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.

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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!

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?

Piles or haemorrhoids refer to a condition when the veins of the rectum or the anus get abnormally enlarged and causing significant bleeding and inflammation. Generally, there are two types of piles that are found in the human body. One is internal haemorrhoid which is generally painless and occurs in the inner layer of the anal region. The other is external haemorrhoid which occurs in the external layers of the rectum making it easily visible and extremely painful.

The causes of Haemorrhoids are obesity, a desk-bound lifestyle, untreated chronic gastric conditions like dysentery, diarrhoea, constipation, hereditary factors, pelvic tumours and significant increase in the weight of the uterus at the time of pregnancy.

The symptoms of piles include severe pain in the anal region followed by blood discharge with the faecal materials along with extreme irritability in the particular region and abnormal enlargement around the anal region.
In Ayurvedic treatments, piles are referred to as Arsha Shoola which means extreme painful conditions that resemble needle piercing. However, this intense sensation of pain can be eradicated by Ayurvedic treatments as it concentrates on the elimination of the symptoms. 

Some essential Ayurvedic remedies for piles are as follows:

Haemorrhoid is a medical condition that largely occurs due to a bad digestive system. A prescribed dosage of haritaki and jimikand might help in the overall improvement of your digestive system.
According to the Ayurvedic scriptures, piles can be treated, if you can maintain a healthy dietary regime that should include amalaki, papaya and jamrul, but not excessive starch-containing foods like potato and pumpkin.
A mixture containing radish and milk can be applied in the entrance of the anus twice a day to cure piles.
A juicy extract of mint leaves and ginger along with a pinch of lemon juice and honey can be consumed twice a day to get rid of piles.
If the bleeding is continuous a prescribed dosage of the herb nagakesara might provide adequate relief.

Piles - 5 Ways Ayurveda Can Treat 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.

If you would like to consult with me privately, please click on 'Consult'.

5 Foods Items You Should Eat In Piles Problem

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!

Piles or haemorrhoids might cause severe bleeding in the anal region due to an abnormal enlargement of the rectal veins. The bleeding occurs as a result of a sudden increase of pressure in the rectal area.

The haemorrhoids, which tend to grow on the exterior part of the anus, are usually severely painful as compared to the internal haemorrhoids (which are invisible and grow on the insides of the rectal area).

What are the possible causes?
The major causes of haemorrhoids are genetic factors, pelvic tumours, excessive alcohol consumption, obesity, lack of regular physical exercise, undiagnosed and chronic gastric disorders such as dysentery, diarrhoea or constipation and a significant increase in weight of the uterus during pregnancy.

Major Signs:
The signs and symptoms of this disease might include intense pain and irritation in the rectal area along with the presence of blood in the faeces and abnormal swelling of the affected area.

Homeopathy For Piles:

When it comes to alternative or complementary treatments for piles or hemorrhoids, Homeopathy offers the best treatment for piles. It is the best not only because the cure rate is exceptionally good but also because Homeopathic treatment for piles offers several more advantages. It is very economical when compared to any other alternative or complementary treatment for piles. At the same time, the homeopathic medicines do not have any side effects. This is one of the biggest advantages of Homeopathy over any other system of medicine. While you are under treatment of any other system of medicine, you run the risk of getting one or the other side effect while Homeopathic treatment for piles is absolutely safe. That is why I say that Homeopathy is the best when it comes to alternative or complementary treatment for piles or Hemorrhoids.

If taken in a prescribed dosage, homeopathy can be very effective to cure piles. The most beneficial homeopathic preparations for piles are:

Nux vomica: This homeopathic preparation is useful to cure piles that exhibit the symptoms of extreme irritability and intolerance towards cold weather. If the reasons behind piles include the consumption of spicy foods, excessive intake of alcohol and smoking, this particular remedy can work wonders. 
Hamamelis: This preparation is used to address such a condition if the symptoms exhibited include blood in the feces along with continuous discomfort and contusion (an area of injured tissues).
Ratanhia: This preparation provides an effective remedy for severely painful hemorrhoids (which cause complications during excretion) along with the symptoms of severe pain that persists even after several hours of excretion and a burning sensation in the concerned area.
Graphites:  This medicine works especially well for the fairer sex if the symptoms happen to include chronic constipation, skin eruptions in the rectal area and menstrual abnormal menstrual cycles. 
Aesculus HIppocastanum:  This homeopathic preparation provides an effective remedy for non-bleeding hemorrhoids that exhibit symptoms of severe back pain and pain in the anal regions.
Arsenic Album: This homeopathic offering eases the symptoms that worsen with any sort of movement. Severe bleeding of the hemorrhoids can also be treated with this medication. 

Role of Homeopathy in Hemorrhoids

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