10/08/2022 / Digestive Disease & Gastroenterology
Many of you may feel embarrassed and not open up about piles. This can further worsen your condition, so it is better to get treated at the early stages of piles and prevent infection.
Piles also called hemorrhoids are lumps formed inside or around your rectal opening (anus) due to inflammation of blood vessels. They usually do not cause any harm except some pain in mild cases. But in severe cases, they can lead to bleeding and severe pain during and after you go for a poo. The global prevalence of hemorrhoids is estimated to be 4.4% in 2016.
Piles are caused due to the presence of swollen veins at the place of anus. This may be due to any or many of the causes mentioned below.
Forcing too hard to poop
Straining when going stool
Pelvic floor dysfunction
Lack of exercise
Based on anal origin within the anal canal and about the pectinate line hemorrhoids or piles are divided into various types:
Internal piles are less painful and can’t be seen as they are deep inside the anal canal causing bright red rectal bleeding during or after a bowel movement. The stool in internal piles is completely covered with blood called a hematochezia condition.
Internal piles are usually classified into different grades based on the severity:
First degree: First degree hemorrhoids are small swellings present inside the anus lining. First degree internal files are not visible and may lead to bleeding.
Second degree: Second degree hemorrhoids are bigger compared to first degree internal files. Second degree internal piles extend or prolapse inside the anus.They are constantly pushed out when you go for motion and can return inside on their own.
Third degree: Unlike the other third degree, internal piles can be visible outside the anus. But can be pushed back with your finger to reduce pain and extra damage to the veins.
Fourth degree: Fourth degree internal piles remain outside of the anus and cannot be pushed back inside. Fourth degree internal piles may require a surgical procedure to treat the piles.
External piles are generally one or more bumps surrounding your anus. You can see and feel the external piles from the outside. External piles can cause bleeding and pain during and after defecation leading to discomfort to sit.
The prolapsed piles include internal piles with swelling and elongates to the outside of your anus. The less harmful prolapsed piles come out during defecation but go back to the normal state. The prolapsed piles swell and stick out of your anus.
Thrombosed piles can be internal or external piles where blood gets pooled and clots lead to painful external hemorrhoids. The thrombosed piles are those that contain blood clots within your hemorrhoid tissue. (Infographic ends)
Symptoms of piles will help to detect piles in the early stages and prevent future issues. Symptoms of piles vary depending on the type of piles you are suffering from.
Symptoms of piles in internal piles include mucus discharge, mass of tissue if prolapse through anus, itching, and anal incontinence.
Symptoms of piles in external piles include itching around anus, aching or pain, and blue-colored lumps on the skin in the rectal area.
Some other symptoms of piles:
Bleeding from anus before, after, and during excretion
Burning sensation near anus
Itching due to swell and irritation due to hemorrhoids
Inflammation of hemorrhoid tissue
Protrusion of hemorrhoid from anal canal after you go for a poo, due to prolonged standing and unusual physical application like anal intercourse.
Sense of fullness in anus
Straining to excrete
Anemia due to excess bleeding
Red and swollen anus with pain to sit or stand (infographics end)
There are many effective home remedies for piles to treat painful or irritated piles. If you are suffering from any types of piles, you can try the following home remedies:
A warm bath with Epsom salt will provide relief from the pain of piles. For this, you need warm water with two cups of Epsom salt (dissolved).
This home remedy helps to soothe inflammation, and burning sensation and reduce symptoms of piles. You can also use a warm compress like a heating pad or cold compresses as home remedies for piles.
Cold compresses help to minimize swelling and inflammation in the area of pain. In home remedies for piles, we use an ice pack as an effective way to numb the pain and itching sensation. Cold compresses constrict the blood vessels and reduce blood circulation in the area.
Witch hazel is used as an astringent in home remedies for piles and has drying properties. The witch hazel is used as a facial toner to clean the skin and reduce pores.
The tannins and oils of witch hazel have anti-inflammatory properties that will reduce your anal inflammation and vasoconstriction effect.
Witch hazel has the property to slow down the bleeding and shrink the hemorrhoid tissue hence used in home remedies for piles.
