- Male
- 37 Years
- 29/01/2025
I'm really worried because I had stapler surgery for piles about two months ago, and now I'm starting to experience the same issues again. What should I do at this point?
Answered by 1 Apollo Doctors
Hard Stools and Constipation
Concerns:
- Prolonged constipation: Hard stools for over 2 weeks.
- Painful bowel movements: Difficulty passing stools.
- Lifestyle changes: Recent changes may be contributing to constipation.
Possible causes:
- Low fiber intake: Inadequate fiber consumption.
- Inadequate hydration: Insufficient water intake.
- Physical inactivity: Sedentary lifestyle.
- Stress: High stress levels.
- Medications: Certain medications can cause constipation.
Lifestyle modifications:
- Increase fiber intake: Eat more fruits, vegetables, whole grains, and legumes.
- Stay hydrated: Drink at least 8-10 glasses of water per day.
- Exercise regularly: Engage in moderate-intensity physical activity for at least 30 minutes per day.
- Manage stress: Practice stress-reducing techniques like meditation, deep breathing, or yoga.
- Establish a bowel routine: Try to pass stools at the same time each day.
Supplements and medications:
- Psyllium husk: A natural fiber supplement to help soften stools.
- Laxatives: If recommended by your doctor, laxatives can help stimulate bowel movements.
Dr. Kareemulla Suggests...
Consult a Colorectal Surgeon
Answered 04/07/2025
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View allI had laser surgery for piles and fissure on 29th September but still haven't passed any stool only gas and some bloody discharge. Is this normal or should I be worried? What can I do to ease this?
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I've been dealing with anal fissure pain on and off since late 2019 and have been using Anovate cream with laxatives, plus increasing fiber and fluids. It's really disruptive and painful I want to get rid of it for good. Does surgery work better than these treatments? For now, I'm trying sitz baths and fiber supplements but would like to know if there are better options
While your current approach with Anovate, laxatives, increased fiber and fluids, sitz baths, and fiber supplements is a good starting point, it's understandable that you're seeking more definitive relief after experiencing anal fissures for several years. Surgery, specifically a lateral internal sphincterotomy, is often a highly effective option for chronic or refractory anal fissures, but it's also associated with a small risk of incontinence. If medical treatments haven't been successful, discussing surgical options with your doctor is a valid next step
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