Piles or Haemorrhoids is a disorder characterized by bleeding from anal opening during defecation. This bleeding can be in the form of drops or spurts. If untreated; mass protruding out from rectum is noticed. Initially this Pile mass gets reduced by itself but later on it progresses further so manual reduction of Pile mass becomes necessary. Later on these pile masses come out even on coughing sneezing, walking etc. Depending of their site of origin; these are divided in to internal and external Piles. 

How can you tell if you have Piles? 
Painless bleeding is the first sign of Piles. If it is not treated at this stage Pile mass protrudes out from Anal opening. The symptoms of piles are  

Internal Piles: 

In first stage, painless bleeding is the only symptom of Piles. 
In second stage, pile mass protrudes out from Anus during defecation which gets reduced by itself. In late second stage; Pile mass needs to be reduced manually. 
In third stage; Pile masses again come out after manual reduction. During sneezing coughing and walking also pile mass come out. 
External piles: A solid/ semi-solid lump in the anal region which becomes prominent while passing stools is the external haemorrhoid. When inflamed it constitutes of coagulated blood these are known as external haemorrhoids. 

Why do Piles occur? 
Piles occur when pressure in the lower rectum increases unduly. Due to this undue pressure, the blood vessels in the anus and rectum become swollen and bulge out. The causes behind this undue increase in pressure are  

Chronic diarrhoea 
Chronic constipation 
Pregnancy 
Lifting heavy weights 
Putting too much pressure while passing stool 
The Ayurvedic Approach To Piles Treatment- 
The ayurvedic approach to treating piles is a mix of exercise, lifestyle changes, diet, supplements and medication. The primary cause of piles being constipation, a large portion of the treatment is focused on improving the patient s digestive health and bowel movement. 

Haritaki churna is recommended to soften stool. 
Fibre rich foods like green leafy vegetables salads should be consumed in adequate quantity. 
To soften the stools, foods like papaya, amalaki, and figs are advised. 
A regular ayurvedic colon cleanse is very beneficial to keep the digestive system in good condition. Some other measures you should adopt are  

Take plenty of liquids like water, butter milk fruit juices etc. Butter milk is specially beneficial in Piles. 
Do regular Exercise 
Avoid sedentary lifestyle. 
Along with this Kshar Karma is done at week or 10 days interval. In this treatment specialized Ayurvedic medicine is applied on Pile masses. Kshar Karma stops bleeding and suppresses Pile masses. When these measures do not work and the Pile masses are big enough to remain inside and protrude out often; Ksharsutra ligation of Pile mass is recommended. 

In this treatment; Ksharsutra   a medicated thread is ligated at the root of Pile masses. Medicine released from thread blocks the blood supply of pile mass and Pile mass sheds off within 5-7 days. No hospitalization or bed rest is required in this treatment. Patient can continue his daily routine activities as usual. So Ayurvedic Kshar Karma and Ksharsutra are quite effective in treating Piles in all its stages and Piles can be treated completely without surgery.

An Ayurvedic Approach To Piles Treatment!

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!

5 Foods to eat if you suffer from Piles

Piles, commonly known as hemorrhoid is a condition that leads to pain, discomfort and irritation while passing stool. It is caused due to inflammation of the veins in the lower rectum area. Piles is of two types: internal and external, one can suffer from both simultaneously. The damage in the lower rectum area is a result of aging, chronic constipation, pregnancy, diarrhea and consuming processed food on a daily basis. Piles also lead to bleeding not just while passing the stool but anytime. It is recommended to monitor one's diet and construct a plan that helps to diminish the problem. Here are certain types of foods which can help you deal with Piles better.

Whole grains

People suffering from piles are recommended to include a lot of healthy whole grains into their diet like bran cereal, brown rice, oatmeal, whole wheat pasta. These fiber rich foods soften the stool and help reduce the pain.

Leafy green vegetables

Green vegetables are packed with antioxidants and nutrients that help with digestion. Strengthening the digestive system is important while treating piles. Broccoli, sprouts, carrots, brussels, cabbage, tomato, asparagus, cauliflower, onions, cucumber are some of the vegetables that one should consume while battling piles.

Fruits

Fruits are high in nutrients, fiber, minerals and vitamins that help to regulate the bowel movement. Fruits that can be eaten with their skin on like apples, prunes, raisins, grapes, berries are full of fiber and are very beneficial. The ones that have to be eaten without the skin are good too, for example, papaya, banana, oranges.

