Overview Haemorrhoids and piles are conditions where the blood vessels in the anus and rectum become inflamed. These blood vessels act as shock absorbers for stool in the body. Haemorrhoids are one of the main causes of rectal bleeding because of this.
It frequently affects people between the ages of 45 and 65.
Haemorrhoids that have ballooned up inside of your buttocks or anal lining are known as piles. After a few days, they typically get better on their own. Haemorrhoids can be prevented and treated in several ways.
What causes piles?
Haemorrhoids are caused by a variety of factors, which put a strain on the blood vessels supplying the anus and rectum, causing them to enlarge.
Haemorrhoids have no recognised cause. Haemorrhoids can be brought on by constipation, sustained weight gain, increased blood vessel pressure during pregnancy, chronic diarrhoea, extended time spent on the toilet, and straining when lifting heavy objects. They might go away in 1-2 weeks, but you should see a doctor right away if you have any lingering symptoms, including rectal bleeding.
What Leads to Hemorrhoids or Piles?
numerous factors lead to piles. These factors cause the blood vessels supplying the anus and rectum to expand when the pressure inside the vessels rises.
Having firm or watery bowel motions (stools)
- fibre-poor diet
- liver conditions that raise the blood pressure in the veins supplying the anus and rectum (portal hypertension), Ascites (accumulation of fluid in the abdomen) (accumulation of fluid in the abdomen)
- family background
- persistent diarrhoea
- physical effort required to lift large goods
- colon cancer
- Unhealthy weight gain
- vomiting, sneezing, and a persistent cough (prolonged)
- Continual squatting while urinating
- Anal Relations
Look to see whether it’s piles.
There are several signs of piles:
The following symptoms may occur after using the restroom: bright red blood after you poop, an itchy anus, feeling as though you still need to poop, mucus in your underwear or on the toilet paper after wiping your bottom, lumps around your anus, and pain around your anus.
Do’s during piles
- To keep your poop soft, consume plenty of fluids and fibre.
- Use wet toilet paper, and clean your bottom.
- If your piles hurt, try paracetamol.
- Use warm water for a bath to relieve pain and discomfort.
- To relieve pain, place an ice pack in a towel.
- Gently reposition a pile inside
- a keep your bottom dry and spotless.
- Regular exercise
- reduces alcohol and caffeine intake, which thereby help to prevent constipation
How to get rid of piles.
bandage therapy (rubber band litigation)
used widely for treating piles, mostly for grade 2 and 3 piles.
Typically, this surgery is performed in an outpatient clinic. The haemorrhoid’s base is wrapped in a rubber or elastic band. This prevents the ability of haemorrhoids to get blood, and eventually, it dies and disappears after a few days. Some scar tissue forms as the tissue at the haemorrhoid’s base heal.
Internal piles can normally be banded without any pain because the haemorrhoid’s root originates from a spot on the stomach lining.
Sclerosing injection treatment
Injections of phenol in oil used. This causes a fibrotic (scarring) reaction that destroys the blood vessels providing blood to the piles. The piles eventually disappear, much like after banding.
Photocoagulation and infrared coagulation
Infrared light is used to stop the blood supply to the haemorrhoid by burning it which causes the vessel to contract and become smaller. For first- and second-degree piles, it might be just as effective as banding therapy and injectable sclerotherapy.
Electrotherapy and diathermy
For the elimination of piles, heat energy is used in diathermy and electrotherapy.
What surgical procedures are used to treat piles?
- Haemorrhoidectomy (the traditional operation)
It is used when banding or other treatments fail for grade 3 or grade 4 piles, and then the surgery to remove haemorrhoid(s) is performed. Under general anaesthesia, the procedure is typically effective.
- Haemorrhoidopexy with staples – A circular stapler is used to remove the lining of the anal canal in a circle above the piles. The piles are consequently compelled to return up the back way. Additionally, it causes the blood flow to the piles to diminish, which makes them constrict. Because the cutting occurs above the piles, it is often a less painful procedure than the standard operation to remove them.
- Ligation of the hemorrhoidal artery
the little arteries that give blood to the piles are ligated. Haemorrhoid (s) contract as a result.
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