PharmEasy Blog

बवासीर (Piles) के लिए 8 बेहतरीन घरेलू इलाज

बवासीर को हेमरॉइड्स के रूप में भी जाना जाता है, ये गुदा नहर वाले हिस्से में सूजी हुई नसें हैं। अपनी सामान्य अवस्था में, वे मल के मार्ग को नियंत्रित करने के लिए आरामदायक गद्दे की तरह से काम करती हैं। हालांकि बवासीर का सही कारण मालूम नहीं है, लेकिन अध्ययनों से पता चला है कि बवासीर के लिए बहुत हद तक जिम्मेदार वे कारक होते हैं जो मल त्यागने के दौरान गुदा वाले हिस्से में दबाव बढ़ाते हैं। 

बैठते या मल त्याग करते समय गुदा वाले हिस्से में जलन जैसे लक्षणों से पीड़ित व्यक्ति को समस्या की पहचान कराने के लिए डॉक्टर से परामर्श लेना चाहिए। डॉक्टर द्वारा बताए गए उपचार का पालन करें। डॉक्टर की लिखी दवाओं या सर्जरी के साथ-साथ, आपको एक स्वस्थ जीवन शैली और आहार का पालन करने के लिए कहा जाएगा। शुरुआती उपायों में पूरे शरीर में पानी की भरपूर मात्रा बनाए रखने के लिए फाइबर का सेवन बढ़ाना, आराम करना और भरपूर तरल पदार्थ पीना शामिल है। समस्या वाले हिस्से में मेडिकेटिड क्रीम लगाई जा सकती है, हालांकि आपकी स्थिति की गंभीरता के आधार पर उनके असर में अंतर हो सकता है।

विषय-सूची (Table of content)

  1. बवासीर किन कारणों से होता है?
  2. बवासीर के प्रकार
  3. बवासीर के लक्षण
  4. बवासीर के लिए घरेलू इलाज
  5. डॉक्टर से कब मिलना चाहिए?
  6. अक्सर पूछे जाने वाले सवाल
  7. यह आपकी ज़रूरत की और काम की बातें हो सकती हैं!

बवासीर किन कारणों से होता है?

बवासीर का सही-सही कारण अभी भी मालूम नहीं है। हालांकि यह पता लगाना मुश्किल है कि बवासीर का सटीक कारण क्या है, लेकिन कई कारक हैं जो बवासीर में योगदान कर सकते हैं:

अन्य कारक जो बवासीर होने में समान रूप से योगदान कर सकते हैं वे ये हो सकते हैं:

बवासीर के प्रकार (Types of piles)

बवासीर के लक्षण (Symptoms of piles)

बवासीर के लिए घरेलू इलाज

Read in English: 8 Best Home Remedies For Piles

डॉक्टर से कब मिलना चाहिए?

ऊपर बताए गए बवासीर के लक्षणों में से कोई भी लक्षण दिखाई देने पर आपको बिना देरी किए डॉक्टर की सलाह लेनी चाहिए। ये लक्षण कोलोरेक्टल कैंसर जैसी अन्य गंभीर स्थितियों में आम हैं। इसलिए, एक डॉक्टर से इनकी जल्दी पहचान कराना ज़रूरी है। अपने डॉक्टर को सूचित करें अगर- :

अक्सर पूछे जाने वाले प्रश्न (FAQ)

प्र1. बवासीर किस चीज़ से जल्दी ठीक होता है?

उत्तर. बहुत सारे तरल पदार्थ पीना और फाइबर युक्त आहार लेना, खुजली और दर्द को शांत करने के लिए कुनकुने पानी से नहाना, डॉक्टर द्वारा लिखे गए टॉपिकल ऑइंटमेंट लगाना, व्यायाम करना और नीचे वाले भागों को सूखा रखना, ये सभी बवासीर से तेज़ी से राहत पाने में आपकी मदद करने के लिए एक कैटेलिस्ट के तौर पर काम करेंगे। डॉक्टर से परामर्श करना और उनके बताए इलाज का पालन करना ज़रूरी है।

प्र2. बवासीर में घर पर किस खाने से परहेज़ करें?

उत्तर. अगर आपको बवासीर के लक्षण दिखाई देने लगे हैं, तो घर और बाहर के खाने में दूध और पनीर जैसे डेयरी प्रोडक्ट, मैदा, प्रोसेस्ड मीट, तला हुआ भोजन, मसालेदार खाद्य पदार्थ और लाल मांस के इस्तेमाल से बचना चाहिए। कहने का मतलब यह है, कि ऐसे भोजन से बचना चाहिए जो सूजन और कब्ज़ की संभावना को बढ़ाते हैं।

प्र3. बवासीर के लिए कौन सी दवाई सबसे अच्छी होती है?

उत्तर. आपके रोग के कारणों को ध्यान में रखते हुए, आपके डॉक्टर आपकी स्थिति के आधार पर बवासीर के लिए सबसे सही दवाएं आपको लिखकर देंगे। इसमें सूजी हुई नसों को सिकोड़ने के लिए कुछ दवाएं, कुछ दर्द निवारक और कब्ज़ जैसी पाचन संबंधी समस्याओं का प्रबंधन करने के लिए दवाएं शामिल हो सकती हैं। 

प्र4. क्या बवासीर में खुजली होती है?

उत्तर. हां, बवासीर में दर्द और खुजली दोनों हो सकती हैं। बवासीर, गुदा और मलाशय के निचले हिस्से में सूजी हुई और फूली हुई नसें होती हैं। पारंपरिक तौर पर, बवासीर की समस्या शौचालय में लंबे समय तक बैठे रहने के साथ-साथ मल त्याग के दौरान ज़ोर लगाने के साथ जुड़ी हुई है। यह गर्भावस्था के दौरान भी आम है और आमतौर पर बच्चे के जन्म के बाद ठीक हो जाती है।

Disclaimer: The information included on this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

166
18

How To Cure Piles Starting Stage?- Best tips by Dr. Mayuri

What are Piles? 

