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Piles

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What are Piles?

Piles, also known as hemorrhoids, are swollen veins located around the rectum or anus. These veins can become inflamed, leading to discomfort, bleeding, and other complications. Piles can be internal (inside the rectum) or external (under the skin around the anus), and they can range in severity.

CAUSES

Piles are primarily caused by increased pressure in the lower rectum. Several factors contribute to this condition:

  • Chronic Constipation or Diarrhea: Straining during bowel movements increases pressure on the rectal veins, leading to swelling and inflammation.
  • Sitting for Long Periods: Prolonged sitting, especially on the toilet, can strain the veins in the rectal area.
  • Pregnancy: The weight of the baby increases pressure on the blood vessels in the pelvic area, contributing to the development of hemorrhoids.
  • Obesity:Excess body weight puts additional pressure on the veins in the rectal area.
  • Low-Fiber Diet: A diet low in fiber can result in harder stools, increasing the likelihood of straining during bowel movements.
  • Genetics:If a family member has hemorrhoids, you may have a higher risk of developing them.
  • Aging: The tissues supporting the rectal veins tend to weaken with age, making older adults more prone to piles.
  • Heavy Lifting Repeatedly lifting heavy objects can strain the veins in the rectum.

Symptoms

Symptoms of piles vary based on the type and severity. Common signs include:

  • Bleeding: Bright red blood after a bowel movement is a common symptom of hemorrhoids.
  • Itching and Irritation: You The swollen veins can cause itching or irritation around the anus.
  • Pain and Discomfort: External hemorrhoids can cause pain, especially during bowel movements or prolonged sitting.
  • Swelling: A hard lump around the anus could indicate a thrombosed hemorrhoid, where blood pools in the veins, leading to severe pain and swelling.
  • Mucus Discharge: Internal hemorrhoids can cause a mucus discharge, especially after passing stool.
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Treatment

The treatment for piles depends on the severity of the condition. For mild cases, conservative treatments may be effective, while more advanced cases may require medical intervention.

  • Conservative Management: For mild hemorrhoids, lifestyle changes and home remedies are often enough to alleviate symptoms. These include:
    • High-Fiber Diet: Eating more fiber-rich foods like fruits, vegetables, and whole grains can soften the stool and reduce straining.
    • Hydration: Drinking plenty of water helps prevent constipation and straining during bowel movements.
    • Warm Sitz Baths: Soaking the affected area in warm water can reduce swelling and discomfort.
    • Topical Treatments Over-the-counter creams, ointments, or suppositories can provide temporary relief from itching, pain, and swelling.
    • Avoid Straining: Using the toilet when needed, rather than delaying, helps prevent the strain that can worsen hemorrhoids.
Surgical Treatments:

  • laser haemorroidoplasty (laser piles surgery): A minimally invasive procedure using a laser to shrink hemorrhoidal tissue. The laser’s precision minimizes damage to surrounding tissues and promotes faster recovery.
  • chivte's procedure (Transanal Suture Mucopexy): This technique involves suturing to lift and reposition the prolapsed hemorrhoidal tissue without removing it, aiming to restore normal function and relieve symptoms.
  • DGHAL: Utilizes Doppler ultrasound to locate hemorrhoidal arteries and ligate them, cutting off blood supply to the hemorrhoids, which then shrink and resolve over time.
  • Hybrid Procedure: Combines two or more surgical methods, such as laser therapy and suture techniques, to enhance treatment outcomes and reduce the risk of recurrence, tailored to the severity and type of hemorrhoids.
  • Rubber Band Ligation: This procedure involves placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply, causing it to shrink and fall off.
  • Sclerotherapy: A chemical solution is injected into the hemorrhoid to shrink it.
  • Coagulation Techniques: Infrared or laser coagulation can be used to shrink and scar the hemorrhoid tissue, reducing its size.
  • Hemorrhoidectomy: For severe or recurring hemorrhoids, surgical removal may be necessary. This procedure involves the excision of the hemorrhoidal tissue.
  • Stapled Hemorrhoidopexy (MIPH): A less invasive surgical option that repositions the hemorrhoid tissue and cuts off its blood supply, causing it to shrink.
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After Surgery Care

