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Piles

What is Piles?

Piles or hemorrhoids, commonly known as Bawaseer (बवासीर) in Hindi is a very common anorectal condition. Piles are collections of veins and tissues located at the anal area that becomes swollen and inflamed. Piles may develop around the anal skin or inside the rectum. 

Piles is common in the case of both men and women. If global medical reports are to be believed, one out of every four adults suffers from piles or hemorrhoids at some or other point in their life. Piles is most common in people within the age group of 50-60 years but can affect people of other age groups too. No medical expert to date could ascertain the exact cause of hemorrhoids. However, several risk factors have been identified which can significantly increase an individual’s chances of developing piles. Piles can be managed with home remedies to a certain extent at an initial stage, but when piles grow severe or become advanced, medical intervention is extremely important.

Piles formation

How do piles form?

The condition of piles is formed by constant pressure in the lower rectum. When a person constantly exerts pressure in areas around his rectum and the anus, due to reasons like constipation or lifting heavy weights, the blood vessels around those parts bulge and become swollen, forming piles. Due to constant straining, sometimes the veins might get wider and engorged with more blood than usual. These veins might form into one or more piles.

Types of Piles

External piles

External piles

Internal piles

Internal piles

Causes

  • Constipation
  • Chronic diarrhea
  • Lifting heavyweights
  • Obesity
  • Pregnancy

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

Diagnosis

If it is a case of external piles, the anorectal specialist will be able to diagnose it just through physical examination. In case the hemorrhoids are internal, the doctor might do an examination of your rectum and anal canal. Two common tests which are done to diagnose piles are:

  • Digital examination – In this test, the piles specialist inserts a gloved, lubricated finger into the rectum to check if there are any kind of abnormal growths. 
  • Visual inspection – Since internal hemorrhoids are too soft to be felt, the piles doctor might examine the lower rectum using a proctoscopy, an anoscope or a sigmoidoscopy. Using any of these devices, the doctor will carefully examine the lining of your anal tissues to check the severity and growth of your piles.
Test of Piles

Severity

The piles are generally in minor inflammations and are found outside the anal lining. They are not visible to naked eyes.

Risks & Complications

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 – The chances of bleeding during piles surgery is higher in the case of open surgery. In case the surgeon is not experienced enough to precisely remove the inflamed tissues, there are chances that the patient may suffer from bleeding.
  • Infection – Infections can develop at any point during piles surgery. The chances are higher in rubber band ligation treatment for piles.
  • Reaction to anesthesia – Many patients report experiencing side effects of anesthesia. Due to the reaction, the patient might feel drowsy and nauseated for a longer time than usual.
  • Rectal prolapse – According to a report published on ScienceDirect, 12 random clinical trials have indicated that hemorrhoidectomy (hemorrhoid surgery) has an association with long-term risks of rectal prolapse.

When to consult a doctor ?

Knowing when to seek professional help for any health condition is extremely important and hemorrhoids are no exception. Getting medical help at the right time can help you avoid unnecessary complications. If you experience any of the following complications or conditions, it is time you check with an anorectal surgeon.

  • You have excruciating pain and discomfort in your anal and rectum area.
  • The stool that you pass is dark red, maroon, or tar-like in color. This can be a sign of internal bleeding.
  • You experience blood in the toilet paper every time you pass bowel movements.
  • No amount of medications and home remedies are able to provide you relief from your symptoms.
  • If you feel dizzy and weak due to continuous blood loss along with your stool.

Questions to ask your doctor .

How serious is the condition of my hemorrhoids?
Will home remedies and medicines provide me relief for my condition?
Do I need to undergo surgery for my condition?
How long should I take off from my office if I undergo surgery for piles treatment?
When will I be able to get back to my regular work life after surgery?
Will surgery provide me permanent relief from the pain and discomfort?
How can I prepare for the surgery?
How long will it take me to recover after the surgery?
Will your team help me throughout the treatment and after?

Treatment options & cost

Rubber band ligation  – Rubber band ligation is another very commonly practiced less-invasive treatment for piles. 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.

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.

Insurance coverage for Piles
Insurance coverage for PilesInsurance coverage

Piles treatment is generally covered under health insurance. Most insurance companies offer a specific amount of coverage for piles and other anorectal diseases. The amount of coverage you have will depend on the policy you buy. 