Piles or haemorrhoids are a common condition but can be an embarrassing and unpleasant topic. They are characterised by swollen and enlarged veins present in the anal area causing a great deal of discomfort. In India, piles are known to affect nearly 40 million people but the true incidence is not known due to cultural and socio-economic reasons. Depending upon their location, piles can be internal (found inside the rectal region) or external (found on the skin near the anal region). Depending upon the appearance and whether the haemorrhoids prolapse (bulge out of the rectum) or not, internal haemorrhoids are further classified into four stages. The different stages of piles are described as below: 

Symptoms1

Following are the symptoms of piles starting stage: 

If you have any of the above complaints, you should seek proper consultation from your doctor or proctologist for proper management of early-stage piles symptoms.

Causes

In the early stages of piles, it is believed that advancing age may cause the supporting tissues in the anal canal to become weak and chronic constipation may exert pressure on the tissues in the anal canal resulting in the piles.2

Also Read: What is a Sitz Bath: Understanding the Benefits and Uses

Risk factors: 

1. Diet-related:

2. Diseases/conditions

Others

Complications4

Diagnosis3

Read More: 8 Best Home Remedies For Piles

Treatment

  1. Dietary recommendations5 
  1. Lifestyle modifications:6
  1. Behavioral recommendations:
  1. Topical relief:6 
  1. Non-surgical treatment: 5

If still the symptoms do not resolve, surgical excision of the piles may be needed.

Read More: What is the Cost of Piles Surgery in India?

Conclusion

Piles or hemorrhoids are a common condition characterised by swollen and enlarged veins present in the anal canal. Depending on the location, piles are classified as internal or external haemorrhoids. Internal haemorrhoids depending on their severity are again classified into different stages like I, II, III, and IV. During the early stages of piles (grade I), the management starts with conservative measures that include avoiding constipation by dietary and behavioral recommendations, exercises, topical medications, and oral medications.

Frequently Asked Questions:

1] What is the piles starting stage?

The starting stage of piles or Grade I is characterised by piles associated with bleeding which do not prolapse.1

2] What is the piles fourth stage?

Piles fourth stage is characterised by permanently prolapsed haemorrhoids which cannot be corrected.1

3] What are the piles initial stages symptoms?

Piles initial stages symptoms may be associated with bleeding stools, itching, and pain, burning sensation in the anal region.1

4] Which is the best homeopathic medicine for stage 3 piles?

Although many homeopathic medicines are available in the market for symptomatic relief from piles. It is best to buy a preparation after consulting with your doctor or proctologist.5

5] Can piles be cured at the starting stage?

Yes, during the early stages of piles (grade I), appropriate conservative management which includes avoiding constipation by dietary and behavioral recommendations, exercises, topical medications, and oral medications may help. Hence, you should consult a doctor at the earliest stage.

Disclaimer

The information provided at this site is for educational purposes only and is not intended to be a substitute for medical treatment by any healthcare professional. As per unique individual needs, the reader should consult his/her physician to determine the appropriateness of the information provided for his/her situation.

References:

  1. Staroselsky A, Nava-Ocampo AA, Vohra S, Koren G. Hemorrhoids in pregnancy. Canadian Family Physician. 2008 Feb 1; 54(2):189-90. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278306/
  2. Das KD, Ghosh S, Das AK, Ghosh A, Mondal R, Banerjee T, Ali SS, Ali SS, Koley M, Saha S. Treatment of hemorrhoids with individualized homeopathy: An open observational pilot study. Journal of intercultural ethnopharmacology. 2016 Sep; 5(4):335. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061475/
  3. Acheson AG, Scholefield JH. Management of haemorrhoids. Bmj. 2008 Feb 14; 336(7640):380-3. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2244760/
  4. Slauf P, Antoš F, Marx J. Complications of hemorrhoids. Rozhledy v chirurgii: mesicnik Ceskoslovenske chirurgicke spolecnosti. 2014 Apr 1; 93(4):223-5. Available at: https://pubmed.ncbi.nlm.nih.gov/24881480/
  5. Lohsiriwat V. Hemorrhoids: from basic pathophysiology to clinical management. World journal of gastroenterology: WJG. 2012 May 5; 18(17):2009. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3342598/
  6. De Marco S, Tiso D. Lifestyle and risk factors in hemorrhoidal disease. Frontiers in Surgery. 2021 Aug 18; 8:729166. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8416428/
21
1

Piles During Pregnancy: Causes, Treatment and Prevention 

Piles during pregnancy

During pregnancy, along with other physical changes, piles can be an additional problem. Gojnic et al. in 2005 stated that approximately 85% of pregnant women in their third trimester may report haemorrhoids. In India, piles are known to affect nearly 40 million people, but the true occurrence in pregnant women is unknown due to cultural, personal and socio-economic reasons. Piles or haemorrhoids are swollen and enlarged veins in the anal and rectal region. Depending upon their location, piles can be internal (inside the rectal region) or external (near the anal region). Depending upon the appearance and whether the haemorrhoids prolapse or not, internal haemorrhoids are further classified into four types or grades- Grade I, II, III and IV. In this blog we will discuss the causes, symptoms and treatment options available for managing piles during pregnancy.1-3

Acute hemorrhoidal crisis can occur in the pregnant female. When medical therapy fails to relieve pain, operative intervention may be necessary. The surgeon, however, may be reluctant to operate due to potential complications to the mother and fetus. Hemorrhoidectomy in selected pregnant patients is safe in our experience.

