What are Piles or Hemorrhoids?

#Hemorrhoids #Piles also known as #Bavaseer #बवासीर but #Fistula #भगंदर  #फिस्टुला and #Fissure #फिशर are confused as Piles.

#PilesBlog will not only help to alleviate the confusion related to diagnosis and myths related to the diseases of the perianal area but also provide appropriate insights of various modalities available to treat these conditions.

What causes hemorrhoids/piles?

Too much pressure on the veins in the pelvic and rectal area causes hemorrhoids/piles. Normally, tissue inside the anus fills with blood to help control bowel movements. If you strain to move stool, the increased pressure causes the veins in this tissue to swell and stretch. This can cause hemorrhoids/piles. Diarrhea or constipation also may lead to straining and can increase pressure on veins in the anal canal.


WHAT Is The Treatment For Hemorrhoids?

Early grade hemorrhoids. Most hemorrhoids are considered mild, and symptoms are often relieved by a few changes in diet and lifestyle. One goal of treatment is to ensure that stool should is soft and easily passed. Increasing fiber in the diet will help stool to be more easily passed without straining. Drinking more water will help to prevent constipation and hard, difficult to pass stools. Keeping the anal area clean is also important to recovery. Sitz baths (sitting in warm water) relieves symptoms and can be taken either in the bathtub or with a store-bought plastic seat that fits over the toilet bowl. Over-the-counter wipes for hemorrhoids that contain witch hazel, which is a natural astringent, may also be helpful. Creams, gels, and suppositories that are also sold over-the-counter may help reduce swelling and provide relief from symptoms. A diagnosing physician may provide a prescription for stronger medications to relieve symptoms. With proper treatment, hemorrhoids may start to improve over a few days to a week. In four to six weeks, the “lump” from an external hemorrhoid should decrease in size. Severe grade hemorrhoids. When hemorrhoids become persistent or very painful, other treatments may be necessary.Clot removal. This procedure used on clotted external hemorrhoids is minor surgery that is usually done under local anesthetic in a physician’s office. A small incision is made and the clot is lifted out.

What Are The Complications Of Piles?

COMPLICATIONS OF HEMORRHOIDS INCLUDE• Strangulation• Thrombosis• Gangrene• Severe bleeding• Ulceration• Fibrosis• Pus formation  

Which Doctor Should I Consult For Piles

You can consult a general surgeon with special interest in proctology.

Hemorrhoidectomy – Piles Surgery

During this procedure, the hemorrhoid (the tissue that is bleeding or protruding from the anus) is surgically removed under local anesthesia. A recovery period and hospitalization may occasionally be necessary. It may be used when external hemorrhoids clot repeatedly, the rubber band ligation procedure is not successful, a protruding hemorrhoid is not responding to treatment, or there is ongoing bleeding.

What Are Thrombosed Piles?

Blood clot inside the External haemorrhoid which appears bluish purple in colour is a Thrombosed Pile It may allow blood to pool and cause acute pain. Treatment is to drain the clot.

How Common Are Piles?

Both women and men commonly experience piles. About half of the populations have piles by age fifty. Women often experience piles during pregnancy. The pressure of the baby in the abdomen, as well as hormonal changes, cause the hemorrhoidal vessels to enlarge. These vessels are also placed under severe pressure during childbirth. For most women, however, piles caused by pregnancy may be temporary or permanent. So many women continue to suffer in silence for years and disease reaches lie threatening stages

Stapler Piles Surgery – Miph- Stapled Hemorrhoidectomy

MIPH minimal invasive procedure for prolapsing hemorrhoids has revolutionized the treatment of advanced 3rd & 4th degree piles. Anal cushions help to make our anus as an air-tight & water-tight junction. So these are required to maintain perfect control on our stools. Cutting them away as in conventional piles surgery can jeopardize the control over our motions. This can be avoided using the stapler.Conventional surgery for hemorrhoids will leave wounds , patient has to bear pain every day while passing stools and also throughout the day till these wounds heal. Also there is bleeding from the raw area along with potential chances of secondary infection and gangrene till the wounds heal  

How Can I Avoid Surgery For Piles?

Yes Early stage because stage 1 & 2 of piles can be treated without surgery or operation by OPD procedures like Infra-Red Beam Coagulation, Suction Banding, Special Injection Sclerotherapy. These procedures do not need admission to hospital, no anesthesia, no cutting, no bleeding, no pain and take not more than 10 minutes. Piles treatment without surgery is possible in early stages DIET FOR PILES AND FISTULA PATIENTSFiber is needed to prevent constipation. High fiber foods increase intestinal peristalsis & promote the expulsion of stool, which, at the same time, becomes much softer so it does not damage the walls of anus & veins of this area. Moreover, by means of facilitating evacuation, Fiber can avoid exerting excessive force to expel feces, so anus veins do not get so much stressed.

Know Piles Better

Piles Blog #Piles_BLOG #Dr_ASHISH_BHANOT

” May I always act so as to preserve the finest tradition of my calling and may I experience the joy of healing those who seek my help.”

Dr. Ashish Bhanot

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