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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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?

Is Constipation the Only Cause of Piles? + It's Symptoms

Piles, which are also called hemorrhoids, refer to the swelling of the veins near the anus and rectum, which get irritated during bowel movements, causing pain and bleeding during stool motions. The veins near the rectum or the anus may rupture during strained bowel movements and thus, cause the blood to come out with the stool. This can be very painful for the patient and has a very disruptive effect on their lives.

Causes of Piles

There may be many causes for piles or hemorrhoids and the cause may vary from patient to patient. Let's have a look at a few of them.

Straining when passing a stool - This is by far the most common reason for piles and this is what causes the irritation on the veins or causes them to rupture

Chronic Constipation: People suffering from chronic constipation due to gastrointestinal problems may also suffer from piles due to putting pressure constantly to relieve themselves.

Lifting a heavy weight or doing strenuous work: This can also put physical stress on the anus or rectum and cause swollen veins, which may then rupture during the passage of stool.

Pregnancy - Pregnancy causes many hormonal changes in the body and the strain may also result in piles.

Symptoms of Piles

Some of the symptoms of piles or hemorrhoids are:

- Painful bowel movements, which hurt the rectum or the anus, accompanied by general tenderness within the region
- Bleeding or seeping of a bright red color blood onto the stool on the toilet or even on toilet paper
- Itching in the anal areas, which may be continuous or intermittent
- A swelling or lump near the anus, which is painful
- A mucus-like discharge from the anus

There may be one or more factors present in particular cases and if there is a pain in the rectal area, it is best to get it checked out by a doctor as soon as possible.

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

Is Constipation the Only Cause of Piles? + It's Symptoms

Piles or Haemorrhoids is a disease of the anal canal. The veins in this region get affected. They swell as blood stagnates inside them. This causes discomfort while passing stool. The most obvious symptoms of piles are bleeding and pain at the time of excretion or passing of the stool. For most of the patients with piles, sitting or standing becomes a tedious task.

What causes piles?
The primary reason behind the occurrence of piles is a patient s sedentary lifestyle. Most of it also depends on upon his or her diet intake. Many of us consume a lot of carbohydrates, fats and proteins in our regular meals. But, we forget or are simply reluctant to take up physical exercises. This, in turn, leads to increase in body weight and hampers the activity of our digestive system. As a result, patients develop diseases like piles.

Diet plays a vital role in preventing piles. If we don t add an adequate amount of fibre or roughage to our diet, there is a potential threat of developing piles. Fibres help with the convenient evacuation of the stool. In fact, fibres form the bulk of the stool. Besides, insufficient intake of water may also cause this disease.

Natural ways to tackle Piles
Piles can be managed or tackled by bringing in some changes in our lifestyle. Some of the ways of managing piles have been listed below:

Add more roughage and fruits to your diet
Exercise regularly
Avoid laxatives
Sit in a tub of hot water to get relief from the pain
Drink plenty of water
Homoeopathic treatment for Piles
When it comes to the treatment of piles, Homeopathy is quite safe and an effective method to get rid of the problem. It doesn t have any side effect on the patient s health. It doesn t include any painful surgery for removal of piles. Moreover, homoeopathy is budget-friendly. Here are some effective homoeopathic medicines, useful in curing piles:

Hamamelis: This medicine is useful in stopping the bleeding in piles. It can cure any venous congestion and bleeding. It can also be taken when the patient develops a feeling of soreness.
Ratanhia: It gives relief from the pain due to piles. A patient suffering from piles feels immense pain and a burning sensation at the time of stool evacuation and even for hours after that.
Graphites: It is prescribed to a patient suffering from both constipation and piles. It is given to them who are obese, have skin eruptions and constipation.
Nux Vomica: It is given to patients who have a sedentary lifestyle, take spicy food and are active smokers and alcohol drinkers. Usually, patients who have been advised to take Nux Vomica are aggressive in nature. It cures piles as well as digestive disorders.
Things to remember: These medicines are only some of the homoeopathic remedies available in the market. It is best to consult a homoeopathic practitioner for the perfect treatment. 

How Homeopathy is the Best Way to Treat Piles? 

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!

Piles or haemorrhoids cause severe bleeding (coupled with severe pain and blood in the stool) in the anal region because of sudden increased pressure in the concerned area due to an abnormal enlargement of the rectal veins.

The haemorrhoids, which grow on the outer part of the anus, are more painful as compared to the internal haemorrhoids (which are generally not visible on the outside and grow on the insides of the rectal area).

Primary Causes-

The major causes of haemorrhoids are hereditary factors, excessive alcohol consumption, weight gain, lack of regular physical exercise, undiagnosed and chronic gastric disorders such as dysentery, diarrhoea or constipation, tumour in the pelvic areas and a significant enlargement of the uterus during pregnancy.

Out of all the diseases, the most feared are the ones are that remind one of surgeon s knife. Piles is just one out of those diseases. But with Homeopathic medicines one can can be saved from the surgeon s knife; moreover they are entirely safe, gentle and the cure of piles is permanent. This means that homeopathy can help in the complete recovery of piles. Homeopathic Remedies for hemorrhoids aim at correcting the internal disturbances of venous system by making the vein valves more strong which helps in a complete recovery. The sooner the patient approaches a homeopathic physician for piles treatment, higher are the chances of a  complete recovery and avoidance of surgery.  Homeopathy should be the preferred and the first mode of treatment in piles owing to the use of safe, natural nature of medicines before. Some of the most common homeopathic medicines for piles are-

Ratanhia: Piles, accompanied by severely painful hemorrhoids (which cause tremendous pain during excretion) and severe/persistent pain that stays for several hours after excretion, can be addressed by this medication.

Nux vomica: For extreme sensitivity to cold on having been diagnosed with piles, you might be recommended this particular medicine. This homeopathic preparation can also help if one is suffering from piles caused because of the excessive consumption of spicy foods, alcohol.

Graphites: It provides an effective remedy for piles along with symptoms of chronic constipation, frequent skin eruptions and persistent menstrual anomalies.

Arsenic Album: A burning sensation around the anal region that worsens with any form of physical movement or exercise can be taken care of with this particular antidote. It is also prescribed if the hemorrhoids bleed severely.

Hamamelis: This homeopathic preparation is useful to remedy cases of the presence of blood in the feces.

These are just a few of the commonly used Homeopathic remedies and are mentioned only to create awareness about the effectiveness of Homeopathic medicines for scabies. It is not advisable to resort to self-medication for any disease.

Homeopathy and Piles

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