Dr. M.G. Kartheeka – MBBS, MD(Pediatrics)

Symptoms 4,5

Haemorrhoids in pregnancy are usually seen in the third trimester of pregnancy or after one-two days of delivery. Following are the symptoms of piles during pregnancy: 

It is best not to avoid the management of piles during pregnancy as they may complicate the situation with bleeding, anaemia and excessive pain.

Dr Ashish Bajaj – M.B.B.S, M.D.

Causes

As your uterus gets enlarged during pregnancy, the pressure it exerts on the veins in the anal and rectal region can cause them to swell resulting in piles. In addition, the hormone progesterone relaxes the smooth muscles of the intestine and causes a reduction in their motility which results in constipation which is considered as a risk factor for piles.

Sitz bath is often one the very useful and commonly recommended measures to pregnant women suffering from piles. Talk to your doctor in case of extreme discomfort and do not let the pain stress you during pregnancy.

Dr. Arpit Verma, MBBS, MD (Pharmacology)

Risk factors: 4

Also Read: What is a Sitz Bath: Understanding the Benefits and Uses

Complications5

Hemorrhoidectomies, are not the preferred option for taking care of hemorrhoids during pregnancy. However, this type of surgery is possible and not very uncommon during pregnancy or shortly after, in case medical or other interventions are not of much help.

Dr Ashish Bajaj – M.B.B.S, M.D.

Diagnosis6

You should give a detailed medical history which will help the physician rule out these other causes of bleeding like inflammatory bowel disease, colorectal polyps and colon carcinoma.

Read More: 8 Best Home Remedies For Piles

Treatment4

If you are wondering how to treat piles in pregnancy, find out important points below. In pregnancy, the management of piles starts with conservative management which is described below:

1. Dietary recommendations: 

2. Exercise

having a sedentary lifestyle, not exercising or actively doing any activities may increase the risk of piles. Sitting on a cushion instead of hard surface may also prevent worsening of existing haemorrhoids and formation of new ones. You should do moderate aerobic exercises like brisk walking for 20-30 minutes a day to improve bowel function. At the same time, avoid exercises or yoga which may cause exertion.

3. Behavioral recommendations: 

If still you have complaints of constipation, you can consult your physician and he may prescribe you stool softeners for the same.

4. Topical relief:6 

Medications should only be taken after consultation from a doctor. Many ayurvedic medicines for piles during pregnancy are available in the market, but you should never self-medicate.6

5. Minimally invasive procedures:

If conservative management does not help in piles treatment during pregnancy, the following procedures may be recommended by your doctor.6

If still the symptoms do not resolve, surgical excision of the piles may be needed in some women.

Read More: What is the Cost of Piles Surgery in India?

Conclusion

Pregnant women due to increased intra-abdominal pressure, constipation and hormonal changes are predisposed to piles. The management of piles starts with dietary and behavioral recommendations, exercises, topical and oral medications. If still conservative management is ineffective, minimally invasive procedures like rubber band ligation, sclerotherapy and infrared photocoagulation may be done after consulting with a doctor or proctologist. If still there is no relief, surgical excision of piles may be required.

Also Read: Headaches During Pregnancy: Causes, Remedies, and When To Seek Help

Frequently Asked Questions

1] What causes piles during pregnancy?

An increase in intra-abdominal pressure, hormonal changes and constipation during pregnancy may result in piles.1

2] Is it okay to use ayurvedic medicines for piles during pregnancy?

It is advised not to self medicate and consult a doctor for proper guidance.

3] What are the symptoms of piles during pregnancy?

Piles during pregnancy may be associated with bleeding stools, itching and pain, burning sensation in the anal region.4

4] Can we apply piles ointment during pregnancy?

Yes, ointments are available in the market for topical application for symptomatic relief from piles in pregnancy. It is best to buy a preparation after consulting with your doctor or proctologist.5

5] Which foods to avoid during pregnancy piles?

You should avoid fried food, chocolates, salty food and caffeinated beverages during pregnancy piles.2

Disclaimer

The information provided at this site is for educational purposes only and is not intended to be a substitute for medical treatment by any healthcare professional. As per unique individual needs, the reader should consult his/her physician to determine the appropriateness of the information provided for his/her situation.

References:

  1. Staroselsky A, Nava-Ocampo AA, Vohra S, Koren G. Hemorrhoids in pregnancy. Canadian Family Physician. 2008 Feb 1; 54(2):189-90. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2278306/
  2. Gojnic M, Dugalic V, Papic M, Vidaković S, Milićević S, Pervulov M. The significance of detailed examination of hemorrhoids during pregnancy. Clinical and Experimental Obstetrics & Gynecology. 2005 Jan 1; 32(3):183-4. Available at: https://europepmc.org/article/med/16433160
  3. Das KD, Ghosh S, Das AK, Ghosh A, Mondal R, Banerjee T, Ali SS, Ali SS, Koley M, Saha S. Treatment of hemorrhoids with individualized homeopathy: An open observational pilot study. Journal of intercultural ethnopharmacology. 2016 Sep; 5(4):335. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061475/
  4. Poskus T, Sabonyte-Balsaitiene Z, Jakubauskiene L, Jakubauskas M, Stundiene I, Barkauskaite G, Smigelskaite M, Jasiunas E, Ramasauskaite D, Strupas K, Drasutiene G. Preventing hemorrhoids during pregnancy: a multicenter, randomized clinical trial. BMC pregnancy and childbirth. 2022 Apr 30; 22(1):374. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9055760/
  5. Bužinskienė D, Sabonytė-Balšaitienė Ž, Poškus T. Perianal diseases in pregnancy and after childbirth: frequency, risk factors, impact on women’s quality of life and treatment methods. Frontiers in surgery. 2022 Feb 18; 9:35. Available at: https://www.frontiersin.org/articles/10.3389/fsurg.2022.788823/full
  6. Avsar AF, Keskin HL. Haemorrhoids during pregnancy. Journal of Obstetrics and Gynaecology. 2010 Apr 1; 30(3):231-7. Available at: https://pubmed.ncbi.nlm.nih.gov/20373920/
2

Rubber Band Ligation for Piles: Preparation, Recovery and Risks 

What is Rubber Band Ligation?

