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?

Do you bleed or feel pain during bowel movements, or the skin around your anus feels sore or itches? Or maybe there's a lump in or around your anus, or you feel as if your bowels haven't emptied completely? Then you may be suffering from piles. Piles or hemorrhoids are essentially swollen veins and muscles in your anal canal or around your anus. And they may stay inside your anus or come outside depending on the severity of the affliction.

Often, piles can be successfully treated with high-fiber diet, proper hygiene, and topical medicines or ointments. But in situations where non-surgical methods don't achieve desired results, surgery becomes the only option. And this may be particularly necessary for those suffering from large painful or bleeding hemorrhoids. The different surgical options are given below:

Hemorrhoidectomy - In this procedure, the surgeon makes incisions around the anus to remove the piles formations. Local or general anesthesia is offered during the operation, and you can usually return home on the same day. After the procedure, the area might require stitches and commonly remains very tender and painful for quite some time.
PPH or Procedure for Prolapse and Hemorrhoids - This method is minimally invasive and makes use of a stapler-like machine for repositioning the hemorrhoids and cutting off their blood supply. So eventually, the piles shrink and die without blood supply and your pain diminishes greatly. With this process, you can expect a faster recovery, less itching and bleeding, and minimal complications, if any.
Laser - An accurate and special laser beam is used in this method, to burn off the hemorrhoids.
Rubber Band Ligation - This procedure can be used for areas with fewer pain receptors. In this, a rubber band is tied around the base of hemorrhoid to stem the blood supply and destroy the affected tissue.
Sclerotherapy - This method involves the injection of a chemical solution around the blood vessel which supplies the hemorrhoid tissues, to shrink and kill them. Though non-invasive methods are preferred by many since they create less pain, hemorrhoidectomy may provide more long-lasting benefits. Here are some other aspects you need to consider regarding piles surgery:
Risks - Infection, bleeding, reaction to anesthesia, trouble with urination, fecal incontinence are some of the risks involved, though the surgery is usually quite safe.
Ways of treating pain - Pain, especially during and after a bowel movement, can be an issue for several days after the surgery. But it can be dealt with by taking prescribed pain medications, stool softeners, and soaking in a warm bath. Recovery can take up to 3 to 6 weeks after the procedure.
Avoiding recurrence - Following a high-fiber diet, maintaining good hygiene, taking lots of fluids, and avoiding straining or constipation can prevent piles from coming back.

What You Should Know About Piles Surgery

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!

Have you ever faced difficulty or experienced severe pain while defecation? Well, this is a widespread phenomenon amongst many, but most of them feel shy to discuss this problem. Different People differently understand the term Piles. For some, it is the name given to the uneasiness or pain that one feels during defecation and for others, it might be blood found along with feces. This notion is partially correct. Piles, also known as Hemorrhoids, are vascular structures that are present in the anal canal.

These vascular structures are like cushions that help with stool control. The problem arises when these structures become swollen. Post inflammation of hemorrhoids leads to the ultimate problem. Piles become painful which is unbearable for many while a few people don t feel much pain but bleeding characterizes the disease. Around 10% of patients having Piles problem require surgical treatment, but they are unaware of the measures needed before opting for a hemorrhoid surgery.

Hemorrhoidectomy

The operation that is used to remove hemorrhoids is known as Hemorrhoidectomy. In this surgery, a local or general anesthesia is given to the patient so that the affected area gets numb and the patient doesn t feel much pain. The doctors make perform a procedure around the anus to get rid of the hemorrhoids. As the anus area is susceptible, stitches might be required. Patients can go home the same day, but intensive care is needed. It might take around two weeks to get normal, in some cases, it may also extend to 6 weeks.

Cure Piles in 15 Minutes (BIEM)-


 Biological Impendence Electrical auto-Measurement  (BIEM) concept is a smart and advanced technology that able to produce controlled  tissues fusion  without causing any carbonation. This technology is being aggressively develop and incorporated into the variety of modern surgery.

The major advantages of this technology is no bleeding, no open wound, no risk of infection and less pain as the nerve fibers is sealed in the tissues fusion. The new tissues growth will take place from inside and the dry and hard zone will take off itself when tissues healed up. 
Measures to be taken post hemorrhoid surgery

The surgery is extremely safe, however, like all surgeries, there are certain precautions that need to be taken in order to avoid post-op infection or reaction to anesthesia. People mostly complain about the severe pain that they feel while defecating and might also be accompanied by irritation or itchiness in the treated area. These symptoms are normal, but if the irritation or itchiness becomes severe or excessive bleeding becomes frequent, then consult your doctor immediately.

Fever or difficulty while defecating should also be reported to the doctor if it continues to be a problem after surgery. For the recovery phase, your doctor might prescribe the use of some pain killers along with the usage of some stool softeners. Taking a warm bath might also lower down the pain.

