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!

Colorectal surgery: How to be sure you need it?

Colorectal surgery is performed to repair damages that occur in the organs of the anus, rectum, and colon. The damage that takes place in these organs can be the result of problems with lower GI like diverticulitis (a condition wherein pouches known as diverticula in the colon wall become inflamed), cancer and inflammatory bowel disease (a group of intestinal disorders that bring about inflammation of the GI).

Who needs this surgery?

In general, colorectal surgery is an essential treatment option for ulcerative colitis, colorectal cancer, Crohn's disease (an inflammatory bowel disease that gives rise to inflammation of the gastrointestinal tract) as well as certain diverticulitis cases. In such cases, the intestinal tract undergoes major reconstruction.

There are also other bowel problems that may require surgery but not of a serious nature and these are anal fissures, hemorrhoids, bowel incontinence and rectal prolapse. Most of the surgical procedures will aid in repairing tears, get rid of blockages, or make tighter sphincter muscles (muscles that surround openings in the body).

Colorectal surgery is also performed in cases of pelvic floor disorders like rectocele (a condition in which the rectum bulges towards the vagina) and perineal hernia (a hernia that involves the pelvic floor).

At the same time, injury, ischemia or compromised blood supply and obstruction may require the performance of bowel surgery as well. Scar tissue and masses can form within the rectum, clogging the organ and preventing the normal discharge of feces from the body.

Problems like ulcerative colitis (an inflammatory bowel disease that leads to the development of ulcers in the colon as well as inflammation of the area) and diverticulitis can give rise to perforations in the rectum. Surgery is suggested in instances when drugs fail to treat the problem of ulcerative colitis.

Likewise, in the case of recurrent instances of perforations or complications in diverticulitis, surgery may be required to remove the portion of the colon affected.



Colorectal Surgery: How To Be Sure You Really Need it

Piles are Haemorrhoids which become inflamed and are accompanied with bleeding. Haemorrhoids can be defined as masses or clumps of tissues developing in the anal canal. Haemorrhoids comprise of blood vessels, support tissues, muscles and elastic fibres.

Bleeding piles can be treated using several methods or forms of surgery. The Ayurvedic form of treatment called agni karma is an effective, natural cure for bleeding piles. On the other hand, a medical procedure known as infra red coagulation therapy can also be executed for the efficient treatment of bleeding piles or haemorrhoids.

Agni karma an Ayurvedic Remedy for Treating Piles
In Sanskrit, the word 'Agni' refers to 'Fire'. Agni karma is an ayurvedic therapy, which involves the use of agni or fire. It is also called cauterization. Agni karma is popularly called Dahan Karma. Agni karma is used in the treatment of many diseases of different type. It is a good method for the treatment of bleeding piles.

In this process, any ailing surface of the body or a tissue, such as haemorrhoids, is destroyed and burnt by using a heated instrument using electric current and by freezing. An acidic agent for cutting like kshar karma is also used in the process of agni karma for the treatment of bleeding piles.

The different types of agni karma include:

uchchh dagdha /scarce agni karma
Durdaghda/ inappropriate burning surgery
Aati dagdha /powerful or excess cauterization
Samyak dagdha / appropriate agni karma
Infra red Coagulation Therapy-

Infra red coagulation therapy or infra red photo coagulation is a medical process which is used to treat bleeding piles or haemorrhoids, and can only cure internal haemorrhoids.

During the process, a device is utilized, which produces a beam of intense, powerful infra red light. The heat released by the infra red light causes scar tissue and blood supply to the haemorrhoids to be cut off. This results in the death of haemorrhoid or piles, and a scar forms on the anal canal wall. The surrounding veins are held together by the scar tissue which avoids them bulging into the anal canal.

Agni karma, the Ayurvedic treatment, is considered to an effective medical treatment procedure of infra red coagulation therapy. This is because:

Agni karma is a much more natural method of treatment for bleeding piles, and no unnatural substance like infra red light beam is used.
Agni karma provides treatment without failure, and success is guaranteed. 
Besides, guggulu kshar sutra therapy is also one of the best therapies - No side effects & no chances of recurrence, no hospital stay, no pain, join duty immediately. 

Bleeding Piles Treated by Agni Karma and Infra Red Coagulation Therapy

Piles are uncomfortable and painful. It can also be embarrassing and for this reason, many people delay their treatment. Piles usually affect middle aged people but at times, it can also affect younger men and women. Chronic constipation is one of the most common factors that can trigger piles. This is a condition where the veins near the anal opening in the rectum get inflamed. Any pressure that is put on the rectum puts pressure on these veins which may lead them pain and bleeding.

Luckily this is not a condition you need to live with and it can easily be treated with Ayurveda. Ayurveda approaches the treatment of this disease in multiple ways through dietary and lifestyle changes, medication, exercises and even massage therapy. It has negligible side effects and the potential to greatly improve the quality of your life even if you already have painful piles.

