50 female known diabetic and hypertension. Present with pain and fever since 2 days. Lesion at rt side of anal region.

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Ttrombosed haemorrhoids. Surgical intervention like laser , cryotherapy or freezing or excision. Xylocaine jelly 2%locally. Cefixime 200 mg BD. PCM+ibu TDS. Cremaffin pink 3 tsf HS. Avoid constipation. Maintain nutrition, hydration and hygiene.

Thanks Dr Gurpreet Sidhu.
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3 degree thrombosed hemorrhoids Tab zanocin oz BD x 7 days Tab voveran SR 75MG BD x 5 days Tab diosmin 300 tds If bleeding Cap rabikind D 1 BD before meal x 10days Then OD x 4 wks Isabgol granule BD x 7 days then OD x 4 wks Xylocain gelly for LA x 1 month Deltagesi cream for LA If pan Setz bath Strictly Diabetic & BP control Diabetic & BP diet Maintain personal hygiene Improve general body health Intake Plenty of more water orally Avoid oily and spicy food egg fish chicken burger fast food pizza etc Avoid constipation and indigestion Uses Green leaf vegetables and fruits papaya banana etc Avoid late night dinner Walking jogging atleast 10 to 15 min especially after dinner

Thanks Dr Neha
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? HEMORRHOID .. ? PERIANAL ABSCESS.. NEED'S.. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION.. AND.. SURGICAL INTERVENTION..

Tnx Dr Ashok Leel sir
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3rd degree thrombosed hemorrhoids.

Thrombosed haemorrhoids .

Acute thrombosed external haemorriod

Dear Dr, as per my opinion- it’s a case of infected anal hematoma and its convert into fistula due to uncontrol DM and HTN. Pathology suggests that hematoma accoured due to uncontrol HTN & prolonged extension of it infection occurs due to uncontrollable DM. Please control the DM & HTN, then surgical intervention will be done. I & d with Ksharsutra ligation is the best option for her.

Hemorrhoids.... surgical t/t

External Fistula Consult to surgeon,

Perianal abscess.

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