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.
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, also commonly known as MIPH, is a form of surgerywhich 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.
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.
Many women experience a temporary encounter with hemorrhoids when they are pregnant. Quite surprisingly, most people tend to experience this in their daily lives. By the age 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and may be prolapse where the hemorrhoids protrude out of the anal canal. Though this ailment can be rarely detrimental, it can be a painful intrusion. But thankfully, there are a lot of things we can do about them.
How may this be diagnosed?
Hemorrhoids are usually diagnosed from a plain medical history and health exam. External hemorrhoids, more commonly known as piles, are normally apparent, particularly if a blood clot is formed. Your physician shall perform a digital rectal test to detect blood in the stool. Then the physician may also inspect the anal tube with the aid of an anoscope, which is a short plastic channel interjected into the rectum with illumination. If he finds any evidence of microscopic blood or rectal bleeding in the stool, then there may be a need to perform colonoscopy or flexible sigmoidoscopy to determine the probable causes of bleeding like cancer or colorectal polyps, specifically in women aged over 50.
Is it possible to treat hemorrhoids at home?
Most of the common symptoms of piles can improve drastically with simple in-home measures. If you are suffering from occasional flare-ups, you may try the following:
There are several invasive treatments that can be opted if these conservative treatments are not able to help your condition. In such an instance, it is always wise to seek advice of a medical practitioner.
What are Piles?
Piles, originally known as hemorrhoids, are a medical condition characterized by the swelling of veins in the lower rectum and the anus. The veins are twisted and swollen, restricting the conventional blood flow in the anus and rectum. Even though it is very difficult to actually ascertain the cause of piles, the occurrence of this condition can be due to multiple reasons.
The most common causes of piles range from straining the veins at the time of being pregnant to additional pressure being applied to the veins during a bowel movement. This condition can occur internally or on the surface of the skin, depending on the cause and effect of the reason behind the occurrence of this condition.
Piles is a very common condition and are said to affect 3 out of 4 adults multiple times during their life. Symptoms of the disease are often spotted amongst patients before they even reach the age of 50. The symptoms of piles may be minimal or very evident, depending on the severity of the situation. In a basic situation, a patient usually feels a little discomfort. While in a more serious situation such as thrombosed hemorrhoid, there may be the formation of blood clots which can cause excruciating pain. There are various treatments for this disease. Piles is not a very dangerous medical condition can usually be treated by making changes in the lifestyle or by easy home remedies which cause relief to the patient.
What are The Types of Piles?
The piles disease can be divided into 4 different classifications based on the location, symptoms, and side- effects caused by their occurrence.
Thrombosed External Haemorrhoids
1) Internal hemorrhoids-
This condition is the least restrictive type of piles. The symptoms of this piles condition arise inside the rectum and are found on the border that divides the upper part of the anal canal from the lower of the rectum. Internal piles don’t cause too much discomfort to the patient as they are enclosed in an external lining called mucosa, which protects it from causing pain to the patient. This is because the mucosa is insensitive to temperature, touch, stretching or pain.
On the basis of the level of the protrusion, internal hemorrhoids or internal piles can be classified in 4 levels-
Grade I: It is possible to bleed during this stage as the hemorrhoids are noticeable but they don't poke into the anal canal.
Grade II: At this piles stage, the hemorrhoids protrude momentarily outside the anal canal during a bowel movement, but shift back inside after the movement.
Grade III: In this piles stage, any pressure or exertion causes the hemorrhoids to protrude outside the anal canal. Fingers need to be used to push the hemorrhoids back in the anal canal.
Grade IV: Hemorrhoids have fallen out of the anal canal remain outside the rectum in this stage. They cannot be pushed back in and thus are quite uncomfortable.
2) External hemorrhoids-
This type of hemorrhoids is also known as a perianal hematoma. The side effects of this piles condition are usually bluish in color and feel painful and lumpy and are noticeable under the skin around the outer part of the anus. This type of hemorrhoids is similar in nature to the above described prolapsed internal hemorrhoids. External hemorrhoids may lead to additional skin tags on the verge of the anus, which may feel very uncomfortable to the patient. This happens due to the fact that these hemorrhoids are covered by normal skin which causes discomfort.
