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i need expert advice to treat piles. i had used doxy 1 LDR forte earlier & it was cured but now i again it happened & same medicene is not helping as i have already used 40 capsules. Please advice

PAST HISTORY : I am suffering from piles since last 10 years. 6 years back i visited to a physician & he prescribed me doxy 1 l dr forte with etrobax 90mg & it was cured after that whenever i suffered with this problem i used to take that medicine & got cured. But at this time i have already used 40 capsules of same medicine but it is not cured. i am facing lot of pain also but no bleeding. Please advice

2 Answers

Dr. Puneet Madan answered : 12 years ago

Hi,

doxy ldr is given for some infection and may be the doctor might have seen some infection and inflammation at your anal area so that is why he might have prescribed you with an antibiotic,but so many antibiotics are not to be taken they will be of no benefit and infact that might the anal area skin to be become more sensitive.
The cause of piles is to be seen and most commonly it is constipation,which can be treated with diet have good amount of water,high fiber diet,you can also be prescribed with laxatives to treat constipation if it is not treated with high fiber diet,you can have sitz bath.All these are medical treatments or treatments at home,if they help you then it is good otherwise the treatment will have to be surgical.

Patient asked followup Question: 12 years ago

I dont have constipation problem since last one month. Can you suggest any medicine for that because i dont want surgery. How much time it will take after surgery to get fully recovered ? can surgery be a permanent solution ? what will be the approx expanse for this surgery?

Dr. Puneet Madan answered : 12 years ago

Hi,

The medicines will recommend on the cause of disease,if the cause is constipation then having high fiber diet(papaya,banana,vegetables withh more leaves),plenty of water,milk diet once in a while,less spicy food,avoid alcohol,or smoking.
Having Sitz bath once in a while is beneficial.
Laxatives can be prescribed to you oryou can have them on sos basis.
You will be ambulatory on 2nd day of surgery however the wound may take another week more to completely heal and surgery is yes the permanent solution however some people may again devlop piles depending on what is the cause of the disease.
The cost will depend on what type of set up you visit,the cost may vary from 20-25k to quite expensive in corporate set ups.

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