One of the most common anorectal medical conditions, yet least talked about is piles.
Piles, or hemorrhoids, are swollen tissues and blood vessels found inside the skin in the rectal region.
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What is Piles ?
Piles, also known as hemorrhoids, are swollen veins in the lower part of the anus and rectum. When the walls of these blood vessels stretch, they become irritated. Although piles can be uncomfortable and painful, they are treatable.
Piles Type
Internal Piles
The symptoms of piles, or hemorrhoids, can vary depending on the type and severity of the condition. Here are the common symptoms associated with piles:
- Bleeding: One of the most noticeable symptoms is bleeding without pain. This often happens during bowel movements, where small amounts of bright red blood can be seen on toilet paper or in the toilet bowl.
- Itching and Irritation: The anal region may become itchy and irritated due to the presence of hemorrhoidal tissue, which can become inflamed and uncomfortable.
- Pain and Discomfort: While internal hemorrhoids often do not cause pain, external hemorrhoids located under the skin around the anus can be very painful, especially when sitting, walking, or during bowel movements.
Internal Piles
The symptoms of piles, or hemorrhoids, can vary depending on the type and severity of the condition. Here are the common symptoms associated with piles:
- Bleeding: One of the most noticeable symptoms is bleeding without pain. This often happens during bowel movements, where small amounts of bright red blood can be seen on toilet paper or in the toilet bowl.
- Itching and Irritation: The anal region may become itchy and irritated due to the presence of hemorrhoidal tissue, which can become inflamed and uncomfortable.
- Pain and Discomfort: While internal hemorrhoids often do not cause pain, external hemorrhoids located under the skin around the anus can be very painful, especially when sitting, walking, or during bowel movements.
Treatments for Piles
Lux Hospitals offers a comprehensive and advanced treatment approach for piles, ensuring patients receive the best possible care based on the severity and type of their hemorrhoids. Here are some of the key treatment options available at Lux Hospitals:
Conservative Treatments
- Medications: Over-the-counter (OTC) or prescription medications to relieve pain, inflammation, and swelling.
- Dietary Management: Guidance on high-fiber diets to help soften stools and reduce the strain that leads to hemorrhoids.
- Hydration: Emphasis on adequate fluid intake to prevent constipation.
- Sitz Baths: Warm water baths for the buttocks and hips to help reduce itching and irritation.
Conservative Treatments
- Medications: Over-the-counter (OTC) or prescription medications to relieve pain, inflammation, and swelling.
- Dietary Management: Guidance on high-fiber diets to help soften stools and reduce the strain that leads to hemorrhoids.
- Hydration: Emphasis on adequate fluid intake to prevent constipation.
- Sitz Baths: Warm water baths for the buttocks and hips to help reduce itching and irritation.
Conservative Treatments
- Medications: Over-the-counter (OTC) or prescription medications to relieve pain, inflammation, and swelling.
- Dietary Management: Guidance on high-fiber diets to help soften stools and reduce the strain that leads to hemorrhoids.
- Hydration: Emphasis on adequate fluid intake to prevent constipation.
- Sitz Baths: Warm water baths for the buttocks and hips to help reduce itching and irritation.
Conservative Treatments
- Medications: Over-the-counter (OTC) or prescription medications to relieve pain, inflammation, and swelling.
- Dietary Management: Guidance on high-fiber diets to help soften stools and reduce the strain that leads to hemorrhoids.
- Hydration: Emphasis on adequate fluid intake to prevent constipation.
- Sitz Baths: Warm water baths for the buttocks and hips to help reduce itching and irritation.
Conservative Treatments
- Medications: Over-the-counter (OTC) or prescription medications to relieve pain, inflammation, and swelling.
- Dietary Management: Guidance on high-fiber diets to help soften stools and reduce the strain that leads to hemorrhoids.
- Hydration: Emphasis on adequate fluid intake to prevent constipation.
- Sitz Baths: Warm water baths for the buttocks and hips to help reduce itching and irritation.
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Causes of Piles
Piles, also known as hemorrhoids, are a common condition that can be caused by various factors contributing to increased pressure in the lower rectum. Understanding these causes of piles is crucial for effective prevention and treatment. Here are the main factors that lead to the development of piles
- Chronic Constipation: Regular straining during bowel movements increases pressure in the rectum, leading to the swelling of blood vessels.
