Do you want to know what is the best treatment of piles? Hemorrhoids are aggregates of dilated (enlarged) blood vessels that occur in the anus and lower rectum. The rectum is the last section of the large intestine before entering the anus. The anus is located at the end of the digestive system, where excrement exits the body.
Hemorrhoids may swell when the veins expand, and their walls become strained, thin, and irritated by passing stool. Hemorrhoids are divided into two types: superficial and deep. Internal, originating from the rectum, external, arising from the anus.
Hemorrhoids (also known as piles) have caused discomfort and irritation throughout history. The term derives from the Greek word “hemorrhoids,” which means “vulnerable to blood discharge.”
You’re not alone if you’ve had hemorrhoid discomfort. Hemorrhoids are said to affect three out of every four persons at some time in their life. Napoleon suffered from hemorrhoids, which caused him great anguish after his loss at Waterloo.
Piles (hemorrhoids) are fairly common, but not something you want to discuss with your friends. We don’t know how prevalent piles are since many heaps are little and go unnoticed by doctors.
Hemorrhoids, commonly known as piles, are swellings that include swollen blood vessels and are situated within or near the bottom of the body (the rectum and anus).
Hemorrhoids may not always create symptoms, and some individuals are unaware they have them. When symptoms do appear, they may include:
- Bleeding after having a bowel movement (the blood is usually bright red)
- Bottom itch
- A bulge outside the anus that may need to be pushed back in after passing a stool
- A mucous discharge after a bowel movement
- Discomfort, redness, and swelling in the area surrounding your anus
Hemorrhoids are normally not painful until their blood flow is slowed or disrupted.
What Are Piles?
Piles are inflammatory and swollen tissue collections in the anal region. They come in a variety of sizes and may be internal or exterior.
Internal piles are the most frequent form and are often found between 2 and 4 centimeters (cm) above the anus opening. External piles form on the anus’s outer margin.
Piles Are Classified Into Four Grades:
Grade I: There are minor inflammations, generally inside the anus lining. They are not noticeable.
Grade II heaps are bigger than grade I piles but still stay inside the anus. They may be pushed out during stool passage, but they will return unassisted.
Grade III: These are prolapsed hemorrhoids that appear outside the anus. They may be felt dangling from the rectum, but they are readily re-inserted.
These cannot be put back in and must be treated. They are big and do not enter the anus.
Symptoms
In most situations, piles symptoms are not significant. They usually resolve themselves within a few days. A person suffering from piles may encounter the following symptoms:
- Around the anus, a firm, perhaps painful lump may be felt. It might have coagulated blood in it. Thrombosed external hemorrhoids are blood-filled piles.
- A person with piles may have the sensation that their intestines are still full after passing a stool.
- Following a bowel movement, bright crimson blood is evident.
- Itchy, red, and painful skin surrounds the anus.
- The passage of a stool causes pain.
Piles might deteriorate into a more serious condition. This might include:
- Anemia infection may result from extensive anal bleeding.
- Inability to regulate bowel motions, also known as fecal incontinence
- Strangulated hemorrhoid occurs when the blood supply to the hemorrhoid is cut off, resulting in consequences such as infection or a blood clot.
Causes
Many blood vessels are found in the lining of the back tube (anal canal) (veins). Certain alterations in the veins inside the lining of the back channel seem to be the source of the pile(s).
The lining of the back channel and the veins grow significantly bigger, causing swelling and the formation of a pile.
However, we do not know what precisely generates a pile. Some mounds seem to form for no apparent cause. It is believed that there is greater pressure in and around the back passage entrance (anus).
This is most likely the main cause of hemorrhoids in many situations. If you put off going to the toilet and have to struggle to pass stool, the pressure will rise, increasing the likelihood of a pile forming. Other dangers are mentioned here.
Hemorrhoids have an unknown etiology, however, they are related to increased pressure in the blood vessels in and around your anus. This pressure might produce enlarged and irritated blood vessels in your back canal.
Many instances are considered to be caused by excessive straining on the toilet as a result of persistent constipation, which is often caused by a lack of fiber in a person’s diet. Chronic (ongoing) diarrhea might also increase your risk of developing hemorrhoids.
Other variables that may raise your chances of having hemorrhoids are:
- Age – as you become older, your body’s supporting tissues weaken, increasing your chance of hemorrhoids pregnancy – It may put additional strain on your pelvic blood vessels, causing them to grow (read more about common pregnancy problems)
- Having a family history of hemorrhoids and moving big goods on a frequent basis
- A prolonged cough or vomiting after sitting for lengthy periods of time
Internal Hemorrhoids
Internal hemorrhoids are located in the rectum’s inner lining and are not visible until they are significantly enlarged, in which case they may be felt. Internal hemorrhoids are usually painless and only become apparent when rectal bleeding during a bowel movement.
Internal hemorrhoids may prolapse or protrude outside the anus. If this is the case, you may be able to see or feel them as wet patches of pinker skin than the surrounding region.
Because the anus is filled with pain-sensing nerves, these falling hemorrhoids may ache. Typically, slipped hemorrhoids regress into the rectum on their own. If they don’t, they may be put back into place gently.
External Hemorrhoids
You may see an external hemorrhoid if it prolapses to the outside (typically when passing a stool). Blood clots may develop inside this sort of falling hemorrhoid, causing an exceedingly painful disease known as thrombosis.
It may take on a terrifying appearance when the hemorrhoid gets thrombosed, becoming purple or blue and perhaps bleeding.
Despite their look, thrombosed hemorrhoids are typically not dangerous, but they may be very uncomfortable. They will resolve themselves in a few weeks. If the pain becomes severe, your doctor can generally remove the blood clot from the thrombosed hemorrhoid, relieving the agony.
