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Piles Treatment

WHAT IS A PILES ?

Piles, also known as hemorrhoids, are not a disease but a medical condition characterized by swollen and inflamed blood vessels in the rectum and anus.
Hemorrhoids are a common condition, and while they can be uncomfortable, they are not a disease. They can often be managed with lifestyle changes, dietary adjustments, and over-the-counter treatments. Severe or persistent hemorrhoids may require medical intervention, including minimally invasive procedures or surgery.

WHY DO PILES OCCURS

The exact cause of hemorrhoids is not always clear, but several factors can contribute to their development:

1. Straining During Bowel Movements : One of the most common causes of hemorrhoids is straining during bowel movements, often due to constipation. The increased pressure on the rectal and anal blood vessels can cause them to swell.

2. Chronic Constipation or Diarrhea : Frequent constipation or diarrhea can strain the rectal and anal blood vessels, leading to the development of hemorrhoids.

3. Pregnancy : Hemorrhoids are more common during pregnancy due to increased pressure on the pelvic blood vessels and hormonal changes that can weaken the vessel walls.

4. Obesity : Excess body weight can put additional pressure on the pelvic area, making it more likely for hemorrhoids to develop.

5. Aging : As people age, the supporting tissues in the rectum and anus may weaken, increasing the risk of hemorrhoids.

6. Sitting or Standing for Prolonged Periods : A sedentary lifestyle or a job that involves long periods of sitting or standing can contribute to hemorrhoid development.

7. Heavy Lifting : Lifting heavy objects can increase pressure in the abdominal and pelvic areas, potentially leading to hemorrhoids.

TYPES OF PILES

Hemorrhoids, commonly known as piles, can be classified into two main types based on their location in the rectum and anus:

1. Internal Hemorrhoids : These are located inside the rectum, and they are not visible from the outside. Internal hemorrhoids are typically painless because they lack pain-sensing nerves in that area. However, they can cause other symptoms, such as bleeding during bowel movements. Internal hemorrhoids are graded based on their severity:

Grade I : Hemorrhoids that bleed but don’t prolapse (protrude out).

Grade II : Hemorrhoids that prolapse during a bowel movement and retract spontaneously.

Grade III : Hemorrhoids that prolapse during a bowel movement and require manual repositioning.

Grade IV : Hemorrhoids that are always prolapsed.

2. External Hemorrhoids: These occur under the skin around the anus, and they are often visible as swollen, painful lumps. External hemorrhoids can cause itching, discomfort, and pain, especially when sitting. They can develop blood clots (thrombosed external hemorrhoids), making them more painful.

SYMPTOMS OF PILES

The most common symptoms of hemorrhoids include:

1. Rectal Bleeding : The most typical symptom of hemorrhoids is rectal bleeding. This often occurs during bowel movements, and the blood may be seen on toilet paper or in the toilet bowl. The blood is typically bright red.

2. Pain or Discomfort : Hemorrhoids, especially external ones, can be painful. Pain may occur during bowel movements, sitting, or when the area is irritated or swollen.

3. Itching : Hemorrhoids can cause itching in the anal area, which can be quite uncomfortable.

4. Swelling and Inflammation : External hemorrhoids may appear as tender lumps or swelling around the anus. This swelling can lead to discomfort and pain.

5. Prolapse : Internal hemorrhoids can protrude or prolapse out of the anus during bowel movements and may require manual repositioning.

6. Mucus Discharge : Some people with hemorrhoids may experience a mucus discharge, particularly with internal hemorrhoids.

7. Feeling of Incomplete Evacuation : Hemorrhoids can make it feel like you haven’t fully emptied your bowels after a bowel movement.

8. Sensation of a Lump : In cases of external hemorrhoids, there may be a feeling of a lump near the anus.

Treatment of Piles

The treatment of piles, also known as hemorrhoids, can vary depending on the type and severity of the condition. Here are some common treatment approaches:

1. Lifestyle and Dietary Changes :

Increase Fiber Intake : Consuming a high-fiber diet can soften stools, making them easier to pass and reducing straining during bowel movements.

Hydration : Staying well-hydrated is important to maintain soft stools.

Avoid Straining : Avoid excessive straining during bowel movements, and don’t sit on the toilet for extended periods.

Regular Exercise : Physical activity can help prevent constipation and improve overall bowel health.

2. Over-the-Counter (OTC) Medications : 

• OTC creams, ointments, and suppositories may provide relief from itching and discomfort. They typically contain ingredients like hydrocortisone or witch hazel.

3. Warm Sitz Baths :

• Soaking the anal area in warm water for 10-15 minutes a few times a day can help alleviate discomfort and reduce swelling.

 Procedures :-

Laser hemorrhoidectomy :-


It is a minimally invasive surgical procedure that uses laser energy to remove or shrink hemorrhoidal tissue. It’s effective for patients, with reduced pain and shorter recovery times compared to traditional surgery.

Stapled Hemorrhoidopexy :-

• This surgical procedure is used to treat internal hemorrhoids by repositioning and stapling the swollen tissue to reduce blood flow.

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