Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Piles Tips

Piles - Know The Diagnosis & Treatment Of It!

Piles - Know The Diagnosis & Treatment Of It!

 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.
910 people found this helpful

Piles - What Are The Must Know Things About It?

Piles - What Are The Must Know Things About It?

Are you feeling an excruciating pain in the anal region? Is there a lump around the area that you can feel? Commonly called Piles, hemorrhoids, is a phenomenon where the blood vessels are inflamed or expanded in the anal canal. Veins in and around the anus and rectum are comparatively weak than the arteries which are quiet intense. This is because the walls of the veins are pretty thin and pain or discomfort arises when there is too much pressure on the walls. There are two kinds of Piles the internal piles and the external piles; the discomfort and severity depend on the kind of piles you are suffering from.

Causes behind it:

The causes of hemorrhoids are not certain and anyone can get affected by the condition. It is more prevalent in elderly people and pregnant women. Sometimes, the condition is also hereditary, so if your parents or grandparents suffered from piles, there is a possibility that you may develop it too. When the veins in the anal region are subjected to pressure, the veins swell causing painful hemorrhoids.

The common symptoms associated with the condition are:

Bleeding from the anus
- Painful lump or swell near the anus
- Anal itching
- Tenderness or pain during bowel movements
- Mucus Anal discharge

Treatment options for piles:

In few cases, the Hemorrhoids can be treated with home remedies like a change in diet, warm sitz baths, and avoiding foods that may lead to constipation. For hemorrhoids of the first, second and third-degree, medications, home remedies and manual methods are preferred approaches. However, when the condition persists for an extended period with severe pain it is best to consider your physician.

The piles can be treated with:

- Injection or sclerotherapy: Treats internal hemorrhoids
- Banding: Treatment for prolapsed hemorrhoids
Coagulation: Treatment using laser
Surgery: Opted for in severe cases of hemorrhoids

Surgery is suggested when no other remedies for piles have responded. In the case of prolapsed hemorrhoids, or the fourth degree and higher degree, surgical methods need to be implemented. In common, surgery is deemed as the last option for piles treatmentPiles surgery is prescribed particularly by the surgeons in the situation where pain becomes unbearable.

The surgical treatments:

Hemorrhoidectomy: This is the surgery done to remove piles. The physician performs a few minute cuts around the anus to remove them away. The area which is under operation is put under local or general anesthesia. Hemorrhoidectomy is often a procedure for the outpatient case, and you are typically discharged on the same day itself. The patient usually takes about two to three weeks, to recover fully but then it can even take as long as five to six weeks to get back to normal pain-free life again.

PPHAnother surgical method is PPH. It is also known as stapled hemorrhoidectomy. In this surgery, the physician uses a device which looks like a stapler to reposition the pile and struck off their supply of blood so that they eventually shrink and die out. This surgical procedure is less painful than traditional hemorrhoidectomy as it removes hemorrhoid to where there are fewer nerve endings, so it hurts less. There will be faster recovery, few or no complications, minor itching, and bleeding.

2 people found this helpful

Piles - How Can Ayurveda Tackle Them?

Piles - How Can Ayurveda Tackle Them?

Piles or Haemorrhoids is a disorder characterized by bleeding from anal opening during defecation. This bleeding can be in the form of drops or spurts. If untreated; mass protruding out from rectum is noticed. Initially this Pile mass gets reduced by itself but later on it progresses further so manual reduction of Pile mass becomes necessary. Later on these pile masses come out even on coughing sneezing, walking etc. Depending of their site of origin; these are divided in to internal and external Piles. 

How can you tell if you have Piles? 
Painless bleeding is the first sign of Piles. If it is not treated at this stage Pile mass protrudes out from Anal opening. The symptoms of piles are – 

Internal Piles: 

  1. In first stage, painless bleeding is the only symptom of Piles. 
  2. In second stage, pile mass protrudes out from Anus during defecation which gets reduced by itself. In late second stage; Pile mass needs to be reduced manually. 
  3. In third stage; Pile masses again come out after manual reduction. During sneezing coughing and walking also pile mass come out. 