Aloe vera helps to treat hemorrhoids at home as the sap of the plant is used on burns and wounds on skin. Home remedies for piles with aloe vera involve applying aloe vera gel or pulp to the irritated anus area and aid to soothe inflammation and pain.
Natural ways to treat hemorrhoids with soothing wipes like moist toilet paper or a washcloth. Some people prefer using preparation H medicated wipes or cottonelle flushable wet wipes.
Most of the time these wipes have witch hazel and aloe vera gel. Home remedies for piles use soothing wipes to reduce redness and irritation around the affected area of anus and provide some relief.
Wearing loose cotton clothing will reduce irritation and help to absorb moisture and provide airflow. The use of loose cotton clothing in home remedies for piles will minimize bacterial infection and help to treat hemorrhoids at home.
Tea tree oil is usually useful for germs and bacterial removal from anal area.Home remedies for piles include applying two to three drops of tea tree oil to the affected area with cotton balls to minimize the irritation of skin.
Home remedies for piles with coconut oil will fight bacteria and help to speed the healing process. The use of extra virgin coconut oil on hemorrhoid tissue with your fingers directly will soothe the pain.
Home remedies for piles avoid exercises like squats, situps, weightlifting, cycling, horseback riding, and rowing as they worsen the condition.The practice of less strainful exercises like cardiovascular exercise, breathing, wind relieving, and legs to wall will help to treat hemorrhoids at home.
Constipation and straining to go to the toilet will cause hemorrhoids. Use of stool softeners during home remedies for piles will help to make more bowel movements and easy fecal discharge. The stool softeners will help to relieve enlarged hemorrhoids.
Also, stress can cause blood pressure which in turn increases pressure on hemorrhoids. This can lead to bursting or excess bleeding. Stress management and good sleep help to treat hemorrhoids at home by reducing digestive issues. So a proper sleep schedule will help to get good sleep andtreat hemorrhoids at home.
Home remedies for piles also include correct bathroom habits. Correct bathroom habits are effective and natural ways to treat hemorrhoids.
Cleaning the area of the toilet and using only warm water to clean your part after defecation are included in correct bathroom habits. Never use any soap as it will alter the pH levels. Keep your bathroom clean and always dry the toilet seat.
Drinking plenty of liquids will help to increase bowel movement and reduce straining during the toilet.It is recommended to drink about 8 glasses of water per day in home remedies for piles. Also drinking warm water will reduce bloating.
Eating a fiber rich diet will help to treat hemorrhoids at home as it prevents constipation and pain.Add at least 30 grams of fiber every day in the form of fruits and vegetables. Also, many nuts and seeds can be included in your fiber rich diet.
Organic radish juice can be included in home remedies for piles as it cleanses and relieves pain and constipation.Drinking radish juice every day will minimize constipation problems and regularise bowel movements.
Be gentle using toilet paper as it can irritate your hemorrhoids if more pressure is applied. To reduce this pain, you can replace toilet paper with soothing wipes or warm water. Use damp toilet paper if dry one irritates your skin.
Home remedies for piles also involve some physical positions like squats. A squat position (not squat exercise) is a position every Indian uses to go for motion. Try a squat position if you are feeling difficulty defecating or try a squat position every morning after drinking water to ease motion. But do not prolong the activity and take regular breaks.
Do not use a pillow we prefer for sleeping as it worsens your condition. Use a pillow of piles called a coccyx cushion available online or in medical stores. Use a coccyx pillow to sleep as it helps to reduce pressure and allows you to sit comfortably.
Home remedies for piles also include some habit changes. Don’t hold it in to go for motion, if you feel the urge immediately use the bathroom.Don’t delay your excretion.
Sitting for a long time can cause pressure on hemorrhoids and worsens existing piles. Don’t sit for a long time to treat hemorrhoids at home because sitting for long periods will cause the formation of new hemorrhoids.It is a good habit to take a break if you are required to sit for a longer period.
Don’t sit on the toilet for too long as straining may lead to bleeding and the formation of hemorrhoids. Don’t sit on the toilet for too long to treat hemorrhoids at home.
To treat hemorrhoids at home you can use rub on relief on the affected area of your anus. This will reduce pain and burning sensation in the area.
