Red-Black mass coming out of anus mainly at 3,7 & 11 o’clock positions = Prolapsed Thrombosed piles Refer to surgeon for reduction of prolapsed mass + anal dilation under anesthesia. Glycerine magsulf – wet dressing till edema reduces. Tab Brufen 1 tds x 5 (Ibuprofen = 3C-3)Tab BIDANZEN 1 Qid x 5 (Serratiopeptidase +3E-1)Cap. Nufex 500mg tds x 5 (Antibiotic if infection 7A)Hemorrhoidectomy after 1 month. Inflamed, indurated & very tender area on one side of anus = Perianal abscess. Hot hip bath. Inj. FORTWIN 1 cc IM stat (Strong analgesic =3B)Cap. Nufex 500mg Qid x 5 (strong antibiotic = 7A)Tab Combiflam tds x 5 (Ibuprofen = 3C-3)Refer to surgeon for incision. Discharging sinus or scar.
A Discharging sinus or scar in the vicinity of the anus is always a fistula-in-ano. Refer to surgeon for fistulectomy
