Concluded Case

Prolapsed haemorrhoids

37 yr old male came to me in sopd today with c/o pain and mass coming out through anus for 3 days.h/o similar complaints since 2yr on and off.h/o constipation.no active bleeding at present.no comorbidities/no surgery. Diagnosis prolapsed external haemorrhoids Reduced the mass digitally slowly. I Planned for haemorrhoidectomy after 1 month. Kept on High fibre diet Daflon tablet Oxyrut cd Anorelief gel locally Peg fibre as laxative.

(Edited)

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Concluded answer

Planned for haemorrhoidectomy after 1 month after oedema subsides

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Dietary advice high fibre diet ..drinking 3.5 litres water per day. Definite treatment... hemorrhoidectomy

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It is definitely external prolapsed pile but it is unusual pt does not have pain. It seems to be thrombosed. As the pt has no psi proctosopy to see extent upto the anal verge. Consrevative Sietz bath twice a day Laxative or stool softner Antibiotic Anti inflammatory If it does not responds haemorrhoidectomy may be done because if left untreated may get thrombosed a painful condition or may get Infected or there may be bleeding.

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? PROLAPSED PILES .. NEED'S .. STAPLED HEMORRHOIDECTOMY .. WITH SURGEONS OPINION..

Its piles only doctor ,i planned for haemorrhoidectomy
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?rectal prolapse ? Hemorrhoids

Its haemorrhoids as its grooved and painful.prolapse will be smooth and painless,
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rectum prolapse kaanch in layman's language means gud-bhransha. u can give 1)mushak tail 2)changeryaadi tailam 3)changeryadi ghrutam 4)naag bhasma 5)manspaachak 6)langot-bandhan

Prolapsed rectum Prolapsed piles Ad Surgery Ref to Surgeon

Its piles only doctor ,i planned for haemorrhoidectomy after 1 month
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Cauliflower broccoli purple cabbage cabbage juice orange..lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages..no vyasan.. beetroot coriander juice.. sulpha if tolerant... ginger carrots pomegranates muskmelon walnuts blue berries garlic little onions... cold pressed coconut oil massage and in naval...under strict supervision of Doctor

RECTUM WAS PROLAPSE SEEN ? YES YOUR GOOD INTENTION FOR REQUIRE SURGERY ( HAEMORRHOIDECTOMY ).

Haemorrhoid Adv for surgery under surgeon opinion...

Its piles only doctor ,i planned for haemorrhoidectomy
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Planned for haemorrhoidectomy after 1 month after oedema subsides

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