Piles Treatment Video

Piles Treatments

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Haemorrhoids can be the source of unrelenting aggravation for some and the cause of debilitating pain in others. The aim of treatment is threefold: to alleviate the immediate symptoms; to prevent further exacerbation of the injury, and to resolve the underlying cause. This is often accomplished with high-fibre diets, stool softeners, and over-the-counter topical medications. In severe cases, however, surgical and non-surgical procedures may be used to remove hemorrhoid.

The risk of developing hemorrhoids is greatly reduced when stools are kept soft. This can be helped in the following ways:

  • Physical activity: Sitting or standing still for long periods puts pressure on the veins. Physical activity also helps stool move through the bowel, so bowel movements are more regular.
  • Avoiding over-straining: When using the toilet, try not to strain. This creates pressure in the veins in the lower rectum.
  • Nutrition: Eating plenty of foods rich in fibre, such as fruits and vegetables, as well as whole grains, means stools will nearly always be soft. Similarly, drinking plenty of fluids helps keep stools soft. OTC fibre supplements also ease constipation.

According to the Mayo Clinic, internal haemorrhoids are swollen and inflamed veins in the anus and lower rectum. They are often caused by straining during a bowel movement, frequent diarrhoea and pregnancy. Haemorrhoids can be extremely uncomfortable. Symptoms include itching, burning, pain and bleeding. Medical treatment is available for haemorrhoids and consists of pain medication, anti-inflammatory medication and even surgery when needed.

The symptoms of external haemorrhoids can also be caused by other conditions, it is necessary to have an in-depth exam. Your doctor may use a series of tests to confirm the presence of external haemorrhoids near the anus. These tests may include:

  • proctoscopy
  • digital rectum exam
  • colonoscopy
  • sigmoidoscopy
  • anoscopy

If your doctor suspects that you have internal hemorrhoids instead of external hemorrhoids, they may use an anoscopy to examine the inside of the anus. Internal hemorrhoids can also be seen with colonoscopy, sigmoidoscopy, or proctoscopy.

The exact cause of haemorrhoids is unknown.  However, they are associated with an increase in pressure in the lower rectum which can cause the blood vessels in the lower rectum to become swollen and inflamed.  The following factors can increase pressure within the lower rectum and hence may increase the risk of developing haemorrhoids:

  • Anal intercourse
  • Being overweight or obese
  • Chronic constipation or diarrhea
  • Family history of hemorrhoids.
  • Spinal cord injury
  • Straining to have a bowel movement
  • Sitting for long periods of time, especially on the toilet
  • Poor posture
  • Pregnancy

Anal fissures are tears in the lining of the anal canal and are a quite common disease. The goal of therapy is to reduce pain associated with the fissure and to decrease spasm of the anal sphincter. Treatment of diarrhea is typically beneficial. It is also helpful to soak in a sits bath for 18 to 22 minutes a couple of times a day or after bowel movements. You should also be careful to keep the skin around the anus clean and dry. I also recommend patients clean with per-moistened tissues following bowel movements. When these measures are not enough to heal an anal fissure, fistula treatment Udumalpet  medical therapy is often necessary.

The main objective of this study is to determine the efficacy and safety of topical treatment of haemorrhoids. The following comparisons will be made:

  • Comparisons between different topical anti piles  treatments
  • Any topical treatment compared with oral flavoring
  • Any topical treatment compared with dietary modification alone, placebo or no treatment
  • Any topical treatment compared with instrumental/surgical treatment

Subgroup comparisons will be made according to the severity of disease and presentation as well as a type of topical treatment if possible.

In most cases, the symptoms of piles are not serious. They normally resolve on their own after a few days. An individual with piles may experience the following symptoms:

A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles that contain blood are  called thrombosed external hemorrhoids.

  • After passing a stool, a person with piles may experience the feeling that the bowels are still full.
  • Bright red blood is visible after a bowel movement.
  • The area around the anus is itchy, red, and sore.
  • Pain occurs during the passing of a stool.
  • Piles can escalate into a more severe condition. This can include
  • excessive anal bleeding, also possibly leading to anemia infection
  • fecal incontinence, or an inability to control bowel movements
  • anal fistula, in which a new channel is created between the surface of the skin near the anus and the inside of the anus
  • a strangulated hemorrhoid, in which the blood supply to the hemorrhoid is cut off, causing complications including infection or a blood clot
  • Banding

The doctor places an elastic band around the base of the pile, cutting off its blood supply. After a few days, the haemorrhoid falls off. This is effective for treating all haemorrhoids of less than grade IV status.

  • Sclerotherapy

Medicine is injected to make hemorrhoid shrink. Haemorrhoid eventually shrivels up. This is effective for grade II and III haemorrhoids and is an alternative to banding.

  • Infrared coagulation

Also referred to as infrared light coagulation, a device is used to burn the haemorrhoid tissue. This technique is used to treat grade I and II haemorrhoids.

  • Hemorrhoidectomy

The excess tissue that is causing the bleeding is surgically removed. This can be done in various ways and may involve a combination of a local anaesthetic and sedation, a spinal anaesthetic, or a general anaesthetic. This type of surgery is the most effective for completely removing piles, but there is a risk of complications, including difficulties with passing stools, as well as urinary tract infections.

  • Haemorrhoid stapling

Blood flow is blocked to the haemorrhoid tissue. This procedure is usually less painful than hemorrhoidectomy. However, this procedure can lead to an increased risk of haemorrhoid recurrence and rectal prolapse, in which part of the rectum pushes out of the anus.



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