Rubber band ligation is a non-surgical procedure used in the treatment of piles that don’t respond to conservative management (dietary and lifestyle modifications). Piles or haemorrhoids are swollen and enlarged veins appearing like a pillow like cluster near the lowest part of anorectal region. Depending on their location, there are two kinds of haemorrhoids- internal (found inside the lower rectum) and external haemorrhoids (found beneath the skin around the anus). 

Internal haemorrhoids are of 4 types:

Depending upon the degree and severity of symptoms, there are different treatment modalities available for managing hemorrhoids ranging from dietary and lifestyle modifications to surgeries. One such treatment is the haemorrhoid rubber band ligation in which the haemorrhoid is tied off with a rubber band, which helps in cutting the blood flow to the haemorrhoid. This technique was performed for the first time by Blaisdel in 1950s.1-3

Hemorrhoidectomy surgery is used for more advanced hemorrhoids, while rubber band litigation for hemorrhoids may be used for less severe hemorrhoids without the side effects of surgery.

Dr. M.G. Kartheeka, MBBS, MD

Diagnosis

Your doctor will take a detailed history and do a thorough physical examination to confirm hemorrhoids. External hemorrhoids are generally visible upon examination especially if a blood clot is present. For internal hemorrhoids, he may do a digital rectal examination. 

Depending upon the type of hemorrhoid and the severity, your doctor will decide the need for rubber band ligation.1

Indications for rubber band ligation

Rubber band ligation for piles is indicated in the following situations:2

Surgery like laser surgery and stapled hemorrhoidectomy may be recommended for external piles if conservative treatments like sitz bath or topical ointments fail to provide relief or if the condition becomes severe. Rubber band ligation can quickly be done under local anesthesia for most patients.

Dr. Ashish Bajaj – M.B.B.S, M.D.

Treatment

Before going to the hospital for piles rubber band ligation, you should be aware of the following:

Rubber band ligation does not require any anaesthesia or any injections for bowel clearance. This procedure does not need hospitalisation and is usually carried out in a single session and hardly takes 10-30 minutes; although in cases of recurrent haemorrhoids, additional sessions may be needed.3,4

Read More: What is the Cost of Piles Surgery in India?

Points to be kept in mind after rubber band ligation: 1

Following are the common measures to do for symptomatic relief and avoiding the recurrence of the disease.

Read More: 8 Best Home Remedies For Piles

Risks2,3

Performing rubber band ligation is contraindicated in the following: 3

Conclusion

Rubber band ligation is a treatment modality to manage piles. In this, the haemorrhoid is tied off with a rubber band, preventing the blood flow to the haemorrhoid. This process does not need anaesthesia, bowel clearance or hospitalization but can result in anal discomfort and pain. Your doctor or proctologist will assess the need of the procedure and weigh its benefits against the risks involved and will counsel you in detail about rubber band ligation aftercare.

Frequently Asked Questions:

1] What is the rubber band ligation?

Rubber band ligation is a non-surgical procedure in which the haemorrhoid is tied off with a rubber band, that helps in cutting the blood flow to the haemorrhoid.1

2] Does rubber band ligation pain?

Yes, rubber band ligation is associated with post-procedural pain, for which your doctor will prescribe painkillers.3

3] What is the rubber band ligation procedure time?

Rubber band ligation procedure is quick and hardly takes 10-30 minutes for completion.4

4] What are the contraindications of rubber band ligation?

Rubber band ligation is contraindicated in Crohn’s disease and HIV disease.3

5] What is the risk after rubber band ligation?

Rubber band ligation may increase the risk of urinary retention, bleeding, ulceration and pain in the anal region.2

Disclaimer

The information provided at this site is for educational purposes only and is not intended to be a substitute for medical treatment by any healthcare professional. As per unique individual needs, the reader should consult his/her physician to determine the appropriateness of the information provided for his/her situation.

References:

  1. Hemorrhoids and what to do about them (2021) Harvard Health. Available at: https://www.health.harvard.edu/diseases-and-conditions/hemorrhoids_and_what_to_do_about_them 
  2. Lohsiriwat V. Hemorrhoids: from basic pathophysiology to clinical management. World journal of gastroenterology: WJG. 2012 May 5; 18(17):2009. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3342598/
  3. Albuquerque A. Rubber band ligation of hemorrhoids: A guide for complications. World journal of gastrointestinal surgery. 2016 Sep 9; 8(9):614. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5037334/
  4. Stavrou G, Tzikos G, Malliou P, Panidis S, Kotzampassi K. Rubber band ligation of hemorrhoids: is the procedure effective for the immunocompromised, hemophiliacs and pregnant women?. Annals of Gastroenterology. 2022 Aug 30:509. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9399576/
  5. Kumar M, Roy V, Prasad S, Jaiswal P, Arun N, Gopal K. Outcomes of Rubber Band Ligation in Haemorrhoids Among Outdoor Patients. Cureus. 2022 Sep 29; 14(9). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618009/

Difference Between Piles and Fistula

What Is Piles?

