Question: I am 31 year old male. When I was 14 year old,i met with an accident in which my spleen, large intestine, pancreas and column connecting lung were ruptured. I was operated upon post which i developed problem of flatulence. The problem aggraviated slowly slowly. For the last 8-9 years, i have to go twice to clear my stomach in the morning and some times during evening. During the day time i pass gas at least 20-25 times. I took ranitidine, then Omeprezole. But the stomach clearing issue is not solved. My ultrasounds were alright. I do not have diabetes or any other disease. I used to smoke, which i have stopped recently and i drink alcohol occassionally. Few years back i had external growth outside anus, which varies its size (i have to press it inside after the stool, but it does not pain). It protrudes during stool and i can put it inside with finger. (Photo att) Rarely it beeds also.
My stool is semi solid with scatterred small lumps.
I have spoken to various doctors (not specialists) and got few medicines which did not make the problem go permanently.
I do not eat spicy food and in case the food is spicy,my chest starts burning. The gas i pass are majorily odourless while stool is not (neither too pungent).
I have tried Kayam churan, Jhandu Pancharisht, but no success.
I am more troubled by the morning schedule and what i perceive is due to gas. Many a times i have to move out for work early, then it becomes very difficult for me. I also take around 15-20 minutes in first time and 5-7 minutes second time.I have got my stool culture done, as adviced by specialist. Report attached.
I do not have any abdominal pain. Only discomfort is there when gas is formed.
Also the fissure is not painful. It is a very small external growth which causes discomfort in sitting if not pushed inside.
According to me the main issue is gastritis which makes me go to the toilet again and mostly it is air which passes alongwith small portion of stool and then i am relieved, but after some time i feel that i have gas in the stomach.
I have attached the prescription which i took few days back, it didnt help much though.

Thank you Dr. Klerida. I think you need to be more specific. And i need to be more elaborate. My queries based on your reply:
1. I read about preparation H. It is majorily used where pain is there. But i do not have any pain.It comes out during stool and i have to press it inside after the stool, else it causes problem in sitting. Are you sure this will remove this issue.

I have to apply lot of pressure to empty the bowels and this part of anus comes out when i apply too much pressure.

2. I am fed up of going to toilet to empty my bowel twice in the morning. I beleive the medicines you have suggested is for gas and flatulence. But what about my stool problem. I have to travel and share room with people and i take a lot of time (20 mins at one time) in toilet due to this problem.

3. I did not say my spleen was removed. I said, my spleen, large intestine and pancreas were ruptured in the accident. Ultrasound states that all are perfect with normal growth. But once i had pancreatic ulcer also when i ate lot of spicy food in a party.
I generally avoid spicy and oily food.

So, primarily i have three problems:
(A). Going to toilet twice.
(B). Regular gas formation.
(C). Growth on anus.

4. Kindly tell the procedure to take the medicines also. I mean, before meal, after meal, morning or evening, etc

Regards

Thanks a lot for details.
Please tell me how to take Creon..before meal or after meal and how many times a day.
And for how many days.