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Is SMUTH cream enough for passing stools with PILES?

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hello doctor. Can you help me for my piles problem? While passing stool the entire clogging comes out and there is a sore as well which gives pain and some times it is also accompanied by droplets of blood. After stool I have to push the clogging in and after 30-45 minutes it starts giving pain and it is very difficult for me to stay in any position, mostly while sitting. I am already using SMUTH cream before passing stool. Please help me and advice me about the medicines which I can take.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 18 Doctors Online

Hello.
Thank you for your query at DoctorSpring.com.

I understand what you are going through and will do my best to help you,
You seem to have Grade 3 Hemorrhoids (Piles) from your description. The hemorrhoids prolapse upon defecation and must be reduced manually in this stage.
Hemorrhoids are quite common and a cause of great discomfort. However, with proper management, good relief can be obtained.

I suggest you take the following measures:
1. Please take a diet rich in fibre like wholewheat cereals, fruits and vegetables. Also drink plenty of water, minimum 2 litres per day.
2. You need to start on a fibre supplement like Psyllium husk (Brand names: Isabgol/ Metamucil etc). Please take about 10 grams dissolved in a glass of water, three times daily. Adding fibre to the diet is beneficial for bleeding from hemorrhoids.
3. Please do not use Smuth cream for longer than a week because it contains steroids which cause thinning of the lining mucosa and other side effects. Instead of this, you can use Xylocaine jelly 2% prior to passing stools.
4. Please take Sitz bath after passing stools. Here you have to sit in a tub of warm water for 15-20 minutes. This will relieve pain and discomfort. You can add an anti-septic liquid to the water too.
5. In case of severe pain, you can take Ibuprofen 400 mg, once after food.
Please follow these measures for a week. If the symptoms persist, you need to consult a general surgeon for examination and further treatment.

I hope this was helpful. Feel free to ask queries.

Thank you.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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