When To Seek Medical Advice?
Consult your doctor if you have chronic or severe hemorrhoid symptoms. Any rectal bleeding should always be checked thoroughly so that your doctor can rule out more dangerous reasons.
Hemorrhoid symptoms often resolve on their own or with easy remedies available without a prescription from a drugstore (see below). However, if your symptoms do not improve or if you feel discomfort or bleeding, see your doctor.
A simple internal check of your backchannel by your doctor may typically detect hemorrhoids, however, they may need to send you to a colorectal expert for diagnosis and treatment.
Some patients with hemorrhoids are hesitant to see their doctor. There’s no need to feel ashamed, however, since GPs are well-versed in identifying and treating hemorrhoids.
What Is The Best Treatment For Piles?
As piles treatment solutions, many preparations and brands are routinely employed. They are not effective in treating piles. They may, however, alleviate symptoms such as soreness and itching.
Constipation and bowel straining should be avoided.
Maintain soft stools and avoid straining on the toilet. You may do this by:
- Consuming a lot of fiber (for example, fruit and vegetables, cereals, and wholegrain bread).
- I’ve had a lot to drink. Water is ideal, but any kind of drink will suffice. Limit your intake of alcohol, caffeine, and sugary beverages.
- I’m taking fiber supplements. If a high-fiber diet isn’t enough to keep you regular, you may take fiber supplements (bulking agents) such ispaghula, methylcellulose, bran, or sterculia.
- Codeine-containing pain relievers, such as co-codamol, should be avoided since they are a frequent cause of constipation. Simple pain relievers, such as paracetamol, may assist.
- Toileting. Go to the toilet as soon as you feel the urge (don’t keep it in). Likewise, do not strain on the toilet.
- Regular physical activity. This aids in constipation relief.
- These techniques will often alleviate piles symptoms such as bleeding and pain. It might be all you need to cure tiny, non-prolapsing piles (grade 1). Small grade 1 heap often settles over time.
For further information on digestive health, see the individual booklets Constipation, Constipation in Children, and Fibre and Fibre Supplements.
Creams, ointments, and suppositories
- A bland soothing lotion, ointment, or suppository may provide relief.
- One that includes an anaesthetic may provide greater pain relief. You should only use one of them for brief amounts of time at a time (5-7 days).
- A healthcare expert may recommend corticosteroid preparations for treating piles if there is a lot of inflammation surrounding the piles. This may assist to alleviate itching and soreness. A steroid cream or ointment should not be used for more than one week at a time.
- The majority of hemorrhoid medications should be used in the morning, at night, and after a bowel movement.
How Do You Treat External Hemorrhoids?
External hemorrhoids manifest as lumps and black spots around the anus. If the node is sensitive, it indicates that the hemorrhoid has become thrombosed. Any bulge, however, should be closely monitored and should not be considered to be a hemorrhoid since there are rare malignancies of the anal region that may masquerade as hemorrhoids.
Who Removes Hemorrhoids?
It is critical to treat enlarged hemorrhoids since they worsen with time. Hemorrhoids are treated with several methods, including diet, over-the-counter medications, and surgery.
There are anti-inflammatory pain relievers, creams, lotions, gels, pads, and wipes available, as well as numerous therapy methods, such as, Sclerotherapy, rubber band ligation, and surgery are all options.
Preventing And Treating Haemorrhoids
Haemorrhoid symptoms usually go away on their own within a few days. Hemorrhoids that develop during pregnancy usually go away once the baby is born.
However, changing your lifestyle to decrease the pressure on the blood vessels in and around your anus is often advised. These are some examples:
- Increase the quantity of fiber in your diet gradually – Fruit, vegetables, wholegrain rice, wholewheat pasta and bread, pulses and beans, seeds, nuts, and oats are all rich sources of fiber.
- Consuming lots of fluids, especially water, but avoiding or limiting coffee and alcohol
- Not putting off going to the toilet – Ignoring the desire to empty your bowels might cause your stools to become
- Firmer and drier, resulting in straining when you finally go to the bathroom.
avoiding constipation-causing medications, such as codeine-containing pain relievers, decreasing weight (if you’re overweight) - Regular exercise may help avoid constipation, lower blood pressure, and aid in weight loss.
These precautions may help lessen the likelihood of hemorrhoids reoccurring or developing in the first place.
Topical treatments (medication applied directly to your back channel) or pills purchased from a pharmacy or recommended by your doctor may alleviate your discomfort and make it simpler for you to pass stools.
For more severe hemorrhoids, there are many treatment options. Banding is one of these possibilities; it is a non-surgical treatment in which a very tight elastic band is wrapped around the base of hemorrhoid to cut off its blood supply. After approximately a week, hemorrhoid should come out.
To eliminate or diminish big or external hemorrhoids, surgery under general anesthesia (when you are asleep) is occasionally done.
What Are The Surgical Treatments For Piles?
Haemorrhoidectomy (the traditional operation)
A surgical operation to remove hemorrhoid (s) is an option for treating grade 3 or 4 piles or piles that have not been satisfactorily treated with banding or other procedures. The procedure is typically effective when performed under general anesthesia. It may, however, be rather uncomfortable in the days after the procedure.
Haemorrhoidopexy with staples
A circular stapling gun is used to cut off a circular portion of the anal canal lining above the piles. This causes the masses to be dragged back up the back channel. It also has the effect of decreasing the blood flow to the piles, causing them to shrink. Because the cutting is done above the piles, it is typically a less painful technique than the standard pile removal surgery.
Ligation of the haemorrhoidal artery
The little arteries that provide blood to the piles are connected (ligated). Hemorrhoid (s) decrease as a result.
