What is the dignosis and treament for this hemorrhoid ..patient complains of occasional bleeding ,itching and burning sensation while daefecation...

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? HEMORRHOIDS .. ? SENTINEL PILES.. NEED'S.. CEFUROXIME 500MG..BD.. NSAIDS..AS PER REQUIREMENT.. PPI .. STOOL SOFTENERS .. PROBIOTICS.. PILEX TABLETS.. SURGEONS OPINION.. SOS ..

Tnx Dr Vipin Bihari Jain sir
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External thrombosed pile may be with fissure giving rise to occasional bleeging. As there is swelling and looks reddish colouration givs indication for infection locally.need to be clinically evaluated by asking bleeding and defaecation associated pain or not, gigital examination to see any tenderness to exclude fissure. Proctoscopy to see status of internal piles as there is bleeding. Sietz bath twice a day once definitely after passing of stool. Laxative or stool softner to make stool loose Antibiotic broad spectrum Anti inflammatory Later may planned for treatment of piles and fissure.

Thanks Dr Dinesh Gupta
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Sentinel piles Needs to do proctoscopy to understand the stage of hemorrhoids Symptoms are suggesting to r/o fissure ano and proctitis After that only line of treatment ie surgical intervention Conservative Bulk laxatives Tab cefixime+ofloxacin 1bd Locally anometerogyl oint Smuth oint Antiinflamatory

Thanx dr Kute Ankush
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Haemorrhoid Inj botu use ful Roughage Hurudoid oint bd Sulphur nuxvomica alumina chew tds

Setinal piles Surgery advised

External piles. Sentinel piles. Antibiotics antiinflamatory. Stool softeners. Symptomatic treatment. Surgeons opinion.

Thank you doctor
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Piles Osil cap BD Tranaxamic acid 500 BD Moxiforce 625 cv TDS Metrogyl 200 TDS Acceclo plus TDS Looz syrup Pantin L BD

Anal sphicture stretching.

Thank you doctor
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