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Suggest Treatment For Hemorrhoids And Tight Bowel Movement

Posted on Wed, 18 Mar 2015

Question: Hi Sir,

I have recently moved from XXXXXXX to Edinburgh. I have piles problem from the last 2 years. After coming to Edinburgh I am having very tight motion and sometimes small amount of blood will fall from it.Because of the tight motion I am having pain at the place from where motion comes.It is been close to a month since am having this problem .There are no other problems to me other than this.
Am getting worried because of this.Please help

Answered by Dr. Prasanna Heijebu (1 hour later)

Brief Answer:
Control/Treat Constipation.

Detailed Answer:
Hi Sir.

I understand your concern.

The major cause of piles and minor bleeds in your case is due to associated constipation.

Its extremely important for you to control constipation.

For this I usually recommend 2 spoons of lactifiber powder in a glass of water at bed time for 2 weeks.

Drink 3-4 liters of water every day.

The actual management of piles depends on their stage.

Stage 1 and 2 are usually treated through non surgical means.

I suggest you not to get worried,Instead I recommend you to consult a general surgeon for a PER RECTAL examination for staging the degree of piles.

Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prasanna Heijebu (24 minutes later)

Hi Madam,

Thanks for your response.

Do you see this a issue with the change in Climatic conditions XXXXXXX being an extreme warm and hot country where as Scotland is an Extremely Cold Country.

Answered by Dr. Prasanna Heijebu (8 hours later)

Brief Answer:
Yes Climatic role has a significant role.

Detailed Answer:
Hi Sir.

I understand your concern.

Yes certainly strong attribution of the change in climatic conditions is possible.

Cold temperatures of the environment are known to produce constipation.

This will improve once you get adapted slowly to this environment.
Thank you.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Prasanna Heijebu (7 hours later)

Hi Madam,

Thanks again for your help .

Two question I have ,Can you please advise me

1)Will I get Lactifiber powder in the Scotland(United Kingdom)
2)For Piles I have heard that Fibre rich food are required to eat ,but am not sure which all are high fibre content foods .Caan you please give me a list of Fibre Rich foods so that I can buy and have them regularly. I am a vegeterian.Please advise me .

Answered by Dr. Prasanna Heijebu (17 hours later)

Brief Answer:
Fybogel in Scotland

Detailed Answer:
Hi Sir.

I understand your concern.

1.Yes lactifiber powder is available in UK.
This is available in the form of Fybogel which contains Ispaghula husk granules.

2.Following foods are rich in fiber.

Apples.
Oatmeal.
Green leafy vegetables.
Apricot.
Dates. XXXXXXX Breads like Chapati and Roti.
Pomegranate.
Papaya.

Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Prasanna Heijebu (20 days later)

Hi Madam,

Good Morning,

I am still seeing this problem, one of our family doctor suggessted to use Dulcolex tablets daily one in the night, when I use this tablet I can pass the stool the freely and there is no pain but if I stop this tablet and go for the Motion the next day the stool comes harder.It is really bothering me now. The blood comes up when the stool is harder and there will be some pain also during this time.The other thing am worried is how long should I take this tablet.

I did some browing over net and starting to get afraid if this something called as Colon Cancer.This is making me really get afraid :(...

I am really concerned that this problem is becuase of this weather change or something serious :(...Please advise.

Answered by Dr. Prasanna Heijebu (16 hours later)

Brief Answer:
Colonic cancer is a predominant disease of elderly,not young. It is not mainly due to climatic changes but due to decreased diet fiber too.

Detailed Answer:
Hi Sir.

I understand your concern.

Colonic cancer is a disease of the elderly.

Its extremely rare in younger individuals under 30 years,except in cases of familial cancers,where grandfather and father are affected.

In order to improve your stool output you can take this tab Dulcolax for another 3 days in the night before you go to sleep.

After that I advise you to take 2 tsps of Lactifiber in a glass of water at bedtime.

This can be taken for 2 weeks.

Consume more fruits and drink water atleast 3 liters/day.

This is enough in your case at the moment.

In case if the symptoms still persist consult a general surgeon for PER RECTAL EXAMINATION to rule out piles.

Thank you.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Prasanna Heijebu (38 minutes later)

Madam,

Am daily having an apple couple of oranges also along with whole wheat beard and water also m drinking close to 3 Lt in a day.

Answered by Dr. Prasanna Heijebu (20 hours later)

Brief Answer:
You are on a right diet now.

Detailed Answer:
Hi Sir,

I understand your concern.

Yes you are on a right diet now.

Keep it up

Take care.

Thank you.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E