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If no author information is provided, the source is cited instead. Here are some key points about piles. Eliminate irritating foods and beverages such as coffee, alcohol and spicy foods. Improving a persons gut motility can reduce the straining during defection and decrease the risk of developing of anal fissures. The tenderness is often on the left side. Most fissures will heal within several weeks, but surgery may be necessary if symptoms persist.

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Biofeedback has also been suggested for some patients.

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Peptic ulcer disease alone can be divided into multiple causes, but is generally initially controlled primarily with a proton pump inhibitorwith the addition of an H 2 blockeror in serious cases, requiring surgical intervention. A fissure usually occurs after the passage of a large, hard bowel movement. Excessive straining is the result of constipation. Reviewed by Daniel Murrell, MD. A doctor can usually diagnose piles after carrying out a physical examination.

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