Haemorrhoids or 'piles' (also known as emerods), is one of the most common ailments affecting both men and women. About 50% of people in the US develop
hemorrhoids at some point in their life.
Hemorrhoids afflict the anal and the lower rectal areas, which are rich in blood supply. When the blood vessels in these regions are stretched due to pressure, they swell up and form lumps, which are called piles. These lumps are painful and itchy, and a source of great discomfort.
Allopathic treatments for Hemorrhoids include rectal suppositories, stool softeners, topical preparations and medicated wipes. However these Allopathic treatments do not cure Hemorrhoids. They are merely a way of suppressing symptoms.
What are Hemorrhoids?
The anus and lower rectum are very rich in blood supply.
The rectum is at the end of the colon, where feces gets collected before it is expelled through the anus, as a bowel movement. When the blood vessels in this area are stretched under pressure, they swell up and form lumps. These lumps are called
hemorrhoids. They can be internal (patient cannot see them) or external (can be seen hanging out from anus). A person may have both internal and external piles at the same time.
Internal
hemorrhoids are classified further, based upon the degree to which they protrude from the anal canal.
According to this grading system:
--Grade I
hemorrhoids may bulge into the anal canal but do not protrude through the anus.
--Grade II
hemorrhoids protrude through the anus during straining and defecation, but return spontaneously.
--Grade III
hemorrhoids protrude through the anus while defecation or straining but do not return spontaneously, requiring the patient to gently push it back into its normal position with a finger.
--Grade IV
hemorrhoids cannot be manually returned to their normal position.
Hemorrhoids Causes
The precise reason why piles occur is not known, but it may be linked with excess pressure in the anus and the lower rectum. It develops when the veins are under constant pressure and get engorged with blood. If the pressure continues, the walls of the veins are stretched. Such a distended vessel leads to fluid accumulation and swelling in the surrounding tissue, leading to hemorrhoid formation. Some expert studies suggest that
hemorrhoids
are caused by continuous high pressure in the veins of the body, which occurs because humans stand upright. It can occur at any age.
One may have an increased risk of getting piles in the following conditions:
1) If there is persistent constipation and excessive straining during bowel movements.
2) If there is persistent diarrhea.
3) During Pregnancy; pregnant, women are more susceptible to piles, as pressure from the growing uterus restricts blood flow in the pelvic area.
4) If there is a medical history of piles in the family.
5) If there is a personal history of varicose veins. Many people with varicose veins have been known to develop piles, although piles are not a form of varicose veins.
6) With increasing age, one is more prone to having piles.
Hemorrhoids Symptoms
Symptoms of
hemorrhoids can come and go. However, some main indications are:
--Itching - This is because piles irritate the area around the anus.
--Pain and discomfort - This happens due to swelling around the piles, and from scratching of the lining of the anal canal by feces as it passes over the lumpy area.
--Bleeding - Bleeding normally occurs because of excessive scratching
--A lump formation - It can be felt in second or third-degree piles, which may also be tender and can cause pain.
Diagnosis of Hemorrhoids
The diagnosis of
Hemorrhoids (piles) is based on medical history, physical examination and visual inspection of the anal canal and rectum.
External
hemorrhoids can be confirmed clinically with a visual examination followed by a rectal examination. However, diagnosis of internal
hemorrhoids may sometimes be difficult during rectal examination. In such cases, an instrument called an Anoscope is inserted into the anal canal to view the lining. This is an OPD procedure. A more detailed observation can be carried out by a procedure called Sigmoidoscopy that is done under sedation or anesthesia. Besides these, the physician may also advise for stool culture, to detect the presence of occult blood.
Hemorrhoids Treatment
Conventional System
An allopathic practitioner may prescribe fiber supplements to soften stools. These can only prevent further irritation of piles with hard feces, but do not treat the root cause. Over-the-counter products used to treat
hemorrhoids include rectal suppositories, stool softeners, topical preparations and medicated wipes. Hydrocortisone (Anusol-HC®, Proctocort®, Proctofoam-HC®) contained in these products reduces inflammation, itching and swelling. But, the treatment provides temporary relief and symptoms of piles may recur once medication is stopped.
Those patients, who continue to have symptoms (despite trying conservative measures), may be offered minimally invasive procedures like rubber band ligation, bipolar coagulation. But post-procedure, many of these patients experience continued 'tightness'. Patients who experience severe symptoms despite conservative or minimally invasive therapies, are typically advised to go for surgical removal of
hemorrhoids (haemorrhoidectomy).
Although
hemorrhoids (piles) is among the most commonly occurring ailments, conventional medicine does not have much to offer. Most of the severe cases end up in surgical treatment. Even surgery does not ensure 'cure' and there have been many cases of relapse after treatment. In anticipation of a painful surgery, many people do not even disclose their problem for as long as they can bare it.
Biogetica Therapy
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Tips for reducing the risk of
Hemorrhoids /Piles:
-- Avoid excessive straining during bowel movements.
-- Drink enough liquid for proper hydration.
-- Eat a diet rich in fiber.
-- Exercise regularly.
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