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Second degree piles n fissure
Discussion in 'All Categories' started by Sudhakar Singh - Jan 11th, 2012 9:36 pm.
Sudhakar Singh
Sudhakar Singh
Hi doc

I'm suffering from piles n may be fissure too. Its been years now.I had undergone injection sclerotherapy in a govt. hospital but no respite yet.

My problem is real hard stool. Though I'm drinnking 3-4 lts of water everyday n mostly use vegies for food. these days I'm taking ayurvedic medicines but still stool is hard and causes bleeding.

I'm working and staying in North East India where altitude is near about 2000 mts from sea level. Can living in higher places can cause constipation?

Please guide me what to do?

re: Second degree piles n fissure by Dr M.K. Gupta - Jan 11th, 2012 10:48 pm
Dr M.K. Gupta
Dr M.K. Gupta
Dear Sudhakar Singh

As I know high altitude is not a cause of constipation. If a thorough examination reveals no organic disease, the constipation can be considered to be due to functional factors and treatment can be started.
You should also get surgery for piles.

In habitual constipation of the functional variety, particularly in those instances that are mild, attention to a few rules of hygiene may be all that is necessary. The first rule to follow is to discontinue the irritation and stimulation of the bowel by one's favorite laxative, so that the normal rhythm of the bowel will have an opportunity to reestablish itself. Many people will be surprised to observe that, without a laxative, they will have a very satisfactory evacuation once every two or three days, and that such a rhythm will be maintained indefinitely. The important thing is to rid one-self of the notion that a bowel movement every day is indispensable to good health.

If the laxative habit is of long duration and the bowel has been accustomed to habitual priming and stimulation, the transition to a laxativeless routine will not be easy. During this period of reestablishment of good habits it may be useful to take a very mild laxative such as liquid petrolatum or mineral oil. One or two tablespoonfuls daily may help to keep the stool soft and thus make the transition easier. After a few weeks it may be found possible to dispense with the oil.

At the same time that one is learning to abstain from irritant laxatives it is also necessary to reeducate the bowel, to restore the natural sensitivity of the rectum and colon which had been lost by continuous irritation and stimulation. In medical terms this means to restore the defecation reflex—so that when waste material arrives at the terminal part of the colon and rectum the muscles of the bowel will reflexly respond and thus produce an evacuation.


There's no such thing as a "normal" number of bowel movements – some people go twice a day, others twice a week. But if your normal routine changes and your faeces become hard and difficult to pass, it could be a sign of constipation. The usual cause of constipation is lack of fibre and fluids in the diet. Changing your diet to one that includes plenty of fruit, vegetables and other high fibre foods - as well as increasing the amount of water you drink - can often help. Some medicines, such as those that contain codeine, may also cause constipation. If you think your medicine may be affecting you in this way, ask your pharmacist for advice.

As a short-term measure, you could use a laxative to treat constipation. Different laxatives work in different ways and your pharmacist will be able to recommend the best form of treatment to suit you. Laxatives shouldn't be used on a regular basis as they can make your bowel lazy - which can make constipation worse - and some types can't be used if you suffer from certain medical conditions.

Haemorrhoids or Piles

If you have to strain to go to the toilet (particularly if you're constipated) you put pressure on the veins around your anus and they become swollen. These swollen veins are what we know as piles. Piles can be very uncomfortable - they're often painful and itchy, and they can sometimes bleed. If your piles are the result of constipation try making some changes to your diet to treat this, and you may well find that your pile problem resolves itself too.

There are creams, ointments and suppositories available to help soothe painful or itchy piles. There are many products to choose from. Some of the products contain hydrocortisone which can help to reduce swelling and inflammation, but these must not be used for longer than five to seven days and they're not suitable for everyone. Your pharmacist can help you choose an effective treatment. You'll also find that medicated wet wipes are a much kinder alternative to dry toilet paper.

With regards
M.K. Gupta
re: Second degree piles n fissure by cymbaltahlp - Jan 14th, 2012 11:33 pm
tjjev sweating with cymbalta cymbalta sweating one side effects us - sweating on cymbalta
re: Second degree piles n fissure by AMIT GANDHI - Jul 30th, 2012 2:06 pm
re: Second degree piles n fissure by anastasijabarmina - Dec 11th, 2012 2:41 am
i hope you go to a good surgeon start some medications or surgery. i don't believe in this "alternative medicine". my Dad ahd haemorrhoids and for years he stayed on homeopathy. Ultimately he developed a very serious anal fissure and he was like mad with pain. so ultimately he had 2 b operated upon.and it's been nearly 5 yrd and thankfully he's doing now fine.
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