apollo
  • 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?

Doctor 1

Answered by 1 Apollo Doctors

Hard Stools and Constipation

Concerns:

  1. Prolonged constipation: Hard stools for over 2 weeks.
  2. Painful bowel movements: Difficulty passing stools.
  3. Lifestyle changes: Recent changes may be contributing to constipation.

Possible causes:

  1. Low fiber intake: Inadequate fiber consumption.
  2. Inadequate hydration: Insufficient water intake.
  3. Physical inactivity: Sedentary lifestyle.
  4. Stress: High stress levels.
  5. Medications: Certain medications can cause constipation.

Lifestyle modifications:

  1. Increase fiber intake: Eat more fruits, vegetables, whole grains, and legumes.
  2. Stay hydrated: Drink at least 8-10 glasses of water per day.
  3. Exercise regularly: Engage in moderate-intensity physical activity for at least 30 minutes per day.
  4. Manage stress: Practice stress-reducing techniques like meditation, deep breathing, or yoga.
  5. Establish a bowel routine: Try to pass stools at the same time each day.

Supplements and medications:

  1. Psyllium husk: A natural fiber supplement to help soften stools.
  2. 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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Is it possible to treat piles without needing surgery? I've been dealing with discomfort and bleeding, and I'm worried about going under the knife. Are there effective home remedies or medications that can help?

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I've been dealing with an anal fissure for the last three months, and in the past month, I've been using Smuth ointment after sitz baths and taking Cremaffin Plus at night. It seemed like things were getting better, with about 90% healed, but today I passed a hard stool and the tear happened again in the exact same spot. It's like history repeating itself, as it happened before in another direction but still in the same area. I'm really worried and wondering why this keeps occurring. Can you help me understand what's going on and what I should do?

It sounds like you are experiencing recurrent anal fissures despite the initial healing. To help prevent further tearing and promote healing, you can try using Anovate cream after each bowel movement and continue with sitz baths. Additionally, you can take a stool softener like Duphalac to prevent hard stools and reduce straining during bowel movements. Make sure to stay hydrated and include fiber-rich foods in your diet to help with bowel movements. If the issue persists, consult your doctor for further evaluation and management.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.