The best treatment for external de piles after ten years?

Long-standing external piles (hemorrhoids) are best managed with a combination of lifestyle changes and, if severe, minor procedures. Increase fiber intake, drink plenty of water, avoid straining during stools, and use warm sitz baths to reduce pain and swelling; topical ointments can give temporary relief. However, since it has been present for 10 years, it?s best to consult a general surgeon or proctologist to decide the most suitable treatment based on severity.

My piles have returned five years after my operation, causing severe pain without bleeding, and the condition has worsened today; what medicine or ointment should I use for relief?

Since your pain is severe and worsening today without bleeding, you may have a thrombosed haemorrhoid, which requires urgent evaluation by your doctor or surgeon. For immediate, temporary relief: Ointment: Apply an over-the-counter cream containing Lidocaine (for numbing) or Hydrocortisone (to reduce swelling). Sitz Bath: Soak your pelvic area in warm water for 15-20 minutes, 2-3 times a day. Pain Relievers: Take oral anti-inflammatories like Ibuprofen or Acetaminophen. Stool Softeners: Use a gentle stool softener to prevent straining.\n\nPlease avoid straining and consult a specialist promptly for a proper physical examination.

Can pilorute cream be applied for a huge and chronic fiss

Pilorute cream may help relieve pain and irritation from anal fissures, but it's often insufficient for large or chronic cases. For effective healing, persistent fissures typically require comprehensive treatment under the guidance of a medical professional. Consult a doctor to determine the best course of treatment for your condition.