If the pain is severe like in the case of prolapsed piles, consider painkillers for instant relief. You can consider use of painkillers like ibuprofen, aspirin, and acetaminophen temporarily to relieve discomfort as a part of home remedies for piles.(Infographics ends)
Prevention of piles is the best way to keep your stool soft and reduce hemorrhoids and their symptoms. Prevention methods for piles include:
Avoid use of dry toilet paper
Practise good bowel habits
Avoid alcohol and caffeine
Treat other disease conditions
Drink more water
Go for it when feel an urge
If you experience any of the following symptoms of piles, immediately consult or book an online appointment with the best doctor.
Blood to toilet paper
Discomfort to sit or stand
Unable to poop without pain
Lump near anus
Constipation for more than a week.
Home remedies for piles include natural ways to treat piles like cold compresses, aloe vera gel, soothing wipes, and tea tree oil.
Lifestyle changes to treat hemorrhoids at home include a fiber rich diet, exercise, stress management, and good sleep.
Other prevention methods are correct bathroom habits, drinking plenty of liquids, loose cotton clothing, and good bowel habits.
Avoid alcohol, don’t sit for a long time, don’t sit on toilet for too long, don’t hold it in to avoid the risk of piles.
Home remedies for hemorrhoids work effectively in most cases, but if you still experience any issues consult a doctor immediately.
For severe cases of piles surgery is preferred.
For permanent removal of piles without surgery, it is best to adopt lifestyle changes with good food habits.
Surgery is painless and cures 95% of piles successfully without any recurrent issues.
Always include fiber supplements in your diet even after surgery to prevent future bowel issues.
Consider painkillers to reduce pain and use stool softeners to prevent chronic constipation.
Piles can be treated fast with medication and diet change with effective home remedies. You can consult a doctor to book an appointment.
Foods to avoid in piles are deep-fried and processed foods, spicy foods, dairy products, unripe fruits, refined grains, and high salt foods.
Yes, piles itch because of mucus discharge. The mucus discharge will irritate the sensitive area around the anus which causes the itching.
Coagulation therapy shrinks hemorrhoids fast and permanently where heat, laser, and electric current are used to cease the blood supply of hemorrhoids.
Piles go away on their own in most cases but can become severe if left untreated or ignored with symptoms for a longer time.
There is no time period for hemorrhoids to heal, small hemorrhoids may take a few days with treatment to heal. But external hemorrhoids may take more time to heal.
Piles can be cured within a few days with proper care, fiber-rich diet, and exercise. There is no timeline for the prolongation of piles.
Yes, piles can be cured permanently with effective home remedies for piles and in severe cases can opt for surgery for permanent removal of piles.
The most effective exercises for piles include deep breathing, child’s pose, pelvic floor contraction, wind-relieving pose, legs up to wall, and bound angle pose.
Fortunately, no, most of the severe cases are also treated with the best home remedies for piles. But piles can cause severe pain, irritation, and discomfort as long as they exist.
No, piles can be cured at any stage with surgery and it is not a lifelong disease but can reappear.
Piles can lead to anemia due to excessive bleeding and cause hemorrhoids at the anus that are painful and lead to gangrene.
In case of pile bursts, you will see lots of blood in the stool or blood-covered stool in the toilet and on the toilet paper.
Surgery is required for external piles and third and fourth degree internal piles as they protrude outward causing pain, discomfort, and bleeding.
Third degree or stage 3 piles can be cured with a surgery or laser procedure where the blood supply is cased with light energy and eventually hemorrhoids shrink and disappear.
Piles are swollen blood vessels in your anus that will bleed if more pressure is applied causing the vein to burst.
Stress can lead to piles due to increased blood pressure which will increase the risk of bursting hemorrhoids.
It will take 1 to 2 months to completely heal from piles after surgery. After 2 weeks you will be able to perform all the activities.
5 out of 100 people can have hemorrhoids after surgery depending on the change in bowel habits, straining, and constipation.
Hemorrhoidectomy is 95% successful, with potential complications like pain, delayed bleeding, UTI, fecal impaction, and in very rare cases infection, wound breakdown, fecal incontinence, and anal stricture are seen.
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