External piles: A solid/ semi-solid lump in the anal region which becomes prominent while passing stools is the external haemorrhoid. When inflamed it constitutes of coagulated blood these are known as external haemorrhoids. 

Why do Piles occur? 
Piles occur when pressure in the lower rectum increases unduly. Due to this undue pressure, the blood vessels in the anus and rectum become swollen and bulge out. The causes behind this undue increase in pressure are – 

  1. Chronic diarrhoea 
  2. Chronic constipation 
  3. Pregnancy 
  4. Lifting heavy weights 
  5. Putting too much pressure while passing stool 

The Ayurvedic Approach To Piles Treatment
The ayurvedic approach to treating piles is a mix of exercise, lifestyle changes, diet, supplements and medication. The primary cause of piles being constipation, a large portion of the treatment is focused on improving the patient’s digestive health and bowel movement. 

  1. Haritaki churna is recommended to soften stool. 
  2. Fibre rich foods like green leafy vegetables salads should be consumed in adequate quantity. 
  3. To soften the stools, foods like papaya, amalaki, and figs are advised. 

A regular ayurvedic colon cleanse is very beneficial to keep the digestive system in good condition. Some other measures you should adopt are – 

  1. Take plenty of liquids like water, butter milk fruit juices etc. Butter milk is specially beneficial in Piles. 
  2. Do regular Exercise 
  3. Avoid sedentary lifestyle. 

Along with this Kshar Karma is done at week or 10 days interval. In this treatment specialized Ayurvedic medicine is applied on Pile masses. Kshar Karma stops bleeding and suppresses Pile masses. When these measures do not work and the Pile masses are big enough to remain inside and protrude out often; Ksharsutra ligation of Pile mass is recommended. 

In this treatment; Ksharsutra – a medicated thread is ligated at the root of Pile masses. Medicine released from thread blocks the blood supply of pile mass and Pile mass sheds off within 5-7 days. No hospitalization or bed rest is required in this treatment. Patient can continue his daily routine activities as usual. So Ayurvedic Kshar Karma and Ksharsutra are quite effective in treating Piles in all its stages and Piles can be treated completely without surgery.

2231 people found this helpful

Piles - How Does Homeopathy Treat It?

Piles - How Does Homeopathy Treat It?

Piles or Haemorrhoids is a disease of the anal canal. The veins in this region get affected. They swell as blood stagnates inside them. This causes discomfort while passing stool. The most obvious symptoms of piles are bleeding and pain at the time of excretion or passing of the stool. For most of the patients with piles, sitting or standing becomes a tedious task.

What causes piles?
The primary reason behind the occurrence of piles is a patient’s sedentary lifestyle. Most of it also depends on upon his or her diet intake. Many of us consume a lot of carbohydrates, fats and proteins in our regular meals. But, we forget or are simply reluctant to take up physical exercises. This, in turn, leads to increase in body weight and hampers the activity of our digestive system. As a result, patients develop diseases like piles.

Diet plays a vital role in preventing piles. If we don’t add an adequate amount of fibre or roughage to our diet, there is a potential threat of developing piles. Fibres help with the convenient evacuation of the stool. In fact, fibres form the bulk of the stool. Besides, insufficient intake of water may also cause this disease.

Natural ways to tackle Piles
Piles can be managed or tackled by bringing in some changes in our lifestyle. Some of the ways of managing piles have been listed below:

  1. Add more roughage and fruits to your diet
  2. Exercise regularly
  3. Avoid laxatives
  4. Sit in a tub of hot water to get relief from the pain
  5. Drink plenty of water

Homoeopathic treatment for Piles:

When it comes to the treatment of piles, Homeopathy is quite safe and an effective method to get rid of the problem. It doesn’t have any side effect on the patient’s health. It doesn’t include any painful surgery for removal of piles. Moreover, homoeopathy is budget-friendly. Here are some effective homoeopathic medicines, useful in curing piles:

  1. Hamamelis: This medicine is useful in stopping the bleeding in piles. It can cure any venous congestion and bleeding. It can also be taken when the patient develops a feeling of soreness.
  2. Ratanhia: It gives relief from the pain due to piles. A patient suffering from piles feels immense pain and a burning sensation at the time of stool evacuation and even for hours after that.
  3. Graphites: It is prescribed to a patient suffering from both constipation and piles. It is given to them who are obese, have skin eruptions and constipation.
  4. Nux Vomica: It is given to patients who have a sedentary lifestyle, take spicy food and are active smokers and alcohol drinkers. Usually, patients who have been advised to take Nux Vomica are aggressive in nature. It cures piles as well as digestive disorders.

