After Treatment

Before Treatment

Simple

Sure

and

Effective

Technique

of

Treatment

About the Disease

            Piles are inflamed hemorrhoids. Hemorrhoids are vascular structures in the anal canal which help with stool control. They become pathological or piles when swollen and inflamed. In their physiological state, they act as cushion composed of arterio-venus channels and connective tissues. These are unpleasant inflammations which give problem as they increase in size. They are approximately 2 to 4 cm. above the opening of anus.

Types of piles

According to the position of piles, these are of two types:

•    Internal piles: These piles are the part of superior hemorrhoidal plexus that occur above the dentate line. They are covered by the columnar epithelium which lacks pain receptors. They are classified into four grades based on the degree of prolapsed.

•     Grade I ( no prolapse, just prominent blood vessels)

•     Grade II (prolapse upon bearing down but spontaneously reduce)

•   Grade III (prolaspse upon bearing down and requires manual reduction.)

•    Grade IV (prolapsed and cannot be manually reduced)

•    External piles: these piles are the part of inferior hemorrhoidal plexus that occur below the dentate line.they are covered proximately by anoderm and distally by skin, both of which are sensitive to pain and temperature.

According to the mood of piles, these are of two types

•       Bleeding piles

•       Non-bleeding piles

All types of piles are initially painless but painful when they are either strangulated or infected. Sometimes due to pressure of piles, patient may get an anal fissure especially at 6 and 12 o’clock which is very painful in nature.

Sometime the piles run with some associated problems like anal fissur , abcess,  fistulea, peruritis also .  

Many other ano-rectal problems like anal fissures, pruritus ani, deep septic anal fissures (forming fistula ano), abscesses are the post complicacy of any type of chronic piles. Rectal bleeding may also occur due to colorectal cancer, ulcerative colitis including inflammatory bowel disease, diverticular disease and angiodysplasia. Other conditions that produce an anal mass include: skin tags, anal warts, rectal prolapse, polyps and enlarged anal papillae.

Signs and symptoms of piles:

•    Itching, burning, swelling, irritation and loosened skin around anus.

•    Pain during and after stool passing and in sitting position.

•    Anal area becomes red, sour and inflamed.

•    Person may strain excessively during stool passing and flatus.

•   Frequent desire for defecation without satisfaction and sometimes constipation also.

•   Bright red blood (sometimes shower type) per rectum during stool passing causing severe anemia.

•     In advance stage of the disease, muscular structure comes out during defecation which may be pushed back mechanically.

•    Sometimes, patients feel a hard and painful structure near anal orifice in the form of thrombosed external hemorrhoids.

•    Frequent urination and retention of urine.

Causes of piles:

The exact cause of piles is unknown. A number of factors are believed to play a role including:

•    irregular bowl habits (constipation ,  diarrhea, dysentry )

•    a lack of exercise and nutritional factors (low fiber diet)

•   increased intra-abdominal pressure (prolonged straining, ascitis, an intra abdominal mass, or pregnancy)

•    An absence of walls within the hemorrhoidal veins and aging.

•   Obesity, prolonged sitting, chronic cough, and pelvic floor dysfunction are other factors which increase the risks of piles

•    Genetic factors are also believed to increase the risk of piles.

•    Lifting heavy weights regularly.

•    Risk factor inceses in old age.

Precautions:

•    Intake of fibrous food such as fruits and vegetables and plenty of water to avoid constipations.

•    Avoid fast food, non veg., highly spiced and fried food.

•    Avoid straining during defecation.

•    Reduction of body weight in obese people