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Piles _Bleeding

Sir,
Dear Sir
I have heart surgery in 2003 and taking blood thinner 2mg each day at 4pm daily. one month back I suffere from constipation and very hard stool can not pass even after 3-4 days.I got admit in hospital got enema twice.Dr prescribed me sorbital before breakfast and creamffin 15ml at bed time. Now stool much softer, i am eating fruits vegetables, fruits smoothies sprouted lentis etc .But meantime I got some lump on anal area before 15 days which is now almost gone , Dr gave me pilon tabt twice and Asculus 200 from last 10 days and anovate cream.But now from last 3 days bleeding started while passing stool, needle like pain occasionally , seems like fissure. As i am on blood thinner i am very worried. due to creamaffim may be i wake up everyday at 3am and need to go toilet. (usually 3 times and no sleep only 4-5 hrs sleep from last 15 days) little hard stool initially lateron its easy.Blood 3-5 drops burning sensation for 1-2 hrs after BM,small lump appear -disappear from last 1 week. Plase help to get rid from bleeding and pile.as i am on blood thinner. Do not want to depend upon creamaffin for soft stools for long time. Throughout day I feel ok , no much pain or itching except morning 3am to 8am(Bleeding,itching, need like pain)please kindly advice.
 
  sanjydp75 on 2014-12-23
This is just a forum. Assume posts are not from medical professionals.
I can consider your case but you need to give many answers, copy the questions list in notepad,
write answers in same way with questions and then paste in post reply, NO SHORT answers explain MAXIMUM you can.


1. Age,sex,weight,body and face appearance, country, occupation.
ANS.

2. Main complaints and other associated troubles.
a)Where is the trouble; The exact locality of the complaint like hands,legs etc; duration of trouble.
ANS.
b)What exactly do you feel, Sensation as pain, how pain feels or burn etc.
ANS.
c)What are the factors that causes this trouble according to you.
ANS.
d)Condition under which the complaint is reduced or you feel better like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS.
e)Condition under which the complaint is increased like,cold or hot application,cold or hot weather,position as standing,walking,rest etc.
ANS.
f)Any other complaint any where in the body.
ANS.
g)Onset time of troubles in detail, i.e which came first, after that what problem and so on.
ANS.
h)Treatment method adopted and its result.
ANS.

3. History of diseases in family.
ANS.

4. Personal History.
a)About childhood.
ANS.
b)Academic performance.
ANS.
c)Any major incidents in life and the effect of it on life.
ANS.
d)How you are satisfied with your sex life, friends, family members, company etc.
ANS.

5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping pills, Laxative etc.
ANS.
b)Masturbation and frequency.
ANS.

6. How is your Appetite and Thirst.
ANS.

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter Salt Sweet Sour Fats Milk Mud Chalk Egg Spicy food Meat Fish Fruits Fried Food
Warm food-drink Cold food-drink Ice Ice cream Chocolates Tea Coffee.
ANS.
b)Anything else about like and dislike of any activity with you or surrounding.
ANS.

8. Bowel movements.
a)Nature of stool, frequency, satisfactory or not.
ANS.
b)Any discomforts associated with stool.
ANS.

9. Urine.
a)Frequency, nature, volume.
ANS.
b)Any discomfort before, during or after urination/odour
ANS.

10. For men.
a)Any difference in erection/want of erection/weak erection/Ejaculation early/late.
ANS.
b)Any other trouble in sex.
ANS.

11. For Females.
a)Menses, Regular, Irregular,Early, Late.
ANS.
b)Duration of menses.
ANS.
c)Nature of flow, Scanty, Blood colour, Consistency, Odour, Staining, itching/ when and what makes it worse/better.
ANS.

12. Sleep.
a)The quality of sleep, the quietness or restlessness of sleep,
position of sleep, times of waking and reasons for waking,
need for cover over various parts of the body,
whether the window must be open or closed etc.
common dreams, peculiar sounds or gestures during sleep, etc.
ANS.

13. Sweat
a)How much, what parts, staining, Odour.
ANS.

14. Weather
a)Tolerance to heat and cold, dryness, humidity, weather changes, sun,
foggy weather, wind drafts, closed rooms, etc.
ANS.

15. Mental Status
a)The quality of the patient's life in relationship to loved ones, family, friends and colleagues. Overall quality of energy available to function in daily life, and under various circumstances.
ANS.
b)Any mental/emotional shocks occurring in the patient's life-grief, major financial losses separation from loved ones, death, identity crisis and other stress in life.
ANS.
c)Memory,ability to concentrate/comprehend.
ANS.
d)Are you fearful of anything eg: Animals, people, being alone, darkness, death, disease, robbers, thunder, storm, high places.
ANS.
e)Are you anxious about anything: if yes, give details.
ANS.
f)Are you impatient.
ANS.
g)Are you doubtful or suspicious.
ANS.
h)Are you hurt easily (emotionally)how do you react. Does it cause hatred/revenge.
ANS.
i)Does your pride get hurt easily.
ANS.
j)Are you depressed, if so, reason/circumstances.
ANS.
k)Do you like to share your problems.
ANS.
l)Effect of consolation.
ANS.
m)Do you ever become suicidal when? How.
ANS.
n)Memory- quality if poor, for what ( eg. Names, places, people, what you read).
ANS.
o)Do you weep easily, effect of weeping, ie, does it make you worse or better.
ANS.
p)Are you easily irritated. What makes you angry, how do you express it.
ANS.
q)Are you destructive.
ANS.
r)How good are you in making decisions.
ANS.
s)Do you like company or like to remain alone.
ANS.
t)How seriously are you affected by disorder and uncleanness in your surroundings.
ANS.
u)How does failure appear to you?
ANS.
v)Are there any matters that you deeply dislike?
ANS.
w)What activities you deeply like? How does it affect your mood?
ANS.
x)Are you affectionate? How does others sorrow affect you?
ANS.
y)Any present fears in your life or future.
ANS.
z)Any present life or future life desires.
ANS.

THANKS......
 
homeo.mzp 6 years ago
Sir,
Thanks for your reply.If possible please give your email ID. Regards sanjay
 
sanjydp75 6 years ago
you can click on username,

"From homeo.mzp" and then you can visit my website for more information about me.
 
homeo.mzp 6 years ago
Sir, I got it, please check your email inbox.
Regards
sanjay
 
sanjydp75 6 years ago

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