Usually, the doctors prescribe a healthy diet before and after hemorrhoidectomy surgery. But the measures might differ from case to case. A few common after and before care measures include diet changes, lifestyle changes, and adopting a regular exercise program. These three steps will not only help in speedy recovery but also reduce the chances of hemorrhoids recurring.

Hemorrhoids - Measures You Must Take Post Surgery!

Rarely do people ascribe Erectile Dysfunction to Hemorrhoids. Yet the correlation between the two is not far-fetched. Research has suggested that men who have suffered from Hemorrhoids in the last year are at an increased risk of developing Erectile Dysfunction. These two conditions are apparently incongruous. For someone suffering from Erectile Dysfunction, there is a lack of blood flow to the penis. For someone suffering from Hemorrhoids, there is swelling of veins inside the rectum. 

Younger people are more at risk unlike most diseases like High blood pressure, Alzheimer s diseases etc which are progressively more likely to occur in older men, this problem is more likely in younger than in older men. The study found that about 24.9% men under 40 years, who had been diagnosed with hemorrhoids in the last year, had suffered from Erectile Dysfunction. So the correlation is more prevalent in younger men than older men. According to the findings of the study, men aged 30 or less are more likely to experience Erectile Dysfunction after being diagnosed with Hemorrhoids in the last year. Moreover, men between the ages of 30-39 are twice more likely to suffer from Erectile Dysfunction if diagnosed with Hemorrhoids in the last year.

The correlation between age and likelihood of occurrence of Erectile Dysfunction due to Hemorrhoids is quite clear from these findings. The Apparent reason according to researchers in the study, localized swelling of varicose veins in the deep anus region may be responsible for some local irritation which can give rise to Erectile Dysfunction. Manage the Pain First Young men, who are suffering from Erectile Dysfunction, ostensibly arising out of the presence or history of Hemorrhoids in the past year, need to first manage the pain due to Hemorrhoids. Pain arising out of Hemorrhoids can be very difficult to put up with. A decrease in hemorrhoids pain can reduce the discomfort to some extent. Bleeding during bowel movement, intense pain during and after sitting, a feeling of itchiness or irritation near the anus etc are all indicators of hemorrhoids. If one has to habitually push hard during a bowel movement, he/she is more likely to suffer from Hemorrhoids, since the varicose veins can swell up during such hard pushing. 

The solution to alleviate pain, one can use various topical solutions containing Witch Hazel and Aloe Vera. These are anti-inflammatory herbs. Most of the anti-hemorrhoid creams contain either of these two. Apart from using topical solutions, one needs to change his dietary habits. One should abstain from foods that upset the stomach and adopt foods that soften the stool. This can help one avoid straining while moving bowels and spare the varicose veins from being inflamed. One can also benefit by practicing anal breathing which exercises the PC muscles and the anal sphincter. This could benefit both Hemorrhoids and Erectile Dysfunction.

Hemorrhoids - How It Increase Risk Of Erectile Dysfunction?

How to Manage Piles at Home and with Medication

Piles or hemorrhoids can be a debilitating disorder of the rectum and anus where passing stool becomes painful. It is the swelling of the veins in the anus and the rectum, which may then be bruised by hard stool passing through it or due to excessive pressure being put on it. This can be a very painful and embarrassing condition for many people to go through.

Remedies for piles at home

There are many remedies that you can try at home to reduce the pain and swelling and even reduce the hemorrhoids themselves over time. Let's look at a few of the options.

Radish for treatment: In this treatment, a radish should be crushed and mixed with appropriate amounts of milk to form a thick paste, which is to be applied on the anus twice daily, and washed off after 15 minutes. This should relieve the symptoms in a few days.

Cumin seeds paste: You can take a tablespoon of cumin seed powder, make it into a paste after adding water and then put it on the affected area. After leaving it for 15 minutes or so, it should be washed away with water. Repeating this twice daily will help with the symptoms and reduce pain.

Diet: Lack of a balanced diet can be problematic for those with piles, and thus, it is recommended that enough roughage such as green leafy vegetables and fruits are included in the diet as well.

Figs: Dried figs are also another great weapon against piles. Soaking some dried figs in warm water overnight and then having them in the morning is known to be good for smooth bowel movements, thus, relieving pressure on the rectal veins.

Some Ayurvedic Medications that May Prove Effective with Piles:

Some of the specific ayurvedic medication that are known to be helpful in treating piles are:

Hareetaki: This is the fruit peel of Harad and if taken with 1 cupful of jaggery, it can reduce the symptoms of constipation as reported by many patients.

Castor oil: Mixing a small teaspoon of castor oil with a glass of milk can also help soften the stool and reduce the stress on the rectal walls.

Nagakesara: This is also an ayurvedic medicine, which is usually prescribed as oral medication three times daily and has proven its effectiveness many times over.

Abhayarishta: 30 ml of this ayurvedic herb is also given to patients after food with equal parts water and has been known to be very effective.

Kasiaditaila: This is an oil, which should be applied externally and it can help reduce the inflammation and itching caused by piles.

10 Best Home Remedies to Treat Piles  - Natural Treatment

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