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A phenomenon where the blood vessels in the anus become swollen and the bulge is known as piles.
The swelling is created due to strenuous bowel movement which irritates the vein walls of the anus. Laser Hemorrhoidoplasty (LHP) is an approach used for the treatment of advanced hemorrhoids under local, general or spinal anesthesia.
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The diagnoses begin with an evaluation of the symptoms described by the patient. This is followed by a physical examination (digital examination), where the doctor inserts a gloved and lubricated finger in the anus to feel any abnormalities in the internal structure of the rectum.
When the blood vessels in the anus become swollen, a bulge is created which is known as piles or hemorrhoids. It can happen due to strenuous bowel movement. Piles can be internal or external. Anoscope/Colonoscopy are used for the diagnosis of piles.
Treatment options for piles are:
Based on the stage and the type of piles, the doctor may recommend either medical line of treatment or surgical line of treatment. Medical line of treatment include medication that can be consumed orally or ointments to be applied around the affected area.
Non-surgical treatment for piles:
The doctors may recommend simple home remedies such as:
Surgical treatment for piles:
Only when home remedies fail, the doctors may choose to perform surgical procedures:
Rubber band ligation: The doctor places a rubber band around the hemorrhoid to cut out blood circulation to it. As a result, it shrinks and can be removed. It is a procedure performed by doctors only, and should not be attempted at home.
Sclerotherapy: It is used as an alternative to rubber band ligation when the latter is not an option for the patient. The doctor injects a chemical into the blood vessel, resulting in the shrinking of hemorrhoids.
Hemorrhoidectomy: A minimally invasive surgery, Hemorrhoidectomy is further classified in three types:
Hemorrhoids are caused by increased pressure in the lower part of the rectum. Under pressure the veins around the anus bulge or swell leading to the formation of hemorrhoids. Factors contributing to increased pressure in the lower rectum are as listed below:
A phenomenon where the blood vessels in the anus become swollen and the bulge is known as piles. The swelling is created due to strenuous bowel movement which irritates the vein walls of the anus.
1. Overview: It’s an outpatient procedure, where laser beams are directed on piles to make them shrink. This procedure leaves lesser chances for recurrence of piles.
3. Post-Surgical Care:
4.Advantages of this Procedure: Lesser chance of recurrence, high precision treatment, relatively painless, highest success rate, less scars, faster recovery, lesser operation time, minimal blood loss and bladeless.
Piles or hemorrhoids can be classified into 3 main types - External piles (external hemorrhoids), Thrombosed piles (Thrombosed hemorrhoids) and Internal piles (Internal hemorrhoids).
External hemorrhoids: These are formed under the skin surrounding the anus and have the following symptoms-
Thrombosed hemorrhoids: A condition in which blood accumulates in external hemorrhoids and coagulates (thromboses); it can lead to:
Internal hemorrhoids: These are formed inside the rectum. They can't be seen or felt and generally do not cause discomfort. However, passing stools can aggravate and cause:
One should visit a doctor should any of the above symptoms show up. However, rectal bleeding is not exclusively because of hemorrhoids. Moreover, other causes such as other diseases, including anal cancer and colorectal cancer should be eliminated.
1.Overview: In this advanced technique, a stapling device is used to remove the part of the pile mass with a stapler gun. The titanium staples cut and seal at the same time. They thus minimize bleeding and reduce post-operative pain.
4.Advantages of this Procedure: This procedure offers benefits such as reduced postoperative pain, minimal bleeding, an earlier recovery time and a reduced hospital stay. It is faster than the traditional haemorrhoidectomy. Also, it requires no additional incision on the lower part of the anal canal, which is why the patient does not need to go for post-operative dressing. This procedure has the highest success rate and is the most advanced procedure because of the precision and the outcome.
1.Overview: An incision is made with a scalpel and a hemorrhoidal mass is clamped, tied, then excised (cut). Finally, the wound is left open in open surgery.
4.Advantages of this Procedure: It is suitable for patients with bleeding and prolapsing third degree piles and when conservative methods failed to cure the piles. A doctor always prefers this procedure when the count of piles is very high and when the piles has recurred post operation.
MS - General Surgery, MCh - Surgical Gastroenterology/G.I. Surgery, MBBS General Surgeon, Gastroenterologist, Laparoscopic Surgeon, GastroIntestinal SurgeonView Profile
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There are different types of laxatives used for piles. You need to ask your doctor which ones to use, how to use and how much to use. It is necessary to know these answers as there can be serious side-effects of wrong use of the laxatives.
External piles are formed below the dentate line, while the internal piles are formed above the dentate line.
Delaying may not be a good option, as it can advance the condition, causing excessive bleeding and emergency surgery.
It can cause multiple growth of piles, advancement of the stages of piles and an immediate need for surgery. There will be much more discomfort and pain as the stage of piles grows.
You can use a donut cushion sit, take sitz bath (where you submerge your bottom in lukewarm water for around 15 minutes) and start eating healthy and less spicy. You can start home remedies that help calm down piles symptoms.
Pre-surgical tests will be done to check the blood sugar levels. If it is not in control, you’ll be suggested specified diet along with medication couple of days before the surgery.
It is completely dependent upon the stage of piles, count, size and its growth. Your doctor will suggest you which treatment option you should go with.
It will depend upon the diet followed and activities done daily. You’ll be instructed as to what all you should do and not do after the surgery to avoid any recurrence.
Yes, we do offer free transportation to and from the hospital where the surgery is conducted. We pick you up from your home for the surgery to be done and drop you back after the surgery is completed.
It can be till stages 1 and 2. After that, the doctor decides based on anoscopy. Surgery is needed when the piles reach their stage 4.
Proctologists are surgeons who diagnose and treat disorders of the rectum, anus, and entire gastrointestinal tract.
You may go ahead and meet a proctologist if you experience any of the following symptoms:
anal itching or burning
bleeding or other discharge from the anus
anal or rectal pain
anal warts, bumps, or the sensation of a foreign body
Our team will give you a detailed picture of the costs that you will incur as part of your surgery.
Our team will assist you in processing of your insurance.
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