Everything you need to know about piles

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India piles are India’s leading Proctology clinic. Dr. Ashwin Porwal treats piles by the nonsurgical method through cream,stool softener, by physiotherapy, ayurvedic treatment and giving the high-fiber diet chart as high fiber diet is the main component in the prevention of piles. For more details visit us http://bit.ly/2vnyHU0 or Contact us 8888288884/020-24444442

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www.indiapiles.com Page 1 Everything you need to know about piles Piles is another term for hemorrhoids. Hemorrhoids are collections of inflamed tissue in the anal canal. They contain blood vessels support tissue muscle and elastic fibers. WHAT ARE PILES PILES ALSO KNOWN AS HEMORRHOIDS MULVYADH / BAVASIR ARE ENLARGED VEINS LOCATED AT THE JUNCTION OF THE RECTUM AND ANUS. At the junction of the rectum and anus there is a natural cushion of tissue and veins which along with the the sphincter muscle is responsible for the complete closure of the anus and prevents any leakage. During a bowel movement these cushions become smaller to allow stools to pass. We all have them and problem only arises when they become enlarged due to pressure on them. An increased pressure due to any reason causes them to enlarge and swell thus forming lumps which are occasionally felt at the anal opening. Symptoms In most cases the symptoms of piles are not serious. They normally resolve on their own after a few days. An individual with piles may experience the following symptoms:  A hard possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles that contain blood are called thrombosed external hemorrhoids.

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www.indiapiles.com Page 2  After passing a stool a person with piles may experience the feeling that the bowels are still full.  Bright red blood is visible after a bowel movement.  The area around the anus is itchy red and sore.  Pain occurs during the passing of a stool. Piles can escalate into a more severe condition. This can include:  excessive anal bleeding also possibly leading to anemia  infection  fecal incontinence or an inability to control bowel movements  anal fistula in which a new channel is created between the surface of the skin near the anus and the inside of the anus  a strangulated hemorrhoid in which the blood supply to the hemorrhoid is cut off causing complications including infection or a blood clot Piles is classified into four grades:  Grade I: There are small inflammations usually inside the lining of the anus. They are not visible.  Grade II: Grade II piles are larger than grade I piles but also remain inside the anus. They may get pushed out during the passing of stool but they will return unaided.  Grade III: These are also known as prolapsed hemorrhoids and appear outside the anus. The individual may feel them hanging from the rectum but they can be easily re-inserted.  Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus. External piles form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops as the blood clot can block the flow

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www.indiapiles.com Page 3 of blood. Thrombosed external piles or hemorrhoids that have clotted require immediate medical treatment. Causes Piles may be caused due to a variety of reasons and it may not be possible to point out the exact cause in every individual. However the commonest causes are as follows: 1. Long standing constipation 2. Excessive straining during bowel movements over a long period of time or very hard stools that are not excreted smoothly 3. Family history of piles 4. Faulty toilet habits – for example some people have a habit of spending too much time in the toilet straining while they read work on cell phones etc. 5. Pregnancy and childbirth – An increase in the hormone Progesterone causes the blood vessels to relax which leads to pooling of blood in them. Also the pressure of the growing uterus on the vessels prevents them from emptying completely 6. An unhealthy lifestyle – Lack of exercise stress alcohol smoking 7. Obesity – Piles is more common in the overweight 8. Lifting heavy weights Piles are caused by increased pressure in the lower rectum. The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge forming piles. This may be due to:  chronic constipation  chronic diarrhea  lifting heavy weights  pregnancy  straining when passing a stool The tendency to develop piless may also be inherited and increases with age.

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www.indiapiles.com Page 4 Diagnosis With almost one in every two adults being affected by piles at some stage of their life there is no need for one to be embarrassed or frightful of piles. In fact the earlier you seek help the better the chances that you will be free of piles with minimal treatment. After obtaining a careful history regarding your symptoms and your personal and family medical history your doctor will need to perform an examination. This usually consists of careful inspection of the outside of the anus placement of a finger through the anus into the rectum digital examination and placement of a finger- sized instrument through the anus to allow visual inspection of the hemorrhoidal tissue Proctoscopy. At times a Barium study or Colonoscopy may be advised if your doctor suspects any other cause of bleeding that needs to be ruled out. A doctor can usually diagnose piles after carrying out a physical examination. They will examine the anus of the person with suspected piles. The doctor may ask the following questions:  Do any close relatives have piles  Has there been any blood or mucus in the stools  Has there been any recent weight loss  Have bowel movements changed recently  What color are the stools For internal piles the doctor may perform a digital rectal examination DRE or use a proctoscope. A proctoscope is a hollow tube fitted with a light. It allows the doctor to see the anal canal up close. They can take a small tissue sample from inside the rectum. This can then be sent to the lab for analysis. The physician may recommend a colonoscopy if the person with piles presents signs and symptoms that suggest another digestive system diseases or they are demonstrating any risk factors for colorectal cancer.

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