Piles

Overview

Piles also called hemorrhoids, are swollen veins in the lower rectum and anus, similar to varicose veins. They are among the most common causes of anal pathology. Hemorrhoids can take place inside the rectum (internal hemorrhoids) or beneath the skin around the anus (external hemorrhoids).

Signs and Symptoms

External piles: Itching or irritation in the anal region, pain or discomfort, mass felt at anal region, blood in stool, Internal piles: Painless bleeding during bowel movements, prolapsed hemorrhoids are painful

Common Causes

Low fibre diet, Diarrhea, Hard stool, Ageing, Pregnancy, Uterine or ovarian cancer, Bladder carcinoma, Liver portal hypertension.

Investigation Techniques

Physical examination especially the abdomen, Digital rectal examination, Proctoscopy

Treatment and Prevention

To prevent piles adapt healthy lifestyle including consuming food high in fibre, drink plenty of water, do not strain during passing stool, Use topical treatments. Soak regularly in a warm bath or sitz bath Minimally invasive procedures: Rubber band ligation, sclerotherapy Surgical procedure: hemorrhoidectomy, hemorrhoid stapling