Things to remember: These medicines are only some of the homoeopathic remedies available in the market.

1685 people found this helpful

Piles & Fistula - How Homeopathy Can Get Rid Of It?

Piles & Fistula - How Homeopathy Can Get Rid Of It?

Piles or fistula are two very severe problems which men can face at any point in their life. These two medical conditions affect one of the main parts of a men's system, i.e. the anus. But many a time, people confuse one of these disorder with the other one.

What Are Piles?
Piles are the inflamed or swollen set of tissues which are present in the sensitive anal area. These can range from different sizes and can also be present in various areas i.e. internal or external. Internal piles are usually present between 2-4 cms above the anus opening whereas the external piles are present on the outside.

There are different symptoms for Piles

  • The person can experience severe to moderate pain in the rectum area.
  • Immense pain can also occur when the person is sitting or moving in a difficult position.
  • Experiencing discomfort, itchiness, or swelling of the anus is very common in Piles.
  • The person may see blood in his stool or problems related to digestion.

The causes of Piles can be of different reasons

  1. Chronic constipation
  2. Chronic diarrhea
  3. Lifting heavy weights
  4. Pregnancy

Treatment and Diagnosis

Homeopathy can be effectively used to treat piles. Most of the time, piles are caused due unhealthy lifestyle and food habits. So homeopathy can be easily treated with the help of homeopathic methods which can be used to change one's food habits and keep them healthy.

What is Fistula?

The anus is like an exit point in the body for wastes and semen. Inside this anus, many small glands are present. If due to some reason, these glands or a single gland is blocked, then an abscess is formed which infects the anus and causes severe pain or abnormalities. This condition is known as Anus fistula.

There is no exact cause of fistula. Usually, these are caused due to some severe accident or injury which affects the anus. It can also be caused due to some other disease which affects the anus like STDs, Crohn’s Disease, tuberculosis etc.

Here are some important symptoms

  1. Blockage of anal abscesses
  2. Pain and inflammation around the anus
  3. Immense pain with bowel movements
  4. Bleeding from the anus
  5. Bloody or foul-smelling drainage coming out from the anus

Treatment and Diagnosis 

Homeopathy can be a very important and efficient way by which fistula can be relieved from. Homeopathy has a very high chance of solving fistula because homeopathic medicines and methods can cure the abscess completely. Due to the complete removal of the abscess, the normal tissues appear once again with time.

8915 people found this helpful

Piles - What Should You Know?

Piles - What Should You Know?

Are you feeling an excruciating pain in the anal region? Is there a lump around the area that you can feel? Commonly called Piles, hemorrhoids, is a phenomenon where the blood vessels are inflamed or expanded in the anal canal. Veins in and around the anus and rectum are comparatively weak than the arteries which are quiet intense. This is because the walls of the veins are pretty thin and pain or discomfort arises when there is too much pressure on the walls. There are two kinds of Piles the internal piles and the external piles; the discomfort and severity depend on the kind of piles you are suffering from.

Causes behind it
The causes of hemorrhoids are not certain and anyone can get affected by the condition. It is more prevalent in elderly people and pregnant women. Sometimes, the condition is also hereditary, so if your parents or grandparents suffered from piles, there is a possibility that you may develop it too. When the veins in the anal region are subjected to pressure, the veins swell causing painful hemorrhoids.

