Understanding Piles:
Piles, also known as hemorrhoids, are swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. They can be classified into two types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus.
Symptoms of Piles
The symptoms of piles can vary based on their location and severity:
Internal Hemorrhoids
- Painless bleeding during bowel movements
- Prolapsed hemorrhoids that protrude through the anus, causing pain and irritation
External Hemorrhoids
- Pain or discomfort, especially while sitting
- Swelling around the anus
- Itching or irritation in the anal region
- Bleeding during bowel movements
- A lump near the anus, which can be sensitive or painful
Causes and Risk Factors
Several factors can contribute to the development of piles, including:
- Straining During Bowel Movements: Often due to constipation or diarrhea
- Chronic Constipation or Diarrhea: Both can lead to hemorrhoid formation
- Sitting for Long Periods: Especially on the toilet
- Obesity: Excess weight increases pressure on the veins in the pelvis and rectum
- Pregnancy: Increased pressure on the pelvic veins during pregnancy can lead to hemorrhoids
- Low-Fiber Diet: Can cause constipation and straining
- Aging: Hemorrhoids are more common as people age due to the weakening of the supporting tissues in the rectum and anus
Diagnosis and Evaluation
At Adithya Gastro and Liver Care Clinic in Manikonda, Hyderabad, Dr. G Harsha Vardhan Reddy uses a thorough approach to diagnose piles:
- Medical History and Physical Exam: Detailed evaluation of symptoms, dietary habits, and lifestyle factors
- Digital Rectal Exam: A physical examination of the rectum to check for internal hemorrhoids
- Anoscopy: A small, tubular instrument is used to inspect the lower rectum and anus
- Sigmoidoscopy or Colonoscopy: If needed, these procedures can examine the colon and rectum more thoroughly to rule out other conditions
Treatment Options
Treatment for piles focuses on relieving symptoms, reducing inflammation, and preventing recurrence:
Lifestyle Modifications
- High-Fiber Diet: Consuming more fruits, vegetables, and whole grains to soften the stool and reduce straining
- Adequate Hydration: Drinking plenty of fluids to prevent constipation
- Regular Exercise: Helps to prevent constipation and reduce pressure on the veins
- Avoiding Straining: During bowel movements
Medications
- Pain Relievers: Such as acetaminophen or ibuprofen to reduce discomfort
- Stool Softeners: To prevent straining during bowel movements
Home Remedies
- Warm Sitz Baths: Soaking the anal area in warm water several times a day to reduce swelling and discomfort
- Over-the-Counter Creams and Ointments: To relieve pain and itching
Medical Procedures
- Rubber Band Ligation: A band is placed around the base of the hemorrhoid to cut off blood supply, causing it to wither and fall off
- Sclerotherapy: Injection of a solution to shrink the hemorrhoid
- Coagulation Therapy: Using infrared light or laser to shrink internal hemorrhoids
- Hemorrhoidectomy: Surgical removal of severe or persistent hemorrhoids
- Stapled Hemorrhoidopexy: A less invasive surgical procedure to reposition and secure internal hemorrhoids
Why Choose Adithya Gastro and Liver Care Clinic?
Dr. G Harsha Vardhan Reddy and his team at Adithya Gastro and Liver Care Clinic offer comprehensive and compassionate care for patients suffering from piles. Utilizing advanced diagnostic tools and personalized treatment plans, we aim to provide effective relief and improve the quality of life for our patients.
