Piles / Haemorrhoids & Treatment
Posted Date: 21-Apr-2009
Dr Sachine (Eye Retina Surgeon)
What is Piles / Haemorrhoids? What are its causes and prevention. Read the article to know about the Piles / Haemorrhoids and its treatment.
Everybody has heard about piles. This is a common health problem
• Piles means dilated veins either inside rectum & anus (internal piles) or outside of the anus (External piles).
Types of Piles
• External piles-
These cause more pain but cause less bleeding.
• Internal piles –
These cause more bleeding than external piles.
A combination of the 2 intro-external types is seen more commonly.
Causes & risk factors
• Junk food
• A sedentary lifestyle
• Lack of exercise,
• All of these will cause Constipation and chronic Constipation is responsible for piles as a constipated person is more likely to strain when passing stools.
• Pregnancy and childbirth -
Growing uterus with foetus presses on the abdomen. Increased blood flow and the effect of hormones on the blood vessels, is responsible for development of piles. Pushing forcefully during childbirth causes a rise in pressure in the veins.
• Varicose veins –
Many people with these also develop piles.
• Obesity increases pressure on rectal vein.
Signs and symptoms
• Pain while passing stools.
• Bleeding while passing stools. Bleeding can lead to anaemia.
• Hemoglobin to see for anaemia.
. Stool for occult blood.
• Perrectal examination – This is done with a finger. This helps in distinguishing piles from fissure.
• Proctoscopy – This is a simple OPD test.
• Digital Rectal Scan.
• Prolapse of hemorrhoids occurs when these become enlarged
• Thrombosis – This is more likely in case of external hemorrhoids.
• Warm baths -
These may relieve the irritation.
• Ice packs -
These help in swelling
• Drink a lot of water;
• Pelvic floor exercise known as “ Kegel exercise” is helpful.
• 'Rubber band ligation' -
A small rubber band is placed at the base of the internal pile. The rubber band stops the blood supply to the piles and it falls off.
• Prolapsing hemorrhoids from rectum.-
Apply a heavy dose of neosporin ointment on them. Put back in rectum.
• 'Infrared coagulation' - Infrared light source coagulates the dilated veins of the haemorrhoid. The piles shrinks.
• 'Injection sclerotherapy' means injection of a chemical into the haemorrhoid which causes closure of the veins.
• Large haemorrhoids need hemorrhoidectomy.
This is a surgery to excise hemorrhoids.
Disadvantages of hemorrhoidectomy
1. This causes severe pain during recovery.
2. Surgery may lead to incontinence later. So is often now done only for severe (grade IV) hemorrhoids.
This helps in curing early stage piles. The most commonly used are:
• Hamamelis Q –
• Graphitis- Used for piles and fissures with hard stools.
• Avoid Constipation and Stress .
• Eat green vegetables & a lot of fibres. This will make stools softer & there will be less pain in piles & fissures.
• Avoid spicy food, non-vegtarian food.
• First stage can be prevented by diet control. If it is not cured, one might need to go for any of the above mentioned treatments.
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