Dealing with Piles and Associated Symptoms - #49322

4 saal + constant symptoms = sirf cream ya tablet ka treatment kaafi nahi hota Is stage par usually: Grade 2–3 piles Ya anal fissure + piles dono ho sakte hain -Aapke case mein proper examination zaroori hai: Proctoscopy / anoscopy Ye dekhne ke liye: Grade of piles Fissure hai ya nahi Koi aur problem (polyp etc.) - so consult offline for proper examination. - antibiotic and multivitamin avoid kre , it can increase problem bcz cause constipation. -Internal Medicines 1)Abhayarishta 👉 20 ml + barabar paani Subah & shaam, khane ke baad 2)Arshoghni Vati 👉 2 tablet Subah & shaam, garm paani ke saath 3)Triphala Churna 👉 1 chamach Raat ko sone se pehle, garm paani / doodh ke saath 4)Nagkesar Churna 👉 250 mg Subah-shaam, makhan ya shahad ke saath (Blood aane ke liye) - External Application Jatyadi Taila / Jatyadi Ghrita 👉 Cotton se local application, Subah & raat, stool ke baad -Pathya – Apathya ✔️ Pathya (khaane mein): Gunguna paani Daliya, sabzi, papaya, anjeer bhigo kar Buttermilk (chaach) + bhuna jeera ❌ Apathya (avoid): Teekha, fried, fast food Alcohol Zyada chai / coffee Toilet mein zor lagana -Lifestyle Advice Roz garm paani ka sitz bath – 10–15 min Toilet urge ko ignore na karein Zyada der baithna avoid karein - Duration 👉 4–6 weeks 👉 15 din baad follow-up