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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Piles, Burning While Defecation ,constipation Wid Soft Stools And Small Warts In Anus. Treatment?

sir i have piles for 8/9 years no bleeding but burning while defecation ,constipation wid soft stools and small warts in anus may be one or two.also i get slight fissures in anus pls suggest some remedy can the warts in anus go away completely? have tried hydrastis q acid nit 200 and many other medicines my name vivekk.
Tue, 20 Aug 2013
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General Surgeon,  's  Response
Hi Vivek ! With your history, it seems that you have got a fissure in Ano, which has become chronic with time, and possibly not a piles, which is a name given to any type of perianal problem by people. Fissure is a crack in the anal canal due to hard stool, which if not taken care of initially, recurs again and again, with super added infection, which gives rise to pain while and after defaecation, with minimal or no bleeding.
Uncomplicated piles ( hemorrhoids ) do not give rise to any pain, but can give rise to bleeding while passing stool.
I would suggest you to modify your diet to more of roughage and liquids to avoid constipation.Eat more of salads. Do not strain a lot while passing stool.
Do sitz bath ( sitting on a tub of warm water for five minutes ) three times a day. This may relieve your symptoms upto some extent. However, due to chronicity of the problem, possibly there will be less of benefit with this alone. In that case, you have to consult a general surgeon in your area who after examining and confirmation of the diagnosis, may advise you for a surgery, which possibly will give you a more permanent cure. Wishing you an early recovery.
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Gastrointestinal Surgeon,  Dr. Ajit Naniksingh Kukreja's  Response
Dear Vivek

Thanks for writing in

If you have asymptomatic piles, just leave them alone
Control constipation with lot of fiber and plenty of fluids orally

The warts need to be excised or cautrized if they are bothering you

Hope this helps
DO write back in case of concern
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Have Piles, Burning While Defecation ,constipation Wid Soft Stools And Small Warts In Anus. Treatment?

Hi Vivek ! With your history, it seems that you have got a fissure in Ano, which has become chronic with time, and possibly not a piles, which is a name given to any type of perianal problem by people. Fissure is a crack in the anal canal due to hard stool, which if not taken care of initially, recurs again and again, with super added infection, which gives rise to pain while and after defaecation, with minimal or no bleeding. Uncomplicated piles ( hemorrhoids ) do not give rise to any pain, but can give rise to bleeding while passing stool. I would suggest you to modify your diet to more of roughage and liquids to avoid constipation.Eat more of salads. Do not strain a lot while passing stool. Do sitz bath ( sitting on a tub of warm water for five minutes ) three times a day. This may relieve your symptoms upto some extent. However, due to chronicity of the problem, possibly there will be less of benefit with this alone. In that case, you have to consult a general surgeon in your area who after examining and confirmation of the diagnosis, may advise you for a surgery, which possibly will give you a more permanent cure. Wishing you an early recovery.