Overview

Hemorrhoids (commonly named piles), is a very common disease prevalent in both the genders across the globe. Piles often described an ailment seen in human species because of the erect posture. The lower rectum and anus are surrounded by plexus(cluster)of veins. This is one of the sides which forms also a part of portocaval plexuses. (Hemorrhoids)piles usually develop when these veins become swollen, engorged and stretched. Hemorrhoids(piles) is diagnosed when the patients report with bleedings per rectum. Hemorrhoids was earlier days was diagnosed as a disease, but with better understanding of its pathogenesis, its seen to be the effect of some other disease.

Hemorrhoid (piles)is very common in western world because of dietary habits (Meat Eaters). Hemorrhoids(piles) is very commonly associated with chronic constipation and straining during defecation. Hemorrhoids(piles)is also seen patients with inflammatory bowel inseams ulcerative wilts, irritable Bowel syndrome (constipation type) portal hypertension (cirrhosis of liver). Hemorrhoids(piles)can also be a warning sign of rectal malignancies, which should always be kept in mind. Piles (Hemorrhoids)are usually seen in patients who.

There are two types of Hemorrhoids (piles)

  • External hemorrhoids around ano-rectal verge
  • Internal hemorrhoids-internal lining of anal canal and lower rectum.

Hemorrhoids (piles) cause recurrent discomfort, pain, and bleeding. The bleeding is usually fresh bright red blood because of small tears in the engorged veins. The common question that often comes to the mind, is how do the patient know that he is suffering from piles(hemorrhoids) . . .

1-Bleeding from rectum, bright red blood after defecation in drops or as spurts.

2-piles(hemorrhoids)may protrude through anus as prolapsed and can be felt with hand as soft tissue swellings around anus.

External hemorrhoids(piles)can cause itching, sense of discomfort, sometimes dull a Ching pain or small tender protrusions. External hemorrhoids(piles)are visible as crumpled soft tissue around anal verges or sometimes tiny lobular mass(thrombosed). Internal hemorrhoids are diagnosed by inserting a small sterile metallic or plastic instrument called proctoscope.

Hemorrhoids are classified in to 4 grades management of piles (Hemorrhoids)in early stages is easy. Strict dietary discipline, and avoiding staring during defecation and sitting a mattress top chairs for longer hours gives good relief. Certain foods like red meat, Maida based products should be completely avoided. The diet should consist of high fiber contents (green leafy vegetables) vegetables, fruits, oats &other grains with its covering ideal. Surgery for piles (Hemorrhoids)is recommended for piles (Hemorrhoids).

Non-surgical treatment usually includes banding and injecting sue rosing agents in to the haze of protruding masses. These procedures are recommended for an I&II hemorrhoids with bleedings.

Surgical treatment for piles can be performed by conventional surgery or by using staplers for piles (Hemorrhoids). The conventional surgery usually causes lot of post operative pain and longer duration for complete recovery. Stapled hemorrhoidectomy.

The added advantage of this procedure is that it not only removes the piles or hemorrhoid mass, it also repositions the venous plexus back to its normal position. So, it is described as by many surgeons.

The advantage of this procedure is:-

  • Day care procedure.
  • Painless (less painful).
  • Eastern recovery (early return to work)

After stapler haemorrhoidectomy (piles surgery) the following precaution are to be taken by the patient for getting the best result. Sometimes there is pain in surgical site which is to be taken care of my analgesics. And Seitz bath. High fiber diet is highly recommended and straining during defecation to be avoided. Laxatives are usually recommended for few days (3-5) after surgery. Adequate water intake also helps in keeping the stool softer.

Any exercise that puts pressure in the personal area should also be avoided. This procedure revives a proper selection of case with optimum investigation to rule out any other pathology that may be a predisposing factor for piles. This procedure has excellent patient compliance and post-operative results.