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!

Many women experience a temporary encounter with hemorrhoids when they are pregnant. Quite surprisingly, most people tend to experience this in their daily lives. By the age 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and may be prolapse where the hemorrhoids protrude out of the anal canal. Though this ailment can be rarely detrimental, it can be a painful intrusion. But thankfully, there are a lot of things we can do about them.

How may this be diagnosed?
Hemorrhoids are usually diagnosed from a plain medical history and health exam. External hemorrhoids, more commonly known as piles, are normally apparent, particularly if a blood clot is formed. Your physician shall perform a digital rectal test to detect blood in the stool. Then the physician may also inspect the anal tube with the aid of an anoscope, which is a short plastic channel interjected into the rectum with illumination. If he finds any evidence of microscopic blood or rectal bleeding in the stool, then there may be a need to perform colonoscopy or flexible sigmoidoscopy to determine the probable causes of bleeding like cancer or colorectal polyps, specifically in women aged over 50.

Is it possible to treat hemorrhoids at home?
Most of the common symptoms of piles can improve drastically with simple in-home measures. If you are suffering from occasional flare-ups, you may try the following:

    Eat a lot of fibre: It is recommended to add fibre in the diet; may be a fibre supplement like Citrucel, Fibre con, etc. When you drink a lot of water along with loads of fibre, stools get softened making them effortless to pass, which will reduce the pressure on the swollen veins. Eating broccoli, wheat, oats, beans, fresh fruits every day will help in decreasing bleeding caused due to piles. It also reduces swelling and inflammation. If you feel digestive issues with a sudden splurge of fibre in your diet, you may start slowly and gradually increase the amounts.
    Take a sitz bath: A sitz bath is a lukewarm water bath for the lower back portion of the body, which can help in relieving irritation, itching as well as spasms occurring in the sphincter muscle. You can either get small plastic tubs for a sitz bath or sit in a normal bath tub. Most physicians suggest a half an hour sitz bath after every bowel movement. Then tenderly dry the area and avoid wiping it hard.

There are several invasive treatments that can be opted if these conservative treatments are not able to help your condition. In such an instance, it is always wise to seek advice of a medical practitioner. 

How to Deal with Hemorrhoids?

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!

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

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?

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?

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