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Piles Preventions and Treatment By Piles Specialist

Various people come to us and say that they have piles and want a treatment for it, and that is why we have decided on Bawaseer ka ilaj or parhez in the Urdu article about it. 

What are piles?

Hemorrhoids are bulging and swollen veins (also known as varicose veins) located around the anus or lower rectum. The rectum is the gut’s last section, leading to the anus, the orifice at the end of the colon, via which fecal waste exits the body.

In this location, everyone possesses hemorrhoidal tissue, which is made up of blood vessels, connective tissue, and some muscle. These “cushions” do not necessarily become enlarged or distended, but as we become older, this condition becomes more prevalent, resulting in hemorrhoids, sometimes called piles.

Hemorrhoids may be caused by various factors, which are straining to pass a bowel movement. Lifting heavy objects, as well as other activities that cause straining, can result in hemorrhoids. Other variables contribute to high blood pressure during pregnancy and being overweight.

Hemorrhoids may be unpleasant and irritating if they occur often, but they are not hazardous or life-threatening, and symptoms usually resolve within a few days. There are numerous effective treatments available and options for less common types of hemorrhoids that may be more problematic.

Types of Piles

Internal Hemorrhoids These hemorrhoids form within the rectum (the section of the big intestine that leads to the anus) and usually are not apparent to the naked eye. Internal hemorrhoids seldom hurt, although they often bleed painlessly.

Internal hemorrhoids may extend through the anus and be visible in certain circumstances, a condition known as becoming prolapsed. When this occurs, they either shrink back inside the rectum on their own or can be pushed back in.

External Hemorrhoids: These hemorrhoids from behind the skin on the exterior of the anus. These are the most bothersome hemorrhoids since they may be itchy or painful and feel lumpy. A thrombosed hemorrhoid occurs when a blood clot develops inside external hemorrhoid, resulting in severe, continuous discomfort. Clots may dissolve on their own at times, but if they don’t, your doctor can remove it, which is most successful if done within 72 hours of the clot developing.

Piles Preventions and Treatment:

Prevention of piles

One of the most excellent strategies to help avoid hemorrhoids is to keep your stool soft and to have regular bowel movements.

The following suggestions may help you avoid constipation:

  • Get enough fiber in your diet. A high-fiber diet may soften and bulk up feces, making it easier to pass. Adult males under the age of 50 should strive for at least 38 grams of fiber each day, while adult women under 50 should aim for 25 grams. The recommended 50 is significantly lower: 30 grams for males and 21 grams for women. However, gradually add fiber to your diet to avoid excessive gas or bloating.
  • There are many simple, healthful strategies to increase your fiber intake. Berries, avocados, and pears are examples of fiber-rich foods. Broccoli, artichokes, and Brussels sprouts are among plants that might help you obtain more fiber. Whole grains like brown rice, quinoa, and oatmeal are also good sources. Legumes, such as lentils, beans, and green peas, are high fiber. Nuts and seeds are also high in fiber and make an excellent snack. 
  • Consider taking a fiber supplement if you’re having difficulties obtaining enough fiber in your usual diet.
  • If you have chronic constipation and feel it contributes to your hemorrhoids, limit your intake of foods with little or no fiber, such as cheese, and quick and processed meals.
  • Drink lots of fluids, including water. The Institute of Medicine of the National Academies recommends 2.7 liters (91 ounces) of water per day for males and around 3.7 liters (125 ounces) for women. This may come from liquids and food, although caffeinated beverages and alcohol can dehydrate and should not be counted toward this objective. 
  • Regular exercise is essential. Exercise, particularly 20 to 30 minutes of moderate aerobic exercise per day, may assist in maintaining periodic bowel motions. Furthermore, frequent activity may help you lose weight, contributing to creating hemorrhoids.

Other hemorrhoid prevention strategies include:

  • During bowel motions, do not strain or hold your breath. Straining may place undue strain on veins, resulting in hemorrhoid formation.
  • Go to the bathroom as soon as you feel the urge. Allowing the need to pass might make your feces more challenging to wash.
  • Avoid sitting for extended periods. Sitting for an extended period, particularly on the toilet, may cause veins in the anus to become stressed.

Treatment of Piles

Hemorrhoids that do not respond to home treatments may necessitate medical intervention. Painful external hemorrhoids may be excised (cut out) during an office visit after a local anesthetic is used to numb the region. 

A few office procedures may be considered for internal hemorrhoids. The most frequent hemorrhoid operation in the United States is rubber band ligation.

The doctor wraps a tiny rubber band around the base of hemorrhoid, cutting off the hemorrhoid’s blood supply. Hemorrhoid usually shrinks and comes out within a week, but numerous fast follow-up visits may be necessary to remove hemorrhoid entirely.

Sclerotherapy, in which a chemical is injected into a hemorrhoid and causes scar tissue to form, shrinking hemorrhoid, and infrared coagulation, in which an intense beam of infrared light causes scar tissue to form, cutting off the blood supply shrinking hemorrhoid, are two other procedures.

If you have a big external hemorrhoid, both internal and external hemorrhoids, or an internal hemorrhoid that has prolapsed (popped out through the anus), a surgical surgery called a hemorrhoidectomy may be required, but this is rare.

During a hemorrhoidectomy, the hemorrhoid and surrounding tissue are removed via a tiny incision, then stitched up. The treatment is carried out in an operating room under localized or general anesthesia or with a spinal block that numbs the lower part of the body. Although the treatment is effective in 95% of instances, individuals may endure postoperative discomfort.

At what age can Piles occur?

A stapled hemorrhoidopexy is another alternative for reducing postoperative discomfort, in which a device pushes the hemorrhoidal tissue upward and to its natural position before pinning it in place. (The staples eventually fall out.)