Proper post-surgical care is essential for recovery. Key care tips include:

  • Wound Care: Keep the surgical area clean and dry, changing dressings as needed.
  • Pain Management: Take prescribed medications to manage post-operative pain.
  • Hygiene:Use gentle cleaning methods and avoid irritating the surgical site.
  • Activity Restrictions: Avoid heavy lifting, sitting for long periods, and straining during bowel movements to promote healing.
  • Follow-Up Appointments: Regularly visit your doctor to monitor recovery and manage any complications.
Managing Recurrence

While surgery may treat hemorrhoids, preventing recurrence is crucial. Adopting a high-fiber diet, staying active, maintaining good hygiene, and avoiding prolonged sitting can help reduce the risk of hemorrhoids returning.

If you are suffering from piles, consider consulting a specialist like Dr. Saurabh Patel, who offers advanced treatment options to ensure effective management and relief from symptoms.

Piles, also known as hemorrhoids, are swollen veins in the lower rectum or anus. They can cause discomfort, pain, and sometimes bleeding.

Piles can be caused by straining during bowel movements, chronic constipation or diarrhea, prolonged sitting, pregnancy, and obesity. They are also more common with age.

Symptoms include bleeding during bowel movements, itching or irritation in the anal region, pain or discomfort, and swelling around the anus.

Piles are typically diagnosed through a physical examination, and sometimes with a scope to examine the lower rectum and anus (anoscopy or sigmoidoscopy).

Treatment options include lifestyle changes, over-the-counter creams, medications, and procedures like rubber band ligation, sclerotherapy, or surgery for severe cases.

Yes, mild cases of piles can often be managed with lifestyle changes, such as increasing fiber intake, drinking plenty of water, and avoiding straining during bowel movements.

Recovery from piles surgery can take a few weeks, depending on the procedure and the patient's health. Pain and discomfort may persist for a short period, but most patients return to normal activities within 1-2 weeks.

Yes, piles can recur, especially if the underlying causes, such as constipation or straining, are not addressed. Maintaining a healthy lifestyle can help reduce the risk of recurrence.

Preventive measures include eating a high-fiber diet, drinking plenty of fluids, avoiding prolonged sitting, exercising regularly, and using the bathroom as soon as you feel the urge to have a bowel movement.

No, piles are not contagious. They are caused by physical strain and other factors, not by bacteria or viruses.

Discover What Our Patient Have to Say

" Dr. Saurabh patel sir is so ginious surgeon in fistula & hemorrhoids. No pain after laser surgery treatment fast recovery. Dr. Saurabh patel is so friendly behaviour about patient and all sayona hospital staff like assistant,brothers and sisters so good they take care to all patient. Atmosphere is so good about hospital. I thank to Dr. Saurabh patel sir who treated me best for my piles (laser) surgery. "

- Shashikant Patel Piles Patient

" My husband had 3rd grade piles surgery... Saurabh sir handled it very well... He is genius doctor. He has deep knowledge & skill... We came with lots of stress but going with a smile on our faces... My husband didn't feel any pain after surgery... Thank u Dr saurabh sir for everything... I recommend all piles, fisure, fistula patient to Dr saurabh. "

- shital dholiya Piles Patient

" I came with lot of pain and unable to sit. This smile 😊 on face just after laser surgery. I came very far from Rajasthan just to do surgery from Dr Saurabh Patel sir. He is very skillful surgeon, very patient friendly and most experienced doctor in the field of proctology. The entire staff in hospital is very friendly and very comfortable. Highly recommended for any piles , fissure , fistula related problems."

- Prakash kalal Piles Patient

" Relief from Piles Thanks to Dr. Saurabh's Laser Surgery (BEST PROCTOLOGIST IN AHMEDABAD) Let me tell you, coming from Rajasthan to Ahmedabad for piles surgery was a big decision. But after getting treated by Dr. Saurabh, I can honestly say it was the best choice I could've made! "

- Ritik Agarwal Piles Patient
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