SYMPTOMATIC AND SCHLEROSANT INJECTION OF PILES.

SYMPTOMATIC TREATMENT AND SCHLEROSANT INJECTION OF PILES.

General measures for stage 1, 2 and 3: Control constipation by laxative drugs such as mineral oil 15-50 ml per oral at bed time; Dulcolax [brand name, generic bisacodyl ] 5 mg /tablet per oral or suppository 10 mg at bed time; Tegaserod 2-4 mg twice per oral daily for chronic constipation.
Local measures: lubricant [petrolatum] to anal region, local anesthetic ointments for pain relief. Warm sit baths, 20-30 minutes twice daily.
Rubber band ligation for internal piles only; if for external piles can effect very severe pain.

The general and local measures can only reduced piles but do not heal the piles.


2. SCHLEROSANT INJECTION.

Injection is applicable for the small internal piles [stage 1 and 2]. Injection of piles with 1 ml of 0.5 % quinine solution or
solution phenol 5 % in vegetable oil through a 22-gauge needle in one day and repeated injections may be necessary
The piles may relief after a few injection.

The complication of schlerosant injection is about 2 % including bleeding, urinary retention and pelvic abscess. Recurrence is
common unless patients alter dietary habits to advisable diet.

3. Surgical treatments [hemorrhoidectomy]: