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Piles (Haemorrhoids) Basic Information For Everyone

Dr. Ojas Potdar 92% (1232 ratings)
DNB GENERAL SURGERY, MBBS
General Surgeon, Mumbai
Piles (Haemorrhoids) Basic Information For Everyone

What are hemorrhoids? — hemorrhoids are swollen veins in the rectum. They can cause itching and pain. Sometimes they can also make you bleed during a bowel movement.

In some cases, you can see or feel hemorrhoids around the outside of the rectum. In other cases, you cannot see them because they are hidden inside the rectum.

Should I see a doctor or nurse? — you should see a doctor or nurse if you have any bleeding or if your bowel movements look like tar. Bleeding could be caused by something other than hemorrhoids, so you should have it checked out.

If you do have hemorrhoids, your doctor or nurse can suggest treatments. But there some steps you can try on you your own first.

What can I do to keep from getting more hemorrhoids? — the most important thing you can do is to keep from getting constipated. You should have a bowel movement at least a few times a week. When you have a bowel movement, you also should not have to push too much. Plus, your bowel movements should not be too hard.

Being constipated and having hard bowel movements can make hemorrhoids worse. Here are some steps you can take to avoid getting constipated or having hard stools:

●eat lots of fruits and vegetables. They have fiber, which helps to increase bowel movements.

●take fiber powders, wafers, or pills. You should get 20 to 35 grams of fiber a day.

●take medicines called stool softeners such as docusate sodium or bulk-forming laxatives. Bulk-forming laxatives include psyllium seed, methylcellulosepolycarbophil, and wheat dextran. These medicines increase the number of bowel movements you have. They are safe to take and they can prevent problems later.


What can I do to reduce my symptoms? — some people feel better if they soak their buttocks in 2 or 3 inches of warm water. You can do this up to 2 to 3 times a day for 10 to 15 minutes. Do not add soap, bubble bath, or anything to the water.

There are also medicines that you can get without a prescription. They are usually creams or ointments that you rub on your anus to relieve pain, itching, and swelling. Some hemorrhoid medicines come in a capsule (called a suppository) that you put inside your rectum. Others come in a cream that comes in a bottle with a nozzle that you put inside your rectum. It is ok to try these medicines. But do not use medicines that have hydrocortisone (a steroid medicine) for more than a week, unless your doctor or nurse approves.

What if the self-care steps do not work? — if you still have symptoms after trying the steps listed above, you might need treatments to destroy or remove the hemorrhoids.

One popular treatment is called" rubber band ligation" for this treatment, the doctor ties tiny rubber bands around the hemorrhoids. A few days later the hemorrhoids shrink and fall off. The doctor can also use lasers, heat, or chemicals to destroy hemorrhoids. But if none of these options works, there is always surgery to remove the hemorrhoids.

Haemorrhoids (Piles) Basics!

Dr. Ojas Potdar 92% (1232 ratings)
DNB GENERAL SURGERY, MBBS, National Board Of Examination
General Surgeon, Mumbai
Haemorrhoids (Piles) Basics!

What are hemorrhoids? — hemorrhoids are swollen veins in the rectum. They can cause itching and pain. Sometimes they can also make you bleed during a bowel movement.

In some cases, you can see or feel hemorrhoids around the outside of the rectum. In other cases, you cannot see them because they are hidden inside the rectum.

Should I see a doctor or nurse? — you should see a doctor or nurse if you have any bleeding or if your bowel movements look like tar. Bleeding could be caused by something other than hemorrhoids, so you should have it checked out.

If you do have hemorrhoids, your doctor or nurse can suggest treatments. But there some steps you can try on you your own first.

What can I do to keep from getting more hemorrhoids? — the most important thing you can do is to keep from getting constipated. You should have a bowel movement at least a few times a week. When you have a bowel movement, you also should not have to push too much. Plus, your bowel movements should not be too hard.

Being constipated and having hard bowel movements can make hemorrhoids worse. Here are some steps you can take to avoid getting constipated or having hard stools:

●eat lots of fruits and vegetables. They have fiber, which helps to increase bowel movements.

●take fiber powders, wafers, or pills. You should get 20 to 35 grams of fiber a day.