Beans

Beans are high in fiber content and should be included in regular meals of a piles patient. Kidney, black, lima, navy beans, black-eyed peas, legumes are some good options.

Water

Although it is not a food, water is an important ingredient when it comes to treating piles. It is advisable to drink at least 6-8 glasses of water daily which helps with the smooth functioning of the bowel movement.

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5 Foods Items You Should Eat In Piles Problem

Piles or haemorrhoids are swollen veins in the rectum or anus. They can have a lot of possible causes, but the exact reason is still unknown. The one most common reason that researchers cite is the excessive straining during bowel movement and increased pressure on the veins during pregnancy. Some of the common signs of this condition include discomfort, bleeding, and itching. A clot can be witnessed occasionally. There could be swelling around the anus as well.

How is a pile diagnosed?
Doctors often recognize this condition just by doing a physical exam of the rectum. By lubricating the glove and inserting a finger into the rectum, a doctor can gauge any unusual growth around the rectum area. A doctor might also use a sigmoidoscopy or a proctoscopy to witness the lower portion of the colon. Apart from this, a doctor might prescribe a colonoscopy, if he fathoms that there is a possibility of colorectal cancer or a disease related to the digestive system.

Treatment of piles

Medication: In case of mild discomfort, a doctor might prescribe over-the-counter pads, ointments, creams or suppositories. Products such as these contain lidocaine, witch hazel or hydrocortisone that can relieve a person from itching and pain. One should stop consuming over-the-counter medicine, if there is no change in the condition.
Haemorrhoid thrombectomy: If a clot has appeared along with a pile in the rectum, a doctor can remove it by making an incision and draining the clot. This can fetch instant relief. The best time to do this is within 72 hours of clot formation.
Minimally invasive procedures: 
Rubber band litigation: This form of surgery involves placing of a couple of rubber band at the base of the piles to cut off blood circulation. In due course, the haemorrhoids fall off. Although this form of treatment works for many people, the patient has the risk of bleeding within few days of placing the rubber band.
Sclerotherapy: This form of treatment involves injecting a chemical into the haemorrhoid. The chemical shrinks the piles within few days. There is hardly any pain involved with sclerotherapy.
Surgical procedure:
Haemorrhoidectomy: This is the process by which a surgeon eradicates the excess tissue that might be causing the piles. The patient is sedated before performing this procedure. Some amount of pain is experienced after the procedure is over. The temporary difficulty of urination can be faced by a patient after this procedure.
Stapled hemorrhoidopexy: This surgery is only performed for internal haemorrhoids. The process involves blocking the blood supply. The process of stapling has less pain compared to a Haemorrhoidectomy. On the flip side, studies have shown that this procedure has an increased chance of recurrence of haemorrhoids.


Piles - Diagnosis and Treatment

Hemmorroids can be really uncomfortable and keep you in pain all through the day. One of the best and fastest way to get relief from this condition is to get them removed for good which can be easily done with the help of the surgery. The recovery period after a hemorrhoid surgery typically varies from one to two weeks depending on a host of aspects such as severity of hemorrhoids, the number of hemorrhoids as well as the type of treatment. During this span, a certain level of pain and discomfort is expected, but with some useful care tips, you can get some relief within a few days after the surgery.

Making lifestyle changes: After the surgical intervention, the patient must be on bed rest for a week or so. This is because, during this time, the surgical wounds can reopen at any time if caution is not exercised. If you have excessive body weight, it is recommended that you should lose weight after this surgery. This must be done healthily so that the stress is reduced in the rectum area while an individual squat or sits down. This could lead to the recurrence of hemorrhoids in the long run. After the first few weeks, the patient must take a 10-minute brisk walk regularly.
Take painkillers: In case the pain from hemorrhoids worsens after the surgery, you may consider taking painkillers. Many patients tend to use these medications to recover from hemorrhoids surgery, and you should take only prescription drugs only.
Keep up with a healthy diet: You should make it a habit of eating a high-fiber diet and taking adequate amounts of fluid every day. This will not just accelerate the recovery process but prevent the recurrence of hemorrhoids. For best results, this should be practiced a few weeks before and after the surgery.
Try different home remedies: In addition to the common methods of easing pain and discomfort after hemorrhoids surgery, you may also try different types of home remedies. Make sure that the wound is always clean and you can also use gels and creams for minimizing irritation.
Alleviate itchiness: During the hemorrhoid surgery recovery, you are likely to experience itchiness which is a characteristic of a recovery period. This is a common symptom of external hemorrhoids, and to reduce it, you can take a sitz bath. Your doctor may also prescribe a topical medication depending on the location and severity of the problem.
Educate yourself about the surgery and post-operative care: This is presumably the most important aspect of caring for hemorrhoids surgery. You should learn about the common complications of this surgery and how you can overcome them.
Know when you can call a doctor: During the recovery process, it is critical to follow the instructions as given by the doctor. You should maintain the follow-up treatment with your doctor so that you can report him of any health problems and discomfort to take required steps.
With care and caution, you may recover easily from hemorrhoid surgery and return to normal life soon.

