Frequently Asked Questions

Everyone has haemorrhoid, is it true ?

In technical sense, all human have haemorrhoids which simply refers to cushion like structure with veins located just below the mucous membrane of anus and rectum. It is considered as disease what commonly called PILES, when these veins become swollen like varicose vein.

What are symptoms of haemorrhoids ?

  • Weakness
  • Leaness of body
  • Excessive belching
  • Thighache & calf pain
  • Lower back pain
  • Constipation
  • Peblle like stools
  • Tape like stools
  • Decreased or increased frequency of defeacation
  • Mucous discharge through anus
  • Mucous along with stools
  • Burning & pain during and after defeacation
  • Bleeding with stool
  • Bleeding per Rectum
  • Mass per rectum
  • Pus discharge
  • A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be painful.
  • Even after defeacation, a feeling that the bowels are still full.
  • Mucus discharge when emptying the bowels.
  • The area around the anus may be red and sore.
  • Indigestion & sour belching.
  • Recurrent abscess in & around anus.
  • Fecal incontinence.

What are the causes for Haemorrhoids ?

Mainly, factors that increase the abdominal pressure will be the common cause for haemorrhoids. Causes are,

  • Constipation
  • Diarrhoea
  • Sitting on toilet for long time
  • Obesity
  • Dietary habits
  • Deficiency of fibre food
  • Hereditary
  • Irregular bowel habits
  • Pregnancy
  • Sedentary work
  • Over activity of anal spincter
  • Anal intercourse

Is it a life long disease ? or curable ?

No, it is not a disease of life time. Definitely it can be cured if treated by an eminent Proctologist.

What are the treatments available for Haemorrhoids ?

Treatment can be considere under two headings.

  • Medical management / preventive medicine
  • Surgical management

Medical management –If your disease is in initial stage it can be cured only by oral medications. There are plenty of medicines available in the market in the form of tablet, capsule, powder, syrups & applications. Most of the time these medicines are taken as OTC (Over-the-counter) drugs. But if medicines are taken for longer duration without the prescription of a doctor, they may become fatal. Hence always get properly examined by a Proctologist, and then take medicines under his/her supervision.

Surgical management -All the PILES cannot be cured by oral medications. If Haemorrhoid’s are in 3rd or 4th degree, if they are strangulated, if the sphincter is tight, if it is associated with fistula-in-ano, in such cases it is impossible to treat with oral medications. There remains the only option of surgery. There are many advanced techniques of surgery which gives good result with less pain and less bleeding. Few of them are,

  • Cryosurgery
  • Ksharasutra therapy
  • Rubber band ligation
  • Infrared photocoagulation
  • Sclerotherapy
  • Stapled Haemorrhoidectomy ect.
  • Your proctologist will decide which method is useful for your condition.

There are many non-surgical techniques, which are proven very effective in the management of PILES. Such procedures are useful for pain management also. They readily reduce the pain and burning. Hence accelerate the process of healing. Some of them are, Ropana basti, Guda pichu, Guda varti, Dhoopa, digital dilatation, use of anal dilators etc. In AYURVEDA many oil and ghee preparations are described for this purpose.

What is the difference between Internal and External haemorrhoids ?

Internal haemorrhoids are one which are present inside the anus. Usually they are painless mass. You cannot feel them until unless they prolapse through anus. Predominant symptom of this is bleeding.

External haemorrhoids as name indicates are outside the anus. You can readily notice it as mass, while you clean the area. Until unless they become thrombosed, they are painless. If blood clot develops inside this pile mass it will be more painful. Then immediate excision is required.

How is the diagnosis of piles done ?

The symptoms explained by patient help the proctologist to diagonise your disease. But confirmatory diagnosis done by digital and proctoscopic examination of anus.

Can we take treatment for piles during pregnancy ?

Best treatment for piles during pregnancy is dietary and life style changes. These can relieve the pain and irritation of piles to greater extent. But still the problem continues you can go for Ayurvedic medicines which are safe during pregnancy. But these medicines should be taken under the guidance of Ayurvedic proctologist after he/she examines you.