●take medicines called stool softeners such as docusate sodium or bulk-forming laxatives. Bulk-forming laxatives include psyllium seed, methylcellulose, polycarbophil, and wheat dextran. These medicines increase the number of bowel movements you have. They are safe to take and they can prevent problems later.

What can I do to reduce my symptoms? — some people feel better if they soak their buttocks in 2 or 3 inches of warm water. You can do this up to 2 to 3 times a day for 10 to 15 minutes. Do not add soap, bubble bath, or anything to the water.

There are also medicines that you can get without a prescription. They are usually creams or ointments that you rub on your anus to relieve pain, itching, and swelling. Some hemorrhoid medicines come in a capsule (called a suppository) that you put inside your rectum. Others come in a cream that comes in a bottle with a nozzle that you put inside your rectum. It is ok to try these medicines. But do not use medicines that have hydrocortisone (a steroid medicine) for more than a week, unless your doctor or nurse approves.

What if the self-care steps do not work? — if you still have symptoms after trying the steps listed above, you might need treatments to destroy or remove the hemorrhoids.

One popular treatment is called" rubber band ligation" for this treatment, the doctor ties tiny rubber bands around the hemorrhoids. A few days later the hemorrhoids shrink and fall off. The doctor can also use lasers, heat, or chemicals to destroy hemorrhoids. But if none of these options works, there is always surgery to remove the hemorrhoids.

2 people found this helpful

Internal Haemorrhoids - Best Ways They Can Be Treated!

Dr. Jiten Chowdhry 89% (10 ratings)
MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, FAIS, Fellowship In Minimal Access Surgery
General Surgeon, Mumbai
Internal Haemorrhoids - Best Ways They Can Be Treated!

Hemorrhoids or piles are diagnosed by swelling of veins in the lower part of anus and rectum. Due to swelling, the walls of rectum and anus are stretched and thus become irritated. Hemorrhoids are of two types: Internal and External hemorrhoids.

Internal Haemorrhoids: As the name suggests, the piles are not visible from outside. These are present deep inside the rectum, located above the pectinate line and these are covered with the cells that are present through the rest of intestines. Internal hemorrhoids are normally painless. The first sign of internal hemorrhoids is rectal bleeding. However, straining can push internalhemorrhoid and it protrudes through the anus and this can be painful.

Causes of Haemorrhoids
The swelling of hemorrhoid occurs only when the pressure in the small vessels of rectum and anus is increased and is engorged with blood. The size of the hemorrhoids is also increased. The increased pressure may be due to various factors:

  • Consuming low fiber diet and pushing or straining while passing stools, thus blood vessel pressure is increased.
  • Pregnancy also is a cause of swelling as there is the increased pressure of the uterus on rectum and anus.
  • Sitting for long on toilet also increases pressure.
  • Obesity is also a cause of hemorrhoids.
  • People suffering from diarrhea, both acute and chronic.
  • A person having colon cancer might have hemorrhoids.

Signs and Symptoms of Haemorrhoids:

  • The most common symptoms of hemorrhoids are painless bleeding, itching in anal, swelling and feeling of the presence of lump at the anus.
  • All these symptoms are associated with inflamed hemorrhoid.
  • Inflamed internal hemorrhoid can cause swelling, but is painless as there are no fibers attached to veins above the pectinate line that cause pain. However, passing hard stools can scrape off the thin lining of hemorrhoid, which can cause the painless bleeding.
  • Spasms of the rectum and anal muscles caused by these swollen hemorrhoidscause pain, especially when they are protruded through the anus.
  • Internal hemorrhoids can form a clot or thrombose resulting in severe pain.
  • The presence of has inflammation, stool,and constant moisture and these can lead to itching and burning sensation in the anus among patient of internal hemorrhoid.

Treatment of Haemorrhoids

  • Diet: Haemorrhoids can be treated when individuals consume a fiber-rich diet in order to soften the stools and ease their bowel movements. Fiber-rich foods include fresh fruits, dry fruits, grains, vegetables, and cereals. About 20 to 30 grams per day of fibrous foods is recommended. Dietary fiber will help create bulk in the intestines which will help in softening of stools and ease bowel movement. Supplemental fiber available in the marketincludes psyllium husk, methylcellulose, and calcium polycarbophil. Other recommendations include increased intake of liquids and having stool softeners. Drinking enough water and liquids will prevent stool from hardening.
  • Over-the-counter topical treatment: There are various products available to treat hemorrhoids, such as gels, hydrocortisone creams, ointments, foams, pads, and suppositories.
  • Home remedies: Soaking anus in a warm sitz bath might also help in hemorrhoids for about 10 to 15 minutes per day. One should practice good hygiene and clean anus with warm water while showering. Avoid using soap and dry toilet paper. One can also use a cold compress on the anus.

