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?

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

Rarely do people ascribe Erectile Dysfunction to Hemorrhoids. Yet the correlation between the two is not far-fetched. Research has suggested that men who have suffered from Hemorrhoids in the last year are at an increased risk of developing Erectile Dysfunction. These two conditions are apparently incongruous. For someone suffering from Erectile Dysfunction, there is a lack of blood flow to the penis. For someone suffering from Hemorrhoids, there is swelling of veins inside the rectum. 

Younger people are more at risk unlike most diseases like High blood pressure, Alzheimer s diseases etc which are progressively more likely to occur in older men, this problem is more likely in younger than in older men. The study found that about 24.9% men under 40 years, who had been diagnosed with hemorrhoids in the last year, had suffered from Erectile Dysfunction. So the correlation is more prevalent in younger men than older men. According to the findings of the study, men aged 30 or less are more likely to experience Erectile Dysfunction after being diagnosed with Hemorrhoids in the last year. Moreover, men between the ages of 30-39 are twice more likely to suffer from Erectile Dysfunction if diagnosed with Hemorrhoids in the last year.

The correlation between age and likelihood of occurrence of Erectile Dysfunction due to Hemorrhoids is quite clear from these findings. The Apparent reason according to researchers in the study, localized swelling of varicose veins in the deep anus region may be responsible for some local irritation which can give rise to Erectile Dysfunction. Manage the Pain First Young men, who are suffering from Erectile Dysfunction, ostensibly arising out of the presence or history of Hemorrhoids in the past year, need to first manage the pain due to Hemorrhoids. Pain arising out of Hemorrhoids can be very difficult to put up with. A decrease in hemorrhoids pain can reduce the discomfort to some extent. Bleeding during bowel movement, intense pain during and after sitting, a feeling of itchiness or irritation near the anus etc are all indicators of hemorrhoids. If one has to habitually push hard during a bowel movement, he/she is more likely to suffer from Hemorrhoids, since the varicose veins can swell up during such hard pushing. 

The solution to alleviate pain, one can use various topical solutions containing Witch Hazel and Aloe Vera. These are anti-inflammatory herbs. Most of the anti-hemorrhoid creams contain either of these two. Apart from using topical solutions, one needs to change his dietary habits. One should abstain from foods that upset the stomach and adopt foods that soften the stool. This can help one avoid straining while moving bowels and spare the varicose veins from being inflamed. One can also benefit by practicing anal breathing which exercises the PC muscles and the anal sphincter. This could benefit both Hemorrhoids and Erectile Dysfunction.

Hemorrhoids - How It Increase Risk Of Erectile Dysfunction?

Are you suffering from piles and are looking for an effective and natural treatment measure? You can now opt for an Ayurvedic treatment of piles, which is an effective and an all-natural remedy. Piles or hemorrhoids refer to the swelling inside or near the bottom of your rectum, which contains enlarged blood vessels. The cause of piles is associated with increased pressure in the blood vessels near your anus. 

Here are some top Ayurvedic ways for treating piles:

Avoid a sedentary lifestyle: Sitting in the same posture for long hours without any movement can lead to piles. The lack of physical activity is a common cause of piles in modern day. Hence, it is important for you to work out, stay fit, and active. You must exercise every day strictly for treating and preventing piles.
Avoid food items which are difficult to digest: Piles develop because of an increased pressure on the walls of the rectum. So eat light food, which is easy to digest and eliminate as stool. You should add a lot of fruits and vegetables to your regular diet.  
Consume food items which improve your digestion: In case of a weak digestive system, you should add probiotic rich food to your diet. You can also take probiotic supplements which enhance your digestion, soften your stools, and exert less pressure on your rectum walls.
Have a detox drink daily: Prepare a mixture of ginger, fresh mint, lemon juice, and honey and drink it. This improves your digestion and treats piles. Add food items such as mango seeds, onion, radish, wheat, rice, turnip, sesame seeds, bitter gourd, papaya, and other  fiber rich stuff to your diet. 
Increase your water intake: Dehydration causes the stool to turn hard, making bowel movements difficult. So drink a lot of water for enabling the stool to pass easily.
Dried figs: Soak dried figs in warm water and consume them in the morning. This is very effective in curing piles.
Prevention
You can prevent piles or hemorrhoids from affecting you by taking some simple steps. 

Drinking sufficient water and eating fiber-rich food is the key. 
Also drink castor oil mixed with milk, which makes your stool soft, and helps it pass easily. It also reduces the pressure on your rectum walls and muscles. 
Massaging your abdomen using marjoram oil and rosemary oil is quite effective. 
To know more about the best Ayurvedic remedies, which are ideal for treating your condition and diagnosing the specific symptoms or problems you are facing, consult an Ayurvedic practitioner.