Is it safe to take medicines for piles during lactation ?

It is common to have symptoms of piles during the post-partum period. Don’t neglect those symptoms, get examined by a proctologist. There are plenty of medicines available which are absolutely safe during lactation. Ayurveda has many procedures which will be done locally, cures your problem.

What are the dietary changes we need to adopt to keep PILES away ?

The important thing you need to concentrate about is, CONSTIPATION. As long as you have clear bowel evacuation, you need not to worry about the PILES. Once you start to strain in the toilet you are prone to get this disease. Hence take balanced food such that you have clear semisolid stool evacuation daily. Balanced diet includes recommended quantity of fibre, fat, proteins etc. Have sufficient quantity of water between 2 foods. Even after following all these instructions if you have constipation or symptoms related to piles consult Ayurvedic physician. Because according to Ayurveda reason for haemorrhoid is improper digestion. If you correct this by dietary changes and medications prescribed by doctor, you will get the relief.

What life style changes to be adopted to prevent PILES ?

  • Don’t starin in toilet. Go to toilet only when you get the urge.
  • Keep these things out of your toilet – Books, magazines, newspapers, mobiles and most important thing STRESS.
  • Keep yourself calm and cool. Stress increases the episodes of constipation and inturn haemorrhoids.
  • Keep yourself active. Sedentary life style slows down the bodily functions especially the bowel moments. Have regular walk or abdominal exercises so that you have smooth bowel evacuation.
  • Don’t sit continuously for hours, move around in between.
  • Don’t stand for long duration in same posture.
  • Keep the area clean. Wash anal region with Luke warm water. Don’t use dry papers for cleaning.

Is there any other means of treatment for piles than surgery ? How to avoid surgery ?

The only means you can avoid surgery is, get examined by proctologist in early stage. Get the proper diagnosis done in the early stage of disease. Because in the 1st and 2nd degree of haemorrhoids only internal medications and some Para surgical procedures mentioned in Ayurveda gives the result. But if it crosses to 3rd or 4th degree, surgery will become inevitable. But in conditions like, fistula-in-ano, tight sphincter because of repeated fissures surgery is only choice. These cannot be cured by internal medications.

What are the complications of PILES ?

  • Very common complication of piles is, anaemia resulting from bleeding. This can be expressed as any symptom starting from simple tiredness, hair loss, exertional dyspnoea to unconsciousness.
  • Neglected cases of haemorrhoids, fissure and fistula leads to accumulation of pus locally/ perianal abscess. In some cases sepsis might spread to whole body through circulation leading to septicaemia.
  • Gangrene may develop out of untreated internal haemorrhoids, which is very painful and life threatening.
  • External haemorrhoid may become thrombosed and then will get convert into ulcer.
  • Skin tags may develop from the chronic/repeted fissure.

What happens if I don’t take treatment in early stages ?

Only in 10% of haemorrhoidal cases, surgery is required. But because of delayed approach, many cases will get convert in to condition where surgery is only option. Hence approach the proctologist when you notice the early symptoms of haemorrhoid. Many times untreated fissure or haemorrhoid leads to complications like anaemia, thrombosis, sepsis etc.

What are the post-operative care in case of anorectal surgeries ?

  • Have liquid diet and later bland diet on the day of surgery itself. Don’t fast as it leads to hard stools on next day and increase the pain.
  • Take sitz bath twice or thrice daily with leukewarm water.
  • Keep the anal region clean and dry as much as possible.
  • Because of dressing and packing you may have sensation/urge of defaecation. But it is not the true urge, as rectum will be emptied by enema. Hence till 24 hours better not to go for toilet. It causes bleeding.
  • After 24 hrs you can go for toilet as usual.

Can PILES turn in to cancer ?

It is very rare that haemorrhoid can turn to cancer. But both cancer & haemorrhoid show similar symptom that is bleeding. Hence don’t neglect any case of bleeding through anus. It may be with pain or without.

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