Hemorrhoids - Symptom, Treatment And Causes

Hemorrhoids are commonly known as piles. They are swollen blood vessels or blood clots in or around the anus and rectum. The veins are located in the lowest part of the rectum and the anus and in some instances they can swell which makes the vein walls to stretch. This, in turn, can restrict or irritate the passing of the bowel movements. Piles can be broadly classified into two general categories internal and external.

While there are many treatment plans of curing piles, nothing can come near the age-old treatments in curing piles. The treatment focuses on curing the symptoms from within and concentrates on the root cause of the problem. This makes it more efficient as far as the treatment is considered and it drastically reduces the chances of haemorrhoids from occurring again. While there are some medications as a part of treatments, it is also mandatory that one must follow a strict diet regime for the treatment to be a success. The diet rule is also very much needed for the treatment to be a success.

Let us look at the diet plan that is needed for a treatment against piles/Fistula. You can consult with your doctor to get to know more about this.

1. Breakfast: Dalia (sweet or salty depending on individual’s choice), Milk without fat, Tea, Toast, Chapati, Mix veg., Brown bread, Sprouts, Fruits like apple etc.
2. Lunch: Chapatis, Cooked mixed vegetables, Daal (cooked pulses), Boiled rice, Takra (Buttermilk), Salad prepared from onion, tomato, radish, turnip, carrots, papaya etc.
3. Evening Tea/snacks: Tea or coffee, Toasts, Dry fruits, Biscuits, roasted popcorns or any other light food item can be taken.
4. Dinner: Chapatis, cooked vegetables, Daal (cooked pulse), salad

Impartant food items you must note

1. Avoid taking curd or buttermilk in dinner.
2. At bedtime, lukewarm milk with a few drops of honey can be taken.
3. Flour with Mixed grains flour like wheat, barley, gram, soybeans etc. However, wheat flour with husk (without refining) can also be used.
4. Pulses, such as moong, masoor, gram, soybean etc. can be eaten
5. Vegetables like bottle gourd, radish, turnip, cabbage, cauliflower, raw green papaya, carrot, fenugreek leaves, chenopodium leaves, spinach leaves, tomato, potato and other green leafy vegetables.
6. Fruits such as papaya, coconut, apple, litchi, figs, watermelon, orange, guava etc. are good.
7. Liquids and juices for example coconut water, bottle gourd juice, apple juice, mixed fruit juice, aloe vera juice, trifala ras, wheat grass juice etc. can be taken
8. Dry fruits like almonds, pistachio, dried grapes etc.
9. Spices that can be consumed turmeric, coriander powder, fenugreek, cummin seeds, ajwain, saunf etc.
10. Ghee and cooking oils like Cow’s ghee, mustard oil, olive oil, groundnuts’ oil, soybean’s oil etc. can be used
11. Have plenty of fluids including water.
12. Avoid the intake of Tea and Coffee.
13. Avoid non-veg. and junk/spicy food items.
14. Avoid smoking and alcohol and also do not indulge in chewing of tobacco products.
15. Always ensure to follow the instructions of your physician strictly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed. Comprised of vital tissues, blood vessels, elastic and muscle fibers, Hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small arteries that make up hemorrhoid causing them to enlarge and swell with blood.

Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors.

Surgery For Piles - What To Expect? 
Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed. 

Comprised of vital tissues, blood vessels, elastic and muscle fibers, hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small veins that make up hemorrhoid causing them to enlarge and swell with blood. Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues other than severe anemia and weakness. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors. 

Sclerotherapy 
This procedure involves injecting a chemical into hemorrhoids. The chemical causes the hemorrhoids to contract and stop bleeding. Most individuals encounter little or no pain with the shot. In the case of small internal hemorrhoids, Sclerotherapy is shown to have the best benefit rates. 