The occurrence of these skin tags is caused by the clot of blood formed due to stretching of the overlying skin.
3) Thrombosed External Haemorrhoids-
Thrombosed external hemorrhoids occur due to the formation of a clot in various small veins which causes pain and discomfort to the patient. This type of hemorrhoids is characterized by the presence of a painful and hard lump in the anus. The main cause of this type of piles is the excessive stretching of the skin which covers hemorrhoid. This causes the splitting of the vein, making it inflamed and cutting off the blood supply in it.
4) Prolapsed Haemorrhoids-
This is a type of hemorrhoids which have fallen out of the anal canal. The most common symptoms of prolapsed hemorrhoids are bleeding in the stool, toilet or on the toilet paper. Most patients of this condition experience a feeling of not being able to completely pass stools. Prolapsed hemorrhoids can be quite painful because of the presence of nerves in them which can easily sense pain. Pain can arise in prolapsed hemorrhoids because of the pain-sensing nerves within them. Other possible causes of pain are -
What are the symptoms of piles?
The warning signs and common symptoms of hemorrhoids are listed below:
The various types of hemorrhoids or piles have specific symptoms depending on the location of their occurrence:
Internal hemorrhoids or Internal piles
These hemorrhoids usually do not carry any specific symptoms which can be noticed by the patient. Excess straining of this type of hemorrhoids can lead to damage on the surface or minor bleeding. In case internal hemorrhoid passes through the anal canal, it becomes a prolapsed hemorrhoid which may be painful.
External hemorrhoids or External Piles
In case of application of pressure or external strain, these hemorrhoids can bleed or cause itching and discomfort.
Thrombosed hemorrhoids or Thrombosed Piles
This type of hemorrhoids is characterized by the formation of a blood clot in the anal region. This blood clot causes swelling, severe pain, inflammation or a hard lump near the anus.
How are piles diagnosed?
Since there are multiple types of piles or hemorrhoids, they are all diagnosed differently.
Internal hemorrhoids can be diagnosed in the following ways-
This procedure may be additionally prescribed if the physician suspects any of the following situations in people who might have-
Any other disease related to digestive system
Signs and symptoms of colorectal cancer-
Are over the age of 50, and have never undergone a rectal examination
External hemorrhoids or external piles can be identified by a physician by simply undertaking a physical exam and visual notice.
What are Causes of Piles?
Veins have a tendency to swell up or bulge on the application of increased pressure.
The various causes for swelling up of the veins, causing hemorrhoids or piles are-
Prevention from Piles/Hemorrhoid:
The most appropriate way to avoid getting hemorrhoids is to ensure that the stool to be passed by the anus is soft so that it passes easily.
Other than this, to prevent and reduce the occurrence of the symptoms of piles or hemorrhoids, the following steps can be followed.
What are Home Remedies for Piles?
The mild swelling, inflammation, and pain caused hemorrhoids can be relieved or reduced by use of simple home remedies and change in food habits.
A few of these home remedies for piles or Haemorrhoids are mentioned below-
The symptoms of hemorrhoids generally subside within a week of following the above- stated remedies.
How does Doctor would do treatment for Piles?
In case of minor discomfort and pain, a physician generally prescribes an over- the- counter cream, ointment, pad or suppository. Ingredients present in these medicines namely witch hazel, lidocaine and hydrocortisone help in relieving pain and discomfort. It is not advised to use this over-the-counter, steroid containing, cream for more than 7 days in case symptoms of piles or hemorrhoid do not subside.
External hemorrhoid thrombectomy is a procedure undertaken by a physician in order to treat a painful blood clot formed in external hemorrhoid. This is a very simple procedure and includes only making an incision in the clot and draining it to provide instant relief to the patient.
In case of constant bleeding and major discomfort caused due to hemorrhoids, a physician may suggest one of many minimally invasive procedures available for treatment.
