Piles

Piles, also known as hemorrhoids, are swollen and inflamed veins in the rectum or anus. They can cause discomfort, bleeding, itching, and pain, particularly during bowel movements.

Types of Piles:

• Internal Piles :
  are swollen veins that develop deep within the rectum. Due to their location, they are not visible or palpable, and rarely cause noticeable symptoms due to the fact that there are no pain nerves in the rectum.
  However, larger ones can cause symptoms such as pain, itching or a burning sensation. A lump may also be felt near the anus. There may be rectal bleeding as well during bowel movements.
• External Piles :
  These are visible and palpable lumps that form on the skin around the anus. Because external haemorrhoids are formed outside of the body, symptoms like pain are more severe.

Grade of Piles :

• Grade I :
  These piles stay inside the anus and usually don't cause much pain. They may bleed, but they don't protrude.
• Grade II :
  These piles protrude from the anus during a bowel movement, but they go back inside on their own after.
• Grade III :
  These piles protrude from the anus during a bowel movement, and they usually need to be manually pushed back inside. They can be painful if they are large.
• Grade IV :
  These piles are larger lumps that permanently protrude from the anus and can't be pushed back inside. They can swell and become painful if the blood inside clots. These are thrombosed piles.

Causes :

Several factors contribute to the development of piles, including:

• Straining during bowel movements :
  Constipation or hard stools can cause excessive pressure on the veins in the rectal area.
• Chronic diarrhea :
  Frequent loose stools can also irritate and inflame the veins.
• Pregnancy :
  The increased pressure on the pelvic veins during pregnancy can lead to hemorrhoids.
• Obesity :
  Extra weight, especially around the abdomen, increases pressure on the rectal veins.
• Sedentary lifestyle :
  Prolonged sitting can increase pressure on the veins in the rectum and anus.
• Aging :
  Older adults are more prone to hemorrhoids due to weakened tissue in the anal canal.
• Diet low in fiber :
  Insufficient fiber intake leads to constipation, straining, and increased risk of hemorrhoids.

Precautions :

To prevent or manage piles, consider these precautions:

• Eat a high-fiber diet :
  Include plenty of fruits, vegetables, and whole grains to avoid constipation.
• Stay hydrated :
  Drinking enough water helps soften stools, making bowel movements easier.
• Exercise regularly :
  Regular physical activity can help prevent constipation and improve blood circulation.
• Avoid prolonged sitting or standing :
  Take breaks to move around if you’re sitting or standing for long periods.
• Don’t strain during bowel movements :
  Allow yourself time, and avoid pushing hard during defecation.
• Use soft toilet paper or moist wipes :
  Harsh wiping can irritate hemorrhoids. Consider using soft, unscented toilet paper or wipes.
• Seek medical advice early :
  If symptoms persist or worsen, consult a healthcare provider for proper treatment options.

By following these precautions, you can help reduce the risk of developing piles and manage mild symptoms effectively.

What we do at Smilex Advance Laser piles hospital

Different grades we offer the best treatment. For initial stages like Stage 1 and Stage 2, We have ayurvedic medication, with lifestyle modification and dietary restrictions can definitely prevent surgery. For advance treatment we offer a variety of surgery with 100% on table results.

Our signature treatment are ksharkarma, Transanal suture rectoplexy, laser Hemorroidoplasty. We have done more than 1000 transanal suture rectoplexy and laser Hemorroidoplasty successful without any major complications till now.

• Kshar sutra :
  Kshar Sutra Therapy: By this technique, Kshar Sutra is placed right at the root of hemorrhoidal tissue and the whole hemorrhoid is ligated with Kshar Sutra.
• Kshar karma :
  Kshara is a caustic, alkaline paste used to manage hemorrhoids. The paste is made of an herbal blend and has a cauterizing action.
• Transanal suture rectoplexy :
  It avoids wounds in the sensitive perianal and anal areas and, as a result, has the advantage of significantly reducing the postoperative pain. In this procedure the replaced lax mucosa and submucosa were fixed to the deeper muscles of the rectum by the stitches 0.5–1 cm in length. The stitches were passed through the depth of the mucus-submucus and part of muscle.
• the suture lines were above the dentate line, which caused no pain in the postoperative period. In short, only two circumferential suturing lines were implemented at 2 and 4 cm proximal to the dentate line in the rectal wall in the procedure.
• Chivate’s transanal suture rectopexy for haemorrhoid is a very simple stitching procedure. It has equal successful outcome in all grades of haemorrhoids. The procedure had been successful in controlling mass, prolapse and recurrence of haemorrhoids.
• Laser Hemorroidoplasty :
  a minimally invasive procedure that uses a laser to treat hemorrhoids.

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