- Prolonged Sitting: Sitting for long periods, particularly on the toilet, can cause increased pressure in the anal region.
- Heavy Lifting: Frequent heavy lifting can strain the rectal area, similar to how it impacts other parts of the body.
- Obesity: Excess body weight can increase pressure in the pelvic area, contributing to the development of hemorrhoids.
- Pregnancy: The weight of the growing uterus places additional pressure on the rectal veins. Hormonal changes and increased blood volume during pregnancy also cause these veins to enlarge.
- Dietary Factors: A low-fiber diet can lead to harder stools and constipation, which require more straining during defecation, thereby increasing the risk of piles.
- Aging: The tissues that support the veins in the rectum and anus can weaken and stretch with aging, increasing the likelihood of developing piles.
- Genetics: Family history of piles can increase an individual’s predisposition to developing hemorrhoids, indicating a possible genetic component.
Symptoms of piles
The symptoms of piles, or hemorrhoids, can vary depending on the type and severity of the condition. Here are the common symptoms associated with piles:
- Bleeding: One of the most noticeable symptoms is bleeding without pain. This often happens during bowel movements, where small amounts of bright red blood can be seen on toilet paper or in the toilet bowl.
- Itching and Irritation: The anal region may become itchy and irritated due to the presence of hemorrhoidal tissue, which can become inflamed and uncomfortable.
- Pain and Discomfort: While internal hemorrhoids often do not cause pain, external hemorrhoids located under the skin around the anus can be very painful, especially when sitting, walking, or during bowel movements.
- Swelling Around the Anus: There may be swelling or a hard lump around the anus, which is the result of a thrombosed hemorrhoid. This occurs when blood pools and clots in an external hemorrhoid, forming a painful lump.
- Prolapse: With internal hemorrhoids, a soft tissue may protrude outside the anus. This condition is known as a prolapsed hemorrhoid and can be felt as a bulge in the anus that may need to be manually pushed back after a bowel movement.
- Leakage: A less common symptom is fecal leakage. Hemorrhoids can cause difficulty cleaning after a bowel movement, leading to skin irritation and further discomfort.
Recognizing these symptoms early is crucial for effective treatment and can prevent the condition from worsening. If you experience any of these symptoms, particularly bleeding, it is important to consult a healthcare provider to confirm the diagnosis and receive appropriate care.
Tips to prevents piles
Preventing piles, or hemorrhoids, involves simple yet effective lifestyle and dietary changes. Here are key tips that can help minimize the risk and alleviate the symptoms of piles:
- Increase Fiber Intake: Consuming a high-fiber diet helps soften stools and increase their bulk, which can prevent straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.
- Stay Hydrated: Drinking plenty of fluids, particularly water, helps prevent constipation, a major contributor to hemorrhoids. Aim for about 8 glasses of water a day.
- Exercise Regularly: Regular physical activity can help prevent constipation and reduce pressure on veins, which can occur with prolonged sitting and standing.
- Avoid Heavy Lifting: Lifting heavy objects can strain the lower body and increase the risk of piles. If lifting is unavoidable, use proper form and techniques.
- Maintain a Healthy Weight: Being overweight can increase pelvic pressure and the risk of developing hemorrhoids. Managing your weight through diet and exercise can help reduce this risk.
- Use the Bathroom Promptly: Ignoring the urge to have a bowel movement can lead to harder stools and more straining later, which can aggravate or lead to the development of piles.
- Manage Stress: Chronic stress can also contribute to constipation and, subsequently, piles. Techniques such as yoga, meditation, or regular exercise can help manage stress effectively
Lux Hospitals offers guidance and support in implementing these lifestyle changes to not only manage but prevent the occurrence of hemorrhoids.
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Dr. Abhishek
MBBS, MS, FMAS, FISCP, DMAS Consultant Colorectal & Laparoscopic Surgeon, Proctologist
Experience : 25 years
Dr. Samhitha
MBBS, MS, FMAS, FISCP, DMAS Consultant Colorectal & Laparoscopic Surgeon, Proctologist
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