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For sensitive issues like piles, many women prefer the comfort and privacy of consulting a lady surgeon. Our experienced lady doctor is available to offer discreet, personalized care, ensuring your comfort throughout the treatment process.
What is PILES?
Cluster Locations
Piles, also known as haemorrhoids, occur when blood vessels in the anal region become enlarged or swollen.
Piles could be
1. Internal: Located inside the rectum.
2. External: Found around the anal region.
Locations of Piles
Cluster Locations
Cluster Locations: Piles typically form in clusters at the 3, 7, and 11 O’clock positions.
Circumferential Piles
Circumferential Piles: In more severe cases, piles can extend and occupy the entire circumference of the anal region.
Grades of Piles
- Grade1:This is the beginning of the piles and is confined to the rectum and not visible externally.
- Grade2:Here, the pile has increased in size but enters into the anal region. It can slide out while passing motion but quickly return within the anal canal after passing motion.
- Grade3: In grade 3, the piles mass has prolapsed outside the anus but can be pushed back into the anal canal. (has passed through the anal canal and is seen and felt outside the anus). But, the pile mass can be gently pushed back into the anal canal with the hand.
- Grade4:In this grade, the prolapsed pile mass is quite large and cannot be pushed back inside the anus. Hence it remains outside the anus at all times.
Thrombosed Pile
- When blood clots in an existing external pile, it becomes very painful and changes colour to dark red or maroon. This is called a thrombosed pile.
Circumferential Piles vs Rectal Prolapse
Circumferential Piles
Also known as hemorrhoids, circumferential piles are swollen blood vessels in the rectal area, leading to symptoms like discomfort, itching, and bleeding. Treatment may include lifestyle changes, rubber band ligation, or surgery.
Rectal Prolapse
This condition occurs when the rectum protrudes through the anus, often due to weakened pelvic muscles. Symptoms include visible protrusion and fecal incontinence. Treatment typically requires surgical intervention to correct the prolapse.
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Table of Contents
Follow-up care is crucial after treatment for piles, as it ensures proper healing and helps prevent recurrence. Additionally, adhering to a Healthy high-fiber diet plays a significant role in recovery. A healthy diet can help manage symptoms and promote overall digestive health. By focusing on nutrition and regular follow-ups, patients can enhance their recovery process and reduce the likelihood of future issues.
What causes Piles?
- Constipation
- Straining while passing motion
- Poor fiber intake in the diet
- Obesity
- Pregnancy wherein the enlarged uterus puts excess pressure on the rectum
- Any large intraabdominal tumor causing puts excess pressure on the rectum
Symptoms of Piles
- Painless bleeding which can be seen as bright red blood in the stool or after passing stool
- Itching in the anal region
- Small soft mass felt around the anus
- Pain around the anus while passing of stool
- The feeling of fullness even after passing stools
Treatment options available for Piles
Surgical treatment
- PPH Stapled Hemorrhoidectomy: This procedure uses a circular stapler to remove excess tissue and reposition the remaining hemorrhoidal tissue, providing quick relief with minimal pain and a shorter recovery time.
- HAL (Hemorrhoidal Artery Ligation): A Doppler ultrasound is used to locate and ligate the hemorrhoidal artery, cutting off the blood supply to the pile and causing it to shrink. This technique minimizes postoperative pain and recovery time.
- Laser Surgery: A precise, minimally invasive option where a laser beam is used to shrink or remove hemorrhoidal tissue. This method reduces bleeding, pain, and recovery time.
Non-surgical treatment
- Cryotherapy: Involves freezing the hemorrhoidal tissue with extreme cold, causing it to shrink and eventually fall off. It is minimally invasive and ensures a quick recovery.
- Sclerotherapy: A sclerosing agent is injected into the piles mass to shrink it. This method is often used in smaller or less severe cases.
- Rubber Band Ligation: A rubber band is placed around the base of the pile, cutting off its blood supply, causing it to shrink and fall off over time. This is typically used for smaller piles.
Dr.Tulip has been improving the quality of life through better health
Dr.Tulip has been improving the quality of life through better health
- Dr. Tulip has been recognized by the Surgical Review Corporation USA as “Surgeon of Excellence”
- Successfully handled more than 2500+ procedures in diabetes and obesity surgery.
- Dr. Tulip has ventured to set up South India’s 1st Flagship Hospital dedicated to Obesity and Diabetes surgery.
- Excellence in the field of bariatric and metabolic surgery over 2 decades.
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FAQ
What causes Piles?
Common causes of piles include straining during bowel movements, chronic constipation or diarrhea, pregnancy, obesity, and a sedentary lifestyle. Dietary factors, such as low fiber intake, can also contribute.
How are Piles diagnosed?
A healthcare provider in Bangalore will typically perform a physical examination, including a visual inspection of the anal area. In some cases, further diagnostic procedures like a digital rectal exam or anoscopy may be necessary.
When is surgery necessary for Piles?
Surgery may be considered for severe or persistent cases of piles that do not respond to conservative treatments. Common surgical options available in Bangalore include hemorrhoidectomy (removal of piles) and stapled hemorrhoidopexy.
What is the recovery time after Piles surgery?
Recovery time can vary depending on the type of surgery performed. Most patients in Bangalore can return to normal activities within a week or two, but full recovery may take several weeks. Your doctor will provide specific post-operative care instructions.
How can I prevent Piles from recurring?
To prevent piles, maintain a healthy diet rich in fiber, stay hydrated, exercise regularly, and avoid straining during bowel movements. Establishing healthy bowel habits is essential for prevention.