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1) External Piles 2) Internal Piles
Basically piles are also known as the Hemorrhoids. Piles are very common disease, during attacking of piles there are many unwanted complications. We are here to help you with best doctors along with advanced medical advices.
What are piles?
Hemorrhoids also called piles, are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Nearly three out of four adults will have hemorrhoids from time to time. Piles are common in both males and females.
How do piles from?
Piles can occur due to straining during bowel movements. Piles develop when the veins in your anal canal become swollen, which may happen for a number of reasons, including straining when you go to the toilet, getting older, a persistent cough and lifting heavy objects. They are also common during pregnancy. See 'Causes of piles' for more information.
Types of piles
Piles are mainly of two types
- Internal piles or hemorrhoids – which develops inside the rectum
- External piles or hemorrhoids – forms under the skin around anus
Causes
- Heavy chronic diarrhea
- Constipation
- Lifting heavy weights
- Obesity
- Pregnancy
Symptoms
Ø Itching or irritation in your anal region.
Ø Pain or discomfort.
Ø Swelling around your anus.
Ø Bleeding.
Diagnosis
Doctors might be able to see external hemorrhoids. Diagnosing internal hemorrhoids might include examination of your anal canal and rectum.
Tests
Self-diagnosis
- Feeling discomfort
- Itching of anus
- Paining around anus
- moist, pink bumps around the edge of anus
- Bulging out from your anus
- Color change in stool
Diagnosis by doctor
In most cases, the condition of piles can be diagnosed and managed by a general physician. But, if the symptoms are severe, you may need to consult with a proctologist, a colorectal surgeon, or a gastroenterologist.
Severity of piles
Grade: 1 - Grade 1: Slightly enlarged hemorrhoids that can't be seen from outside the anus.
Grade: 2 - Larger hemorrhoids that sometimes come out of the anus, for example while passing stool or – less commonly – during other physical activities
Grade 3 and 4 hemorrhoid treatments can also be completed with a laser procedure. A small laser fiber is inserted directly into the hemorrhoid. The light energy from the laser works to close off the blood supply to the tissue. This coagulation causes the hemorrhoid to shrink up and disappear.
Risks and complications
Based on age, risk of hemorrhoids increases. That's because the tissues that support the veins in your rectum and anus can weaken and stretch. This can also happen when you're pregnant, because the baby's weight puts pressure on the anal region.
Complications
Complications of hemorrhoids are rare but include:
If left untreated
Piles if left untreated can lead to anemia and strangulated hemorrhoids may occur — when blood supply to an internal hemorrhoid is cut off and the hemorrhoid becomes strangulated, causing extreme pain and leading to gangrene.
Preventing of piles
Home remedies:
How to recover after piles surgery?
- Eating a Fiber-Rich Diet.
- Avoiding Sitting for Long Periods.
- Drinking Plenty of Water.
- Taking a Sitz Bath.
- Not Straining During a Bowel Movement.
- Avoiding Regular, Heavy Lifting.
- Avoiding long periods of sitting
When to consult a doctor?
- If you see bright red blood in the toilet paper. If over-the-counter medications fail to provide any relief to the symptoms. If your stool appears tar-like in color. If you feel dizzy every time while passing a bowel movement.
- Discomfort in rectal and anal area
- Feeling dizzy and weak due to continuous blood loss along with your stool.
Non-surgical treatment for piles
Hemorrhoid banding can be uncomfortable and causes bleeding, which might begin two to four days after the procedure but is rarely severe. Occasionally, more-serious complications can occur.
Home remedies to manage for piles
- Warm bath with Epsom salt. Warm baths can help soothe irritation from hemorrhoids.
- Cold compresses. Apply ice packs or cold compresses to the anus to relieve swelling for 15 minutes at a time.
- Witch hazel.
- Aloe Vera.
- Soothing wipes.
- Loose cotton clothing.
- Tea tree oil.
- Coconut oil
Medicines for piles treatment
- Zinc oxide: Creams containing zinc oxide may help with irritation.
- Witch hazel: Experts say that astringents, such as witch hazel, may provide temporary relief.
- Steroid cream: Corticosteroids such as hydrocortisone are commonly used to treat hemorrhoids.
- Lidocaine: Lidocaine acts as a local anesthetic.