Rubber band ligation
Coagulation (infrared, laser or bipolar)
What are Surgical Procedures for Piles:
In case all other procedures are unable to treat the disease, the doctor may recommend a surgical treatment. A few of the most commonly performed surgical treatments are mentioned below-
What are Risk Factors Related to Piles?
Although hemorrhoids can affect anyone, there are a few things that make a person more vulnerable to contract this disease.
A few of these situations are-
What are the complications due to piles?
Complications relating to hemorrhoids are very rare but may arise. The less commonly occurring but probable complications for patients with hemorrhoids are-
1. Strangulated hemorrhoid- This situation causes extreme pain to the patient suffering from piles or hemorrhoids. This arises when the blood supply to the hemorrhoid is cut off.
2. Anemia- As it has been inferred that various types of hemorrhoids have a tendency to cause extensive blood loss, it may lead to anemia if left unattended. Anemia is a condition in which the production of healthy red blood cells is not adequate.
What are Common Myths Related To Piles?
Myth #1: Elderly people are the only ones who can get hemorrhoids.
Reality- Haemorrhoids can affect people of any age. Although it is a stated fact that people between the age group of 45 to 60 are more susceptible to this disease, it can affect a person of any age.
Myth #2: Eating spicy foods can cause hemorrhoids.
Reality- Hemorrhoids is caused due to excessive pressure on the veins near the anus and rectum, causing them to swell and even bleed at few instances. Eating spicy food does not have anything to do with the occurrence of this disease.
Myth #3: The composition of the food being consumed does not affect hemorrhoids.
Reality- Constipation is one of the main causes behind developing hemorrhoids. It is quintessential to include fiber and water/ other fluids in the diet in order to have a soft bowel moment. This enables a person to avoid being susceptible to constipation and thus steer clear of being affected by hemorrhoids.
Myth #4: Surgery is the most common treatment for piles or hemorrhoids.
Reality- Symptoms of this disease usually subside by making a few changes in the lifestyle as well as by using home remedies. Depending on the severity of the situation, a physician often prescribes a few an over-the-counter medicines and ointments to relieve pain and help the symptoms subside. It should be noted that surgery is the least common treatment for hemorrhoids.
Myth #5: Haemorrhoids causes cancer.
Reality- There is no evidence to associate colon cancer with hemorrhoids. Even though they have similar symptoms such as rectal bleeding, they can easily be differentiated by a physician on examination.
Myth #6: Once a person gets hemorrhoids, it will be a recurring problem for them.
Reality- People may develop hemorrhoids for a temporary duration due to a situation such as pregnancy, childbirth, constipation etc. Most available treatments of this condition are quite effective and are able to cure the problem fully. In case a person takes care of their diet and drinks a lot of fluid, they do not face this problem again.
Myth #7: Having hemorrhoids or piles is a reason for embarrassment.
Reality- By the time most people turn 50, they would have faced the problem of piles at least once. In both men and women, the occurrence is common irrespective of their age and it is nothing to be embarrassed about.
Myth #8: Eating a lot of fiber eliminates the occurrence of piles completely.
Reality- Although inculcating fibrous food in the diet may help in preventing the development of hemorrhoids; it is not the only contributing factor to its occurrence. Long sitting, especially on the toilet, is also an influential factor in the occurrence of this condition. It is also advised to have at least eight glasses of water to ensure an easy bowel movement.
Myth #9: Haemorrhoids are difficult to treat.
Reality- There are multiple remedies available to treat both internal as well as external hemorrhoids or external piles.
All modes of treatment ranging from surgery to lifestyle change are effective and painless. Hemorrhoids that cause mild swelling, inflammation, and pain can easily be relieved or reduced by use of simple home remedies such as eating a high fiber diet, drinking plenty of water, taking over the counter ointments and oral medication etc.
Myth #10: Haemorrhoids or piles can be caused by sitting on too hot or too cold surfaces.
Reality- The temperature of the surface you sit on does not affect cause piles. A habit of sitting in one place, especially on the toilet, makes a person more susceptible to having piles.