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Treatment : Piles
Symptoms
Pain, Discomfort, Swelling, Itchiness, Redness, Lump Formation
Causes
Straining while passing stools, Constipation, Pregnancy, Chronic diarrhoea
Diagnosis
Visual inspection, Digital examination, Proctoscopy
Treatment Options
Haemorrhoidal Artery Ligation, Sclerotherapy, Stapler surgery, Laser surgery
Treated By
General Surgeon (Proctologist)
Understanding Piles: An Overview
Piles, also known as haemorrhoids or bawaseer (बवासीर) in Hindi, are swollen areas with enlarged blood vessels and tissues located either inside the rectum or beneath the skin around the anus.
This condition is most commonly seen in individuals aged 45-65. Haemorrhoids can be categorized based on their location as internal, external, or prolapsed. Let’s know more about Piles representation by real images, symptoms, causes, types, diagnosis, prevention, treatment, and more.
What are Piles?
Piles, or haemorrhoids, are a common condition affecting many people. They occur when blood vessels in the anus or lower rectum become swollen, which can lead to discomfort, pain, itching, and bleeding, especially during bowel movements.
While the exact cause of piles remains unclear, factors such as constipation, pregnancy, obesity, and extended periods of sitting or standing can increase the likelihood of their development.
Although piles can be uncomfortable, they are usually not a serious health concern. Often, they can be managed with lifestyle adjustments and home remedies like increasing fibre intake, staying hydrated, maintaining good hygiene, using over-the-counter creams, and avoiding straining during bowel movements. However, in more severe cases, surgical procedures may be required.
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Types and Grades of Piles
Piles have two main types based on their location: internal piles and external piles. Each type can vary in severity and is classified into grades to guide treatment options.
Internal Piles
Internal piles are located inside the rectum and are not visible from the outside. They are classified into four grades:
Grade I
Small and often asymptomatic, these piles might cause minor bleeding during bowel movements but do not protrude outside the anus.
Grade II
These piles can protrude during bowel movements but usually retract on their own. Symptoms may include bleeding, itching, and discomfort.
Grade III
Prolapsed piles that require manual reduction (i.e., pushing them back inside). They can cause significant discomfort and bleeding.
Grade IV
Permanently prolapsed piles that cannot be pushed back inside. They often result in severe pain, bleeding, and irritation.
External Piles
External piles develop under the skin around the anus. They are often visible and can cause more noticeable symptoms compared to internal piles. Symptoms include itching, pain, and swelling in the area. External piles can also form blood clots, leading to a condition known as thrombosed haemorrhoids, which can be particularly painful.
Symptoms of Piles
Piles can cause a range of symptoms, depending on their type and severity. Common symptoms include:
- Painful lumps around the anal area
- Itching, redness, inflammation, and general discomfort
- Slimy discharge near the anus
- Bright red blood following bowel movements
- A sensation of incomplete bowel evacuation even after passing stool
Causes of Piles
Hemorrhoids develop over time when small blood vessels around the anus and rectum become blocked or compressed, causing them to swell and appear knobbly. This swelling is typically the result of significant pressure applied to the area, often aggravated during bowel movements.
Common causes of this pressure include:
- Straining during bowel movements
- Chronic constipation or diarrhea
- Being overweight
- Spending long periods on the toilet
- Regularly lifting heavy objects or engaging in intensive manual labor
- Persistent coughing or repeated vomiting
- Anal intercourse
Pregnancy increases the risk of haemorrhoids (25%-35%) due to constipation, increased abdominal pressure, higher blood volume, and hormonal changes that soften blood vessels. Additional risk factors include age, genetic predisposition, weight, and physical activity levels.
Treatment Options for Piles
Piles, or hemorrhoids, can be managed through various treatment options, ranging from conservative treatments to surgical interventions. Here’s an overview of both approaches:
1. Conservative Treatment
Conservative treatments are the first line of management for piles and include:
Dietary Changes :
Increasing fibre intake and staying hydrated to soften stools and reduce straining.
