Hello, Welcome to Just answer!
Are you there?
do you have any hemorrhoids symptoms now?
Would you like to ask any additional questions?
no I never had them
any discomfort, itching, bulging, blood
just asking about getting them
Any other health issues?
No health issues just constipation
How often you do straining?
therefore the straining
or get constipation
most of the time really
I didn't eat much fruit
I now try to change my diet
Straining and constipation are a risk factor for hemorrhoids.
Good news is that you don't have hemorroids
having risk factor does not mean that you will get it 100%
But is there a chance to still avoid them after so many years of straining? I don't have them now and I never had them.
but it does increase your risk as compared to other normal people.
so I can still avoid getting them, right?
yes, if you take care of constipation, modify your diet, then it will help you
and could you please give me some advice. I stated in my question that I try to eat wheat bran (fruit and salads as well now) but there is still no change
It's been a few months and no change. I mean it was a long period of not eating healthy, therefore I guess more time is needed, or not?
You need to increase, fruit, vegetables, fibers along with water and exercise. If you don't see much improvement, then you can buy fiber supplements OTC which are very helpful.
I will also suggest you to have some investigation to find out the cause of constipation. Your primary doctor can assist you in this matter
ok, and wheat bran is alright together with yogurt for example?
well anything that increases your fiber content is good. here is the link that will explain what to eat....
Bran is a good source of fiber
OK thank you Dr. Shah, one last question I would like to ask - how many moths after not seeing any change with a healthy diet should I go to my doctor and undergo a colonoscopy? I had a gastroscopy done but it was ok.
I am very positive, if you change your diet, increase water and exercise, it will help you. Additionally you can buy fiber supplements OTC. If you don't see any difference after 3-4 weeks, then I would suggest you to visit your doctor for proper evaluation for constipation.
This can be done by your primary care doctor or a gastroenterologist.
OK thank you! Have a nice day Dr.