Hemorrhoids or piles are swelling of blood vessels that are normally present in anal canal and associated with bleeding during passage of stool similar to varicose veins in legs. Piles are of two types, internal and external. Internal piles usually remain along the anal wall. You usually can't feel or see them, unless they come out through the anus while straining for stool. External piles are small soft pads around the anal opening, the same color as your skin. When an external hemorrhoid forms a blood clot, it can appear blue in color and cause severe pain, itching and inflammation.
Prolonged and excessive straining to pass stool in patients with constipation is the most important factor causing piles. Bleeding through anus is a common symptom of hemorrhoids, but it could be a symptom of a more serious disease and hence, should never be ignored. Though it may result from simple and common problems like piles or anal fissure, it can rarely be a manifestation of serious disease like colon cancer, which if diagnosed and treated early, may be curable. Persistent pain may result from infected, thrombosed piles or associated anal fissure.
Your doctor will perform an examination and decide on the best course of treatment for these conditions. Diagnosis is often made by proctoscopy examination of anus and rectum. Colonoscopic examination can also diagnose piles, though it is not commonly done just to diagnose piles. Though your doctor can see external piles merely by seeing anus, internal piles are not seen during such examination. Piles are usually treated by the following measures: endoscopic treatment, surgical treatment, general measures.
Generally, endoscopic treatment is the first-line treatment and surgical treatment is reserved only for situations where endoscopic treatment has either failed or is not possible, such as in patients with external piles or unusually large piles. Injection of a chemical that causes clotting of blood inside piles is given while seeing the piles through proctoscope. This is done for small piles too small to apply bands. Usually three to five sessions done at an interval of two to three weeks are required to totally abolish the piles. Some pain while passing stool is quite common after each session.
After each session of pile banding or injection, you doctor will advise you sitz bath, laxative to keep stool somewhat liquid and pain killer if required. Avoid straining at toilet and having constipation. Sitting at toilet and straining long can encourage swelling. Go to toilet when you feel the urge to have bowel movement; delaying now can mean straining later. Drink excess of water and increase fiber in diet. Exercise regularly, particularly at morning before going to toilet as it increases colonic movement causing better bowel movement.
Like injection treatment, application of rubber band to piles is also done for three to five times every two to three weeks. The bands, which are used to tie the piles, fall off spontaneously. However, this causes clotting of blood inside these veins. Some pain particularly during passing stool is common after banding. Surgical treatment is usually done when non-surgical measures fail. Remember that surgery can sometimes lead to a troublesome complication called fecal incontinence in which you can not hold stool, it soils clothes due to damage to the valve that holds stool.
Plant medicine has proved to be effective in eliminating even the most stubborn hemorrhoids. This natural treatment is meant to treat chronic or acute hemorrhoid conditions. It works to shut down twisted veins, shrink swollen blood vessels, and strengthen the circulatory tract. Its astringent effect helps heal mucous membranes, aid contraction and firm tissue, pushing blood out of the rectal area, decreasing inflammation. Plant medicine has a proven astringent effect, providing safe, effective, and natural elimination of hemorrhoids.
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