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Piles Treatment

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What are piles?

Piles or hemorrhoids, are inflamed vascular cushions in the anal region. It’s a condition where the anus or lower rectum’s veins swell or get inflamed.Piles are a common occurrence, and people of all age groups are susceptible to it. They resemble tiny, spherical, discoloured lumps that can be felt on the anus or that protrude from the anal canal.

Piles typically develop when the lower rectum experiences too much pressure, which commonly happens as a result of overstraining during bowel movements.

Courtesy: The Surgeons

What are the different types of piles?

There are four main types of piles based on their location within the rectum and where the bulging vein originates.

  1. Internal Piles:These piles form within the rectum and typically do not cause any pain or discomfort. However, when strained or pressurized, some may emerge out of the anal canal. In less severe situations, the protruding piles can be physically forced back into the anal canal; but, in more severe situations, they cannot.
  2. External Piles:A lump near or around the anus is a distinguishing characteristic of external piles, which form around the anus.They are not reducible and may result in pain, itching, and bleeding. Blood clots (thrombosis) that form suddenly and painfully can occur in external piles.
  3. Thrombosed Piles: Piles filled with blood clots are referred to as thrombosed piles.On the anus, they show up as ahardlump. They exhibit significant signs and symptoms includingexcruciating pain, burning, itching, and swelling. To stop tissue damage and blood supply loss, they must receive prompt medical attention.
  4. Prolapsed Piles: Both internal and exterior piles have the potential to prolapse, or to expand and enlarge outside the anus. These could bleed or be quite painful.

What are the symptoms of piles?

Although piles don’t always result in pain or other symptoms, some warning signs include:

  • Pooping while bleeding
  • Clump at or around the anal area
  • A foul anus mucous discharge leaves a stain on your pants.
  • The continuous sensation of heaviness and discomfort in the anus.
  • The feeling that bowels have not completely evacuated after using the bathroom.
  • An agonizing itch or irritation on the skin surrounding your anus.
  • Pain or discomfort following a toilet visit
  • Continence of feces

Courtesy: HexaHealth

What are some of the causes of piles?

Pile development can be contributed tocertain factors, including:

  1. Constipation: Struggling to pass stool can put additional pressure on the veins in the anus and rectum, which can result in piles.
  2. Diarrhea:Persistent diarrhea can also irritate and inflame the veins in the rectum and anus.
  3. Pregnancy: Piles can develop due to the rise in hormone levels and pressure placed on the anus and rectum’s veins during pregnancy.
  4. Long hours sitting: Sitting for long periods of time, particularly on hard surfaces, can put more strain on the veins in the anus and rectum, which can result in hemorrhoids.
  5. Age: As people get older, the muscles that support the veins in the rectum and anus may become less strong, which raises the possibility of developing piles.
  6. Obesity: Due to the added strain on the rectal veins, those who are overweight or obese have an increased risk of getting piles.
  7. Anal intercourse: Having anal intercourse can irritate and inflame the veins in the rectum and anus, which can result in piles.
  8. Lifting Heavy Weights: Lifting heavy objects on a regular basis increases the chance of getting piles by placing unnecessary strain on the rectal veins.
  9. Chronic cough: Chronic coughing can increase the risk of piles by adding additional pressure to the veins in the anus and rectum.
  10. Obstructive defecation: This problem, which occurs when the muscles used to urinate do not function properly, can also raise the chance of developing piles.
  11. Family History: Having hemorrhoids in the family raises the likelihood of developing the ailment.

Piles Prevention

There are numerous methods to lower the likelihood of getting piles. Anyone can avoid getting this uncomfortable and undesirable disease by making a few lifestyle modifications.

Here are some suggestions for lowering your risk of getting piles or hemorrhoids:

  • Eating well: Fiber-rich diets and attempts to stay hydrated help people avoid piles by softening their feces and facilitating easy transit.
  • Do not strain while pooping: Some people have a tendency to strain a lot while pooping, which causes piles to grow in the majority of them.

Courtesy: Lybrate

  • Avoid lifting big weights: People who regularly lift heavy weights are also more likely to develop piles. By employing the right lifting techniques while moving objects that are only moderately heavy, this issue can be avoided.
  • Maintain a healthy body weight: People should keep their weight in check to lower their risk of acquiring piles.
  • Maintain an active way of life: Regular exercise helps keep your bowel movements regular and helps food travel more easily through your digestive tract. Hemorrhoids are far less likely to occur as a result of this practice.

Piles Surgery (hemorrhoidectomy)

Piles can be treated surgically in a number of ways. Surgical procedures frequently used to treat piles include:

  • Hemorrhoidectomy: Hemorrhoids are surgically removed during this treatment. Depending on the surgeon’s and the patient’s preferences, it can be performed under local, spinal, or general anesthesia. Hemorrhoidectomy is normally only used in the most severe piles that do not improve with conventional treatments.
  • Stapled hemorrhoidopexy: It is a less invasive surgical alternative for the treatment of piles. It is sometimes referred to as a technique for prolapsing hemorrhoids (PPH). The enlarged veins in the anus and rectum are lifted and repositioned using a specialized stapling device.
  • Laser Surgery for Piles: A laser beam is utilized during this procedure to cut off the blood supply to the piles. It causes heaps to lessen until they completely vanish. Laser treatment for piles is a quick and mostly painless process.
  • Hemorrhoidal Artery Ligation:During the minimally invasive technique known as hemorrhoidal artery ligation, the surgeon utilizes ultrasound to find the blood vessels supplying the piles and ties them off, which causes the piles to constrict and eventually fall off.
  • Sclerotherapy: In this procedure, a chemical solution is injected into the tissue surrounding the hemorrhoids. The remedy shrinks and scars the veins, which lessens the size of the hemorrhoids or piles.

Concluding Remarks

Piles are a highly uncomfortable, agonizing, and undesirable condition. Even while it might not be life-threatening, it completely alters the way one normally lives. But, with the right information and care, piles can be readily handled despite the agony and humiliation they can bring. It may result in symptoms like pain, itchiness, and blood during bowel movements. When it comes to piles, prevention is crucial. It can be avoided by maintaining a balanced diet rich in fibre, drinking enough water, and avoiding extended sitting or standing.

To treat piles, surgery may occasionally be required. There are numerous cutting-edge surgical treatments for treating piles, including hemorrhoidectomy, piles surgery with lasers, stapled hemorrhoidopexy, etc.Now that laser therapy has been developed, no one must put up with conventional treatment because, in addition to being highly effective, laser surgery is also reasonably priced. Recognize the symptoms and take charge with the right care and preventative measures. One can live a pleasant and assured life free from the discomfort of hemorrhoids with the appropriate information and care.


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