Piles, also known as haemorrhoids, are swelling of enlarged blood vessels around the anal area. It is a painful condition, the first signs include straining and blood loss while passing stools and discomfort while sitting, walking and other movements. Piles can be internal and form within the rectum or they can be external and protrude beyond the anus. 

What is Fistula?

An anal fistula is a tunnel which forms in an infected gland of the anus, it extends till the opening around the anus. It can be a result of an injury or surgery and cause pain and inflammation around the anus. 

Table of Differences between Piles and Fistula

Different FactorsPilesFistula
CausesIf you put excess pressure or strain the veins around your anus during bowel movements, it may swell. Some other causes of this condition are:
Straining during bowel movementsSevere diarrhoea
ObesityRegular heavy lifting
Pregnancy
Fistula may develop due to:
An infection in the anal gland
Abscess around anal region
TraumaRadiation therapy or treatment of anal cancer
SymptomsImaging tests like MRI, CT Scan or Fistulogram to identify the path of the fistula. Other tests include a fistula probe, anoscope, flexible sigmoidoscopy or colonoscopy. Itching or irritation in the anal area
Bleeding during bowel movements
Pain/discomfort while passing hard stools
Discomfort while prolonged sitting or standing up 
DiagnosisDigital or clinical examination of the rectum is done by inserting a lubricated finger and looking for any unusual swellings.
Visual inspection of the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope.
Medicines for local application
Sitz bath
A fistulotomy is done by removing the fistula along with it’s linning, cleaning it and allowing it to heal. Fibrin glue and collagen plug to clean and seal the tunnel.
Seton placement into the fistula to drain the infection and contents inside the tunnel.
Endorectal advancement flap uses a flap from the rectal wall to cover the fistula.
LIFT is a two-stage treatment in which the fistula tunnel is opened, then the infected tissues are removed and the fistula is tied off. 
Treatment options that can be advised by doctorsMedicines for local application
Soak the anal area in warm water or a sitz bath.
Rubber band ligation is done by using rubber bands around the base of an internal haemorrhoid to cut off its blood circulation.
Injection (sclerotherapy) is done to shrink the tissues in the haemorrhoid.
Haemorrhoid removal (hemorrhoidectomy) to remove excessive tissue that causes bleedingHaemorrhoid stapling to block blood flow to haemorrhoidal tissue
Medicines for local application
Sitz bath
A fistulotomy is done by removing the fistula along with its linning, cleaning it and allowing it to heal. Fibrin glue and collagen plug to clean and seal the tunnel.
Seton placement into the fistula to drain the infection and contents inside the tunnel.
The endorectal advancement flap uses a flap from the rectal wall to cover the fistula.
LIFT is a two-stage treatment in which the fistula tunnel is opened, then the infected tissues are removed and the fistula is tied off. 
PrevalencePiles is very common in adults.
Women are more prone to developing haemorrhoids than men.
Anal fistulas commonly develop around the age of 40. It affects males more than females.
Complications if left untreated-Anemia.
Chronic blood loss due to piles may lead to anaemia.
Strangulated haemorrhoid. If the blood supply to an internal haemorrhoid is cut off, the tissue may get severely infected and can cause extreme pain.
Blood clot. Occasionally, a clot can also form in a haemorrhoid due to a lack of blood flow (thrombosed haemorrhoid). It can be extremely painful.
A recurring fistula or an abscessIncrease in the length and number of tracts Inability to control bowel movements (fecal incontinence).
Sepsis or infection that spreads throughout the body
Peritonitis. An intestinal fistula may cause inflammation and infection of the peritoneum (membrane lining the abdominal cavity).
There is a risk of developing cancer in the fistula tract if left untreated for a long period of time.

In simple terms Piles is a condition in which blood vessels swell up, whereas a fistula is marked by the development of a tunnel from the anus to surrounding skin.

Dr. M.G. Kartheeka, MBBS, MD

Conclusion

Piles and fistula are two distinct conditions. However, it is possible for you to get confused between the two and their symptoms. If you ignore the symptoms of piles, such as pain, itching in the anal area, blood in stools and the symptoms of fistula, such as blood and foul-smelling discharge, pain in the rectum, swelling in the anal area and visibility of a tunnel at the opening of the anus, both the conditions may worsen over time and cause other complications. Consult a doctor to learn more about the difference between piles and fistula and seek appropriate treatment. Never self-medicate, proper diagnosis of your condition is the first step towards living a pain-free life.

Fissures, piles and fistula are often confused as being the same conditions in an individual. Fissures usually heal on their own within a couple of days or weeks. Piles and fistulas usually require medical or surgical intervention.

Dr. Ashish Bajaj, M.B.B.S., M.D

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

2

Difference between Piles vs Fissure

What is Piles?

Piles or haemorrhoids are swollen blood vessels around the anal opening. It can cause pain, blood loss with stools and discomfort while sitting, walking and other movements. Piles can either be internal and form within the rectum, or they can be external and protrude beyond the anus. 

As you age, piles are more frequent. I strongly recommend the following actions that may aid in avoiding constipation and hard stools that results in piles: Avoid using the loo for too long or too firmly. When the desire strikes, use the loo right away; don’t wait. Drink a lot of water all day long. Increase your intake of whole grains, fresh fruits and vegetables, and other high-fibre meals. Continue to be active. Bowels continue to move when you’re moving. Only take laxatives or enemas as directed by your healthcare professional. Your body may struggle to control your bowel movements if you use laxatives or enemas too frequently.

Dr. Smita barode, BAMS

What is Fissure?

Fissure is a small tear in the soft tissue lining of the anus. It occurs mainly due to the passing of hard stools and can cause significant pain and bleeding during bowel movements. Anal fissures are common in young infants but may affect people of any age. 

While you have symptoms of fissures, I recommend you increase your water intake, increase the amount of fresh produce you eat and stay away from spicy foods and beverages.

