What are the Causes of piles?

Piles can be hereditary, which means, if your parents have had piles, there are high chances that you may get them too.
Piles are caused due to increased pressure in the lower rectum. The rectum, due to the pressure, can get stretched and swell up and form piles. Different factors may trigger this condition. Some of them are:

  • Constipation - People with constipation have to strain and put a lot of pressure to push the stool out leading to the formation of piles.
  • Chronic diarrhea - Chronic diarrhea can cause a person to frequently need to go to the toilet and spend more time than what is considered healthy. This may cause piles.
  • Obesity - Obesity or being overweight is considered to be a significant risk factor of piles or haemorrhoids.
  • Lifting heavyweights - Regularly lifting heavy weights can put a person at significant risk of developing piles.
  • Pregnancy - Pregnancy is one of the widespread causes of piles. The baby developing in the womb puts constant pressure on the pelvic region, which may lead to the development of piles.

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What are the Symptoms of Piles?

When a person suffers from piles, he or she may experience the following symptoms:

  • pain and discomfort in the anal area while sitting
  • pain while passing a stool
  • blood with stool
  • itchiness, redness and swelling near the anus
  • painful lump around the anus
  • feeling of unclear bowel even after passing stool

What are the Types & Grades of Piles?

Piles can be divided into three types:

  • Internal piles - Internal piles are found inside the rectum. They are most often painless but can cause occasional bleeding.
  • External haemorrhoids - They are visible under the skin and may cause bleeding.
  • Prolapsed haemorrhoids - Prolapsed haemorrhoids are more severe than the other two conditions and often pain and bleeding.

Piles can be classified into four grades:

  • Grade I - The piles are generally in minor inflammations and are found outside the anal lining. They are not visible to naked eyes.
  • Grade II - They remain outside the anus. While passing stool, they may get pushed out of the anus and return without much ado.
  • Grade III - These haemorrhoids are prolapsed and appear outside the anus. They hang out of the rectum but can also be re-inserted easily.
  • Grade IV - They remain outside the anus and cannot be pushed back easily. They are the most painful in nature.

How to Diagnose Piles or Haemorrhoids?

Most proctologists or anorectal surgeons diagnose piles through physical examination alone. Once you visit the doctor's clinic, you are likely to be asked a few questions, including:

  • Do you have a family history of piles?
  • When did you start having the symptoms?
  • Do you pass blood with your stool?
  • What are your dietary and lifestyle habits?
  • What is your fitness regime like?

The doctor may also do a digital rectal examination to diagnose your piles. In this procedure, the doctor lubricates the gloves and inserts his finger in the rectum to observe any abnormal growth. The piles specialist may also suggest tests like colonoscopy, sigmoidoscopy and anoscopy to check for the presence of any gastrointestinal disease. In all these tests, the doctor inserts a small camera to check for any abnormalities in the anus, rectum, and colon.

Piles Treatment

Do We Require Surgery for Piles?

Medical professionals believe surgery to be the most effective treatment for piles. Medications and home remedies do not provide a permanent cure for haemorrhoids but only help manage the condition from getting worse. If the situation deteriorates, a patient is sure to need surgical treatment. As days pass, the pain and discomfort associated with piles are likely to get worse. To prevent these, Pristyn Care surgeons always suggest that patients avail consultation and proper diagnosis rather than resorting to medication and home remedies alone.

Many people avail non-surgical or Ayurvedic methods of piles treatment. But non-surgical treatments leave a significant chance of recurrence of piles and ayurvedic piles treatment takes a significantly long time to show effective results. But with surgical piles treatment, the causes of piles can be treated permanently and there would be non-chances of recurrence of piles.

What are the Surgical Options for Piles?

  • Hemorrhoidectomy - Hemorrhoidectomy is done to remove the anal tissues that cause bleeding. This procedure is mostly used to treat piles of severe grades. The surgery can be performed under general or local anaesthesia. In this procedure, the surgeon makes a few incisions around the hemorrhoidal tissue. The swollen veins inside the haemorrhoids are tied off to prevent bleeding and then the haemorrhoid is removed. Complications may include infections and difficulty clearing the bladder.
  • Hemorrhoid stapling - The stapling procedure disrupts the blood flow to the inflamed tissues. This procedure is mostly used for internal piles. During the stapled hemorrhoidectomy procedure, the arterial blood vessels within the piles are cut off which does not allow any further blood flow to the piles vessels. Due to this, with time, the size of the piles reduces and finally shrinks off. The surgery does not inflict much pain and ensures quick recovery of the patient. Complications include chances of recurrence, rectal prolapse.
  • Laser surgery - Laser surgery is considered to be the most advanced and effective treatment for piles. During this procedure, a laser beam is used to burn and shrink the haemorrhoids. The surgeon focuses a narrow beam of light on the anal tissues. The procedure is less invasive, causes no bleeding and very minimal pain.
At Pristyn Care, Piles is Treated with Laser Surgery that has the Following Benefits:
  • Quick discharge - It is a daycare treatment procedure. The patient is usually discharged the same day which means unnecessary expenses of hospital stay can be avoided.
  • Safest treatment - It is considered to be the safest of all treatment methods. The surgery involves no smoke or steam.
  • Bloodless treatment - The possibility of blood loss during the surgery is very less since the blood vessels are not cut but are sealed with a laser.
  • Painless and safe - The procedure is less painful and much safer. Unlike conventional treatment for piles, it is most sought after due to very less pain.
  • Short treatment duration - The duration of laser surgery is very short; the surgery can be completed within 30-45 minutes. This is one advantage that makes laser surgery a better choice over others.
  • Quick recovery - Patients undergoing laser surgery can get back to their normal routine after taking rest for just 2-3 days. But, to ensure complete healing, it is important for the patient to follow the post-surgery tips recommended by the doctor.
  • Precise and easy - Laser surgery is precise and easy. During this procedure, the surgeon has much more control over the process and can precisely treat the damaged tissues with very little effort.
  • No recurrences - While treatment procedures have a possibility of recurrence of piles, laser surgery guarantees no recurrence in almost 99 per cent of the cases.