Stapled Hemorrhoidopexy 
Stapled Hemorrhoidopexy, also commonly known as MIPH, is a form of surgery which requires 12 hours of hospitalization. This process necessitates general, regional, or local anesthesia. This kind of surgery is used to handle hemorrhoids that have already prolapsed. A surgical staple fixes the prolapsed hemorrhoid inside your rectum and cuts off the blood supply so that the tissue can contract. Recovery from hemorrhoidopexy is less painful and takes lesser time than the recuperation period of a hemorrhoidectomy. 

Haemorrhoidectomy 
Excision used to be prescribed for hemorrhoid sufferers. This therapy involves the surgical removal of the hemorrhoids with a cautery, laser or knife. Although these methods are slightly different, the outcomes are identical. Excision results in discomfort and pain in the perianal area that lasts from two weeks to two months. The pain during bowel elimination also lasts for approximately the same time. 

Management of the hemorrhoids with proper medication, diet and workout is by far the safest way to go. Only in the case of lifestyle changes failing to solve the condition, surgical interference should be considered.

In case you have a concern or query you can always consult an expert & get answers to your questions!

The anus is a highly vascular area, and these blood vessels dilate, leading to a condition called hemorrhoids, which are external and protrude into the anus (external) or into the rectum (internal). While most hemorrhoids are self-limiting and can be managed with conservative care, about 10% to 20% of the hemorrhoids may require surgical removal.

When is surgery needed?

1. Thrombosed hemorrhoid
2. Prolapsed hemorrhoids
3. Relentless bleeding (maybe painless also)
4. Recurrent hemorrhoids

Types of surgery required
The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Read on to know some of the common techniques are used to treat hemorrhoids.

1. MIPH (minimal invasive surgery for haemorrhoids): Also known as hemorrhoidopexy, it involves the use of surgical staples to keep a recurrently prolapsing hemorrhoid in place. These staples ensure they do not prolapsed again. It also cuts of blood supply, so the growth is curtailed. This is done as a same-day procedure under local or general anesthesia. This is the procedure of choice for grade 2 and grade 3 bleeding piles. It is a totally painless procedure and is widely accepted by patients.
2. Hemorrhoidectomy: It is done under general anaesthesia or spinal anaesthesia in people where conservative and in-office procedures have failed. The hemorrhoids are often large, prolapsed, and cause bleeding. This requires hospitalization and may need about a week to recover completely. This was the standard procedure earlier. It is still very useful for prolapsed large piles.

Post surgery, there could be rectal pain and discomfort. In addition, the patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent recurrence.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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

1. 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.
2. 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.
3. 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.
4. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Proctology refers to the study of the structure and diseases of the anus, rectum, and sigmoid colon. Laser surgery in proctology field enables excellent cutting, limiting thermal damage to the surrounding tissues reducing the post-operative pains. Piles are also called hemorrhoids. They are swellings in blood vessels found in or around the rectum and anus. Piles manifest symptoms like bleeding after passing stool, itchy bottom, hemorrhoid mass hangs out of the anus that pushes back in after passing of stool (prolapse), a mucus discharge, soreness, redness and swelling around the anus. Proctology conditions like piles might not be life-threatening, but they’re associated with poor quality of life and embarrassment.

Laser Treatment for Piles
Piles are classified into grades based on their severity.

• Grade one is the initial stage where a person has bleeding or itching but no prolapse. At this stage conservative measures are recommended.
• In grade two, the mass of hemorrhoids begins prolapse during defecation but goes back in, on completion of the act. 
• In Grade three, the prolapsed haemorrhoidal mass does not go back on its own, and manually pushed back. LHP is recommended for early stages of Grade 3; however, stapler surgery is recommended for advanced stages.

The LHP process
A laser fiber is passed through the anal opening and laser energy is applied to the haemorrhoidal mass. The controlled emission of laser energy reaches the submucosa zone, causing the haemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue preventing the recurrence of prolapse.

Benefits

• Reduced pain, faster healing, higher outcome, and shorter procedures.
• Optimal treatment and outcomes.
• Presets enabling ease of use improved surgical control and accurate dosage.
• Requires no incisions and suturing.
• The procedure leaves no foreign material in the body.

In case you have a concern or query you can always consult an expert & get answers to your questions!