50 female known diabetic and hypertension. Present with pain and fever since 2 days. Lesion at rt side of anal region.
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.
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
? HEMORRHOID .. ? PERIANAL ABSCESS.. NEED'S.. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION.. AND.. SURGICAL INTERVENTION..
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.
Cases that would interest you
- Login to View the image
40 y M c/o gases constipation symptoms of acidity p/h/o hemorrhoids sos nondiabetic and nonhypertensive.by profession he is bus driver.
Dr. Shivraj Agarwal3 Likes28 Answers - Login to View the image
6 yrs F constipation since 1 yr pt told parents about pain during defecation but they ignore it since 1 yr seen before 5 days Plz Dx n Rx
Dr. Ram Golde7 Likes34 Answers - Login to View the image
a25yr old male pt c/o pain while dedication h/o bleeding++ kindly suggest management and DX thank you
Dr. Azeem Sarwar3 Likes22 Answers - Login to View the image
25 years old Lady with h/o few drops bleeding after defecation and an external swelling for 1 month but mild Pain , came to surgery opd. She also has a h/o constipation . Now she is taking Lactulose and isopagul and constipation is under control. But She complaints that swelling is increasing day by day.
Dr. Sourav Kamilya5 Likes48 Answers - Login to View the image
age 50 male pt occupation: mutton shop symptoms: burning sensation and pain after stool plz dx and rx
Dr. M.s.b Babu16 Likes31 Answers
3 Likes