The common symptoms associated with the condition are:
- Bleeding from the anus
- Painful lump or swell near the anus
- Anal itching
- Tenderness or pain during bowel movements
- Mucus Anal discharge

Treatment options for piles
In few cases, the Hemorrhoids can be treated with home remedies like a change in diet, warm sitz baths, and avoiding foods that may lead to constipation. For hemorrhoids of the first, second and third-degree, medications, home remedies and manual methods are preferred approaches. However, when the condition persists for an extended period with severe pain it is best to consider your physician.

The piles can be treated with:
- Injection or sclerotherapy: Treats internal hemorrhoids
- Banding: Treatment for prolapsed hemorrhoids
- Coagulation: Treatment using laser
- Surgery: Opted for in severe cases of hemorrhoids

Surgery is suggested when no other remedies for piles have responded. In the case of prolapsed hemorrhoids, or the fourth degree and higher degree, surgical methods need to be implemented. In common, surgery is deemed as the last option for piles treatment. Piles surgery is prescribed particularly by the surgeons in the situation where pain becomes unbearable.

The surgical treatments
Hemorrhoidectomy: This is the surgery done to remove piles. The physician performs a few minute cuts around the anus to remove them away. The area which is under operation is put under local or general anesthesia. Hemorrhoidectomy is often a procedure for the outpatient case, and you are typically discharged on the same day itself. The patient usually takes about two to three weeks, to recover fully but then it can even take as long as five to six weeks to get back to normal pain-free life again.
PPHAnother surgical method is PPH. It is also known as stapled hemorrhoidectomy. In this surgery, the physician uses a device which looks like a stapler to reposition the pile and struck off their supply of blood so that they eventually shrink and die out. This surgical procedure is less painful than traditional hemorrhoidectomy as it removes hemorrhoid to where there are fewer nerve endings, so it hurts less. There will be faster recovery, few or no complications, minor itching, and bleeding.

1969 people found this helpful

Piles - Why Homeopathy Can Be Your Best Bet?

Piles - Why Homeopathy Can Be Your Best Bet?

As our lifestyle and living habits change, we experience a lot of new phenomena and changes in our body systems. One of the biggest changes that we can actually see is the change in the digestive system and the regularity or the irregularity of our stools. When we eat healthy and lead an active lifestyle, we are more likely to have a better digestive system, whereas if we eat more junk or take meals at irregular timings and do not set a system for the body, we put it at great risk of diseases and health issues. One of the most common problems that a lot of people face is constipation.

While constipation in itself may be tackled without much problem, the real issue arises when it turns into something more troublesome such as piles. The issue of piles arises when the veins in the anal region start to swell because of disturbed blood flow. The swollen regions and the lack of fibre in the stools combine to make the process of passing stools very uncomfortable, painful and it may also lead to the bleeding of the anus.

Treating the issue of piles:
Piles is a health problem that is mainly supported and aggravated because of wrong eating habits, sedentary lifestyle and excessive constipation. One of the most important things that you can do in the course of getting the problem under control is to start eating right. Eating foods with high fibre content and foods that speed up the digestive systems may go a long way in easing out the pain. It may also be important to keep liquid intake under check so that more and more liquid and other healthy drinks are consumed. Choosing to exercise regularly and indulging in workouts that help keep the intestines strong are the best alternatives.

Apart from things that you can do on your own, it may also be important to make sure that you take the right professional medical help. When you have the best help on your side you may be able to make sure that you get the issue treated within a short span of time without having to suffer greatly. However, it is also essential to make sure that the best type of treatment is chosen. In most cases, choosing Homeopathy for treatment may be your best bet. When you opt for homeopathy for piles, you may be able to treat the issue without having to use chemically charged and loaded antibiotics and it may be an easier route to healthy living.

Why take homeopathic treatment?
The reason why homeopathy is most demanded in the case of piles is because of the fact that conventional medication may lead you to go through surgery for getting relief from the issue. Not only does a surgery increase the burden of increased finances, but also means that it is physically more straining. While homeopathy offers natural and chemical-free medicines that treat the root cause of the disease.

Haemorrhoids - When To Opt For A Surgery?

Haemorrhoids - When To Opt For A Surgery?

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 off 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 a recurrence.

Stapler Piles Operation - What Should You Know?

