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What are piles? +
Piles (Haemorrhoids), are lumps or common swellings containing enlarged blood vessels that develop inside and around the passage of the anal canal (back passage from where the stool passes).
The surface of the anal canal is lined with a complex network of tiny veins (blood vessels). They're more like cushiony areas above the anus that help with passing gas without the poop coming out and help control stool defecation by maintaining the blood flow and pressure in the area. These veins occasionally swell and become overloaded with blood. The enlarged veins and the tissue above them may subsequently group to form one or more swellings called piles.
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How many types of piles? +
Piles (haemorrhoids) are classified into two types based on their location and severity:
a) Internal haemorrhoids
Internal haemorrhoids are deeper in origin and range above 2cm and form in the lining of the anus and lower rectum. They are typically painless but causes rectal bleeding.
Patients may see bright red blood on the toilet paper or dripping into the toilet bowl. In some cases, they enlarge and protrude (prolapse) outside of the anus.
Prolapsed haemorrhoids are more severe and painful. Usually, they come outside from the anus during wiping or whenever having a bowel movement.
When a haemorrhoid protrudes, it can collect small amounts of mucus and tiny stool particles that may irritate, called pruritus ani.
The symptoms increase slowly and are intermittent in nature. In some cases, haemorrhoids hang out permanently due to constriction of the anal sphincter (muscle).
b) External haemorrhoids
External haemorrhoids originate under the skin around the anus, covered by sensitive skin, and range 2cm in size. These blood vessels (haemorrhoids) are usually painless unless a thrombosis (blood clot) forms, or they become very swollen due to blood and often appear as bluish-coloured lumps.
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What are stages of the piles? +
a) First-degree (Grade I) haemorrhoids: They bleed but do not prolapse (do not protrude from the anus).
b) Second-degree (Grade II) haemorrhoids: They have the ability to prolapse and retract on their own, with or without bleeding. also called as fissures
c) Third-degree (Grade III) haemorrhoids: These haemorrhoids can become prolapsed but can be pushed back using a finger. also called as fistula
d) Fourth degree (Grade IV) haemorrhoids: They can prolapse and cannot be pushed back in.
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what is fissures? +
Second-degree (Grade II) haemorrhoids: They have the ability to prolapse and retract on their own, with or without bleeding. also called as fissures
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what is fistula? +
Third-degree (Grade III) haemorrhoids: These haemorrhoids can become prolapsed but can be pushed back using a finger. also called as fistula
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What are causes of Piles? +
Piles causes are a bit unclear. However, Piles (haemorrhoids) are thought to be caused by repeated increased pressure in the rectal and anal veins. Several factors may cause this condition, including:
a) Constipation, passing large stools (faeces), and straining at the toilet: These situations can increase the pressure in and around the veins in the anus and appear to be a common reason for haemorrhoids to develop.
b) Pregnancy: This condition is common in pregnant women due to the raised pressure due to the growing baby above the rectum and anus and the potential effects of hormonal changes during pregnancy on the veins. Aging. As we age, the tissues present on the lining of the anus may not support or become less supportive
c) Hereditary factors: Some people may get this disease due to inheriting a weakness of the wall of the veins in the anal region.
d) Straining to lift heavy objects: This activity, especially with improper form, puts pressure on veins in the rectum or anus, causing haemorrhoids.
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What are Piles symptoms? +
Piles symptoms may vary from person to person. Some of the most common symptoms include:
Internal haemorrhoids:
a) Bright red blood: Bright red coloured blood may appear as streaks on stool or toilet paper and blood that drips into the toilet following bowel movements.
b) Prolapse: Internal haemorrhoids may protrude outside the anus during bowel movements and then retract back inside.
c) Pain and discomfort: Usually, Internal haemorrhoids that are not prolapsed are not painful. However, prolapsed haemorrhoids often cause pain, discomfort, and anal itching.
d) Mucus discharge: Some individuals with third and fourth-degree haemorrhoids have accidental leakage in the form of mucus discharge due to an impairment of the fine regulation of continence.
External haemorrhoids:
a) Swelling or a hard lump around the anus: A lump that can be seen and felt around the anus with or without associated pain, and the patient may experience swelling, itching, or mucus discharge after bowel movements.
b) Bleeding: Thrombosed external haemorrhoids cause bleeding, painful swelling, or a hard lump around the anus.
c) Irritation and itching: When the blood clot dissolves in thrombosed haemorrhoids, extra skin is left behind. This skin can become irritated or itchy. Excessive straining, cleaning or rubbing, around the anus area may make symptoms including itching and irritation worse.
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What are the Piles risk factors? +
Piles risk factors are easily manageable and the following are some of the common risk factors associated with it:
a) Low-fibre diet: Hemorrhoids are rare in cultures with high-fibre, unrefined diets.
b) People consuming a low-fibre diet tend to strain more during bowel movements because smaller and harder stools are more difficult to pass.
c)Straining increases the pressure in the abdomen, obstructing the blood flow upward through the legs.
d) Over time, this increased pressure may significantly weaken the walls of veins, leading to the development of varicose veins or haemorrhoids.
e) Drinking less water or dehydration: Lack of water in the body makes the stools pass harder, which in turn causes piles.
d) Chronic constipation: Constipation is believed to increase the risk of haemorrhoids due to the excessive force on the anal cushions caused by passing hard stools.
f) Prolonged straining: Prolonged straining increases intraabdominal pressure and may obstruct venous return, raising the risk of haemorrhoidal swelling.
g) Chronic diarrhoea: Diarrhoea often contains bile or gastric acid, so passing the watery stool can irritate the rectum, which may increase the risk of haemorrhoids. The long periods of straining and sitting down associated with diarrhoea may also contribute to the formation of haemorrhoids.
h) Pregnancy: Pregnancy (growing baby) increases the size of the uterus, leading to increased pressure on rectal veins, resulting in a raised risk of haemorrhoids.
i) Aging: The risk of developing haemorrhoids increases as person ages because of weakening of the tissues that are supporting the veins in the rectum and anus over time.
j) Hereditary factors: Inheritance of weakness in the anal wall increases the risk of haemorrhoids.
k) Overweight: This puts pressure on the lower abdomen and increases the risk of haemorrhoids.
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What food and habit take to prevent piles? +
a) Eating foods high in fiber
b) Taking a stool softener or fiber supplement
c) Drinking enough fluids
d) Avoiding straining during bowel movements
e) Avoiding sitting on the toilet for long periods of time
f) Taking over-the-counter pain relievers
g) Taking warm baths several times a day
h) Exercise regularly: Exercising helps digestion, improves circulation, and helps maintain a healthy weight.
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what food to avoid during suffering from piles? +
All type Spicy food, Junk food, Maida, Alcohol, Processed food, Low fibre food etc
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What type of exercise can help in piles? +
a) Deep breath, child pose (Bala asana), Pawan Mukta asana
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Can Ayurvedic medicine help to treat Piles, Fissures, Fistula? +
Yes, Ayurvedic medicine help in treatment in Piles, fissures, Fistula naturally.
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Can PileOcare help in the treatment of Piles, Fissures, Fistula? +
Yes, PileOcare help in the treatment of Piles, Fissures, Fistula naturally, because it’s formulated by natural and ayurvedic Jadi butte’s collected from the Himalayas.
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Is piles a lifetime disease? +
No, in most of the cases piles go away on their own with lifestyle modifications, medicines, surgery etc.
