Hemorrhoids can be very painful and are impossible to ignore. They can be defined as internal or external swollen veins. In some cases, making a few lifestyle changes such as eating fiber-rich foods and drinking plenty of water may be enough to relieve the problem. In other cases, surgery may be required. Surgery for hemorrhoids depends on the severity of the case. There are many different types of surgeries that may be performed.

Banding
Banding or rubber band ligation is a surgical process used to treat internal hemorrhoids. This involves placing a tight band around the hemorrhoid base to cut off its blood supply. This procedure does not involve the use of anesthesia.

Sclerotherapy
This is also used to treat internal hemorrhoids. It involves injecting a particular chemical into the hemorrhoid that makes the hemorrhoid shrink and keeps it from bleeding. This procedure does not involve the use of anesthesia.

Coagulation therapy
Coagulation therapy is also referred to as infrared photocoagulation. The procedure involves the use of infrared light and extreme heat and cold. The aim here is to help the hemorrhoid shrink and retract. It may be performed with an anoscopy. An anoscopy is a procedure that allows the doctor to look inside the rectum with the help of a scope. This procedure does not involve the use of anesthesia.

Hemorrhoidal artery ligation
Hemorrhoidal artery ligation (HAL) or transanal hemorrhoidal dearterialization (THD) is often used to remove hemorrhoids. It involves using an ultrasound to locate the swollen blood vessels and then closing these off. This procedure does not involve the use of anesthesia.

Hemorrhoidectomy
Large external hemorrhoids can be treated with a hemorrhoidectomy. Internal hemorrhoids that have prolapsed and are not responding to other forms of treatment can also be treated with this procedure. The procedure is performed while the patient is under general anesthesia or local anesthesia. The hemorrhoids are then cut off surgically. Hospitalization may be required for a few days after this procedure.

Hemorrhoidopexy
This procedure is also known as stapling and may be performed while the patient is under local or general anesthesia. It is typically used to treat prolapsed hemorrhoids. During the procedure, the doctor staples the prolapsed hemorrhoid to the walls of the rectum and cuts of the blood supply to the affected vein. By doing this, the tissue is allowed to shrink and be reabsorbed into the body. As compared to a hemorrhoidectomy, stapling is less painful and has a quicker recovery time. 

Surgical Treatment Of Hemorrhoids!

Hemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers.

Although hemorrhoids are thought of as unpleasant inflammations, we all have them.1 It is when the hemorrhoidal cushions become too big (inflamed) that problems occur - when this happens they are called piles or pathological hemorrhoids.

"Piles" are the swollen ones that are painful and cause problems, hemorrhoids can refer to the swollen ones (pathological hemorrhoids) or simply the normal structure. 

Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.

Internal hemorrhoids -

They are classified into four grades:

Grade 1 - there are small inflammations, usually inside the lining of the anus. They are not visible.
Grade 2 - larger than Grade 1 hemorrhoids, and also inside the anus. When passing a stool they may get pushed out, but soon return.
Grade 3 - often called 'prolapsed hemorrhoids'; these appear outside the anus. The patient may feel them hanging out. They can be pushed back in if the patient presses with his/her finger.
Grade 4 - these cannot be pushed back in and need to be treated by a doctor. They are large and stay outside the anus all the time.
External hemorrhoids -

called perianal hematoma. These are small lumps that are located on the outside edge of the anus. They are extremely itchy and can be painful if a blood clot forms inside (thrombosed external hemorrhoid). Thrombosed external hemorrhoid requires medical treatment straight away.

What are the signs and symptoms of piles?

A symptom is something the patient feels and describes, such as a pain, while a sign is something everybody can see, such as a rash.

A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be extremely painful.
After going to the toilet, a feeling that the bowels are still full.
Bright red blood after a bowel movement.
Itchiness in the anus area.
Mucus discharge when emptying the bowels.
Pain while defecating.
The anus area may be red and sore.
When passing a stool the person may strain excessively.
Why do piles occur?

The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (hemorrhoids) can develop when pressure increases in the lower rectum. This may be due to:

Chronic constipation
Chronic diarrhoea
Lifting heavy weights.11
Pregnancy.12
Straining when passing a stool.13
The tendency to develop hemorrhoids may also be inherited. The risk of developing piles grows with age

What are the treatment options for piles?

In the majority of cases, piles resolve on their own without the need for any treatment. Treatments can help significantly reduce the discomfort and itching that many patients experience.

A good doctor will initially recommend some lifestyle changes.

Diet - piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or even switching your cereal breakfast to bran.16

Water is the best drink, and the patient may be advised to increase his/her water consumption. Some experts say too much caffeine is not good.

