bleeding piles

C/o- 26 yr female complaint of chronic bleeding piles with 6 month pregnancy . And this is her 1 st child after 5 yr of marriage. She is suffering from chronic constipation. Plz doctors suggest the right diagnosis and treatment.

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I think-- Collinsonia is indicated in this case. Diet must include fibre enriched vegetables , fruits, drink at least 10 to 12 glasses of water & avoid eggs , non veg , reduce chillies in curry etc..

Sepia 1m single dose calc flour 6x bd locally hamamelis Cream doctor

Thank you doctor
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Nit ac 30 tds

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Alumina 200 weekly × 4 dose Collinsonia Q 10 drops BD

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Alumina 30 Collinsonia Q

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Collinsonia and Sulphur may be helpful

Sulphur 30 Nux vom 30

Paenia 6 4d,Asaeculas Q and Hydrastis Q alternately 4d,after meals,

Nitric acid 200 Ratania 200 Hemamalis Q

Thank you doctor
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Collinsonia Q 10 drops BD with half cup of water Hemamalis Q

I agree
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Constipation