Medical Article

Best way to Piles Prevention

Haemorrhoids/Piles are dilated blood vessels in or around the anus and rectum. The haemorrhoidal veins are located in the lowest part of the rectum and the anus. Sometimes these haemorrhoidal veins swell and the walls become stretched, thin, and irritated by passing bowel movements. It occurs in both men and women, between the ages of 20 and 50 years. The factors triggering piles are age, heredity, diet and fluid intake. Haemorrhoids are classified into two categories, internal or external.

Internal Piles
It is inside rectum so we can’t see or feel them. Internal piles occur 2 to 4 cm above the opening of the anus. They don’t hurt because there are few pain-sensing nerves in the rectum. Bleeding may be the only sign that they are there.  Sometimes it enlarges or prolapses and protrude outside the anal sphincter.

External piles
It lies within the edge of the anus and are often uncomfortable. External haemorrhoid prolapses outside and is often painful. Sometimes blood clots form within the prolapsed external haemorrhoids.  In many cases piles are very small and symptoms will resolve themselves in about a week. Through good fluid intake, following fibre rich diet and through medications haemorrhoids can be effectively treated.  If the pain is unbearable, piles can be removed by surgery that stops the pain.

Causes of Haemorrhoids
Haemorrhoids can affect at any age.  Most people are experiencing it at some stage of their life.  It is common in elderly people and during pregnancy.  Weak veins around the anal region causes haemorrhoids and other varicose veins may be inherited. 
Piles are associated with following reasons: Heredity, piles due to congenital weakness of the vein walls can be hereditary. Sitting or standing for long time, lifting heavy weight regularly, straining in the toilet, coughing, sneezing, vomiting, eating junk food and a diet lacking in fibre contribute towards piles, an obstruction or abnormal growth on the way to the anal canal.

Symptoms of Haemorrhoids
Usually people having haemorrhoids do not feel any symptoms.  Mostly piles are not serious and go within days. Bleeding from anus is common in internal rather than external piles. It can occur before, during or after defecation. Anus appears to be red and swollen. Due to swelling and irritation produced by the haemorrhoids feels itching, burning, swelling or pain near the anus. Mucus discharge appears in bowel movement. After defecation, prolonged standing or unusual physical exertion protrusion of the haemorrhoids from the anus occurs frequently. If bleeding continues for long term, patient may have anemia.

Haemorrhoids Diagnosis
Haemorrhoids diagnosed through the patients history and rectal examination. Doctor will ask family history regarding piles, bowel movement and appearance of stools.  The patient has to explain bleeding if they are experiencing.
The doctor will look at the anal area. He or she will examine the piles with a gloved finger and may insert an anoscope or a protoscope into the back passage. To identify internal haemorrhoids more procedures may be needed. Internal bleeding can occur for anal fissure, colitis, Crohn’s disease and colorectal cancer. He or she will recommend a colonoscopy if the signs and symptoms are suggestive of another digestive system disease.

Treatment for haemorrhoids
Prevention is the best way to treat for haemorrhoids. Proper diet and avoiding straining while passing stools are possible ways. A good doctor will advise life style changes. To keep the stool regular and soft, drink enough water, consume fibre rich food such as fruits and vegetables. In traditional therapy, patient used to sit 8 cm of warm water for 15 minutes. This therapeutic way will continue several times a day. It helps to relieve the pain due to haemorrhoids.

Ways to Restrain Haemorrhoids
Change toilet habits- empty bowels as early as the urge occurs. Stool softening help it pass easily, thus the pressure and stain decreases, which help to prevent piles.
Drug usage- Codeine contain pain-killers cause constipation, so avoid taking it. The swelling and inflammation due to piles can prevent using creams, ointments and suppositories in short term. Anesthetic containing cream relieve pain better. Steroid containing cream or ointment is useful, haemorrhoids inflammation is worse. Haemorrhoids pain can be prevented using anti-inflammatory drugs.
Diet control- fibre rich food relieves constipation problems. Include fluid rich fruits, whole grains and vegetables in food. Fibre supplements like Isabgol, methylcellulose or bran help to soften stools. Exercise regularly and avoid sitting and standing for a long periods, it increases anus veins pressure.
Topical pain relieving creams and ointments can be used to help relieve the irritation and pain of relatively minor hemorrhoids. A cream containing an anesthetic may ease pain better. Creams or ointments containing a steroid may be advised if there is a lot of inflammation around the hemorrhoids.
Clean anal area: To reduce swelling and itching, clean peri-anal area with mild unscented soap and water, after each bowel movement.
Rubber band ligation, injection sclerotherapy, infrared coagulation or surgical hemorroidectomy are the ways to treat haemorrhoids.
Rubber band ligation: In this procedure internal haemorrhoid treated using small rubber band. Using special applicator the rubber band places at the base of internal haemorrhoid, and it cuts off the blood supply and the haemorrhoids falls off in about 4-5 days.
Infrared coagulation : This procedure is done through infrared light. When light passes it coagulate the dilated veins of the haemorrhoid and the veins shrink , due to this blood doesn’t flow through the coagulated blood vessels.
Injection sclerotherapy : In it an irritating chemical inject into the haemorrhoids, which causes inflammation and closure of the veins, thereby shrinking the haemorrhoid.
Haemorrhoidectomy (removal of haemorrhoid) surgery is the way for large haemorrhoids.
In cases of large haemorrhoids, a surgery known as hemorrhoidectomy (removal of haemorrhoid) is done.

Home Remedies for piles
Take ¼ to ½ radish juice twice a day. Mixture of 50 ml carrot, spinach and turnip leaves juice is effective. Soak figs overnight in water and have this along with the soaked water. To reduce piles pain use butter milk mixing rock salt, ginger and peppercorns. Adding bitter gourd along with butter milk is also effective. Eat jambuls with little salt in the morning in empty stomach reduce pain. Mash one riped banana in a cup of milk and take three to four times a day to control pain. Add a teaspoon of mustard seed powder and sugar to ½ cup goat’s milk gives relief from bleeding. Along with honey, eat two teaspoons of dried mango seed powder. Take one teaspoon of ginger in lime juice along with mint leaves, 2-3 times a day. Applying coconut in burning and itching area gives relief to piles. Drink a glass of water adding a teaspoon of black cumin powder daily. Grate one raw onion and add two tablespoons honey and take this mixture twice a day.

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