Dietary changes: Preventing constipation can prevent the development of piles. Hence, include plenty of fiber in your daily meals and cut down on starchy food. Adding sesame and mango seeds can also help prevent constipation. Fruits like jambul, papaya and dried figs are natural stool softners and should be eaten regularly.
Lifestyle changes: Along with eating the right food it is also essential to drink plenty of water. This helps the digestive system work smoothly. Avoid sitting in the same position for extended periods of time and only use soft, cushioned seats. Set aside at least an hour every morning for regular exercise such as walking, swimming, cycling or yoga. Certain yoga positions such as the downward facing dog and seated twist can make the process of eliminating waste easier. Scheduling a colon cleanse once in a while can also help treat piles.
Medication: Ayurvedic medication is based on herbs which have negligible side effects. Nagakesara is one such herb that is used to treat piles associated with bleeding. Haritaki and jimikand are two Ayurvedic herbs that can also help regulate your digestive system and treat piles. Abhayarishta is another herb that is often prescribed to treat piles. Kasiaditaila is an Ayurvedic medication that can be applied externally to help shrink piles and manage itching. It can also help relieve pain and bleeding. 
Though they have no major side effects, Ayurvedic medication should never be self-prescribed. Consult a qualified Ayurvedic doctor who will be able to prescribe the right medication in the right dosage for your problem.

How Ayurvedic Remedies Are Good For Piles?

Problems of the large intestine are very common and patients should usually consult gastroenterologists for the proper diagnosis and treatment

1. Bleeding per rectum: Bleeding through the anal canal or rectum is usually the most common problem of the patients. It can be due to following reasons: 

A. Piles also known as Hemorrhoids: Hemorrhoids are dilated venous channels of the anal canal. They occur due to long term constipation or chronic cough or due to less fibre intake in the diet. Sigmoidoscopy or proctoscopy is required for diagnosis. Treatment options include medicines and high fibre intake, Injection therapy(Sclerotherapy) for stopping bleeding from piles and Stapler hemorrhoidectomy if the piles are large.

B.  Polyps: Polyps are soft tissue growths seen in the large intestine. They are usually silent but can present with bleeding or anaemia. Polyps usually grow slowly in size and large polyps can turn into cancer of large intestine also known as colorectal carcinoma. Colonoscopy is required for the diagnosis. The gastroenterologists can diagnose the presence of polyps by colonoscopy. Smaller polyps can be removed by polypectomy by gastroenterologists without the need for open surgery. However large polyps or those polyps with suspicion of cancer require surgery.

C. Large intestine Ulcer: They can occur due to early cancer, SRUS, Infections or drugs. They require colonoscopy for the diagnosis. The gastroenterologists usually take Biopsy from the ulcer to know the cause of the ulcer. The mere taking of biopsy does not mean cancer and biopsy samples are seen in the microscope for better diagnosis.

D. Ulcerative Colitis and Crohn s disease: Ulcerative colitis is one form of Inflammatory bowel disease (IBD). The other IBD is known as Crohn s disease. Whereas ulcerative colitis involves only large intestine, Crohn s disease can involve any part of the gastrointestinal tract including small intestine. Ulcerative colitis and Crohn s disease present with Loose stools(diarrhea), bleeding , abdominal pain, weight loss, Anemia and Perianal fissures and  fistula. The diagnosis of IBD is challenging and involves blood tests, CT Scan abdomen, Colonoscopy with biopsy and clinical history. Management includes Medicines which control the inflammation such as Pentasa, Rowasa, Mesacol etc. Severe disease requires additional drugs such as Azathioprine and Anti TNF sich as Infliximab and Adalimumab. Occasional cases require surgery such as those with tight stricture of the intestine, severe dilatation of Large intestine (also known as Toxic megacolon), excessive bleeding, the disease not responding to medical management, or presence of cancer with IBD.

E. Anal fissures: Cut in the anal skin (fissure) causes severe pain in the anal area during passing motions. It is usually due to constipation or straining. It is usually treated by Gastroenterologists initially by medicines and ointments. If the pain continues Surgery is required named as Lateral internal sphincterotomy (LIS).

2. Loose motions or Diarrhea: Excessive passing of liquid motions is known as diarrhea or commonly lose motions. It is usually due to Infections caused by contaminated food and water. It is usually self-limiting. Severe cases with dehydration require admission for IV fluids and antibiotics for the infection. Loose motions for more than 6 to 8 weeks is known as chronic diarrhea. It is evaluated by blood tests and colonoscopy. Usual causes include tuberculosis, celiac disease, ulcerative colitis, microscopic colitis, Malabsorption such as chronic pancreatitis and small bowel bacterial overgrowth.

3. Irritable bowel syndrome (IBS): IBS is very common and at least 20 to 30 percent of Indian patients suffer from it. Symptoms include altered bowel habits such as diarrhoea or constipation, abdominal pain which is usually relieved or increased by defecation. Weight loss or bleeding is not the feature of IBS. Few simple blood tests are required and good medicines are now available for IBS. Few cases may require colonoscopy to rule out alternative causes of the symptoms.

Understanding colonoscopy: Colonoscope is a flexible tube with a camera at its tip to see the inside of the large and small intestine. Bowel preparation is required at least 8 hours before the procedure so that the inside of the large intestine can be seen clearly without the interference of stools.colonoscopy is an OPD based procedure where the patients are discharged the same day. A colonoscopy helps in evaluation symptoms of the large intestine such as loose stools, bleeding and abdominal pain.

In Detail About Colorectal Disorders!

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

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