One thing you should know is that medical treatment for piles won’t be covered in the insurance policy. Only the expenses of surgical treatment are covered and you also need to be hospitalized for at least 24 hours to file for a claim. You can opt for cashless payment or get reimbursement claims from your insurance providers as well. 

If your claim is approved, you will be able to cover the entire cost of treatment, including diagnostic tests, medications, hospital stay, bed charges, and other consumables. Some of the best and most popular healthcare insurance providers are Oriental, Religare Health, Manipal Cigna, United India Insurance, Care Health, New India Insurance, Star Health & Allied, Bajaj Allianz General Insurance, ICICIA Lombard, Max Bupa Health Insurance.

Recovery Rate

The recovery rate after any surgery depends from individual to individual. The healing capacity of every person is different and hence the timeline of recovery after piles surgery varies for all. In most cases, recovery after open surgery or any form of invasive surgery for piles takes around 2-3 months and complete recovery after laser surgery takes 1 month to 45 days.

Recovery after 1 month

After piles surgery, for at least 1 month, the patient needs to follow the recovery tips and recommendations by the doctor. It is advisable that the patient refrains from doing anything that puts strain on the surgical site. The patient should not eat anything too oily and spicy and consume only fiber-rich food. The patient should keep the surgical area free of any infection and take regular sitz baths.

Recovery after 2 months

After 2 months, the patient would experience much relief from the pain at the surgery site. But there might be scars. The scars would take a few more days to heal and disappear completely. The patient might get back to normal work life without any major complications and also resume normal dietary habits.

Recovery after 3 months

After 3 months, the patient would be free from all post-surgery discomfort. There would be no scars at the surgical site and the wound would be healed completely too. 

Video testimonial - by patient

Video on the disease and treatment - by Pristyn Care doctor

Latest Research

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FAQ

Who is at risk of getting hemorrhoids?

Irrespective of age and gender, any individual can suffer from hemorrhoids. Globally, over half the population suffers from piles by the time they turn 50. Hemorhhoids can equally affect both men and women. But the risk is a bit greater in the case of pregnant women and people over 3 years who do not follow healthy dietary and lifestyle habits.

How to know if it is piles or anal fissures?

Piles is a condition in which the anal tissues get swollen and inflamed and often protrudes out of the anal opening. An anal fissure is a tear that is caused by long periods of hard stool or diarrhea. Both the conditions are associated with common symptoms such as rectal bleeding, anal itching, and painful bowel movements. It can often be confusing to distinguish between the two. The best way to understand whether the condition is piles or fissures, the best way is to consult with an anorectal expert and get a detailed consultation to rule out potential complications.

Can piles put a person at a higher risk of getting colorectal cancer?

Hemorrhoids generally do not increase the risk of anorectal cancer in any person. However, there are cases where people with piles have developed anorectal cancer. According to medical research, 2.3 percent of patients suffering from severe hemorrhoids have developed colorectal piles. But since there are symptoms that can be common in the case of both conditions, it is important to determine whether there is the presence of any cancerous tissues.

Can home remedies provide long-term relief from piles?

Home remedies can only manage the symptoms of piles from getting worse but not provide permanent relief to the condition. At-home remedies like topical ointments, sitz baths provide temporary relief from painful piles symptoms rather than fixing the cause of the disease. The only effective permanent treatment for piles is the surgical removal of the hemorrhoid itself.

Facts and figures around Piles

 

  • Approximately 40,723,288 people in India are reported to have hemorrhoids.
  • Annually, 1 million new cases of piles are reported in India
  • Most people with piles in India are between the age groups of 45-65 years.
  • Anyone can develop hemorrhoids regardless of age, sex [gender], race, body stature, immune system, and overall health condition.
  • It is estimated that 50-85% of people around the world are suffering from hemorrhoids.
  • A study found that the incidence of constipation and piles is much more common in Arab countries.

 

Why Choose Pristyn Care for Piles Surgery?

  • Pristyn Care is a certified Centre of Excellence for anorectal treatments including diseases like piles, anal fissure, and anal fistula.
  • Pristyn Care houses some of the top anorectal surgeons of the country who have years of experience in delivering surgical treatment for colorectal diseases with a high success rate.
  • Pristyn Care is associated with some of the top hospitals across India that are equipped with state-of-the-art facilities required to perform advanced anorectal 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.
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