Piles or Hemorrhoids (or Haemorrhoids) are vascular cushions, i.e. swollen veins in the anus, anal canal and lower rectum, similar to varicose veins. It is a common condition in adults. It develops due to various causes related to increased pressure in the anal canal and the lower rectum.
Causes for piles:
- Chronic constipation
- Chronic diarrhea
- Heavy weight lifting
- Low-fiber diet
- Sitting for a longtime on the toilet bowl
- Straining while passing motion
Types of piles
- External: noted in the skin around the anus
- Internal: noted within the anal canal and lower rectum
- Others: Thrombosed piles or Perianal hematoma
Piles can present as:
- Anal itch or irritation
- Anal pain or discomfort
- Painless bleeding during bowel movements
- It is usually self limiting and can be managed with medications
- If it is large amount and persistent, then it is a medical emergency and requires urgent attention
- Prolapsing or protruding anal lump
- Defecation habit modifications
- Dietary modifications
- Lifestyle modifications
- Other intervention:
- If the piles are medium, the aforementioned is required, and we may give pile ligation with rubber bands.
- If the piles are huge and prolapsing, the procedures listed above will be necessary, and the patient will need surgery.
- Traditional or diathermy hemorrhoidectomy, ligasure hemorrhoidectomy, stapled hemorrhoidectomy, and other procedures are used to treat piles.
- We’ll talk with the patient about which option is best for them.