Piles or Hemmorhoids
Swelling of blood vessels in Anal Canal & Lower Rectum.
Most common cause of bleeding while passing stools.
They are of 2 types
- Internal Piles
- External Piles
Causes
- Straining or Pushing Hard
- Chronic constipation
- Prolonged sitting in Toilet
- Obesity & Weight gain
- Diarrhea
- Eating Low Fiber Diet like Bread, Pav
All above factors obstructs blood flow in perianal area leading to formation of Hemmorhoids.
Symptoms
As far as 70 to 80 percent of population suffer from piles at any point of their life.
- Bleeding
- Itching - Pruritus
- Burning Pain
- Swelling at Anus - Protruding / Prolapsing
Can be Painless ( Internal ) or Painful ( External / Thrombosed / Gangrenous / Grade 4 )
Diagnosis
Visit to Proctologist or General surgeon or Colorectal doctor.
Assessment of patient as per following
- Duration of Symptoms & Severity
- Digital Rectal Examination with Proctoscopy / Anoscopy
- Colonoscopy or Sigmoidoscopy - Special Cases
Treatment
Often hemmorhoids or Piles can be treated without operation ( Grade 1 & Grade 2 Piles )
Medicines, Stool softeners, Natural Home remedies is quite helpful in early cases.
Adequate water intake
Boiled Vegetables
Raw Vegetables – Carrots, Cucumber, Coriander, Palak
Fruits – Apple, Kiwi, Citrus fruits, Papaya, Water Melon, Musk Melon
Avoid Chillies, Spices.
No Smoking
No Coffee / Tea
Mobile Use in Bathroom
Straining in Toilet
Persistent Severe bleeding / Large Grade 3 / Prolapsing / Thrombosed Piles Hemmorrhoids may need Operation.
They may not have responded to medicines or Lifestyle changes.
Your Surgeon will discuss advantages, recovery time, side effects & severity of pain as per Findings during examination & will help you select the best procedure suited for you
Surgery
Latest options for Best treatment of Hemmorhoids / Piles are as follows
- Ligasure Surgery / Harmonic Scalpel
- Stapler Gun Surgery or Minimal invasive procedure for Hemmorhoids (MIPH)
- Laser Piles Hemmorhoidoplasty
Excision Hemmorhoidectomy – Open or Closed
Hemorrhoidal Laser procedure (HeLP) & Hemorrrrhoidal Laser procedure + mucopexy (HeLPexx)
Injection Sclerotherapy
Rubber Band Ligation
DHAL – Doppler Guided Hemmorhoidal Artery Ligation
Coagulation ( Laser / Cryo / RFA / Infrared / Bipolar )
Very less Chances but Yes. Depends on various factors like Grade of Hemmorhoids & Technique of surgery.
But in hands of experienced surgeon & proper instructions, recurrence rates are quite low.
In hands of experienced surgeon, recurrence rate are between 2 to 6 %.
Excision Hemmorhoidectomy have the lowest recurrence rates as compared to other surgical options.
Early Diagnosis & Surgical Intervention means less side effects after operation.
In Hands of experienced surgeon, Overall complication rates are low but still one cannot assure zero percent.
1. Immediate
- Urinary retention
- Infection
- Bleeding
- Pain
2. Late
- Anal Stricture / Anal Stenosis
- Recurrence
- Chronic pain / irritation
Laxative & stool Softeners
Take High Fibre Fruits & Vegetables
Drink more Water
Topical ointments & medicines for 3 to 10 days for pain relief
Generally no dressing requires in most of the operations.
Yes. It is Absolutely Necessary to have proper check up by General Surgeon for Confirmation of Diagnosis.
Rectal Polyps, Anal fissure, fistula in ano, Ulcerative Colitis, Rectal varices, Condyloma, Anal cancer, etc are misdiagnosed as “ Piles or hemorrhoids ” by the common population.
- Cirrhosis of Liver & Portal Hypertension
- Cardiac Patients on Blood thinners
- Kidney patients on Dialysis
- HIV
- Pregnancy
- Children
Above conditions are subject to individual risk assessment & outcomes after thorough discussion & response to conservative approach.
Mainly purpose for any patient contemplating Piles or Hemmorhoids Treatment are
- Stop Bleeding
- No Swelling
- Painless recovery
TESTIMONIALS
Get OPD Appointment
Book OPD appointment with Dr. Chintan B Patel at Kiran Hospital, Surat, Gujarat, India
Opening Hours
Monday – Saturday
Morning10.00 AM – 12.30 PM
Evening04.30 PM – 06.00 PM