Minimally Invasive Procedure for Hemorrhoids (MIPH)

Out of the various types of medical and surgical interventions available to treat Piles, Minimally Invasive Procedure for Hemorrhoids (MIPH) 0r painless stapler surgery is known to be very popular since it acts an alternative approach to surgical interventions made for piles.

MIPH is defined as a minimally invasive surgical technique in which a band of loose or prolapsed mucosa and sub mucosa in the rectum is excised, proximal to the piles and disrupted mucosa is fixed by ‘stapled end to end mucosal anastomosis.

This will ultimately occlude the blood supply to the superior hemorrhoidal artery above the hemorrhoidal tissue, resulting in the retraction of prolapsed mucosa back to its original anatomical position. A special circular stapler known as PPHO3 is used in the anastomosis and the whole maneuver will take around 30–45 minutes. In case you have a concern or query you can always consult an expert & get answers to your questions!

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7 Precautions To Be Taken After Undergoing A Hernia Surgery

MBBS, MS - General Surgery
General Surgeon, Kota

Hernia is generally an effect of intense physical exertion and the chances of ailing from hernia largely depend on genetics. It is a condition when a specific organ pushes through a muscle wall or any membrane inside a human body and is treated via surgical procedures.

Post-operative hernia care is very critical to avoid any potential complications. People treated via a surgical technique for hernia need to give themselves sufficient days of bed rest, followed by weeks of relaxation to avoid straining the body in any way. During the recovery phase, it is essential to follow the advised post-operative care like to avoid smoking, running up the stairs, or following any strenuous exercise regime. One can definitely go for a walk and drink lot of fluids or consume a lot of fibre and vegetables.

A big no to smoking and yes to fluids!

ncreased intake of fluids is recommended after patients who have undergone a surgical treatment to treat hernia. We receive a good amount of fluid before and during surgery, however post-surgery the fluid intake typically decreases. Minimizing fluid consumption can lead to constipation. Avoiding fluids after hernia surgery can interfere with the bowel movements as the stools become dry and hard. Higher fluid intake will soften the stools and make bowel movements easier. As the body passes the unwanted food via large intestine, water re-absorption occurs here. If consumption of nicotine and narcotic pain medications is increased, it affects this process further. If the body does not replenish the fluids adequately it is known to cause dehydration and further drying and hardening of the stools. To restore proper hydration to all aspects of the body, is it imperative to re-establlish the adequate fluid intake soon after surgery. One should also limit nicotine intake after hernia surgery. Risk of complications post-surgical treatments are heightened to a great extent if one stays on a smoking regime. Possibilities of developing an infection in the surgical incision are increased. It is also known to cause acid reflux symptoms. Smoking after hernia repair should be avoided until six to eight weeks post-surgery.

Exercise to maintain a healthy weight

Though strenuous workouts are not encouraged after hernia surgery, physical activity under guidance can stimulate bowel movements and relieve constipation. Light exercises such as walking are encouraged to promote weight loss. Exercises focused on muscle movement of legs, arms and shoulders and chest and back help burn calories and enhance metabolism. This aids in weight reduction. Try to begin with an exercise plan at least consult your therapist immediately. You can start walking to the extent you feel comfortable after surgery. With no specific limitation, always remember to listen to your body. One should avoid lifts and exercises like squatting. You can work out on your abs gradually with minor sit-ups. Strengthening abdominal muscles is advised by conducting exercises like lifting the knees in the air and shoulders slowly off the ground. If there is no pain, this exercise can be repeated. Deep breathing exercise should also be practiced to oxygenate the blood flow thereby expediting the healing process.