Stapler Piles Operation - What Should You Know?

Piles or haemorrhoids are one of the most common and painful anal disorders. It refers to a collection of veins and tissues that become swollen and inflamed. The size may differ and are found either outside or inside the anus. Haemorrhoids or piles usually result from chronic diarrhoea, constipation, or heavy weight lifting. Timely treatment is essential to cure the condition. Otherwise, piles may affect your routine activities and lead to anal bleeding, infections, or anal fistula

Various surgical methods are available to treat piles. One such surgery is the Stapler Piles Operation. It is an advanced, minimally invasive procedure, mainly performed to cure third or fourth-degree haemorrhoids.

What is the procedure?

Stapler Piles Operation is performed under general anaesthesia. The steps to the procedure are as follows –

  • The surgeon inserts a circular hollow tube into the anal canal. A long woven thread, known as the suture is circumferentially placed within the anal passage and above the internal piles through the tube.

  • Next, the stapler – a disposable instrument with an attached circular stapling device – is placed through the tubes. The ends of the thread are pulled. 

  • The stapler finally cuts off the circumferential ring of enlarged haemorrhoidal tissues trapped within the stapler. The device staples the lower and upper edges of the cut tissues simultaneously. 

  • The surgery disconnects the supply of blood to the piles, causing them to shrink

The entire procedure takes about 30 minutes. 

Advantages of Stapler Piles Operation 

The surgery has gained immense popularity owing to several advantages –

  • Less pain

  • Minimal loss of blood

  • Faster recovery

  • Shorter hospital stay

  • Smaller incisions

  • Higher accuracy

Stapler Piles Operation does not involve the risks of major complications, like in the case of traditional surgery. The procedure is preferably used by Gastroenterologists far and wide. In most cases, patients have shown improvement in the condition and the overall quality of life following the operation. Patients are advised to strictly follow the doctor’s instructions immediately after the surgery for a speedy recovery. 

 

3 people found this helpful

Piles - How Efficient Is Surgery In It?

Piles - How Efficient Is Surgery In It?

Many people suffer from hemorrhoids or piles at some point in their life. This condition affects the rectum. It is rarely dangerous but it can be extremely painful. Hemorrhoids can be described as swollen veins in the walls of the lowest section of the rectum and anus. This is the most common cause of rectal bleeding. This may also be a symptom of rectal or colon cancer and hence should never be ignored. A doctor must be consulted if the rectal pain lasts longer than a week or if there is severe swelling and pain around the anus. Hemorrhoids can be treated in a number of different ways but the best form of treatment is surgery.

The procedure to remove hemorrhoids completely is known as a hemorrhoidectomy. A hemorrhoidectomy can be used to treat internal and external piles. This surgery aims at relieving the pain, bleeding, discharge and itchiness caused by piles by cutting away the hemorrhoids. A hemorrhoidectomy is performed while the patient is under general anesthesia. The doctor will begin by making one or many incisions around the anus. The hemorrhoids are them cut off and the incisions are closed. In some cases, the patient may need to stay overnight in the hospital but in most cases, he or she can go back home on the same day. Recovering from a hemorrhoidectomy can take 2-3 weeks.

One of the biggest advantages of surgery to treat this condition is the permanent removal of the swollen blood vessels. This makes passing stool painless and also relieve all the other associated symptoms. Thus, the patient will not have to deal with hemorrhoids on a daily basis. Surgery can be used to treat small or large hemorrhoids. Thus, when all other modes of treatment fail, surgery is often the last resort. As compared to other forms of treating hemorrhoids, only surgery offers long-term results. In 95% of cases, piles do not recur once surgically removed.

However, to ensure this, the patient must follow aftercare instructions and make a few lifestyle changes. For example, it is essential to have a well-balanced diet with plenty of fibre to prevent piles. The patient must also drink at least 8-10 glasses of water a day to ensure that undigested waste can pass through the digestive system smoothly and that stools are soft. Exercise is also very important for the prevention of piles.

2422 people found this helpful
Icon

Book appointment with top doctors for Piles treatment

View fees, clinic timings and reviews