Dr. Rajeev Singh, BAMS

Table of Differences between Piles and Fissures

Different FactorsPilesFissure
CausesDue to excess pressure or strain, the veins around your anus may stretch and swell. Piles may develop due to:
> Obesity
> Regular heavy lifting
> Pregnancy
> Constipation
> Diarrhoea
The rare causes of anal fissures include:
> Passing Hard stools
> Anal intercourse
> Crohn’s disease or any inflammatory bowel disease.
> Tuberculosis.
> Syphilis.
Symptoms> Itching or irritation in the anal area
> Bleeding during bowel movements
> Pain/discomfort while passing stools
> Discomfort while prolonged sitting or standing up 
> Pain during bowel movements and after, lasting up to several hours
> A visible crack around the anus
> Blood on stools or toilet paper after wiping the anus
Diagnosis> Digital examination or clinical examination by inserting a lubricated finger into your rectum and looking for any unusual swellings.> Physical examination to check for the cut or tear, which is often visible around the anal opening.  
Treatment options that can be advised by doctors> Medicines for local application
> Soak the anal area in warm water or a sitz bath.
> Rubber band ligation is done by using rubber bands around the base of an internal haemorrhoid to cut off its blood circulation.
> Injection (sclerotherapy) is done to shrink the tissues in the haemorrhoid.
> Haemorrhoid removal (hemorrhoidectomy) to remove excessive tissue that causes bleeding
> Haemorrhoid stapling to block blood flow to haemorrhoidal tissue
> Laser surgery for piles
> Externally applied medications can be prescribed. 
> Deep and chronic fissures usually require surgical treatment. – Surgery for a fissure is known as lateral internal sphincterotomy (LIS), in which a small part of the anal sphincter muscle is cut to reduce spasm and pain.
> Laser suregry for anal fissures
PrevalencePiles is very common in adults. Women are more prone to developing haemorrhoids than men.Anal fissures are more common in young infants 
Complications> Anaemia – Chronic blood loss due to piles may lead to anaemia. 
> Strangulated haemorrhoid – If the blood supply to an internal haemorrhoid is cut off, the tissue may get severely infected and can cause extreme pain.
> Blood clot – Occasionally, a clot can also form in a haemorrhoid due to a lack of blood flow (thrombosed haemorrhoid). It can be extremely painful.
> Failure to heal within eight weeks means it is considered chronic and needs further treatment.
> Recurrence you are prone to having fissures if you had it previously.
> A tear that extends to the surrounding muscles. It delays the healing of anal fissures, which causes discomfort and may require medicines or surgery.

From my knowledge, fissures are the most typical cause of anal discomfort despite piles being more prevalent. Even while piles may not always hurt, 90% of fissures do. However, piles may provide persistent pain and agony, yet fissures often cause bouts of pain at times.

Dr. Siddharth Gupta, MD

Conclusion:

It is possible to confuse the two conditions, namely piles and fissures, as their symptoms are very similar. If you do not seek timely treatment, your condition may worsen over time. It is important to understand the difference between piles and fissures, so get yourself diagnosed by a certified doctor or proctologist if you experience pain or discomfort or notice blood in your stools and other symptoms. Prompt treatment will ensure that you are pain-free and there are no serious complications. Never self-medicate if you suffer from either of these two conditions.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

4
1

8 Best Home Remedies For Piles

Piles also known as haemorrhoids, are swollen veins in the anal canal region. When in their normal state, they act as cushions to control the passage of stools. While the exact cause of piles is unknown, studies have shown that factors that increase pressure in the anal area during excretion are hugely responsible for piles.  

A person suffering from symptoms like a burning pain in the anal region while sitting or passing stools must consult a doctor for a diagnosis of the condition. Follow the treatment advised by a doctor. Along with the prescribed medicines or surgery, you’ll be asked to follow a healthy lifestyle and diet. Initial measures consist of increasing fibre intake, resting and drinking enough fluids to maintain hydration throughout the body. Medicated creams may be applied to the area, but their effectiveness can falter depending on the severity of your situation.

What are the causes of Piles?

The exact cause behind the occurrence of haemorrhoids is still unknown. While it is difficult to pinpoint what causes piles accurately, there are several factors to may contribute to piles:

Other factors that could equally contribute to the occurrence of piles could be:

Did You Know?

Types of Piles

Symptoms of Piles

Home remedies for Piles

1. Sitz Bath

Image Source: freepik.com

Warm baths can help soothe the irritation that haemorrhoids cause. Try using a sitz bath. A Sitz bath is a method that uses a small plastic tub that fits over a toilet seat so you can just immerse the affected area. Betadine solution or other antiseptic solutions advised by a doctor can be used to add to this water. 

2. Cold compress

Image Source: freepik.com

Apply ice packs or cold compresses to the anal area to relieve swelling for a minimum of 15 minutes at a time. For large, painful haemorrhoids, cold compresses can be an extremely effective means of dealing with the pain.

3. Coconut oil

Image Source: freepik.com

According to research conducted in 2008, coconut oil has strong anti-inflammatory properties which can reduce inflammation and swelling. It has analgesic (pain-relieving) properties that can help to reduce discomfort caused by the haemorrhoids. It has antibacterial properties as well that allow symptoms of haemorrhoids to be reduced.

4. Wet wipes

Image Source: freepik.com

Using toilet paper after a bowel movement can irritate existing haemorrhoids. Moistened wipes help keep you clean without causing further irritation. You can also use wipes that have soothing anti-haemorrhoid ingredients, such as witch hazel or aloe vera.

