PILES
What are piles?
Piles known as in medical term Hemorrhoids ( HEM-uh-roids), are swollen veins in your anus and lower rectum, the identical as varicose veins. Inside the rectum Piles can develop known as internal Piles or under the skin around the anus known as external Piles. Piles have sort of causes, but often the cause is unknown. Fortunately, effective options are available to treat Piles.
This is a collection of tissue and veins which becomes swollen and inflamed in piles . they are graded on the scale from 1 to 4 . At grade 3 and 4 surgery is necessary. Piles occurs due to constipation , chronic diarrhea, pregnancy. Many people have piles but their symptoms are not always similar.
A person with piles may experience swollen collections of tissue in the anal area.
piles have different sizes, and they may be internal or external.
Internal piles are normally between 2 and 4 centimeters (cm) above the opening of the anus, and they are the more common type. External piles occur on the outside edge of the anus.
Symptoms
In some cases piles is not serious. They resolve by them self in few days
A person with piles may experience some symptoms:
- A hard and painful lump may be found around the anus. their may be coagulated blood occurs. piles which has blood is known as thrombosis.
- A person having piles may experience bowels are still full after passing the stool.
- after a bowel movement fresh blood is visible
- Itchy, red, and sore may be felt in area around the anus
- Pain occurs during the passing of a stool.
- The tendency to develop piles may also be inherited and increases with age.
Piles can escalate into a more severe condition. This can include:
- Because of excess bleeding , also possible to have anemia
- anus infection
- Inability to control bowel movements
- A new channel is developed between the surface of the skin near the anus and the inside of the anus is called anal fistula
Piles is classified into four grades:
- Grade I: They are not visible. There are small inflammations, inside the lining of the anus.
- Grade II: also remain inside the anus Grade II piles are larger than grade I piles, They may get comes out during the passing of stool, and they will return unaided.
- Grade III: The individual may feel them hanging from the rectum, but they can be easily re-inserted. And appear outside the anus.
- Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.
Causes
If there is pressure in the lower rectum piles may occur. when there is more pressure in rectum blood vessels which is around anus then swelling and bulging form piles .
- chronic constipation
- chronic diarrhea
- pregnancy
- lifting heavy weights
- straining when passing a stool
Diagnosis
After a physical examination doctor can usually diagnose piles. if they suspect piles they will examine anus.
The doctor may ask the following questions:
- Do any close relatives have piles?
- Colour of stool ?
- Find any change in bowel movement ?
- Is there any recent blood loss?
- Is there any blood in stool?
Treatments
piles resolve by them self in the majority of cases. You can prevent this disease by using a high fiber diet. The doctor also asks you to change your lifestyle to manage piles.
- Primarily eating bran-based breakfast cereals.
- Eating more fiber
- Involves fruit and vegetables in diet
- Increase water consumption
- It is best to avoid caffeine
- Lose weight is also a useful experiment in this disease.
A doctor will initially recommend some lifestyle changes to manage piles.
Surgical options
Approximately only one person out of 10 people has to go on the advice of surgery provided that he is properly following the instructions of the doctor.