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this is sentinel piles & patient don't want O.T. & other surgical procedure, please suggest some medicine & non surgical procedure to reduce pile mass

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Picture clearly shows prolapse of rectal mucosa along with anoderm Constipation and straining while passing stool is most important contributing factor Constipation need to be treated, as it is the underlying cause Nonoperative management - piles banding of rectal mucosa will shrink prolapse and may help in relieving symptoms

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The non-surgical treatments for hemorrhoids include rubber band ligation (RBL), injection sclerotherapy (IS), infrared coagulation (IRC), anal stretch, cryosurgery, laser hemorroidectomy. Proctosedyl ointment.... Eat more high-fiber foods, such as fruits, vegetables and whole grains, that can soften stool and ease straining during bowel movements.

Picture clearly shows prolapse of rectal mucosa along with anoderm Constipation and straining while passing stool is most important contributing factor Constipation need to be treated, as it is the underlying cause Nonoperative management - piles banding of rectal mucosa will shrink prolapse and may help in relieving symptoms

Reduce constipation... high fibre diet. Needs procedure like banding or surgical treatment.

Treat comstipation Advice soft and protein rich diet Sitz bath Take opinion of surgeon

Constipation should be avoided High fibre diet Plenty of fluids /water intake

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