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

Piles or haemorrhoids might cause severe bleeding in the anal region due to an abnormal enlargement of the rectal veins. The bleeding occurs as a result of a sudden increase of pressure in the rectal area.

The haemorrhoids, which tend to grow on the exterior part of the anus, are usually severely painful as compared to the internal haemorrhoids (which are invisible and grow on the insides of the rectal area).

What are the possible causes?
The major causes of haemorrhoids are genetic factors, pelvic tumours, excessive alcohol consumption, obesity, lack of regular physical exercise, undiagnosed and chronic gastric disorders such as dysentery, diarrhoea or constipation and a significant increase in weight of the uterus during pregnancy.

Major Signs:
The signs and symptoms of this disease might include intense pain and irritation in the rectal area along with the presence of blood in the faeces and abnormal swelling of the affected area.

Homeopathy For Piles:

When it comes to alternative or complementary treatments for piles or hemorrhoids, Homeopathy offers the best treatment for piles. It is the best not only because the cure rate is exceptionally good but also because Homeopathic treatment for piles offers several more advantages. It is very economical when compared to any other alternative or complementary treatment for piles. At the same time, the homeopathic medicines do not have any side effects. This is one of the biggest advantages of Homeopathy over any other system of medicine. While you are under treatment of any other system of medicine, you run the risk of getting one or the other side effect while Homeopathic treatment for piles is absolutely safe. That is why I say that Homeopathy is the best when it comes to alternative or complementary treatment for piles or Hemorrhoids.

If taken in a prescribed dosage, homeopathy can be very effective to cure piles. The most beneficial homeopathic preparations for piles are:

Nux vomica: This homeopathic preparation is useful to cure piles that exhibit the symptoms of extreme irritability and intolerance towards cold weather. If the reasons behind piles include the consumption of spicy foods, excessive intake of alcohol and smoking, this particular remedy can work wonders. 
Hamamelis: This preparation is used to address such a condition if the symptoms exhibited include blood in the feces along with continuous discomfort and contusion (an area of injured tissues).
Ratanhia: This preparation provides an effective remedy for severely painful hemorrhoids (which cause complications during excretion) along with the symptoms of severe pain that persists even after several hours of excretion and a burning sensation in the concerned area.
Graphites:  This medicine works especially well for the fairer sex if the symptoms happen to include chronic constipation, skin eruptions in the rectal area and menstrual abnormal menstrual cycles. 
Aesculus HIppocastanum:  This homeopathic preparation provides an effective remedy for non-bleeding hemorrhoids that exhibit symptoms of severe back pain and pain in the anal regions.
Arsenic Album: This homeopathic offering eases the symptoms that worsen with any sort of movement. Severe bleeding of the hemorrhoids can also be treated with this medication. 

Role of Homeopathy in Hemorrhoids

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

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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