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

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

Haemorrhoids or piles is a condition where the veins in and around your anus become swollen. This swollen vein sticks out from the anus and can make sitting and moving difficult. Laser haemorrhoidoplasty is one of the best ways to treat advanced forms of the condition. However, before knowing more about the procedure, you should learn more about piles in general.

Causes of piles-
You are likely to develop piles in the following events  
  If you strain excessively during bowel movements
  If you sit for prolonged periods on the toilet
  If you suffer from constipation or chronic cases of diarrhoea
  If you are overweight or obese
  If you are pregnant
  If you engage in anal sexual intercourse
  If your diet lacks proper quantities of fibre
The likelihood of having piles increase with your age. This is because the tissues supporting your veins tend to lose their strength, as you grow old.

Symptoms of piles-
If you suffer from piles, you can easily notice certain symptoms from the condition. Here are the most common signs of haemorrhoids  
  You will notice bleeding during bowel movements. However, you will not feel any pain from the said bleeding.
  Your anal and rectum area will itch throughout the day. You will experience irritation in the region as well.
  You will notice a lump formation near the anus, which will lead to extreme pain and discomfort. Sitting and walking may also become painful due to the presence of the lump
  You may also notice a general swelling in your anus region.
However, the exact symptoms may vary from one affected person to the next, based on the location and type of haemorrhoids.

How does laser haemorroidoplasty help in the treatment of piles?
While most haemorrhoids are treated with medication and lifestyle changes alone, advanced cases require additional procedures. Laser haemorrhoidoplasty is one such procedure used to treat severe piles cases.
This treatment results in the reduction of the size of the haemorrhoid. The laser energy passes through the haemorrhoidal node, destroying it in the process.

Here are some advantages of laser haemorrhoidoplasty  
  Closes the arteries carrying blood inside the haemorrhoid
  Reduction of the haemorrhoidal node tissues
  Preservation of most of the mucosa, anal lining and muscle
  Rectifies the issues with the anatomical structure and restores it to normal
  A minimally invasive procedure, which limits post-operative pain and scarring

If you suffer from an advanced stage of piles, speak to your doctor and see whether laser haemorrhoidoplasty is an option for you.

Laser Haemorrhoidoplasty - What All Should You Know About It?

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 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?

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

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