrhoids of Grade 2 ??

Kindly suggest .

Regards
XXXX

Answered by Dr. Nishad BN (7 hours later)

Brief Answer:
Explained below.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

All second degree hemorrhoids doesn't require surgery. Prolapsed or complicated may require surgical management. Initially consevative measures is enough.

Let me know if anything not clear. I am happy to help you.
Thanks.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar