instruction: hi doctor I am facing swelling in anus area which is not getting shrunk even after trying some medicine and cream for piles
output: hello welcome to ilciniq com good day I have reviewed your history and picture that you have uploaded it seems to me a sentinel pile they are not actually pile hemorrhoids blood sac but a anal fissure that has been present for so long and leading to bulging appearance resembling a pile well having said that the treatment you are on is majority ayurvedic but there are available allopathic medicines which can be used instead I would give you some treatment but I want that you should be examined in person by a local general surgeon if any need of surgical removal of this otherwise at moment take following treatment ispagol husk top daily with water irrespective of if you have soft stools or hard stools fibre has to do with many other things in your gut besides just stool softening effect tablet ciprofloaxcin 500 my twice daily for days tablet flagyl 400 my thrice daily for days can cause some gut upset and mettalic taste in mouth but fairly low side effect profile sit bath put approximately my of dettol or any antiseptic and put in bath tub filled almost half with rapid water and at least try it times a day keep your area clean near your bottom remove hairs reduce weight increasing weight would impair your defecation stooling mechanism and that would abnormally high pressure over your bottom this worsens anal fissure in long term let me know in one week time if symptoms improve