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WHAT ARE PILES (HAEMORRHOIDS)?

Haemorrhoids or piles are the commonest problems that can happen to anyone due to lack of physical activity and reduced intake of fiber. The haemorrhoids are swollen veins inside the rectum (internal haemorrhoids) or outside the anus (external haemorrhoids) that cause pain, anal itching, and rectal bleeding. 

 

Haemorrhoids are masses, clumps, cushions of tissue full of blood vessels, support tissue, and elastic fibers in the anal canal. Piles (haemorrhoids) develop when the anal passage becomes too big due to inflammation that happens while passing bowel movements and the veins wall becomes stretched and thin developing the haemorrhoids. 

WHAT ARE THE SYMPTOMS OF HAEMORRHOIDS (PILES)

  • Bleeding from anus
  • Pain during bowel movements
  • Painful swelling or a lump near the anus
  • Anal itching
  • Hard lumps around the anus
  • Anus area becomes red and sore 
  • Mucous discharge from the anus 

WHAT ARE THE CAUSES OF PILE (HAEMORRHOIDS)

  • Obesity
  • Lack of fiber in the diet
  • Inadequate fluid intake
  • Sedentary lifestyle
  • Straining while passing stool
  • Constipation and Diarrhea
  • Sitting for a long period of time
  • Constant heavy lifting
  • Spinal cord injury that leads to bladder and rectal dysfunction 

DIAGNOSIS AND LINE OF TREATMENT 

The surgeon performs a per rectal examination to diagnose piles. 

Sigmoidoscopy (A small fiber-optic camera) can also be one. In this test, the doctor uses a small camera to diagnose internal haemorrhoids. 

Colonoscopy, Anoscopy, and Proctoscopy can show hidden internal haemorrhoids present if any. 

SURGICAL OPTIONS

To eliminate varicose veins which could be the cause of piles

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Stitches are used to cut the blood supply to the piles to make them shrink

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Piles are stapled back inside the anus

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RECENT ADVANCES IN SURGERY OF PILES

Haemorrhoid Laser Procedure (LHP)

It is a new Laser procedure for outpatient treatment of haemorrhoid in which haemorrhoidal arterial flow feeding the haemorrhoidal plexus is stopped by laser coagulation

RISKS AND COMPLICATIONS INVOLVED

  • Bleeding during bowel movements
  • Pain during bowel movement
  • Poor hygiene around the anal area can lead to severe infections
  • Itching around the anal area

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Frequently Asked Questions

Haemorrhoids can develop mainly with increased pressure in the lower rectum due to straining during bowel movements, sitting for long hours on the toilet, and having chronic constipation causes piles. 

Small haemorrhoids go away within a few days, while the particular ones cause a lot of pain, itching, and swelling and may require surgical intervention.

If you are diagnosed with haemorrhoids avoid low fiber and fatty foods. Avoid lifting heavy weight; avoid stress and anxiety, and overusing laxatives

Surgery for haemorrhoids is performed in severe cases,  when home remedies don’t work emergencies such as extreme bleeding, and extreme pain when they affect patients' lifestyles.

Grade 4 (severe) haemorrhoids that extend outside the anus and are not able to manually push back inside.

Grade 3 hemorrhoid is the one that protrudes through the anus during straining or evacuation but can manually return to position

Grade 3 and Grade 4 haemorrhoids can be completely cured with an effective laser procedure.

Piles treatment can be done with surgical and non-surgical options depending on their type and stages. With home remedies, symptoms such as bleeding, and pain can be reduced, but if they worsen, surgical intervention is must.

Yes, Piles surgery is covered under health insurance. Talk to our HospiOne Team for more information. 

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