Piles, also known as “Hemorrhoids”, are lumps or swellings around the rectum and anus that contain enlarged and swollen blood vessels. Usually patients hesitate to discuss a lot about Piles therefore this problem keeps on increasing with time. It is better to seek for the solution in the beginning stages of any kind of disorder but if it has become critical you need to consult a health expert and discuss over the issue.
In women Hemorrhoids are very common, especially during pregnancy and after childbirth. They result from increased pressure in the veins of the anus. The pressure causes the veins to swell, making them painful, particularly when you are sitting.
The most common cause is straining during bowel movements. Hemorrhoids may be inside or outside the body.
• Internal hemorrhoids occur just inside the anus, at the beginning of the rectum.
• External hemorrhoids occur at the anal opening and may hang outside the anus.
Major symptoms of hemorrhoids is bleeding during or after bowel movements, itching, and rectal pain. Bright red blood in the toilet bowl or on toilet tissue is seen.
Other conditions with symptoms similar to hemorrhoids include anal fissures, anal fistulas, Anal abscess, inflammatory bowel disease (IBD).
Types of Hemorrhoids
Hemorrhoids can be divided into two types, internal and external. Internal hemorrhoids lie inside the anus or lower rectum, beneath the anal or rectal lining. External hemorrhoids lie outside the anal opening. Both kinds can be present at the same time.
The most common symptom of internal hemorrhoids is rectal bleeding. You may find bright red streaks of blood on the toilet paper or bright red blood in the toilet bowl after having a normal bowel movement. Blood also may be visible on the surface of the stool. Other symptoms of internal hemorrhoids may include Itching. This is a frequent complaint, because internal hemorrhoids often seep mucus, which can irritate the anal skin and cause itching, Skin irritation. Large hemorrhoids that bulge from the anus may secrete mucus, causing mild irritation.
Discomfort. You may still feel the urge to pass stool right after having a bowel movement. This uncomfortable feeling is caused by the bulging of the hemorrhoid in the end portion of the large intestine (anal canal). In general, the larger the hemorrhoid, the greater the discomfort.
Internal hemorrhoids are classified according to the degree of prolapse, although this may not always reflect the severity of symptoms.
Internal Piles / Hemorrhoids :
Internal hemorrhoids are those that occur above the dentate line. As this area lacks pain receptors, internal hemorrhoids are usually not painful and most people are not aware that they have them. Internal hemorrhoids, however, may bleed when irritated. These form in the back passage about 2-4 cm above the rim (opening) of the anus. Their severity and size are classified into grades 1 to 4:
Grade I: Grade 1 are small swellings on the inside lining of the back passage. They cannot be seen or felt from outside the anus. Grade 1 hemorrhoids are common. In some people they enlarge further to grade 2 or more. No prolapse.
Grade II: Grade 2 are larger. They may be partly pushed out (prolapse) from the anus when you go to the toilet, but quickly spring back inside again. Prolapse upon defecation but spontaneously reduce.
Grade III: Grade 3 hang out (prolapse) from the anus. You may feel one or more as small, soft lumps that hang from the anus. However, you can push them back inside the anus with a finger. Prolapse upon defecation and must be manually reduced.
Grade IV: Grade 4 permanently hang down from within the anus, and you cannot push them back inside. They sometimes become quite large. Prolapsed and cannot be manually reduced.
External Piles / Hemorrhoids :
External hemorrhoids are those which appear in the lower part of rectum. They protrude out of the anus or they may actually be concealed from view however. They are painful, and often accompanied by swelling and irritation. Itching, although often thought to be a symptom of external hemorrhoids, is more commonly due to skin irritation. The skin irritation may be brought about by the inflammation of the external hemorrhoid which in turn leads to a barely noticeable watery discharge and skin irritation.
Prolapsed Hemorrhoids (Thrombosed Piles)
Most internal hemorrhoids are not painful. But large hemorrhoids that bulge from the anus may become painful if they swell and are squeezed by the muscles that control the anus. Severe pain may be a sign that the blood supply to the hemorrhoid is being cut off (strangulated hemorrhoid). Emergency treatment is needed.
Causes of piles (Hemorrhoids)
Researchers have identified a number of reasons to explain hemorrhoidal swelling, including the simple fact that people’s upright posture places a lot of pressure on the anal and rectal veins. Aging, obesity, pregnancy, chronic constipation or diarrhea, excessive use of enemas or laxatives, straining during bowel movements, and spending too much time on the toilet are considered contributing factors. Heredity may also play a part in some cases. There is no reason to believe that hemorrhoids are caused by jobs requiring, for instance, heavy lifting or long hours of sitting, although activities of that kind may make existing hemorrhoids worse.
Symptoms of piles (Hemorrhoids)
The commonest symptom of internal hemorrhoids is bright red blood in the toilet bowl or on one’s feces or toilet paper. When hemorrhoids remain inside the anus they are almost never painful, but they can prolapse (protrude outside the anus) and become irritated and sore. Sometimes, prolapsed hemorrhoids move back into the anal canal on their own or can be pushed back in, but at other times they remain permanently outside the anus until treated by a doctor.
Small external hemorrhoids usually do not produce symptoms. Larger ones, however, can be painful and interfere with cleaning the anal area after a bowel movement.
