Piles Treatment

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What are Piles (Haemorrhoids)?
Haemorrhoids are cushions of tissue which help in stool control, they function normally until they start inflaming or swelling making it hard to pass stool. When these Haemorrhoids are inflamed & cause pain they are referred to as Piles, it can be painful & prove to be very uncomfortable for the individual. Basically the veins become wider and engorged with more blood than usual, this results into growth of small swelling, technically known as Piles. It can be treated by over-the-counter medicine if diagnosis is done in early stages but for later stages(Grades) surgical removal is required.

Types of Piles (Haemorrhoids)

There are two types of Piles, Internal and External.

Internal Haemorrhoids

Internal Haemorrhoids are found deep inside the rectum, so that it is hard to see them or feel them, plus they don't usually hurt because there are not many pain-sensing nerves inside the rectum. Prolapsed Haemorrhoids are painful & visible to us, they can cause massive irritation to individual. Internal Haemorrhoids are divided into four Grades based on the degree of prolapse:
Grade I : No Haemorrhoids visible, slight inflammation.
Grade II : No Haemorrhoids visible, but inflammation increases.
Grade III : Prolapsed Haemorrhoid, completely visible, easily pushed back into rectum.
Grade IV : Prolapsed Haemorrhoid, visible and swelling, surgery required to push them back.

External Haemorrhoids

External Haemorrhoids lie within the anus which makes them very painful, uncomfortable & intolerable they are easily visible as swollen lumps/pads with reddish colour, they often bleed. The course of passing stool is very excruciating, there is a condition called Thrombosis which occurs if blood clots are formed on prolapsed external Haemorrhoids. It is unbearable condition which requires medical care & surgery intervention.

Symptoms based piles types

There are some types of Piles:

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    Bleeding Piles

    Rectal bleeding is commonly indicated as small amounts of bright-red blood on toilet paper or a few droplets that turn the water in the toilet pink. Generally in this condition bleeding has come from somewhere near patient anus and is a typical sign of hemorrhoids (piles) or a small water-drop (anal fissure) in the skin of patient anus.

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    Swelling Piles

    In this condition the piles appear as small, grape-like masses and these are usually may be painless. Along with bleeding itching and irritation may also persist.

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    Vermin Piles

    Internally located piles can be a source of extreme irritation when they tend to hang out through the anal passage. Along with bleeding itching and irritation may also persist.

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    Prolapsed Piles

    Prolapse is an internal hemorrhoid happens when the internal hemorrhoids swell and extend from their place in the rectum by the anus. In this situation the anal canal, the hemorrhoid is exposed to the trauma of passing stool, particularly hard stools associated with constipation.


What are the Causes of Piles(Haemorrhoids)?
There is long list of causes of Piles, but one definite cause of Piles is unknown. Many factors play role but it is believed that an increased pressure on or around the back passage is major cause for Piles, but no evidence is present to back up this statement. Many people suffer from Piles after an age, but it is also seen in people at young age.
The most common causes of Piles are :

  • Irregular bowel movement
  • Low-fiber diets
  • Hereditary weak wall of the veins
  • Aging
  • Pregnancy
  • Lifting heavy weights
  • Straining while passing tool
  • Pressure caused by coughing, sneezing, vomiting, straining, sitting too long, standing too long
  • Obesity
  • High diet of processed food
  • Pelvic floor dysfunction

Signs & Symptoms

What are the Signs & Symptoms of Piles ?
There are many Signs & Symptoms of Piles, which vary from patient to patient, the most common symptom of piles is the bleeding while trying to pass stool. Internal & External Piles will exhibit different symptoms, while external being extremely painful. Below mentioned are some signs and symptoms of Piles :

  • Pain while passing stools
  • Discharge of blood while defecating
  • Swelling & soreness around anus
  • A Mucous anal discharge
  • Itchiness around affected area
  • Visible swollen lump around affected area

What happens during the Diagnosis of Piles?
A Physical examination is conducted to diagnose Piles, examining the patients anus doctor evaluates the result. Rectal exam is followed up to detect rectal tumours, enlarged prostate or polyps. While Internal Haemorrhoids require visual confirmation to be diagnosed, so anoscopy is performed for confirmation. But External Haemorrhoid is clearly visible & the pain also denotes the presence of External Piles in the patients.

Piles Treatment

What are the treatment options after being diagnosed Piles?
In many cases Piles do not require medical attention they go away by themselves after short time period, but if the Piles stays persistent then you might want to get medical care.

  • Change in diet habits is readily integrated, food with high-fiber is advised by the doctor.
  • Drinking a lot of water is advised to the patient.
  • Over-the-counter medicines are also prescribed.
  • Patients are instructed to avoid any strain in passing stool.
  • xercising should be avoided.
  • Banding, it is a outpatient treatment where doctor used an band & places it on Haemorrhoids, after course of time hte Haemorrhoids fall off.
  • Sclerotheraphy, in this treatment doctor injects sclerosing agent which causes the vein walls to collapse resulting in Haemorrhoids to shrivel up.
  • Cauterization methods are also common like elecrocautery, infrared radiation, cyrosurgery.
  • Surgery, it is used when other procedures do not produce fruitful results.

How can one prevent Piles from occurring ?

Number of preventive measure are present to avoid Piles from occurring like,

  • Eating fiber readily in our diets
  • Avoid strain while defecting
  • General exercise
  • Avoid gaining weight