Body weight - if the patient is obese, losing weight may help reduce the incidence and severity of hemorrhoids.

Simple things you can do yourself to help prevent piles:

Try not to strain when you go to the toilet.
Avoid laxatives.
Exercise.
HOMEOPATHY TREATMENT FOR PILES

it is treated  in homeopathy by constitutional medications which relives ressure and which initiates free stools. Thus, constitutional homeopathic medications restore your body s normal functions.

Hemorrhoids - Everything You Should Know About It!

As our lifestyle and living habits change, we experience a lot of new phenomena and changes in our body systems. One of the biggest changes that we can actually see is the change in the digestive system and the regularity or the irregularity of our stools. When we eat healthy and lead an active lifestyle, we are more likely to have a better digestive system, whereas if we eat more junk or take meals at irregular timings and do not set a system for the body, we put it at great risk of diseases and health issues. One of the most common problems that a lot of people face is constipation.

While constipation in itself may be tackled without much problem, the real issue arises when it turns into something more troublesome such as piles. The issue of piles arises when the veins in the anal region start to swell because of a disturbed blood flow. The swollen regions and the lack of fibre in the stools combine to make the process of passing stools very uncomfortable, painful and it may also lead to the bleeding of the anus.

Treating the issue of piles:
Piles is a health problem that is mainly supported and aggravated because of wrong eating habits, sedentary lifestyle and excessive constipation. One of the most important things that you can do in the course of getting the problem under control is to start eating right. Eating foods with high fibre content and foods that speed up the digestive systems may go a long way in easing out the pain. It may also be important to keep liquid intake under check so that more and more liquid and other healthy drinks are consumed. Choosing to exercise regularly and indulging in workouts that help keep the intestines strong are the best alternatives.

Apart from things that you can do on your own, it may also be important to make sure that you take the right professional medical help. When you have the best help on your side you may be able to make sure that you get the issue treated within a short span of time without having to suffer greatly. However, it is also essential to make sure that the best type of treatment is chosen. In most cases, choosing Homeopathy for treatment may be your best bet. When you opt for homeopathy for piles, you may be able to treat the issue without having to use chemically charged and loaded antibiotics and it may be an easier route to a healthy living.

Why take homeopathic treatment?
The reason why homeopathy is most demanded in the case of piles is because of the fact that conventional medication may lead you to go through surgery for getting relief from the issue. Not only does a surgery increase the burden of increased finances, but also means that it is physically more straining. While homeopathy offers natural and chemical free medicines that treat the root cause of the disease.

Why Homeopathic Treatment is Best for Piles?

Many women experience a temporary encounter with hemorrhoids when they are pregnant. Quite surprisingly, most people tend to experience this in their daily lives. By the age 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and may be prolapse where the hemorrhoids protrude out of the anal canal. Though this ailment can be rarely detrimental, it can be a painful intrusion. But thankfully, there are a lot of things we can do about them.

How may this be diagnosed?
Hemorrhoids are usually diagnosed from a plain medical history and health exam. External hemorrhoids, more commonly known as piles, are normally apparent, particularly if a blood clot is formed. Your physician shall perform a digital rectal test to detect blood in the stool. Then the physician may also inspect the anal tube with the aid of an anoscope, which is a short plastic channel interjected into the rectum with illumination. If he finds any evidence of microscopic blood or rectal bleeding in the stool, then there may be a need to perform colonoscopy or flexible sigmoidoscopy to determine the probable causes of bleeding like cancer or colorectal polyps, specifically in women aged over 50.

Is it possible to treat hemorrhoids at home?
Most of the common symptoms of piles can improve drastically with simple in-home measures. If you are suffering from occasional flare-ups, you may try the following:

    Eat a lot of fibre: It is recommended to add fibre in the diet; may be a fibre supplement like Citrucel, Fibre con, etc. When you drink a lot of water along with loads of fibre, stools get softened making them effortless to pass, which will reduce the pressure on the swollen veins. Eating broccoli, wheat, oats, beans, fresh fruits every day will help in decreasing bleeding caused due to piles. It also reduces swelling and inflammation. If you feel digestive issues with a sudden splurge of fibre in your diet, you may start slowly and gradually increase the amounts.
    Take a sitz bath: A sitz bath is a lukewarm water bath for the lower back portion of the body, which can help in relieving irritation, itching as well as spasms occurring in the sphincter muscle. You can either get small plastic tubs for a sitz bath or sit in a normal bath tub. Most physicians suggest a half an hour sitz bath after every bowel movement. Then tenderly dry the area and avoid wiping it hard.

