It is a case of prolapse piles.age of the patient is 73yrs.patient

It is a case of prolapse piles.Age of the patient is 73yrs.Patient is hypertensive with high sugar. please suggest the treatment of this patient.

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Hypertension and blood sugar should be maintained. According to photo case seems to be prolapse of rectum. If there is Piles other symptoms like pain, burning, constipation etc.must be taken. To avoid constipation and other complications spicy food materials, coffee and tea must be restricted. Medicine's are podophyllum CM one does monthly and aloe 200bd.

Nitric acid
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Sir first control d blood sugar level and hypertension.... Then aft u can go ks ligation wd necessary investigation. Thank u so much for sharing such a nice case@Dr. Tapan Kumar Sau sir

Thank you DrPGShah sir for your valuable opinion.
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प्रथम रोगी की मधुमेह को नियंत्रित करें। इस के लिए,, बसंत कुसुमाकर रस 1 रत्ती सत गिलोय 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। क्षार सूत्र कर्म करने वाली और मलबन्धक के लिए त्रिफला चूर्ण 10 ग्राम रात को सोते समय दूध में मिलाकर नियमित रूप से सेवन कराएं। पाइलेक्स किरीम गुदा में प्रवेश करने के लिए। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Thank you doctor
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Control blood sugar Avoid spicy food Start with Sulphur 1m Aloes 200

Thank you sir
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HTN and DM should be controlled by proper medication. Sulphur30 should be given morning and evening, kali carb 30 should be given at noon and at night x 7days.

Arsha... Better to go with Kshar Sutra Ligation as soon as possible....

Thank you sir
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As protuded pile Muriatic acid 200 to be given it will reduce swelling, pain, BURNING, Itching. Tab Pilgo (Bakson) weras Aloe ointment for local application

Madam it is better to give full name of Aloe Socotrina bcoz our ayurved friends are likely to mistake it for aloe vera which they are more familiar with. It is an aloe soc case I think.
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Needs counselling calmness symphony music lime juice no spices...too much heat in body.. walnuts blueberry sunshine walk...no acidic diet....stale wheat chappati... citrus fruit... diabetes goes piles goes.... sulpha if tolerant turmeric powder paste...cold pressed coconut oil massage and in naval... under strict supervision and mgmt of Doctor

Control sugar. Lifestyle changes. Diet,water,exercise. Surgeons opinion

Thank you sir.
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Ascoulus hip Aloes Nux vomica

Thank you sir
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