<human>: Hi doctor ...Hope u r doing fine ..I need help as I am passing hars stools and have pain ...few days before some bleeding too ...and now its difficult to sit in office ...there seems to be a skin protruding out of that ...what can I do ..I am scared that I have to get operarted ? Are there any home made remedies...please advice Thanks in advance
<bot>: Hi, Do not jump at the conclusion that you might need surgical intervene. You seem to be facing constipation issue. Are you a complete non-vegetarian or known alcoholic? Focus on fiber diet for the next 2 weeks and get lactulose syrup - Cupola. 5ml or 1 spoon twice a day morning and evening after breakfast and dinner, and you should be fine. Avoid standing for too long. If you face gastric issues as well as take Pantoprazole twice a day morning and evening. Hope you will get well soon.