A 24 yr old boy suffering from 1)Constipation(stool passed in 2-3days)since last 4-5yrs. 2)Bleeding /rectum (on &off) with burning n itching since last 2-3 yrs. Dx & Rx ? So many Allopathic, Ayurvedic,Unani,n Homoeopathic medicines taken by him for this complaints. pls give ur valuable opinion.

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Grade 3 hemorrhoids...Better do hemorhidectomy...

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Prolapsed haemorrhoids. Haemorrhoidectomy is advised

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Patient is having ? Posterior fissure in ano with inflammed sentinel pile Along with late second degree HAEMARRHOIDS Tt is haemarrhoidectomy with fissurectomy and excision of sentinel pile with anal dilatation

Postoperatively a good laxative along with seitz baths are essential
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Hemorrhoids.. better to undergo hemorrhoidectomy...

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Its prolapsed haemorrhoids.

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Its a case of haemorrhoids.

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Prolapsed external Hemorrhoids . Hemorrhoidectomy is best advised. Make dietary changes like including plenty of fluids , avoid meat and other non vegetarian food as much as possible, avoid spicy food , include diet rich in fibre like fruits, cereals , vegetables and wholegrain bread. Post operatively advice sitz bath.

Thank you sir
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Now Haemorrhoidectomy to be done For constipation including plenty of green vegetables and fibres in diet

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Please send the pt to a colorectal surgeon for proper examination and appropriate treatment.

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Chronic itching due to chronic anal fissure and there is also sentinel piles..and also looks like prolapsed hemorrhoids..is proctosigmoidoscopy done?

No
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