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  5. I had piles surgery with the Kshar Sutra method 2 years ago, and now the problem has come back with second-degree internal piles. What treatment options do I have now?

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I had piles surgery with the Kshar Sutra method 2 years ago, and now the problem has come back with second-degree internal piles. What treatment options do I have now?

Asked by Male, 51 · 20 hours ago

Second-degree piles can come back even after earlier treatment. You can often manage it with a high-fibre diet, plenty of fluids, and by avoiding straining during bowel movements. Your doctor may advise medicines or procedures like rubber band ligation or injection therapy to shrink the piles. Warm sitz baths can also help reduce discomfort. If symptoms continue or bleeding increases, consult a doctor for proper treatment.
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Other Related topics like...

  1. Assessment and Diagnosis

    • Confirm the severity of piles through clinical examination and possibly anoscopy.
  2. Conservative Management

    • Increase dietary fiber, use stool softeners, and implement lifestyle changes to alleviate symptoms.
  3. Minimally Invasive Procedures

    • Consider rubber band ligation or sclerotherapy for second-degree piles.
  4. Surgical Options

    • If other treatments fail, hemorrhoidectomy or stapled hemorrhoidopexy may be necessary.
  5. Follow-up and Prevention

    • Regular monitoring and advice on diet and hygiene to prevent recurrence.

Answered 20 hours ago