5. Exercise

Image Source: freepik.com

Exercising at home can be a great way to effectively manage symptoms of haemorrhoids. Doing regular pelvic floor exercises can prove to be a long-term solution for piles. Strengthening your pelvic floor muscles can help empty your bowel without putting much strain.

6. Stress management and good sleep

Image Source: freepik.com

Making a conscious effort to relax and manage stress effectively has an indirect albeit important effect in regulating good bowel habits. Getting enough sleep at night also helps with the same while maintaining good digestive health. This, in turn, promotes smooth bowel passage.

7. Hydration

Image Source: freepik.com

This goes without saying, but drinking enough water and other healthy liquids like fruit juices aid in making your bowel less dry. When your body is well-hydrated, your digestive health starts becoming better thus helping you put less strain during bowel movements.

8. Fibre-rich diet

Image Source: freepik.com

Consuming a balanced diet with ample insoluble as well as soluble fibre will help you with regular bowels. Insoluble fibre adds bulk to your stool, making it less likely for you to strain during stool passing. Fibre is also known to promote a healthy gut. 

When to see a doctor?

You should seek a doctor’s advice without delay if you notice any of the above-mentioned symptoms of piles. These symptoms are common to other serious conditions like colorectal cancer. Therefore, an early diagnosis from a doctor is important. Report to your doctor if you- :

FAQs

What relieves piles fast?

Drinking a lot of fluid and a fibre-rich diet, a warm bath to soothe itching and pain, applying topical ointments prescribed by a doctor, exercising and keeping the bottom area dry will all act as a catalyst to help you relieve piles faster. It is important to consult a doctor and follow the treatment advised.

What food to avoid at home in piles?

Dairy items like milk and cheese, white flour, processed meat, fried food, spicy food items and red meat should be avoided at home and outside if you have started showing symptoms of piles. Basically, food that increases the chances of bloating and constipation should be avoided.

Which tablets are best for piles?

Your doctor will advise you on the best medicines for piles in your case depending on the underlying cause. It may include some medicines to narrow swollen veins, some painkillers and medicines to manage digestive issues like constipation if present. 

Do Piles itch?

Yes, haemorrhoids can be both painful and itchy. Piles are swollen and distended veins in the anus and lowest part of the rectum. Haemorrhoids are traditionally associated with prolonged sitting on the toilet combined with straining during bowel movements. It is also common during pregnancy and usually resolves after childbirth.

Disclaimer:

The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

211
9

6 Best Yoga Poses & Exercises To Deal With Piles

Piles also known as haemorrhoids are a medical condition which causes swelling of veins around the anal region. This swelling occurs in the lowermost part of the anus and can cause a considerable amount of pain and discomfort. 

Piles can either be internal, which cannot always be seen or felt by you or external when enlarged they may protrude around the anal opening and can also be felt as small water-balloon-like swellings. Piles is actually a common disease, while it is not entirely clear what causes it, constipation, prolonged diarrhoea, heavy lifting, low fibre diet and pregnancy may trigger it. Your doctor may advise medications and some pain relievers, stool softeners and laxatives, topical creams and ointments that can provide relief from the symptoms. But in some cases, surgery is required. Pills can cause immense pain and discomfort. Its symptoms include-

As soon as you notice any of these above-mentioned symptoms, you must consult a doctor right away instead of self-diagnosing. If piles persist for more than a week and do not get better with medications, you must seek medical advice. 

Is Exercise Good for Piles?

Exercise is one of the recommended lifestyle changes to manage haemorrhoids and may be suggested by the doctor, depending on your condition. Regular physical stimulation helps keep bowels functioning properly and reduces issues with constipation and will improve circulation. Read below to find out the right exercise for piles to help you cope with the pain and discomfort.

Did you know?

6 Exercises for People With Piles

1. Pelvic floor contraction

This kegel exercise is easy to do, it helps strengthen your pelvic floor muscles and can make passing stool much easier by relaxing your anal sphincter. It also prevents uncomfortable straining. Start by lying on your back or sitting and contracting your anal muscles as if you are trying to stop yourself from passing gas. Hold this contraction for 5 seconds and release it for 10 seconds. Repeat this process 5 times and use only half your strength. Squeeze and relax the muscles as fast as you can for as long as possible. You may do this exercise 2 to 4 times throughout the day.

2. Deep breathing

Practicing deep breathing is one of the best exercises for piles. This exercise helps alleviate the pelvic floor muscle tension and promotes relaxation. Sit in an upright position and place your hands above your waist on either side of your lower rib cage, as you inhale, breathe deeply through your abdomen, allowing your belly to expand fully, and then slowly exhale by bringing your navel towards your spine. Continue this exercise for up to 5 minutes.

3. Child’s Pose (Balasana)

This is a very simple exercise that promotes better circulation around your anus and relieves constipation. It allows your lower back and hips to relax. Sit on your knees and lay down on the mat, place your hands on your lower abdomen to increase pressure on this area. Start the exercise by stretching your hands forward, in front of your head, and extend your arms as far as possible or relax them alongside your body. Rest in this position for up to 5 minutes and do this exercise regularly for good results.

4. Legs Up-the-Wall Pose (Viparita Karani)

This exercise boosts circulation around the anus area. It is great for alleviating discomfort and irritation. You must begin by sitting on your right side next to a wall, place your legs up on the wall and lie down on your back. You may rest your arms in any comfortable position or gently massage your abdomen. Hold this position for up to 15 minutes.

5. Wind-Relieving Pose (Pawanmuktasana)

Applying pressure to your abdomen can help ease digestion. It also helps relax the muscles in your abdomen, buttocks and anus. This exercise or asana must be performed by lying on your back, bending one or both the knees, and drawing them in towards your chest. Now place your hands around your shins, clasping your hands or holding opposite elbows, and stay in this position for up to 1 minute.

