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

• - Digital examination. Your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths.
• - Visual inspection. Because internal hemorrhoids are often too soft to be felt during a rectal exam, your doctor might examine the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope.

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:

• Anemia. Rarely, chronic blood loss from hemorrhoids may cause anemia, in which you don't have enough healthy red blood cells to carry oxygen to your cells.
• Strangulated hemorrhoid. If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be "strangulated," which can cause extreme pain.
• Blood clot. Occasionally, a clot can form in a hemorrhoid (thrombosed hemorrhoid). Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained

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:

• - Eat high-fiber foods. Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids. Add fiber to your diet slowly to avoid problems with gas.
• - Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent.
• - Soak regularly in a warm bath or sitz bath. Soak your anal area in plain warm water for 10 to 15 minutes two to three times a day. A sitz bath fits over the toilet.
• - Take oral pain relievers. You can use acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort.

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.