Piles also known as Hemorrhoids are swollen veins in an individual’s anus and lower rectum.
Piles in the lower rectum are called internal piles.
Piles which develop under the skin of the anus are called external piles.
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Symptoms of the piles vary according to the type of piles.
The symptoms of external piles are as follows:
These symptoms occur under the skin around the anal region
The symptoms of internal piles are as follows:
Thrombosed piles i.e. if the blood pools in an external piles and forms clots then it can result in the following symptoms:
Following are the causes of piles:
Surgery is required in very few cases and mild pain and swelling can be relieved with some home remedies like eating high fiber food which make the bowel movement easier by softening the stools and increasing the bulk of the stools passed.
Pain killers can also provide relief.
Application of creams with hydrocortisone helps and using pads with witch hazel or any other numbing agent helps.
Soaking the anal area in warm water for 10 to 15mins every day for 2 to 3 three times will provide relief.
Doctors might suggest creams, ointments and pads containing ingredients such as witch hazel, or hydrocortisone and lidocaine. Along with the above mentioned remedies.
Different types of surgical procedures are as follows:
External hemorrhoid thrombectomy: This procedure is carried out under the influence of anesthesia.
The need for this procedure arises when thrombosis has developed within the external hemorrhoid. During the procedure the clot is removed. The procedure is very prudent and has a high success rate if it is carried out within 72 hours of formation of the clot.
Minimally invasive procedures: the doctor might recommend minimally invasive procedures if the hemorrhoids are painful and these procedures don’t require any anesthetic.
Rubber band ligation: this is one of the types of minimally invasive procedures. In this procedure the surgeon places two tiny rubber bands around the base of the hemorrhoid; the rubber bands cut off the circulation to the hemorrhoid and as a result the hemorrhoid withers off within a week or so.
This procedure causes some amount of discomfort and may also cause some bleeding 2 to 4 days after the procedure.
Sclerotherapy: In this procedure the doctor injects chemical solution that shrinks the hemorrhoid tissue providing some relief to the patient.
Infrared, laser and bipolar treatment: Infrared, laser and bipolar treatments are coagulation techniques that make the hemorrhoids harden and shrivel. This procedure causes no discomfort.
During the surgery a laser fiber is passed through the opening in the anal region and its energy is focused on the hemorrhoid. This results in shrinking of the hemorrhoid and makes way for the new tissue to develop in that region.
Post operation the doctor might recommend mildly spicy or bland food.
Patient is advised to eat high fiber food
Avoid heavy lifting and jarring activities
Patients are prescribed pain killers because the first 72 hours after the surgery they will experience pain.
They are also prescribed vitamin supplements.