You’re doing well—your external anal sphincter is normal, and your previous hemorrhoids and digestion issues are fully healed. The occasional mild weakness you feel is usually not serious. I recommend doing pelvic floor and core exercises, maintaining good posture, staying hydrated, and eating a balanced diet. For now, no medication is needed. — and personally I recommend you to first check offline per rectal examination for proper evaluation.
You are: 29 years old Weight 65 kg, Height 5’7" (normal BMI) Had hemorrhoids 1 year ago (now no pain / no bleeding) Digestion now normal Current concern: External anal sphincter (but you say it feels normal) “Not feeling enough strength through nerves” sometimes 🔎 First Important Clarification Since you mentioned: No pain No bleeding No constipation External sphincter normal 👉 There is likely no active hemorrhoid disease now. Many times after hemorrhoids heal, people become over-aware of the anal region, even though structurally everything is fine. 🧠 About “Not feeling enough nerve strength” This can mean different things. It may be: 1️⃣ General fatigue 2️⃣ Anxiety-related body awareness 3️⃣ Mild pelvic floor weakness 4️⃣ Vitamin deficiency (B12 / D) 5️⃣ Stress-related nervous exhaustion It does NOT automatically mean nerve damage. 🚨 Important Question Do you have: Leakage of stool? Difficulty controlling gas? Numbness in anal area? Weak erection? If NO to these → your sphincter is functioning normally. 🌿 Ayurvedic Understanding (Pitta + Past Piles) Pitta prakriti + past indigestion can lead to: Heat in lower abdomen Irritation in rectal area Vata imbalance in pelvic nerves After piles, Vata can increase → causing feeling of weakness. 📋 What I Recommend (Safe Plan) 1️⃣ Check These Tests (Very Important Once) Vitamin B12 Vitamin D3 CBC Low B12 is very common cause of: Nerve weakness feeling Low strength Anxiety 2️⃣ Strengthen Pelvic Floor (Very Important) Do Kegel exercises daily: ✔ Tighten anal muscles for 5 seconds ✔ Relax 5 seconds ✔ Repeat 15 times ✔ Do 3 sets daily This strengthens external sphincter naturally. 3️⃣ Ayurvedic Support If digestion is normal and no bleeding: 🌿 Ashwagandha (for nerve strength & vitality) 🌿 Brahmi (if anxiety present) 🌿 Triphala small dose (to keep bowel soft) Avoid strong laxatives. 4️⃣ Diet Suggestions (Pitta Friendly) ✔ Ghee (small amount daily) ✔ Soaked almonds ✔ Warm food ✔ Avoid excessive spicy / fried 🧘 Lifestyle Sleep 7–8 hours Avoid excessive masturbation (if applicable) Do light strength training Reduce stress 🎯 Important Psychological Factor After piles, many people develop: 👉 Health anxiety about anal area 👉 Hyper-focus on sensations If no leakage, no pain, no bleeding — functionally you are normal.
Hi… You need a per rectal examination…as you said about nervic strength…have you undergone any haemorrhoidal surgery?
