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?

It s easy talking about cuts and bruises on your arms and legs but talking about hemorrhoids can be a bit embarrassing. Hemorrhoids or piles are swollen blood vessels in the rectum. They can be internal or external and can irritate bowel movements. Though this condition is not life threatening, it can be quite painful. Hence, it should be treated as early as possible. Homeopathy is a holistic form of healing that addresses the root cause of the problem to resolve it. Here are a few homeopathic remedies that can be used to treat hemorrhoids.

    Hamamelis: Hemorroids that bleed excessively can be treated with this homeopathic remedy. It also treats soreness and bruising caused by the swollen blood vessels. In such cases, the person also often suffers from anemia, breathlessness and weakness.
    Ratanhia: This is one of the best homeopathic remedies to treat painful piles. This pain is usually triggered by the passing of stool, but can persist for hours afterwards. It may also be accompanied by a burning sensation that can be relieved by cold water. In such cases, the passing of stool causes hemorrhoids to protrude.
    Graphites: Piles that are accompanied by constipation can be effectively treated with graphites. It is also suited for cases where the condition is triggered by obesity and menstrual irregularities.
    Nux Vomica: Hemorrhoids caused by a sedentary lifestyle are best treated with Nux Vomica. In such cases, the patient also suffers from burning pain in the rectum and constipation. Eating a lot of heavy food and the ingestion of stimulants like alcohol can trigger this condition. Nux vomica helps set the gastrointestinal system back in order and thus prevents the recurrence of piles.
    Aesculus: Piles that are accompanied by unexplained pain in the back can be treated with Aesculus. These piles may or may not bleed, but the rectum feels as though it is filled with sticks. In such cases, the patient may also feel intense itching, burning and soreness around the rectum.
    Arsenic album: This is used to treat piles that are accompanied by burning pain and restlessness that can be relieved by the application of heat packs. These patients also suffer from painful spasmodic protrusions of the rectum.
    Collinsonia: Hemorroids that cause incessant bleeding and a prolapsed rectum can be treated with collinsonia. The piles often protrude out of the anus in this situation and are associated with chronic constipation or diarrhea. It can also be used to treat piles associated with pregnancy.

Homeopathic Remedies That Can Help Treat Hemorrhoids

As our lifestyle and living habits change, we experience a lot of new phenomena and changes in our body systems. One of the biggest changes that we can actually see is the change in the digestive system and the regularity or the irregularity of our stools. When we eat healthy and lead an active lifestyle, we are more likely to have a better digestive system, whereas if we eat more junk or take meals at irregular timings and do not set a system for the body, we put it at great risk of diseases and health issues. One of the most common problems that a lot of people face is constipation.

While constipation in itself may be tackled without much problem, the real issue arises when it turns into something more troublesome such as piles. The issue of piles arises when the veins in the anal region start to swell because of a disturbed blood flow. The swollen regions and the lack of fibre in the stools combine to make the process of passing stools very uncomfortable, painful and it may also lead to the bleeding of the anus.

Treating the issue of piles:
Piles is a health problem that is mainly supported and aggravated because of wrong eating habits, sedentary lifestyle and excessive constipation. One of the most important things that you can do in the course of getting the problem under control is to start eating right. Eating foods with high fibre content and foods that speed up the digestive systems may go a long way in easing out the pain. It may also be important to keep liquid intake under check so that more and more liquid and other healthy drinks are consumed. Choosing to exercise regularly and indulging in workouts that help keep the intestines strong are the best alternatives.

Apart from things that you can do on your own, it may also be important to make sure that you take the right professional medical help. When you have the best help on your side you may be able to make sure that you get the issue treated within a short span of time without having to suffer greatly. However, it is also essential to make sure that the best type of treatment is chosen. In most cases, choosing Homeopathy for treatment may be your best bet. When you opt for homeopathy for piles, you may be able to treat the issue without having to use chemically charged and loaded antibiotics and it may be an easier route to a healthy living.

Why take homeopathic treatment?
The reason why homeopathy is most demanded in the case of piles is because of the fact that conventional medication may lead you to go through surgery for getting relief from the issue. Not only does a surgery increase the burden of increased finances, but also means that it is physically more straining. While homeopathy offers natural and chemical free medicines that treat the root cause of the disease.

Why Homeopathic Treatment is Best for Piles?

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 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

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