6. Bound Angle Pose (Baddha Konasana)

This is another beneficial exercise that can strengthen and improve the flexibility in your inner thighs, groin, and knees. It will stimulate your abdominal organs and soothe any kind of digestive discomfort. Sit comfortably and place the soles of your feet together and your knees out wide, now interlace your fingers around your toes as you straighten up your spine. Stay in this particular position for up to 1 minute.

These are some of the exercises you can do in the comfort of your home. These exercises when done regularly can also help you in dealing with problems like constipation often associated with piles. You may consider brisk walking and running which encourage healthy bowel movements, also, paddling (while lying on the bed) will improve your anal sphincter control as the lower part of your body is being built and strengthened. 

While Yoga poses help improve the tone of the Sphincters, it is not primarily a treatment for piles. Piles should be treated by a proctologist first.

Dr. M.G. Kartheeka, MBBS, MD

Exercises to Avoid for Piles

Any strenuous or high-impact exercises may aggravate your symptoms of Piles. These are the activities/exercises you must avoid:

Conclusion:

Piles may seem like a common disease that many people ignore in the initial days, but this condition can cause a huge hindrance in your normal life. It leads to unnecessary stress and the condition may worsen quickly if ignored. It is not something you should feel shy about and consulting a doctor can provide you relief from the symptoms of piles. It is true that exercise is helpful for piles but you must also watch your diet if you want to see improvement in your condition. Try including more foods in your diet with high fibre content, drink plenty of fluids, and cut down on alcohol, caffeine, oily and fried foods. When you make these conscious changes in your lifestyle, you will be able to get back to normal life with confidence.

Frequently Asked Questions (FAQs):

Will Piles last forever?

In general, mild conditions of piles may go away within a few days on their own with the intake of a healthy diet, fluids and over-the-counter drugs. Severe cases of piles may not go away on their own and require medication or surgery, as recommended by the doctor.

Are dairy products good for Piles?

Dairy products like full cream milk, cheese and heavy cream products should be avoided in excess if you are suffering from piles. Yoghurt, on the other hand, is loaded with probiotics that feed the gut bacteria and thus can be consumed.

Are kegel exercises good for Piles?

Yes, kegel exercises may strengthen your pelvic floor muscles which helps provide good support for internal haemorrhoids and prevent existing ones from protruding.

What are the chances of recurrence of piles after surgery?

There may be chances of recurrence of piles after surgery if the underlying cause is not addressed. Talk to your doctor and sincerely follow the suggested lifestyle modifications in order to minimise the risk of recurrence after your piles surgery. 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

62
1

Piles: Causes, Types, Symptoms And Treatment

Ageing has its own advantages and disadvantages. Included in the latter are piles, clinically known as haemorrhoids, which is a condition when veins in your rectum or under the skin around the anus swell. These swollen blood vessels can turn bowel movement into an intensely painful experience. According to research published in the year 2017 by The Indian Journal of Surgery, half the men and women in India above the age of 50 may develop the symptoms of haemorrhoids during their lifetime. Even though piles are rarely dangerous, if left ignored, they can lead to serious health complications. In this blog, let’s get a clear picture of the causes, types, symptoms and measures that can help prevent or cure haemorrhoids.

Grades of Piles

Piles can be grouped into four different categories or grades. They are as follows:

Causes

It is not established yet what actually causes the veins around your anus to swell and bulge, yet nearly two out of the four adults undergo the symptoms of haemorrhoids. Some of the common factors contributing to an increased risk of suffering from piles are constipation, sedentary lifestyle, bad diet, smoking and alcohol, family history, being pregnant or obese, regular heavy eating, and stress.

Types

Haemorrhoids are classified into 4 different categories Internal, Prolapsed, External and Thrombosed.

Signs and symptoms

The symptoms of piles subside on their own in a few days. However, in some cases, these must not be ignored. Since ignoring the initial symptoms can lead to serious complications, keep a check on these symptoms:

It is strongly suggested that if you are bleeding during defecation or your haemorrhoids don’t improve after a week of home care, consult a doctor.

Treatment

The treatment for piles may vary depending on the type, degree of prolapse or the severity of the situation. However, these self-help tips may ease haemorrhoid pain and promote healing:

Drink plenty of water

Drinking 2 litres of water daily reduces the risk of piles, as it helps to keep the stool soft.

Fibrous foods

Including fibre-rich foods in your diet tends to improve the overall symptoms and bleeding from haemorrhoids. A healthy diet should contain the recommended amount of 20-30 grams of fibre a day.

Don’t hold back

Rush towards the toilet when you feel the urge, don’t wait for a convenient time. Delaying or waiting putting on more pressure on the rectum veins, which can worsen constipation thus aggravating haemorrhoids.

Exercise

Staying active prevents and eases constipation, thus reducing the pressure on the veins. It can also help you lose weight which is another major contributor to piles.

Avoid self medication

In case you feel your symptoms are worsening, consult a doctor immediately. Some over the counter medicines may give you temporary relief but for an effective treatment reach out to an expert medical practitioner.

Don’t exert pressure

Don’t force your bowel movement, pushing and straining can make haemorrhoids worse. If you are not relieved within 2 minutes then get up and try again later.

Medical Options

Someone with piles can take various medicines to allay the symptoms to a certain extent. Some of them include:

Surgery

Around 10% of people with piles end up undertaking some form of surgery (1 in 10 people). Here are some of the surgical methods you can opt for as piles treatment:

Conclusion

We see that piles do not pose any great threat to your overall well-being and health. Patients can self-treat it up to grades III or IV, but if it becomes more serious then medical attention will be required. Nonetheless, the surgical options listed are quite efficient and have very little recovery time as well.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

10