Surgeries for treatment of piles
Preparation for piles surgery
Piles surgery is not a very complicated treatment and as such requires no thorough preparation. But like any other surgery, you need to follow the doctor’s instructions to ensure that your surgery goes well and you recover with no complications. Before your surgery for piles:
Cost of piles surgical treatment in India
Type of Piles Surgery | Approximate Cost of Specific Piles Surgery in India |
Laser piles treatment | Rs. 45,000 - Rs. 1,15,000 |
Open piles surgery | Rs. 40,000 - Rs. 1,05,000 |
Cauterization | Rs. 35,500 - Rs. 85,500 |
Sclerotherapy | Rs. 25,000 - Rs. 80,000 |
Rubber band ligation | Rs. 25,750 - Rs. 57,850 |
Stapled Hemorrhoidectomy | Rs. 19,500 - Rs. 48,000 |
Recovery rate
The recovery rate after any surgery depends from individual to individual. The healing capacity of every person is different and hence the timeline of recovery after piles surgery varies for all. In most cases, recovery after open surgery or any form of invasive surgery for piles takes around 2-3 months and complete recovery after laser surgery takes 1 month to 45 days.
Recovery after 1 month
After piles surgery, for at least 1 month, the patient needs to follow the recovery tips and recommendations by the doctor. It is advisable that the patient refrains from doing anything that puts strain on the surgical site. The patient should not eat anything too oily and spicy and consume only fiber-rich food. The patient should keep the surgical area free of any infection and take regular sitz baths.
Recovery after 2 months
After 2 months, the patient would experience much relief from the pain at the surgery site. But there might be scars. The scars would take a few more days to heal and disappear completely. The patient might get back to normal work life without any major complications and also resume normal dietary habits.
Recovery after 3 months
After 3 months, the patient would be free from all post-surgery discomfort. There would be no scars at the surgical site and the wound would be healed completely too.
The medical coordinator understand the patient's problem on your first meet and advice's the best treatment for your problem. And starts scheduling your OPD and helps to connect the doctor based on your problem
DOKTORS only perform the advance scheduled surgeries, it doesn't provide any kind of emergency surgeries or treatments.
DOKTORS is not any hospital owner, it collaborates with other hospitals to perform surgeries which are done by doctors/surgeons using the medical infrastructure of the affiliated hospitals.
DOKTORS always provide online consultations, patients can select a doctor based on their specialization from anywhere based on the available slots. Patients can talk to the doctor through online call or chat to share their health problem. The doctor identify the problem and suggest the tests and medications as they require.
DOKTORS doesn't provide any insurance. Insurance is based on the type of conditions given by insurance provider. Our insurance team gets maximum help to get benefits.
There is an option to get second medical check up by highly reputated doctors for all kinds of problems. The consulted doctor can check all the previous medications and reports and can guides the new treatment.
While in the case of surgery the caretaker should be mentioned to patient who takes care in every moment in the whole surgery.
Delayed treatment may aggravate piles and may lead to complications. Surgery is advised in case of
Severe pain
Prolonged bleeding
Large haemorrhoids
Alteration in bowel movements
Alteration in bowel movements
Expert surgeons
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Advanced Surgical Technologies
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Personal Care Assistants
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Financial aid and assistance
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Postoperative Care
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Hemorrhoids
are very common in both men and women.
About half of all people will have hemorrhoids by age 50. Many women get
hemorrhoids during pregnancy and childbirth. The pressure of carrying a baby in
your belly puts extra stress on the blood vessels in your pelvic area
Piles are mainly the swollen blood vessels while
fissures are kind of cracks and fistulas are an opening of a cavity. Piles are
mostly painless and unnoticeable. Fissures cause a lot of pain. In the case of
fistulas, pus is discharged out of the anal area.
No.Hemorrhoids do not lead to cancer. However, the primary
indication too many people that they may be suffering from hemorrhoids is blood
in the stool, on the toilet paper, or in the toilet bowl after a bowel movement
Eat
lots of high fiber foods (especially from plants) and drink plenty of water to
keep the digestive process moving correctly and prevent constipation. Regular exercise and avoiding sitting for
long periods of time can also help prevent hemorrhoids.
In
most cases, the condition of piles can be diagnosed and managed by a general
physician. But, if the symptoms are severe, you may need to consult with a proctologist, a colorectal surgeon, or a
gastroenterologist.
Proctology – Laser Treatment for Piles, Fissure, Fistula, Pilonidal Sinus
Laparoscopic Surgery – Laparoscopic Treatment for Gallstone, Hernia
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ENT – Surgical treatments for Sinusitis (FESS), Deviated Nasal Septum (Septoplasty), Perforated Eardrum (Tympanoplasty), Tonsillitis (Tonsillectomy), Adenoids (Adenoidectomy)
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