Piles

What are Piles?

Piles or hemorrhoids are conditions where the blood vessels in the anus and rectum become inflamed. In the entire body, these blood vessels serve as shock absorbers for defecation. Hemorrhoids are one of the major causes of rectal bleeding.

The anal cushions, that line your anus and are supplied with blood arteries, enable in your anus’s closure. These are completely normal, although occasionally they can turn into piles.

Pile appearances typically resemble tiny, rounded, discolored lumps on your anus or hanging from your anal canal (you might be able to feel them) Your rectum (back passage) and anus are connected by your anal canal, a small, muscular tube with blood vessels.

Types of Piles

Internal piles occur within the rectum and are typically undetectable. However, sometimes an external pile may grow and extend from the anus. The medical term for this condition is prolapsed hemorrhoid.

Internal piles are graded by medical specialists on a four-point scale.

Grade I

The growth does not protrude from the anus and does not cause any symptoms.

Grade II

Although the piles may prolapse from the anus, they return inside the anus on their own

Grade III

The piles prolapse and only recede by manually pushing them within the anus.

Grade IV

In this condition, the piles prolapse outside of the anus and it becomes impossible to push back at a place manually.

External piles are enlargements or swellings that develop closer to the anus and much further down to the anal canal. They can be extremely painful, particularly if a blood clot is present.

Both internal and external piles may exist simultaneously.

Symptoms of Piles

The progression of symptoms can be occurred due to bleeding, vascular hypertrophy, or because of blood vessel slippage outside the anus. If you have piles, you could encounter any of the following signs:

Piles don’t always cause pain or other symptoms, if you do, they might include:

When you release motion, you may notice blood (often bright red) on the toilet paper, in the bowl, or on the surface of your waste. 
A slimy mucus discharge from your anus that might stain your underpants
A feeling of “fullness” and soreness in your anus, or the feeling that your bowels haven’t fully emptied after using the restroom.
Itching or sore skin surrounding the anus. 
Pain or discomfort after you go to the toilet.

These signs can differ widely from person to person. Inflammatory bowel illness can also cause similar symptoms

Therefore, if you experience any of these symptoms, seek medical consultation from Dr. Pradeep Tripathi before assuming piles are to blame.

Piles don’t always cause pain or other symptoms, if you do, they might include:

Causes of Piles

Piles are caused due to numerous reasons. 

The blood vessels supplying the anus and rectum expand when the pressure inside the vessels rises due to:

Banding: To restrict the pile’s blood supply, the doctor places an elastic band around the pile’s base. Usually, the hemorrhoid will disappear after a week.
Sclerotherapy: This procedure involves a doctor injecting a medication into the hemorrhoid to cause it to shrink and eventually shrivel up. This works effectively for grade II and III types of hemorrhoids and also performs as an alternative option to banding surgery.
Infrared Coagulation Technique – Using an infrared light source, a surgeon will burn the hemorrhoid tissue.
Hemorrhoidectomy: In this procedure, all hemorrhagic tissue is removed. Although it is the most reliable approach for entirely eliminating piles, there is a chance of consequences, including problems passing stools.
Hemorrhoid Stapling: In this surgery, a surgeon uses staples to stop the flow of blood supply to the area that has the hemorrhage.

To treat the root cause of piles or to remove it on permanent basis consult an expert with Dr. MUMTAZ MAHER who is the best surgeon for piles Treatment in Karachi

In Summary

Piles can also be referred to as hemorrhoids. They are enlarged veins that can generate lumps in and around the anus. They are located in the lower anus and rectum. Many people who have piles are unaware that they have them since piles vary in size and location.

Excessive exercise, protracted constipation, and straining while urinating can all lead to piles. Many piles disappear on their own, however surgery may be necessary to eliminate obvious, uncomfortable piles.