Increased usage of laxatives

To stimulate and hydrate the intestinal tract and avoid constipation, one should enhance the usage of laxatives and stool softeners. Consult your medical expert to opt for an over-the-counter laxative for hernia repair. One should not hesitate take an over-the-counter laxative for the first week after surgery. Use bulk-forming laxatives. They help in easier defecation of stools. It should take about three to five days to see positive results. Some examples of bulk-forming laxatives include methylcellulose, oat bran and polycarbophil. The dosage of such laxative should be increased gradually for the digestive system to adjust to this change. Other laxative agents such as Milk of Magnesia, Metamucil and Dulcolax tablets are also available in the market, which can be consumed after consulting the medical expert. These agents are safe and effective. Common problem after an an inguinal hernia repair is constipation which may also be worsened by pain killers. Consequently, they also help with post-operative constipation.

Consumption of fibre and vegetables

Fibre to an individual’s diet should be added slowly post hernia surgery as it can lead to complications varying from gas and bloating to abdominal cramps. Since hernia operation involves intestines to be pushed back inside the abdominal wall, intake of diet rich in fibre and fruits and vegetables will ensure smooth and easy bowel movements. This also helps to relieve the pain post inguinal surgery. Any excessive intake of dairy products should be avoided to ward off constipation. Some examples of foods rich in fibre are beans, whole grains, fruits and green leafy vegetables which are also known to prevent irritable bowel syndrome. Fibre rich food also helps to maintain the integrity of collagen and elastin of the abdominal wall along with lubrication of the intestines.

Keep the wound clean

Cleanliness is the key to quick recovery after surgical treatment of hernia. It is advisable to use a sponge or a towel for the first few days. This will help to keep the wound clean and avoid any kind of infections. Always follow your doctor’s instructions. Precautions like covering the wound while coughing helps. Surgical treatments can get contaminated too soon, therefore always follow stringent measures to keep the area clean and sterilized at all times. Until the incision heals, hygiene is of utmost importance. Before taking a shower, cover the surgical area with a plastic bag or use another technique to keep it dry. Keep a watch for any signs of infection. The use of non-absorbable mesh grafts could lead to infections or foreign body reactions if sanitation is not taken care of. Any kind of swelling or bluish discoloration at the incision site should be treated with an ice pack for 24-48 hours to relieve the swelling and discomfort. You may opt to keep a small pillow with you to avoid any discomfort while coughing. Taking a shower is advisable only after 24 hours after you go home unless you have drains. In case of metal clips or sutures not being visible, they are under the skin and will dissolve after 3 – 4 weeks.

Resuming activity after hernia repair

You will be able to mobilize post hernia surgery depending upon your surgical treatment. Hernia can be treated with various medical techniques like conventional surgery or laparoscopic surgery depending on the condition of the patient. The hernia which has been treated laproscopically allows the patient to return to their regular routine faster as compared to recovery from the conventional surgery which takes a little longer due to pain and soreness around the wound. Generally a doctor advises the patient on the amount of discomfort they might experience and precautions that need to be taken before resuming to daily routine. Precautions like standing up slowly should be taken care of Activities such as swimming or driving need to be avoided as they put a strain on the incision. The same holds true for office routine. Individuals who are in a desk job can usually can return to work within a week or two but where work require strenuous activity or heavy lifting require several more weeks of rest before they return to their job.

Follow-up on your appointment

It is imperative to schedule a follow-up visit 7-10 days after your surgery. Your doctor will check if the wound has healed completely or in case you need some special care including dosage of anti-biotics for few more days. He will also let you know in case any special precautions need to be taken to expedite the healing. In case of any change in your diet is required, your medical expert will guide you through it. In case your insision has not healed or if there is any kind of discomfort, talk to your doctor about it. If all is well, your doctor will remove your stitches in case they are not the ones that dissolve on their own. Or maybe your dressing will be changed depending upon the wound healing and the swelling and bruising checked. At this stage the doctor will also discuss the post-operative care and assess your condition to return to work. It is highly unlikely to suffer from any severe post-operative snags. Mild complications like blood clots or urinary problems may persist, for which your doctor will advise required medications, but these are extremely rare. You should also consult your doctor about when you can resume specific activities such as sports, heavy labor and lifting. Post your initial check-up, you should plan on weekly checkups to further avoid any risks until next four weeks. It is important to get regular medical checkups while following the precautions.

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