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41 year old woman with 10-year history of piles experiences severe pain - what's next?

Dr Karthiyayini Mahadevan | Answer |Ask -Follow

General Physician - Answered on Jun 19, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Question by Bishwajeet on Feb 26, 2024Hindi

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I am writing on behalf of my wife.She is 41 years of age suffering from Piles after conceive ie about 10 years.But now from last few days she is having severe pain,stool is normal rather than in liquid form as she takes regular medicine.Pls suggest what is the next step Also not ready for any operation She is under Homeopathic treatment

Ans: There could be a fissure in addition to piles.
Please consult a Gasteroenterologist.
In the meanwhile she needs to follow dietary discipline. Avoid red chillies completely, increase the roughage in the diet and have adequate hydration

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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I am 73 years old and having Piles problem for last 15/20 years. As there is no bleeding and I have to push back the Hemorrhoids after toilet. Is it advisable now to undergo operation

Ans: Piles as external mass may not be an indication for surgery.
But if there is straining at stool which might precipitate Hernia in an aging abdominal muscle and bleeding piles are definite indications to get it removed. In the absence of bleeding,
Manage your bowel movement without strain is the way to manage non invasively

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Question by Victor - Oct 15, 2023Hindi

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My wife is constantly having constipation problem, I feel it is hereditary since in her family mostly all are having same problem, Kindly advise

Ans: Increasing the roughage in diet through vegetable fibres, adequate hydration and physical exercices are some of the tips

Dr Chandrakant Lahariya | Answer |Ask -Follow

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Question by Javed - Nov 08, 2024Hindi

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Hello Sir, my mother age around 72 years facing constipation problem around six month, she has diabetes and blood preshar history, in the last six month i took her many hospital but no relief, doctor said it is IBS, is this because of her diabetes? what is best way to overcome with IBS

Ans: Irritable Bowel syndrome or IBS os an independent health condition. However, there are medications which gives a lot of relief in IBS. Please consult physician for that. IBS is not caused by Diabetes. However, long term and specially uncontrolled diabetes can results in neuropathy and some diabetic medications can also cause symptoms similar to IBS. Specially, if there is deficiency of micronutrients, it results in constipation, fullness and malabsorption.
It is advisable to get regular treatment for diabetes, get check up done for related complications.

Best,
Dr Chandrakant Lahariya
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Gynaecologist, IVF expert - Answered on Nov 26, 2024

Asked by Anonymous - Nov 21, 2024Hindi

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Sir/Ma'am, my wife aged 36 years old suffering from constipation as well as TSH 9.7. we are blessed with two children girl 12 yrs and 6 yrs old boy. She is undergoing treatment under a good Consultant Physician (Ex Resident AIIMS New Delhi) Dr Kamal Bandhu at Samastipur Bihar. She was treated for low Hb and Calcium by single dose Encicarb IV and medicine. Lal path lab report for Hb -9.5 and HB1ac -5.7, Vitamin B12- 135 and vitamin D- 45. Recently she missed the period after last period was on 18 Oct 24 but till now no period came. Urine pregnancy test was also carried out twice with the help of two different UPT strip and result was negative twice. We are not in physical contact since 19 Sep 24 due to job location. Kindly suggest in case she missed her period

Ans: History noted
Since she missed her periods, tsh higher side
Urine pregnancy test twice negative
I would advise
1) to get one usg pelvis done to rule out any cyst
2) hormonal test
Tsh , prolactin
Since TSH is high, advisable to start thyroid medications tab thyronorm to bring down the tsh level to within normal limits
If usg pelvis is normal
Can give withdrawal bleed in form of progesterone pills to get periods.
Keep a watch on further cycles
If still irregular, then to keep on cyclic oral contraceptive pills to regularize periods
To maintain menstrual diary
To control TSH LEVEL

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Career Counsellor - Answered on Aug 02, 2025

Asked by Anonymous - Aug 01, 2025Hindi

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I have not alloted any college in josaa till 6th round now csab registration is done along in Maharashtra state counselling in cap round 1 o have ece sakec chembur college through my jee mains score 80.85 percentile my rank in cap round 22263 and in jee mains crl 284161 and obc ncl 99633 so what college in csab I can get in nit iiit or gfti or should I go with cap

Ans: With an OBC-NCL rank of 99,633 and CRL of 284,161, securing a seat in core branches at NITs or IIITs through CSAB special rounds is extremely unlikely, as recent cutoffs for these categories typically close well below 50,000 for NITs and 30,000 for IIITs. GFTIs sometimes extend cutoffs near 100,000 for less sought-after courses, but even these seats are rare due to high demand and limited vacancies. Your seat in Sakec Chembur through Maharashtra CAP counseling offers modern ECE labs, strong local academic support, proximity advantages, and institutional stability, with placement rates in emerging tech fields consistent over recent years.

Recommendation: Confidently proceed with your Sakec Chembur ECE seat via the Maharashtra CAP round, which provides certainty, local accessibility, and a supportive academic environment, rather than relying on highly competitive and uncertain CSAB outcomes for NIT, IIIT, or GFTI allocation. All the BEST for a Prosperous Future!

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Hi Sir, Between ECE in NIE Mysore and ISE or CSAIML in SIT Tumkur which one should I opt in terms of academic excellence. I am fine with either. Please guide. Thanks

Ans: NIE Mysore’s ECE department boasts a highly credentialed faculty—many holding PhDs from IITs and NITs—supported by specialized VLSI and communication labs, a fully Wi-Fi campus and 82.3% placement rates over the past three years with recruiters like Cisco and Bosch. Its autonomous status ensures an updated curriculum and active research cell. SIT Tumkur’s ISE and CSE-AI&ML branches feature a 17-acre campus with NBA-accredited programs, modern AI/ML and data-science labs, 95%+ placement consistency through strong MoUs with Infosys and TCS, and extensive student-industry projects and incubation support.

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Question by Sahiladitya - Aug 02, 2025Hindi

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Sc category rank 9703 in IAT can i get any iiser?

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Radheshyam Zanwar |6073 Answers |Ask -Follow

MHT-CET, IIT-JEE, NEET-UG Expert - Answered on Aug 02, 2025

Asked by Anonymous - Aug 02, 2025Hindi

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My daughter has got 1.6lac rank in jee mains ,are there any chances that she can get a seat in iiit kalyani through csab She has got cse core branch in kiit ,should she take it .

Ans: Hello dear.
CSE @ KIIT is a decent option. She can go with it without any hesitation. Through CSAB, the chances of CSE @ IIIT Kalyani seem to be challenging.

Good luck.
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Radheshyam

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MHT-CET, IIT-JEE, NEET-UG Expert - Answered on Aug 02, 2025

Asked by Anonymous - Aug 02, 2025Hindi

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Hloo sir I have 2.5 lakh jee rank general category and Punjab home state .please tell me some good college i can get through CSAB counselling ?? .I want to study mechanical engineering

Ans: Hello dear
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Good luck.
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Question by Anees - Aug 01, 2025Hindi

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Dear sir, my son got 99670 rank in jee mains. What colleges and courses we can opt for admission through CSAB. Please suggest.

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With crl 55k can i participate in csab counseling? Which branches can i prefer in tier1 and tier2 colleges?

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Question by Sri - Aug 01, 2025Hindi

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Sri my son confused with options VIT chennai CSE AI Robotics, and CSE in IIIT Sricity, IIIT kotaym Or we can take retake on JEE exams next year for top NIT ( Current JEE mains score 97.61) Plesse give your feedback

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Good luck.
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Radheshyam

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Good luck.
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Radheshyam

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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