Piles
WHAT IS HAEMORRHOIDS OR PILES?
Hemorrhoids, also known as piles,commonly known as Mulaam in tamil,are enlarged and inflammed veins in the rectum and anus.
WHAT ARE THE TYPES OF PILES?
Hemorrhoids come in two types internal hemorrhoids that grow in the lower rectum and forms inside the anus and external hemorrhoids that form under the skin around the anus.
EXTERNAL HEMORRHOIDS(PILES)
The most unpleasant hemorrhoids are those that are external because the surrounding skin becomes inflamed and erodes.
The pain may come on suddenly and be quite intense if a blood clot develops inside an external hemorrhoid.
A bulge may be visible or palpable around the anus. The extra skin (a skin tag), which may itch or become itchy, is left behind after the clot typically resolves.
WHAT ARE THE CAUSES OF PILES?
Hemorrhoids are a result of straining, which puts pressure on the veins in your rectum or anus.
Anal and rectal veins might swell and inflamed as a result of any strain that puts more pressure on your tummy or lower extremities. Hemorrhoids may appear as a result of:
- Especially during pregnancy, weight increase can cause pelvic discomfort.
- Pregnancy
- Rectal growth
- putting up a lot of effort to defecate due to constipation.
- lifting large items with effort or weightlifting.
- A low fiber diet
INTERNAL HEMORRHOIDS(PILES)
Even when they bleed, internal hemorrhoids usually cause little pain. For instance, you could notice bright red blood trickling into the toilet bowl or on the toilet paper.
Additionally, internal hemorrhoids have the potential to prolapse, or expand outside of the anus.
A hemorrhoid’s protrusion can collect microscopic stools and mucus, which can irritate the skin and lead to pruritus ani. It might get worse if you keep wiping to try to stop the itching.
WHAT ARE THE DEGREES OF PILES?
GRADE 1– When the piles stays inside the anus.
GRADE 2– When the piles projects outside the anus during defecation and reduces spontaneously after defecation.
GRADE 3-When the piles projects outside after the defecation and have to reduce by pushing inside by hand.
GRADE 4-When the piles stays outside and cannot be reduced.
WHAT ARE THE SYMPTOMS OF PILES?
Bleeding
Itching or irritation in the anal area
Discomfort, pain, or soreness around the anus
Lumps and swelling in the anal region
Dilation, or bulging, of a vein, which may or may not be painful, depending on where it occurs
WHAT ARE THE COMPLICATIONS OF THE PILES? WHAT ARE THE COMPLICATIONS OF THE PILES?
Hemorrhoids can be extremely painful and persistent,further which can lead to A thrombosed hemorrhoid may occasionally burst.
While there may be more bleeding and discomfort as a result, the ruptured area often heals on its own. At the site of a healed thrombosed hemorrhoid, a skin tag may occasionally develop.
Significant blood loss from hemorrhoids has been associated with the development of anemia.
Another rare complication is a strangulated hemorrhoid, where the blood flow to an internal hemorrhoid is cut off, which can cause extreme pain.
Strangulated hemorrhoids present a risk of infection, so it’s important to seek care in order to prevent this outcome.
Prolapsed haemorrhoid are the hemorrhoid which prolapse outside the anus ,resulting in significant pain and swelling .
HOW TO DIAGNOSE PILES ?
Piles are usually diagnosed by doctor doing rectal examination and by doing the proctoscopy examination.
A sigmoidoscopy or colonoscopy may be done to rule out the rectal or colonic pathology.
HOW TO TREAT PILES?
Initially doctor prescribes some medicines for reducing the pain , constipation and to reduce the bleeding and advises on diet modification and lifestyle modification .If symptoms are not improving then the intervention is advised by the doctor.
SCLEROTHERAPY
Sclerotherapy can be done for grade 1 piles.
BANDING
Branding can be done for grade 2 piles.
HAEMORRHIODECTOMY
Can be done for GRADE 3 and GRADE 4 HAEMORRHOIDS.Open or closed haemorrhiodectomy can be done.
STAPLER HAEMORRHOIDOPEXY
In this a stapler is inserted into the anus and fired and the tissue is cut and stapled back leaving behind no wounds resulting in very less pain and faster recovery.
HAL- HAEMORRHOIDAL ARTERIAL LIGATION
This is the latest method in which the hemorrhoidal artery is ligated under doppler guidance resulting in shrinkage of the haemorrhoids often used with This is the latest method in which the LASER.
LASER TREATMENT FOR PILES
In this a calculated number of joules of laser energy is delivered to the haemorrhoids resulting in shrinkage of the piles .
In some huge pile masses laser can be used to cut and remove the piles. DR.KUMAR is an expert in the LASER TREATMENT for piles.
DIET AND LIFESTYLE MODIFICATION FOR PILES
- Avoid constipation and straining at stools
- Take lot of fiber rich diet and lot of water
- Avoid sitting for prolong duration
- Avoid spicy food
DR.KUMAR has huge experience of treating thousands of piles patients and can be considered as the one of the BEST DOCTOR FOR TREATING PILES AND PILES SURGERY.And also DR.KUMAR is an expert in LASER TREATMENT OF PILES.