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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Hemorrhoids And Constipation

Typically my baseline vitals are on lower end. BP 104/67-72 heart rate with in normal range temp 34 deg C. Past 4 months pitting edema 4+ bilaterally mainly above knee to toes. - worst entire biody. Regular internatl hemeroids that cause painful constipation stabbing pain and pressure in RLQ. Has radiated to lower back. BP 133-143/ 98-112?with HR 115-123. Was dismissed at ER. Unable to see family physician Dr seemed indifferent as BP was good in the office. My heart rate fluctuate at resting 93- 117 on average day. I m a 44 yo Female, endometriosis 3 cesarian live birth Heart disease mothers side her mom unexpected died from MI at 49 years I have low iron sometimes anemic 300 mg ferris glutinate tid. How to I get an accurate assessment ECO booked for March 2017
Fri, 6 Jan 2017
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General & Family Physician 's  Response
Hi,

I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below:

1) For pitting edema do [Blood DC, ECG & ECHO, RF test]

2) For constipation take a laxative at night [Cremaffin plus] and do TSH test

3) For hemorrhoids do laser surgical treatment if conservative treatment fails or pain and bleeding is severe

4) Take iron injection in 100 ml saline 3 times weekly then every month. Do not worry at all I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo
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Suggest Treatment For Painful Hemorrhoids And Constipation

Hi, I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below: 1) For pitting edema do [Blood DC, ECG & ECHO, RF test] 2) For constipation take a laxative at night [Cremaffin plus] and do TSH test 3) For hemorrhoids do laser surgical treatment if conservative treatment fails or pain and bleeding is severe 4) Take iron injection in 100 ml saline 3 times weekly then every month. Do not worry at all I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo