Anal canal is an integral and important part of our gastrointestinal system. It is a short, muscular tube with numerous blood vessels that connects your rectum with anus. While It’s completely normal to have blood vessels in the anus as they have an important role to play in continence, they can become an issue when these blood vessels get enlarged and swollen.
Piles also known as hemorrhoids, is one such disease that causes bleeding from the anal region and this bleeding occurs due to swollen veins and inflammation in the rectum.
Piles exists and appears as swollen and inflammed tissue in the anal area which can be of different sizes, inside or outside the anus. It is possible to have both internal and external piles at the same time.
Internal piles are more common form of piles, these are are located about 2 and 4 centimeters above the opening of the anus and external piles occur on the outside edge of the anus.External piles exists as small lumps, outside or around the edge of the anus. They are generally very itchy and can also become painful if a blood clot develops. This blood clot can block the flow of blood and at this stage it requires immediate medical attention.
- Piles is another term for hemorrhoids.Piles are collections of tissue and veins that become inflamed and swollen.
- Inflammation of tissue and swollen veins cause bleeding.
- The size of piles can vary, they can be big, small or found in clusters.
- Piles can be found both inside or outside the anus.
- Symptoms of piles initially are not always obvious. You will need a physician’s assistance to find out if you have piles or not.
- A doctor can easily diagnose piles by a simple examination.
- Piles generally occurs due to chronic constipation, chronic diarrhea, lifting heavy weights, during pregnancy, or regularly straining when passing stools.
- Treatment of piles is available and by good therapy piles can be cured.
To understand the disease and its course in a better manner, piles is classified into 4 grades.
Grade I: There is presence of small patches of inflammation that are usually found inside the lining of the anus. They may bleed but don’t come out of anus. At this stage they are not visible so they may not be easily self diagnosable. Meet your doctor immediately to get an examination done.
Grade II: Here the piles are larger than grade one piles. These are similar to grade one piles as they also remain inside the anus. However, they may get pushed out of the anus during the passing of stools. When the strain is removed they go back inside. Visiting a doctor at this stage significantly reduces the risk of progression of the disease.
Grade III: Piles at this stage are also known as prolapsed hemorrhoids. They begin to get more visible and appear outside the anus. Affected individual can feel them hanging from the anus. They can be manually reinserted into the anus by a little pressure. Visit your doctor immediately if you’re experiencing the same.
Grade IV: At this stage piles cannot be pushed back.They are large and remain outside of the anus. They may keep on hanging outside of anus. At this stage, piles requires immediate medical attention so that the disease can be controlled and further complications do not occur.
Following images can help you understand what piles usually look like. These may help you identify whether you have piles or not.
Piles can appear as a pink or purple bump. The area surrounding the anus can look inflamed and red.
It may also look like a mass coming out from the anus. The area around the anus can look red, sore, itchy and inflamed.
Piles can also appear in grape like clusters hanging from the anus. These grape like clusters can hang out of the anus while passing stool and straining.
Yes, piles is a fairly common disease.
A large number of people suffer from piles. According to a recent study, in India approximately 40,723,288 people are reported to have piles/ hemorrhoids and about 1 million new cases are reported annually with these figures rising considerably.
The chances of getting piles increases with increasing age. Piles is very common in adults and senior citizens.
- Babies (0-2 years): extremely rare
- Toddlers (3-5 years): very rare
- Children (6-13 years): quite rare
- Teenagers (14-18 years): common
- Young adults (19-40 years): fairly common
- Adults (41-60 years): very common
- Seniors (60+ years): very common
Piles is an easily identifiable disease but during the initial stages when a person has piles the symptoms can be hard to identify. If you suspect that you may have piles look out for the following symptoms –
- You will experience bleeding from anal region.
- There will be bright red blood visible in the pot after passing stool.
- Bleeding can be painless.
- You may experience pain in the anus.
- You can experience pain while passing stool.
- There can be itching in the anus.
- You may feel the presence of lumps in the anus.
- These lumps can be hard and painful.
- These lumps may look red, pink or purple upon inspection.
- Area around the anus can get red and itchy.
- There will be discomfort while passing stool.
- There can be soreness in the anus.
- You may feel fullness in bowels even after passing stools.
- There can be presence of slimy mucus in your underwear around the anal region.
- Presence of slimy mucus around your anus that may drip from your anus.
If you’re still unable to understand and identify these symptoms, meet your physician and get an examination done.
Increased pressure in the rectum, over the course of time, causes swelling of blood vessels and inflammation. This increased pressure generally causes piles. If you’re generally spending a lot of time putting strain over your anal area while passing stools you’re at a risk of getting piles.
Increased pressure may also occur due to –
- Chronic constipation.
- Chronic diarrhoea.
- Chronic cough.
- Severe obesity.
- Lifting heavy weights.
- Straining while passing stools.
- A higher pressure in abdomen during pregnancy increases the chance of piles.
If you have a bad diet and lifestyle which is causing change in bowel movements making you strain while passing stools then you may get piles over the course of time. Piles can also occur due to hormonal changes and due to old age as musculature of anal canal gets weakened.
You should see a doctor if you suspect that you have piles. If your doctor diagnoses you with piles get the treatment started immediately.
At initial stages some cases of piles can get better on their own with correct lifestyle and diet changes. However meeting a doctor still remains important for proper diagnosis and advice.
If you have bleeding during bowel movements and that doesn’t improve after a week of home care, talk to your doctor.
Don’t assume rectal bleeding can be due to piles only, they may also be due to anal fissures that are small tears in the anal area that can occur while passing hard stools.
If you have changes in bowel habits and your stools change in color or consistency bleeding may not be due to piles and can be due to other causes. Rectal bleeding can occur with other diseases, including colorectal cancer and anal cancer.
Seek medical care immediately if you are experiencing large amounts of rectal bleeding while passing stools or after passing stools followed by lightheadedness, dizziness or faintness. If you’re experiencing itching and pain around your anus and soreness after passing stools take medical advice immediately.
The best way to prevent hemorrhoids is to avoid constipation and keep your stools soft. Soft stools pass easily from the anal canal reducing the chances of developing piles.
To prevent piles and reduce symptoms of hemorrhoids, follow these rules –
- Eat a high fibre diet. Consume more fibre rich fruits, vegetables and whole grains. Increased fibre content in diet softens the stool and increases its bulk. This helps avoid the straining that can cause hemorrhoids.
- Drink plenty of fluids. It’s very important to drink at least six to eight glasses of water throughout the day and other fluids ( except alcohol) each day. Drinking water makes the stool softer which makes it easier to pass.
- Don’t strain. Straining and holding your breath when trying to pass a stool creates a large amount of pressure in the veins in the lower rectum. Don’t sit for a long amount of time straining while passing stools. Don’t squat for a long amount of time. This can cause veins to swell up which can cause piles.
- Don’t resist the urge. Go as soon as you feel the urge of passing stools. . If you wait to pass a bowel movement and the urge goes away, your stool could dry out and be harder to pass.
- Exercise. Don’t be lazy, stay active. This will help prevent constipation. Exercise can also help you lose excess weight. Obesity can increase pressure and cause piles.
Making all these healthy lifestyle changes can significantly reduce the risk of developing piles.
A variety of treatment options are available,that include healthy lifestyle changes, oral medication, topical medication, minimally invasive procedures and surgical procedures.
- Healthy diet changes.
- Healthy lifestyle changes
- Oral medications for pain.
- Oral medications for reducing inflammation.
- Topical medications like creams and ointments to relieve pain and itching.
- Medications to reduce bleeding.
- Surgical removal of haemorrhoids can be done.
For many people, hemorrhoids can get better in a matter of few days or months but for some piles can last for a very long time, this is common for people over the age of 50.
Sometimes they may go away on their own. Smaller hemorrhoids generally go away in just a few days with good care just make sure that during this time, avoid irritating your rectal area.
Treat your rectal area gently. Don’t irritate the area. Avoid putting strain while passing stools and keep it clean and hygienic.
Some cases of hemorrhoids may not go away on their own if they have progressed to higher grade.
Meet a doctor if you suspect having piles.
Home remedies in form of diet and lifestyle changes can prevent hemorrhoids and can help make symptoms better but while trying home remedies meet your doctor for proper advice and treatment.
Yes, it can.
If left untreated, piles can escalate into a more serious course and cause further medical problems.
- Prolonged and excessive bleeding in piles can cause blood loss, this in turn can cause anemia.
- Piles significantly increases the chances of infection.
- A person can also experience difficulty in controlling bowel movements.
- There can be formation of anal fistula.
- In an anal fistula a new channel between skin and inside of anus is formed which can cause many complications.
- A strangulated hemorrhoid can be formed over the course of time.
In strangulated hemorrhoid, the blood supply to the hemorrhoid is cut off which causes various complications including infection or formation of blood clots.
Piles when identified at an early stage and treated properly is curable. There are a variety of treatment options available to reduce the discomfort caused by the disease and make lifestyle easier and better.
Break the silence.
Piles is not only associated with pain and discomfort, but it is also associated with fear of judgment. This fear of judgment which surrounds piles, is the reason behind the silence of people suffering from it. Fear of judgment can make it hard for people to open about their pain and seek proper help and it’s important that we break this silence.
Why choose Bottom's Up clinic?
Bottom’s Up clinic is a one stop clinic to rectify all your problems.
Here at Bottom’s Up, we treat your problems like our own.There is absolutely no fear of judgment and we provide the best diagnostic and treatment service available.
If you’re experiencing any of the above symptoms and suspect that you could have piles, contact us immediately to get proper medical assistance and care. With our brilliant team of Doctors and Nutritionists, we provide complete care and support.
Here is why Bottom’s Up clinic is the best for you.
- We have 17 years of experience.
- More than 100000 happy patients have been treated successfully in our clinic.
- We have won the trust of over 100000 patients and counting.
- More than 16000 operations have been successfully conducted with no post-operative complications or complaints.
- We have positively impacted more than 5 lakh families, making their lives better and healthier.
- We follow a holistic approach with full privacy and intimacy.
- Our focus is majorly at prevention of piles.
- We use specially designed oils for treatment.
- We make sure to provide complete support with the assistance of our expert Nutritionists.
- Specially designed yoga exercises and support is given to every patient.
- We use safe laser treatments.
- There is nearly zero chance of recurrence after our treatment.
- All aspects from prevention, treatment and avoidance support, all are provided under one roof.
We not only support you during the treatment but also provide post treatment support. So don’t sit and suffer in silence, bottom’s up clinic is here to help.