There are several invasive treatments that can be opted if these conservative treatments are not able to help your condition. In such an instance, it is always wise to seek advice of a medical practitioner. 

How to Deal with Hemorrhoids?

Piles, fistula and fissures are the most common problems affecting the rectum and the anus. Both the rectum as well as the anus has a very rich vascular supply. There could be swelling of these blood vessels or tearing which can lead to the above conditions. Read on to know additional details about each of these conditions. 

Piles: In simple words, swollen blood vessels of the anal region are called piles. It can be internal or external, depending on how far it is from the anal canal. If it is located farther inside the anal canal, it is called internal piles.

Causes:

Chronic constipation, where the person has to strain to pass stools
Smoking and genetics can also lead to piles.
Symptoms: Starts off as painless bleeding, which happens in drops after bowel movement; the swelling happens much later. They can continue to grow and develop blood clots.

Treatment:

In the early stages, once identified, simple topical medications for symptom relief are sufficient.
Diet should be rich in fiber, with fruits and vegetables
Increased water consumption
Surgery if the disease has reached the stage of blood clots
Prevention is advised if there is a family history by consuming a fiber-rich diet and maintaining hydration
Fistula: When an infected anal gland bursts into the anal canal, it constantly discharges pus into the anal canal and becomes a fistula. Hygienic toilet habits can help in preventing fistulas.

Symptoms:

A constant wet feeling in the anal area, due to pus discharge.
This would be intermittent, and there would be periods with no discharge.
There could be a foul smell due to pus discharge.
Diagnosis and Treatment:

Identifying the exact location is important as surgery may be required.
An ultrasound scan or an MRI is usually done.
Newer techniques like Video Assisted Anal Fistula Treatment (VAAFT) are used. This locates the piles accurately and uses electric current to seal it with staples and surgical glue.
Conventional surgery is also used for economic or accessibility reasons.
Fissures: These cracks anywhere in the length of the anal canal are extremely common.
Symptoms

Very painful and the person may not want to go to the toilet
Rarely bleeding is also seen, maybe in very small amounts
Treatment:

Over 90% of the fissures do not require surgery
Switching to a high-fiber diet and improving hydration will help in managing these symptoms.
Topical relief can be provided by medications.
When they are recurrent, a procedure known as lateral sphincterotomy is done. This is an outpatient procedure and provides immediate relief.
Though one condition can lead to another, in most people, there is a strong genetic component, and working towards prevention is highly recommended.

Piles, Fistula and Fissures - Can Ayurveda Help You?

Piles or haemorrhoids are one of the most common health issues associated with ageing. It can be described as the swelling of veins in the rectum, just above the anus. When irritated by stool movements, piles can be extremely painful. Thankfully there are a number of effective home remedies that can be used to manage and treat this problem. Here are the top 5 ways to treat piles naturally.

Psyllium husk: Constipation of passing hard stools can aggravate piles and the pain associated with it. One of the most common causes of hard stools is a lack of fibre in the diet. Psyllium husk is rich in fibre and makes stools softer. Ideally, if you suffer from piles, try consuming one tablespoon of psyllium husk with a glass of water every night before going to bed.
Sitz bath: Heat therapy can be very efficient in relieving pain associated with piles. Heat increases circulation and helps the damaged veins heal faster and also stimulates thermo receptors that block the body s pain transmitters from signalling the brain. Fill a bucket or bath with warm water and soak the inflamed area in it for 15-20 minutes. This warm water wil also help relieve itchiness help the blood vessels relax.
Aloe Vera: Aloe vera has anti-inflammatory properties that aid in the healing of haemorrhoids. Applying the gel extracted from aloe vera leaves on the inflamed veins can help soothe and hydrate external haemorrhoids. For internal haemorrhoids discard the thorns and freeze strips of aloe vera leaves before applying over the anus in the form of a cold compress.
Essential oils: Essential oils such as tea tree oil have the ability to reduce inflammation and can be very beneficial in curing haemorrhoids naturally. Dilute tea tree oil with a carrier oil such as castor oil or almond oil and apply directly over the inflamed area. Do not use the oils without dilution as they can be very strong. Other essential oils that can be used to treat piles are lavender oil and rosemary oil.
Olive oil: Consumption of olive oil makes the blood vessels more elastic and thus reduces the discomfort of passing hard stools. In this way, olive oil can even prevent the formation of piles to an extent. It also has anti-inflammatory properties that reduce discomfort and soothe the inflamed veins. The monosaturated fatty acids in olive oil can also help regulate bowel movements and prevent constipation.

Treating Piles With Ayurveda!

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