Things To Know About Piles
Piles (also referred to as hemorrhoids) are swollen lumps of tissues found in the anal region. They can be of different sizes and also be either internal (found few centimeters above the anal opening i.e. inside the rectum) or external (around the edge of the anus). In the majority of cases, piles are not a serious concern and often resolve within a couple of days. These can be further graded based on their severity, position, and size as:
Grade1- These are unnoticeable, small inflammations at the inside of the anal lining.
Grade 2- These are larger to grade 1 piles and may bulge out from inside anus while passing stools but can be returned unaided.
Grade 3- Another name of this grade is prolapsed hemorrhoids. These appear at the outside of the anus i.e. hanging outside the rectum but can be re-inserted easily.
Grade 4- These are large and stay at the external anal side. Only treatment can push them back inside the anus.
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- People suffering from piles may experience some of these symptoms:
- Severe pain at the time of defecation.
- After stool is passed, they may feel that the bowel is still full.
- The anal opening is red, sore, and itchy.
- Bright red blood may be noticed after fecal discharge.
- A painful, hard lump may be felt around the anus that may contain coagulated blood, if that’s the case, it is called thrombosed external hemorrhoids.
In severe conditions, the symptoms include:
- Anemia due to excessive anal bleeding
- Fecal incontinence i.e. uncontrolled bowel movements
- Strangulated hemorrhoid wherein blood supply to the hemorrhoid is interrupted that leads to cause a blood clot or infection
- Anal fistula i.e. a new passage created between the skin surface near the anus and the internal or external area of the anus.
What causes piles?
Piles are often caused by an increased pressure built up in the lower rectum. Under this pressure, the veins or blood vessels located in the rectum and around the anus get swollen or bulge. Various reasons can make piles more likely to develop, these includes:
- Prolonged constipation or diarrhea: When the person passes large stools or frequent watery stools and needs to strain at the toilet seat, pressure is increased in and around the anus.
- Obesity: If the person is overweight, the risk of developing piles is more because of the excess pressure that can build in the anus region, thereby constricting the blood vessels surrounding the rectum and anus.
- Pregnancy: The baby in the mother's womb can exert pressure on the rectum and anus. Moreover, hormonal changes can affect the veins lying in and around the anus.
- Family history: The walls of the blood vessels of the anal region may be weak due to hereditary.
- Aging: As a person grows older, the tissues in the anal lining may become less supportive.
- Other triggering factors: Heavy weight lifting, persistent cough, spinal cord injury, and colon cancer.
Treatment for piles:
Some of the treatments that can reduce the discomfort and itching felt because of the piles include:
Lifestyle changes: This includes maintaining the body weight and having a diet rich in fibers. Overweight people shall do daily exercises to reduce their body weight. People shall have more fruits and vegetables or bran-based cereals to keep their stools soft and regular. Moreover, drinking plenty of water and less alcohol or caffeinated drinks is recommended.
Medications: Some over-the-counter medications including ointments, lotions, pads, creams, and painkillers can be used to reduce the redness and swelling around the anus. If the person is constipated, laxatives shall be prescribed to minimize pressure on the lower colon and allow easy passing of stools.
Surgical procedures: This is needed only in case of advanced piles. Some of the options available are-
- Banding- It involves the use of an elastic band at the base of the pile to cut off the blood supply and allow the fall of hanging hemorrhoids. It is effective especially for grade 2 and 3 piles.
- Hemorrhoidectomy- In this procedure, the excess bleeding tissues are excised. It is a successful traditional approach for grade 3 and 4 piles.
- Sclerotherapy- A medication is used to shrink the enlarged hemorrhoids which eventually shrivels up. Grade 2 and 3 piles are effectively treated by this procedure.
- Hemorrhoid stapling- This involves the use of a circular stapling gun to cut a circular section of the anal canal lining above piles. This results in the obstruction of blood supply to the hemorrhoid tissue.
Laser Treatment: Piles laser treatment in Indore is one of the least painful surgical treatments for piles and there is no need to cut tissues. During the treatment affected area is simply treated with laser and laser energy is precise and helps to shrink the hemorrhoids that make the anal tissues swollen and inflamed.
The lasers disrupt the blood flow in the tissues and allow the inflamed tissues to fall off and the recovery after the surgery is generally short and effortless.
Vishesh Jupiter Hospital has the best team of doctors that are highly experienced in treating the most complex medical problems. If one is suffering from any GI tract problems, heart problems, or skin problems consult now with the cardiologist, dermatologist, and best kidney specialist in Indore at Vishesh Jupiter Hospital.