What are the Non-Surgical ways to Cure Piles?

Non-surgical piles treatment in broader terms encompasses medications, home remedies and other treatment methods that involve no cuts and stitches.

Home remedies to manage piles

  1. Take sitz baths - Soak your anal area in warm water for 15-20 minutes 2-3 times a day.
  2. Eat a high-fibre diet - Include fruits, grains, and vegetables in your daily diet.
  3. Drink enough water - Stay hydrated. Make sure to drink 8-10 glasses of water every day.
  4. Use topical treatments - Apply OTC cream for haemorrhoids or witch hazel on your anal area.

Medicines for piles treatment

There are several medications available that can be used to manage the symptoms of piles.

  1. Over-the-counter (OTC) medicines - OTC medicines such as painkillers, ointments, and creams can provide relief to the swelling and redness around the anal area.
  2. Laxatives - If haemorrhoids are caused due to constipation, you can take laxatives to find relief. Laxatives can aid a person in having an easier bowel movement and reduce pain in the anal area.
  3. Corticosteroids - These medications help in reducing pain and swelling in the anal area.

Other non-surgical treatments for piles:

There are several medications available that can be used to manage the symptoms of piles.

  1. Rubber band ligation
    Rubber band ligation is another very commonly practised less-invasive treatment for pikes. The anorectal surgeon places a rubber band around the base of the internal piles. The rubber band cuts off the blood circulation to the piles tissues causing it to shrink and fall off within 5-7 days.
  2. Coagulation
    Coagulation or infrared photocoagulation is a medical procedure that is used to treat piles of small and medium sizes. The surgeon uses a beam of infrared light to destroy the piles. The treatment is only used for internal haemorrhoids.
What is the Preparation before the Surgical Treatment for Piles?

Irrespective of the type, once your piles surgery is scheduled, your doctor will likely give you all the instructions on preparing for the surgery.

  • Food & drink - Do not eat anything heavy on the day of the surgery. You will likely be recommended to take a very light, non-oily or non-spicy breakfast or lunch. Drink onlulclear liquids until 5 hours before the surgery.
  • Medications - The doctor will advise you to stop taking all medicines before the surgery, including anti-inflammatory drugs (if any).
  • Lifestyle changes - Stop smoking at least two weeks before the surgery date. Smoking can significantly alter your chances of healing and recovery.
What are the risks attached to Piles Treatment?

Piles surgical treatment is not a complex one. Hence, the chances of any risks are very rare. But, like any other surgical treatment, the success or risks associated with piles treatment are also highly dependent upon the severity of the condition and the surgeon’s experience. In rare conditions, a patient may suffer any of the following conditions after a piles surgery:

  • Bleeding
  • Infection
  • Reaction to anaesthesia
  • Rectal prolapse
  • Bleeding from the anal area
  • Collection of blood in the anal area (Hematoma)
  • Anal infection
  • Inability to control the bowel or bladder (incontinence)
What is Post Operating Care for Piles Surgical Treatment?

Post-surgery care plays a vital role in ensuring proper healing and recovery from piles. To rule out all possible chances of recurrence, diligently follow the surgeon’s aftercare tips. For a healthy recovery without any complications, do the following:

  • Eat a high-fibre diet.
  • Use a stool softener that can aid you in having smooth bowel movements.
  • Stay hydrated. Drink at least 8-10 glasses of water every day.
  • Avoid lifting heavyweights.
  • Do not strain while passing a stool.

If you face any problem or experience anything unusual with your bowel movements even after the piles surgery, get in touch with your doctor immediately rather than resorting to self-care.

How Can Pristyn Care Help You?
  • Pristyn Care has been recognised as a Centre of Excellence for Proctology treatment.
  • Pristyn Care houses some of the top anorectal surgeons of the country who have years of experience in delivering surgical treatment of anorectal diseases like piles, fissure, fistula, and pilonidal sinus with a success rate.
  • Pristyn Care is associated with the top hospitals in Delhi that are equipped with state-of-the-art facilities required to perform advanced surgeries.
  • Proctologists/ General Surgeons working with Pristyn Care do a thorough consultation in the case of every patient to understand the health condition and then determine the treatment method that will work best.
  • A dedicated 'care buddy' is assigned to every patient on the day of the surgery. We strive to make the whole surgical experience for our patients a seamless one. Once you reach the hospital, your dedicated medical attendant or 'care buddy' will take care of every paperwork and formality on your behalf.
  • To ease out the commuting process for our patients, we also provide free cab facilities to bring you from home to the hospital and help you return back home after the surgery.
  • A free of cost follow-up is provided to the patients within the first seven days after the surgery.

Different Stages Of Piles

Different Stages Of Piles Different Stages Of Piles