instruction: hello doctor for the past two weeks I am having pain and bleeding on defecation it started with straining on hard stool I am not constipated on touching I can feel two external hemorrhoids and maybe a fissure not sure I have increased the fruit intake and I am applying sunarin cream to not much relief can you suggest any ayurvedic tablets I am a 39 year old male weighing about 70 keg I am currently taking multivitamin
output: hello sometimes external piles do not create problems but due to some reason like constipation and others it causes health issue just you should take care of constipation I am suggesting you some ayurvedic medicines you should continue these medicines for at least two to three months please let me know about any other medications you are taking for any other health problems as it is necessary to know for proper treatment take fiber rich diet like fruits and veggies to avoid constipation the treatment plan is as follows arshhar vat one tablet twice a day after meal abhayarishta two teaspoons twice after meal pile ointment for external application isabgol powder at night before going to bed please give information about any other medications if you are taking right now or any other health problems if you have follow up after seven days