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Piles Hemorrhoids

Piles, also known as hemorrhoids, are a common condition characterized by swollen and inflamed blood vessels in the rectum and anus. While they can cause discomfort and pain, they are usually not a serious medical concern. In this article, we will explore the signs and symptoms, types, grades, and treatment options for piles.
External hemorrhoids: These develop around the anus and can cause pain and itching. They may also bleed if irritated.
Internal hemorrhoids: These occur inside the rectum and are usually painless. They may cause rectal bleeding and can protrude through the anus, leading to discomfort.
Thrombosed hemorrhoids: This type of hemorrhoid occurs when a blood clot forms within an external hemorrhoid, causing severe pain and swelling.
  • Piles, or hemorrhoids, can develop due to increased pressure on the rectal veins during bowel movements.
  • Straining during bowel movements, often caused by constipation, is a common cause of piles.
  • Prolonged sitting or standing can also contribute to the development of piles by exerting pressure on the rectal veins.
  • Pregnancy and hormonal changes can increase the risk of developing piles due to increased pressure on the pelvic veins.
  • Obesity is a risk factor for piles, as excess weight can put strain on the rectal veins.
  • Genetic factors may play a role in the development of piles, with a family history of hemorrhoids increasing the risk.
  • Rectal bleeding: The most common symptom of piles is bright red blood on toilet paper, in the toilet bowl, or on the surface of stool.
  • Itching or irritation: Hemorrhoids can cause itching or irritation in the anal area.
  • Pain or discomfort: Depending on the severity, piles can cause varying levels of pain or discomfort during bowel movements.
  • Swelling and lumps: Piles can lead to swelling or the formation of small, sensitive lumps around the anus.
  • Bowel movement changes: Some individuals may experience difficulty or straining during bowel movements.

Increasing fiber intake, drinking an adequate amount of water, and regular exercise can help soften stools and reduce the strain during bowel movements.

Over-the-counter creams, ointments, or suppositories containing hydrocortisone or witch hazel can provide relief from itching and inflammation.

Soaking the anal area in warm water for 10-15 minutes several times a day can help reduce pain and swelling.

In some cases, oral medications such as non-steroidal anti-inflammatory drugs (NSAIDs) or stool softeners may be recommended to alleviate symptoms.

If conservative measures fail, procedures like rubber band ligation, sclerotherapy, or infrared coagulation can be performed to treat internal hemorrhoids.

In severe cases or for external hemorrhoids, surgical procedures such as hemorrhoidectomy (removal of hemorrhoids) or hemorrhoidopexy (stapling) may be required.

Grade 1

Internal hemorrhoids that bleed but do not prolapse.

Grade 2

Hemorrhoids that prolapse during bowel movements but retract spontaneously.

Grade 3

Prolapsed hemorrhoids that require manual reduction (pushing them back in).

Grade 4

Prolapsed hemorrhoids that cannot be manually reduced and may become strangulated or thrombosed.

Conclusion

Piles, or hemorrhoids, can cause discomfort and inconvenience, but they can usually be managed effectively with various treatment options. It is important to recognize the signs and symptoms of piles, seek medical advice for an accurate diagnosis, and follow the recommended treatment plan. Maintaining a healthy lifestyle and good bowel habits can help prevent the recurrence of piles in the future. If you experience persistent or severe symptoms, consult a healthcare professional for proper evaluation and guidance.

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