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Piles

About Piles

Hemorrhoids – commonly known as piles – are swollen blood vessels (veins) which develop inside and/or outside the anus. They are felt as lumps around and inside the anus . The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. If they become infected, they can cause bleeding, pain and discomfort and require medical attention.

Person suffering from piles usually will not have pain or burning sensation in the anus. Some soft mass or tissue comes out of the anus. It may go inside after the defecation. Sometimes have to push inside the anus after defecation. In chronic cases it lies or hangs outside the anus, which will not go inside at all. Another complaint in piles is bleeding. Hemorrhoids are painless (it may be painful if blood clotted inside the piles or if it is associated with other diseases like fissure-in-ano etc.)

Symptoms

  • Bright red blood spots in the toilet or on the toilet paper.
  • Heavy bleeding during defecation (During Passing Stools)
  • Itching and discomfort around the anus.
  • Feeling of a lump or mass near the anus which may be painful or painless.
  • Mucus discharge after passing a stool.
  • Discharge around the anus and soiling of clothes.
  • Feeling of incomplete evacuation of your bowels.
  • Pain while passing stools and after passing stools.

The most frequent complaint in true Hemorrhoid is Painless bleeding, which usually appears early in the course of the disease See your doctor if you have blood in your stool. Hemorrhoids could be the problem, but bloody stool could also be a symptom of something far more serious, like colon cancer.

Diagnosis For Piles

In most cases, diagnosis is easily made by a thorough history taking and on physical examination by your doctor. In advanced cases some tests may be required like Anoscopy (Proctoscopy), Sigmoidoscopy and Colonoscopy.

Causes

The exact cause of piles is not known. One theory is that it is due to weakness of the tissues that connects the anal cushions to the muscle layers underneath. Due to this weakness, the anal cushions slide out of their normal place and down the back passage.

  • Have Constipation – this is the most common cause which leads to straining during defecation. Straining leads to pressure on blood vessels causing them to swell, elongate and slide down the anal opening.
  • Eat a low-fibre diet- Lack of dietary fibre can cause hard stools, constipation and straining.
  • Spend too much time in the toilet and holding the urge when you have to go.
  • Have long-lasting (chronic) diarrhoea.
  • Are pregnant - due to the effect of hormones on the blood vessels, plus the increasing weight of the baby within your abdomen.
  • Have cancer or growths in your pelvis or bowel, which may put pressure on your abdomen.
  • Old age- Ageing reduces the efficiency of the circulation.
  • Lift heavy weights.
  • Have a family history of piles.
  • Are Overweight.

Treatment

This cannot be cured only by oral medications in some stages. However, immediate intervention also not required in all the cases of the piles, if it is not bleeding.

Sushruta, father of surgery wrote a book on surgical procedures in 500 B.C. in his treaties he mentioned about a disease and line of management. He broadly categorized to bheshaja (medicine), kshara Alkali application),agni (cauterization), shastra (surgical excision).This is a contribution by him in the management of piles to the Indian system of medicine.One among these treatment modalities is kshara karma. Ayurveda surgeons practice this procedure in hospital set-up. Dr.RaviShankarPervaje, practicing Ayurveda surgeon, very well standardized this. Therefore this procedure properly known as ‘Pervaje technique’ of ksharakarma.

 

Frequently Asked Questions

What are the precautions?

  • Avoid constipation.
  • Drink lots of water.
  • Do not consume dry and hard food.
  • Have fibre rich diet. E.g. leafy vegetables, raw vegetables and fruits etc.
  • Consume 8-10 water soaked dry grapes before going to bed.
  • Drink a glass of hot water soon after you wake up in the morning.
  • Do not sit for longer time while passing motion & do not strain.
  • Sit in hot water for 10 mins if suffering from thrombosed haemorrhoids. Consult a surgeon soon.

Rules & Diet ( pathya) in Ano-rectal diseases:-

  • Following pathya during treatment is as important as the treatment.
  • Diet is for curing disease not for the medicine prescribed. One does not require treatment if diet (pathya) is properly followed. Medicines do not act if pathya is not followed properly.

Food which are to be avoided:-

  • Dry and hard items which are difficult for digestion.
  • Consuming food more than the requirement.
  • Excess meat, spice, fried items, chilly.
  • Alcohol & smoking.
  • Improperly cooked vegetables.

Prohibited actions:-

  • Sitting for long duration during passing motions.
  • Straining during passing motion.
  • Forcefully initiating motion.
  • Excess travelling, specially on two wheeler.
  • Sleep in the day time.
  • Sitting for the longer (during) duration in same place.

Recommended diet and rules:-

  • Use churned butter milk.
  • Drinking 1-1.5 lts of lukewarm water every morning.
  • Avoid indigestion & constipation.
  • Use- old rice, wheat, ragi, honey, amla candy, dry grapes, pomegranate, ripe banana, musambi.
  • Consume variety of vegetables after proper boiling.
  • Consumption of fibrous food e.g. carrot, cauliflower, radish, bitter gourd, ladies finger, spinach

Regular mild exercise:-

Yogasana like: –

  • pavana muktasana.
  • Ardhapavana muktasana.
  • Pranayama & etc.

Testimonial

  • Far far away, behind the word mountains, far from the countries Vokalia and Consonantia, there live the blind texts. Separated they live in Bookmarksgrove right at the coast of the Semantics, a large language ocean. A small river named Duden flows by their place and supplies it with the necessary regelialia.

    Mildred Payne
    Allergist
  • Far far away, behind the word mountains, far from the countries Vokalia and Consonantia, there live the blind texts. Separated they live in Bookmarksgrove right at the coast of the Semantics, a large language ocean. A small river named Duden flows by their place and supplies it with the necessary regelialia.

    Mary Jane
    Patient
  • Far far away, behind the word mountains, far from the countries Vokalia and Consonantia, there live the blind texts. Separated they live in Bookmarksgrove right at the coast of the Semantics, a large language ocean. A small river named Duden flows by their place and supplies it with the necessary regelialia.

    Paul Smith
    Patient