Hemorrhoids Surgery - 7 Tips To Help You Recover!

Hemorrhoids, also known as piles, are swollen veins or blood vessels, which can be internal (located inside rectum) or external (located outside rectum). They might be managed by increasing fluid intake and a high-fiber diet. Sometimes, Hemorrhoids might get infected and irritated to an extent that they require surgical removal.

Causes of Hemorrhoids:

Hemorrhoids are caused by increased pressure in blood vessels around the anus, causing them to swell and inflame which might be caused by a number of reasons.

Prolonged constipation

Chronic diarrhoea

Obesity

Aging

Pregnancy as it increases pressure on pelvic blood vessels

Weight lifting

Family history of Hemorrhoids

Persistent cough

Vomiting repeatedly

Sitting continuously for a very long period of time.

Symptoms of Hemorrhoids:

Some of the common symptoms of Hemorrhoids are:

Internal Hemorrhoids might bleed painlessly after bowel movement, but are problematic if they bleed too heavily.

External Hemorrhoids might also bleed after bowel movement, but often become irritating and painful.

External Hemorrhoids can lead to blood clots inside the vessel, which can cause severe pain. Proper treatment for such Hemorrhoids involves  incision and drainage  procedure.

Itchy and sore bottom.

A lump hanging off the anus.

Types of Hemorrhoids:

The type of Hemorrhoids decides the course of action for treatment.

First degree Hemorrhoids are small swellings which develop on inner lining of anus, being invisible from outside.

Second degree Hemorrhoids are larger swellings which might come out of the anus during bowel movement before disappearing inside again.

Third degree Hemorrhoids are lumps hanging off the anus which can be pushed back inside.

Fourth degree Hemorrhoids are larger lumps hanging down from the anus but cannot be pushed back inside.

Surgeries without Anesthesia:

Banding or rubber band ligation involves using a tight band around the base of Hemorrhoid to cut off its blood supply. It takes two or more procedures to be performed about two months apart.

Having the best success rate for small and internal Hemorrhoids, sclerotherapy involves injecting a chemical into Hemorrhoids, causing them to shrink and stop bleeding.

Coagulation therapy or infrared photocoagulation uses infrared light (heat or extreme cold) to retract and shrink the Hemorrhoid and is usually performed along with an anoscopy.

Hemorrhoidal artery ligation (HAL) or transanal hemorrhoidal dearterialization (THD) locates blood vessels causing Hemorrhoids to close them off.

Surgeries with Anesthesia:

Hemorrhoidectomy is used for large and external Hemorrhoids which do not respond to non- surgical intervention. So, they are cut out. Anesthesia can be general, regional, or local in this procedure. It takes longer time to recover completely.

Hemorrhoidopexy or stapling requires general, regional, or local anesthesia, and is used to treat prolapsed Hemorrhoids. A surgical staple cuts off the blood supply to Hemorrhoids to make the tissue shrink and reabsorb. It takes relatively less time for a full recovery.

Post- Surgical Care:

Some of the post care instructions are as follows

Painkillers might be prescribed for rectal and anal pain.

Consumption of a high-fiber diet prevents constipation and recurrence of Hemorrhoids.

Staying hydrated helps a lot.

Avoid heavy weight lifting and pulling.

Sitz bath helps to deal with post- surgical discomfort.

Seek medical help if having painful urination, fever, or dizziness.

Non-surgical Management of Hemorrhoids:

Hemorrhoids can be managed non-surgically by reducing strain in and around the anus.

Consuming a high fiber diet including cereals, fruits, vegetables, pulses, nuts, seeds, etc.

Consuming healthy fluids like water but avoiding alcohol and caffeinated drinks.

No delaying the emptying of the bowels.

Preventing constipation.

Weight management to lose excess body weight.

Regular exercise.

Take Away:

Hemorrhoids, if not severe, can be managed non- surgically. But if they get very painful and severe, surgical intervention through a number of techniques might be required; each one of them being safe, depending upon the severity of the situation.

Surgery For Hemorrhoids - What Should You Know?

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