Over-the-Counter Medications:
Topical treatments like creams, ointments, and suppositories to alleviate symptoms, along with pain relievers like acetaminophen or ibuprofen.
Warm Sitz Baths:
Soaking the anal area in warm water several times a day to reduce swelling and discomfort.
Good Hygiene Practices:
Keeping the anal area clean and dry, using moist towelettes instead of dry toilet paper.
Cold Compresses:
Applying ice packs to reduce swelling and numb pain.
Lifestyle Changes:
Regular exercise and avoiding prolonged sitting or standing to reduce pressure on rectal veins.
2. Surgical Intervention
Surgical options are considered when conservative treatments are ineffective or the haemorrhoids are severe:
Hemorrhoidectomy:
Surgical removal of haemorrhoids, recommended for severe cases and performed under local or general anesthesia.
Stapled Hemorrhoidopexy:
A stapling device removes part of the hemorrhoid tissue and repositions the remaining tissue, reducing blood flow and size.
Laser Treatment:
Uses laser energy to remove or shrink hemorrhoids, often resulting in less pain and quicker recovery.
Hemorrhoidal Artery Ligation:
Ties off the blood vessels supplying the hemorrhoid, causing it to shrink.
When to Consider Piles Surgery?
Piles surgery becomes a crucial consideration when conservative treatments fail to alleviate symptoms, or when hemorrhoids are severe, causing significant discomfort, bleeding, or prolapse. Surgery is recommended if the condition impacts daily activities, is recurrent despite treatment, or results in severe pain and complications.
- Traditional Hemorrhoidectomy : Complete surgical removal of hemorrhoids for severe cases. Stapled
- Hemorrhoidopexy : A stapling device is used to reposition hemorrhoid tissue with less pain.
- Laser Hemorrhoidectomy : Minimally invasive, uses laser energy to shrink or remove hemorrhoids, offering quicker recovery.
Recent advancements in surgical techniques have further improved outcomes and recovery times:
- Minimally Invasive Techniques : Include stapled hemorrhoidopexy and laser surgery for reduced recovery time and pain.
- Robotic-Assisted Surgery : Provides enhanced precision and control with smaller incisions.
- Laser Surgery : Offers less pain, minimal bleeding, and quicker recovery.
Cost of Piles Surgery
The cost of piles surgery in India varies based on factors such as the type of procedure, the hospital or clinic, and the location. Below is a table outlining the approximate costs for different types of piles surgery:
Surgery Name | Surgery Cost |
Rubber Band Ligation | ₹25,000 to ₹60,000* |
Sclerotherapy | ₹25,000 to ₹80,000* |
Laser Piles Surgery | ₹35,000 to ₹1,10,000* |
Stapler Haemorrhoidectomy | ₹42,000 to ₹1,10,000* |
Open Haemorrhoidectomy | ₹32,000 to ₹1,00,000* |
Haemorrhoidal Artery Ligation | ₹38,000 to ₹90,000* |
*Terms and Conditions Apply
When to Seek Medical Advice?
It is important to seek medical advice if you experience any of the following:
- Persistent or severe bleeding during or after bowel movements
- Significant pain or swelling around the anus
- Symptoms that do not improve with conservative treatments
- Prolapsed hemorrhoids that do not retract or cause significant discomfort
- Any new or unusual symptoms, including changes in bowel habits or unexpected weight loss
Seeking Piles Treatment ? Connect with the Experts at Cure Me
Piles can be uncomfortable and cause embarrassment, but they can be effectively managed with the proper knowledge and treatment. Symptoms like itching, pain, and bleeding during bowel movements are common. Preventing piles involves maintaining a healthy diet rich in fibre, staying hydrated, and avoiding prolonged periods of sitting or standing.
In some cases, surgical intervention may be needed. Advanced treatment options, such as hemorrhoidectomy, laser surgery, and stapled hemorrhoidopexy, are available. For the best surgical and non-surgical solutions, you can look for experts at Cureme.
Don’t let piles affect your life. Recognize the symptoms and take control with proper treatment and prevention. With the right approach, you can lead a comfortable and confident life, free from the discomfort of hemorrhoids.
