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Mass per Anum Chief Complaints Pain , incontinence stool , uncomfortable to siting since 10days Bowls constipated Appetite less Micturition Normal Sleep Normal Bp 120/70 Age 25 yrs Occupation manager

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thrombosed piles -Jaluokavacharan internal medicine Trifala guggulu 3-3-3 tabs chandrakala 2-2-2-2 phalatrikadi guggulu 2-2 Arshkuthar 3-3-3 gairik+praval+musta etc. anupan Audumbaravleh Avagah swed Panchvalkal patra+trifala+haridra after 1 week Kankayan gutika 2-2-2 stopped chandrakala. after 1-1 1/2 months

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? HEMORRHOIDS .. ? SENTINEL PILES.. NEED'S.. SURGICAL INTERVENTION..

Dear Dr. Sujata Gupta ma'am, Advice for the case. Cap. Piles Less 2 BD. Gandharva Haritaki Churna 1 tsp at bed time. Pilex cream.

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It's Hemorrhoids.... Tab.triphala BD Tab. Pilex BD

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I agree with Meenakshi madam Ksharasutra or Kshara patana vidhi may be followed Chiruvilwadi kashaya Triphala guggulu Gandhaka rasayana Pylapy cap or Pilex tab

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Pile mass with sentinal tag?? Should adv for kshar sutra Chitrakadi vati Gandhak rasayan Arshkuthar ras Abhyaristha Trifla churna

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External strangulated piles best treatment kshar sutra /surgery Sits bath +alum atleast 3 times Hilo cap (zuventus) 2 b.d. Laxid syp/cremffin plus 10 ml at night Rich fibre diet

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Piles Tab Piilex, arshkuthar ras, arshoghan vati, chitrak hareetaki, triphala churna, abhyarisht, helpful..

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Kshara sutra a/ w internal medications

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It's a piles mass advice for KSHARSUTRA.

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