Piles - 6 Amazing Tips That Can Treat It!

Piles can be really painful and embarrassing but fairly common at the same time. it should not be taken as a social stigma as with awareness and proper treatment, the condition can be managed and treated well. If overlooked then it may lead to many complications which are difficult to manage.

In Ayurveda, a complete cure to haemorrhoids is possible, so seeking medical attention can be of great help to relieve you from this condition. Piles, also known as Haemorrhoids is a condition in which veins at the lower end of rectum get inflamed and enlarged. When pressure on the rectum and anus increases, it causes added pressure to these veins, resulting in formation of haemorrhoids. They may burst and cause rectal bleeding. Haemorrhoids are most commonly found in middle-aged and old people while also in people who suffer from regular constipation. 

Types of Piles -

Haemorrhoids are of two kinds, internal and external based on their location. Internal haemorrhoids are located in the inner lining of the anal tract. These veins within the rectum are concealed and cannot be felt so they are painless but when ruptured can lead to bleeding. External haemorrhoids are located on the outer surface of the rectum and can be seen, felt and when inflamed become painful. These are the more troubling type of piles. 

Causes and Symptoms of Piles 

Piles are caused mostly by constipation, but other causes may include untreated gastric conditions such as dysentery, sedentary lifestyle, obesity, genetic constitution and weight of increasing uterus during pregnancy. 
If you are experiencing bleeding in anal region during defecation without any pain; you are suffering from 1st stage of Piles. If problem is not treated at this stage; Pile masses start progressing. 
In starting, Pile mass come out during passing stool and go inside by itself (2nd stage). Later on these pile masses need to be reduced manually. If still Piles is not treated; Pile mass comes out again even after manual reduction while coughing, sneezing etc. (3rd stage). While piles may be an embarrassing issue to talk about, it should not be ignored either. It can be easily dealt with simple ways, and in most cases, all it takes is some lifestyle changes to get rid of the problem. 
However, if left untreated, there could lead to severe complications. Some of them have been listed below. 

Bleeding: In patients who have chronic bleeding, it could lead to chronic blood loss. Patient can develop anaemia because of this regular bleeding. 
Mass protruding out from anal opening: If Piles are not treated at 1st stage; it can lead to development of pile mass which protrudes out from anal opening while passing stool and go inside. In later stages; this pile mass come out even on sneezing and coughing. At this stage they are prone to get infected as most of the time Piles are outside the anal opening. 
Hygiene issues: The itching and discharges can lead to the patient having poor hygiene around the anal area. This further can lead to complications like infections. The area around the anus also becomes difficult to clean if the masses are more in number and size. 
Surgical correction may be attempted in severe cases, but this also can lead complications in some people. These include: 
Excessive bleeding which does not stop after the surgery. 
Postsurgical infection 
Anal fistula, which is a connection between the area of piles and the anal canal. 
Damage to sphincter muscles leads to faecal incontinence, which is a loss of control over passing stool.
Ayurveda Treatment of Piles 
Ayurveda has various approaches to the treatment of piles. Piles can be treated by diet, lifestyle, herbal supplements, Ayurvedic medication, and exercise. Ensuring good digestive health helps with piles if constipation is the cause of it. 

Vegetables such as onion, bitter gourd, radish, and turnip are high on roughage and are a must to add to your diet as well. 
Other than the diet you need to introduce specific lifestyle changes such as a colon cleanse every once in a while, and regular exercise. 
Increase water intake, up to 8 glasses per day. 
Keep away from processed foods 
Increase consumption of fruits and vegetables 
Do not sit for more than an hour in one position 
Stick to stool timings and develop good stool habits 
Do not suppress the urge to pass stools for too long and for too often 
So, follow the instructions of your Ayurveda doctor to embark on the road to cure. If these measurements are not successful; kshar karma or Ksharsutra ligation of Pile mass is necessary. In the ligation procedure; Ksharsutra   medicated thread is legated at the root of Pile mass. 

Medicine released from Ksharsutra blocks the blood supply to pile mass and Pile mass sheds off in 7   10 days. Ksharsutra ligation is a para surgical procedure done under local anaesthesia. No hospitalization or bed rest is necessary in Ksharsutra Treatment for Piles. Daily routine activities along with office work can be done during Ksharsutra Treatment. So Piles can be treated completely in all its stages with Ayurvedic treatment. However, this procedure is to be performed only by a surgical specialist of Ayurveda..

Painful Piles - Why You Should Not Ignore Hemorrhoids

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.

Cure Piles in 15 Minutes (BIEM)-


 Biological Impendence Electrical auto-Measurement  (BIEM) concept is a smart and advanced technology that able to produce controlled  tissues fusion  without causing any carbonation. This technology is being aggressively develop and incorporated into the variety of modern surgery.

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!

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