When, as sometimes happens, a blood clot forms in an external hemorrhoid (creating what is called a thrombosed hemorrhoid), the skin around the anus becomes inflamed and a very painful lump develops. On rare occasions the clot will begin to bleed after a few days and leave blood on the underwear. A thrombosed external hemorrhoids are usually very painful.
Diagnosis of piles (Hemorrhoids)
Diagnosis begins with a visual examination of the anus, followed by an internal examination during which the doctor carefully inserts a gloved and lubricated finger into the anus. The doctor may also use an anoscope, a small tube that allows him or her to see into the anal canal. Under some circumstances the doctor may wish to check for other problems by using a sigmoidoscope or colonoscope, a flexible instrument that allows inspection of the lower colon (in the case of the sigmoidoscope) or the entire colon (in the case of the colonoscope).
Treatment of piles (Hemorrhoids)
Piles can often be effectively dealt with by dietary and lifestyle changes. Softening the feces and avoiding constipation by adding fiber to one’s diet is important, because hard feces lead to straining during defecation. Fruit, leafy vegetables, and wholegrain breads and cereals are good sources of fiber, as are bulk laxatives and fiber supplements such as Isabgol (Psyllium Husk).
Exercising, losing excess weight, and drinking six to eight glasses a day of water or another liquid (not alcohol) also helps.
Soap or toilet paper that is perfumed may irritate the anal area and should be avoided, as should excessive cleaning, rubbing, or wiping of that area. Reading in the bathroom is also considered a bad idea, because it adds to the time one spends on the toilet and may increase the strain placed on the anal and rectal veins.
After each bowel movement, wiping with a moistened tissue or pad sold for that purpose helps lessen irritation.
Hemorrhoid pain is often eased by sitting in a tub of warm water for about 10 or 15 minutes two to four times a day (Sitz Bath).
Anopiles Or Pileswell THERAPY – Anopiles Or Pileswell Capsule
Anopiles Or Pileswell capsules & Anopiles Or Pileswell Cream are non-surgical option for treatment of 1st and 2nd Degree Piles, which relieve pain and swelling, control bleeding, help to shrink the pile mass.
Anopiles Or Pileswell Capsule is a powerful formulation of herbs which offer a complete management of Piles by control of bleeding within 48 hours, reliving constipation & pain and shrinking the hemorrhoidal mass.
• Anopiles Or Pileswell Capsules have astringent action that shrink blood vessels that cause bleeding from Hemorrhoids and very quickly stop bleeding from Piles.
• Anopiles Or Pileswell Capsules provides immediate relief of Symptoms. It controls bleeding in three to four doses. In some cases additional laxative (Isabgol Husk or Powder – 2 Table spoon full) are also recommended at evening time around 6 pm before dinner.
• Anopiles Or Pileswell Capsules help in maintaining healthy digestive functions and easy evacuation
Anopiles Or Pileswell Therapy is effective because :
Comprehensive Approach : Anopiles Or Pileswell brings a balanced formulation of herbs which offer a complete management of Hemorrhoids by reliving, constipation, pain and itching, control of bleeding, infection, shrinking the hemorrhoidal mass.
Inside-Out Action : Anopiles Or Pileswell Capsule acts from inside by controlling bleeding, enhancing metabolism, and rectifying the main underlying cause i.e. constipation. Anopiles Or Pileswell Cream acts from outside by directly hitting the hemorrhoids with its anti-inflammatory actions.
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Superior to any line of treatment : Many preparations are available in the market, for hemorrhoids. But certain limitations exists upon them. Anopiles Or Pileswell, ensures magnificent results in curing Hemorrhoids through its unique targeted healing properties.
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There are two major steps you can take to minimize the symptoms of hemorrhoids. One is to increase the amount of fiber in your diet, a step that may also help hemorrhoids from developing. The other is to practice good anal hygiene. There are many other important factors and things you should know.
Since straining on the toilet, due to constipation, is the main cause of hemorrhoids, it follows that avoiding constipation is an important part of prevention and -in mild cases – relief. Many doctors consulted declared that adding fiber to the diet was the only treatment needed for about half of all cases of hemorrhoids. Fiber resists digestion and reaches the large intestine virtually unchanged. There, it speeds the passage of feces through the intestine, lessening the strain of bowel movement. Fiber also retains water and adds to the bulk, softness, and weight of stool, all factors in easing strain. Adding liquids to the diet contributes to the softening effect. The best way to increase the fiber intake is to eat fiber-rich foods such as fruits, vegetables, breads and cereals.
Good anal care can also help control irritation and itching, whether caused by hemorrhoids or not. The most important thing is to keep the skin around the anus clean and dry. Residual fecal matter keeps the area moist and can irritate the skin, but vigorously wiping with dry toilet paper may make things worse. Instead, swab the area after each bowel movement using toilet paper moistened with warm water, and then gently pat the area dry.
Soap residues can irritate, so always rinse off completely after showering or bathing. If soaps do cause irritation, you can clean the anal area with a product specially formulated for mildness, a perianal cleansing lotion. Perspiration can irritate the anal area, so avoid tight undergarments or pantyhose. Loose, cotton underwear is best. A light sprinkling of talcum powder in the area can help absorb moisture.
Avoid stress, excessive consumption of alcohol and seating for long periods without standing periodically to release the tension on the tissues around the anus. Exercise regularly, it will help you prevent hemorrhoids and many other ailments.
Hemorrhoids do not cause cancer and are rarely dangerous or life threatening.