I also feel that I have been suffering from piles for last few months. I have noticed symptoms and verified that it's a piles. I haven't gone to any doctor yet as I am unaware to which doctors I should consult. I have taken some homeopathic medicine for few weeks but now I have stopped. I want you to please advise me whether to whom I should consult. Also how much will it cost for treatment and how long will it take to get well.

Dr. Himani NegiHomeopath5yrs exp

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Piles�are painful, swollen veins in the lower portion of the rectum or anus. This condition is very common, especially during pregnancy and after childbirth.�Piles�results from increased pressure in the veins of the anus. The pressure causes the veins to bulge and expand, making them painful, especially while sitting. The most common cause is straining during bowel movements. Hemorrhoids may results from constipation, sitting for long periods of time, and anal infections. In some cases they may be caused by other disease such as liver cirrhosis. Classification Piles�are classified mainly in to: Internal�piles�? occur just inside the anus, at the beginning of the rectum. External�piles�? occur at the anal opening and may hang outside the anus. Causes of�piles Repeated pressure on the anal or rectal veins, which causes them to stretch. Risk factors involved A diet lacks fiberProlonged sitting or standingOverweight peoplePregnancyChronic constipationChronic diarrhoeaLoss of muscle tone in older adultsRectal surgery or episiotomyLiver diseaseAnal intercourseColon cancer �Sign and symptoms Although�piles�may be asymptomatic, they characteristically cause painless, intermittent bleeding, which occurs on defecation. Bright red blood appears on stool. These first degree�piles�may itch because of poor anal hygiene. When second degree�piles�prolapse, they are usually painless and spontaneously return to the anal canal following defecation. Third degree�piles�cause constant discomfort and propalse in response to any increase in intra-abdominal pressure. They must be manually reduced. Thrombosis of external�piles�produces sudden rectal pain and a subcutaneous, large, firm lump that the patient can feel. If�piles�cause severe or recurrent bleeding, they may lead to secondary anemia with significant pallor, fatigue, and weakness; however, such systemic complications are rare. Diagnosis of�piles Diagnosis mainly include physical examination which confirm external�piles. Proctoscopy is mainly done in case of suspected internal�piles�and rectal polyps. Homeopathic treatment of�piles Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat�piles�but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat�piles�that can be selected on the basis of cause, sensations and modalities of the complaints.� For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. 

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