Anal swelling

24 years old Male patient with h/o pain and burning sensation in Anus Since 2 day h/o eating some spicy food Similar complaints in the Past + Anal lesion-2-2 cm -Brown colour -Tenderness + -no vessels

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Prolapsed piles Rx dietary habits to be changed Avoid spicy and junk food Add fibers im diet Constipation should be adressed Osmohusk granules 2tsf in a glass of water Cap pantaprazole or rabeprazole Local application Anometerogyl oint twice daily Xylocaine gelly frequently Cap pilon 2bd Adv elective surgery

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It may be case of anal fissure with sentinel piles may be thrombosed . Sietz bath Laxative to make th stool soft Xylocaine jelley to apply 15 minutes before defecation and once again after defecation High fibre diet It may have some releif after doing this regime but there is chance if recurrence after having hard stool for permanant relief anal stretching and fissurectomy.

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Sentinel pile. Conservative managements. give antipain paracetamol or ibuprofn. stool softener. Drink plenty of water. Not putting of defacation. Sitz bath.

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Sentinel piles ad Surgery

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Sentinel piles it is. Go for Tab oflox 200mg BD TAB PANTOP 40mg OD TAB lyser d TDS Tab becasule z OD FOR 5 days Sitz bath with betadine TDS Anovate ointment TDS LIGNOCAINE jelly 2% TDS SYP lactulose 2 tsp HS For 15 days.

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Sentinel piles with fistula Need of surgical intervention

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External haemorrhoids. With prolapse.

Sentinel piles.Sitz bath.topical lignocaine,stool softeners, nsaids.

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it could be Thrombosed hemorrhoids

Sentinel piles.

Adv-proctoscopic examination
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