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Piles Treatment and every single fact you should know 

Hello and welcome to Bhopal Piles Treatment !, this is Dr. Waseem  and in this awesome roundup article, I am going to tell everything under the sun about piles & piles treatment.
Now let’s move on the good stuff.

A. What are piles?
Piles is also referred to as hemorrhoids from the scientific jargon. A hemorrhoid or piles is nothing but a mass that is made up of a collection of support tissue, blood vessels, muscle fibers present in and around the anal canal. Classically piles are of two types internal and external.
While most individuals have piles/hemorrhoids,  piles symptoms need not be always obvious. The incidence of piles in the US stands at 4.4% of the total population.
B. Causes of Piles?
The most well-accepted theory about the cause of piles is that they are irregular dilatation of the veins and connective tissue in the anal area.
Many factors are believed to predispose patients in developed a piles problem or hemorrhoids.
One common cause seen is elevated anal sphincter heaviness that can result from constant straining while passing stools. Straining can regularly result from
1.      Inadequate intake of fresh fruits and vegetables
2.      Prolonged sitting time in the lavatory
3.      Chronic untreated constipation problems
4.      diarrhea
5.      pregnancy
6.      Ascites and in some cases pelvic masses that frequently go undiagnosed
Interestingly, a family history of piles disease has also been suggested. This is not surprising though since food habits and family customs go hand in hand.

C. Types of piles:-
Hemorrhoids or piles are globally classified into two types. These are namely internal piles and external piles. Piles are classified or graded basis their position to what’s called the ‘DENTATE LINE’.
A piles mass is careful external if it originates distal to the DENTATE LINE. A piles mass is internal if it originates proximal to the DENTATE LINE.
External piles mass have a rich supply of pain nerve threads due to their nature of origin, thus external piles can cause excruciating pain. On the other hand, internal piles may not always produce pain apart from the usual obstructive bowel symptoms
D. Piles symptoms
It’s not unusual to see patients with piles complaint of many variations of symptoms like bleeding, painful mass, anal swelling, discharge, hygiene based issues, itch, and soiling problems.
Of all symptoms though, the most frequent objection is ‘painless bleeding’ that can occur fairly early in the course of the disease.
Interestingly, many patients with grade 3 and grade 4 piles also have functional bowel disturbances as well.  Bleeding associated with severe pain, however, is usually a thrombosed piles mass. A thrombosed piles mass contains a blood clot and requires immediate medical attention.
Once again, an important fact must be restated that ‘Internal piles can remain very silent’. External piles, however, can be sometimes trouble free or sometimes associated with acute pain and discomfort.
In older men especially in men >45 years of age, where there are piles along with blood in the stools it is highly recommended that they are undergoing a full-fledged colon evaluation to rule out the risk of a malignancy.
A side viewing anoscope is probably the most accurate instrument that can be used for evaluating hemorrhoids. As compared to other routine instruments like sigmoidoscopy, this instrument allows the piles mass to drop into its examination barrel thus allowing better visualization of the lesion

E. Piles Treatment:  
Piles treatment can be done by utilizing different modalities. One of the most important piles treatment strategies is lifestyle modification. Let look at that below
Lifestyle modifications:-
Lifestyle modifications are an integral part of piles treatment strategies and should be offered to all patients regardless of the stage of the haemorrhoidal disease.
Lifestyle strategies can be both preventive and curative in nature. Simple measures that can be advised to patients include
1.      Increased intake of dietary fiber
2.      Improving anal hygiene
3.      Improving fluid intake
4.      Avoiding straining while passing stools
5.      Using warm water baths (also called Sitz Baths)



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