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Piles - What Are The Must Know Things About It?

Reviewed by
Dr. Gaurav Bansal 93% (2289 ratings)
MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon  •  18 years experience
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.

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