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Non Surgical Treatment for Piles

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Medically Reviewed by Dr. Aman Priya Khanna
Written by Hexahealth Care Team, last updated on 24 November 2023| min read
Non Surgical Treatment for  Piles

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Non Surgical Piles Treatment

 

Overview

Haemorrhoids also referred to as piles are bulging veins in the lower abdomen and anus. The walls of these blood vessels might perhaps stretch so thin that the veins protrude and thus become uncomfortable, specifically whenever you defecate. 

In their basic state, the function of these cushions is to control the stool. 

There are four types of haemorrhoids: 

  1.  External haemorrhoids- These develop just below the skin of the anus. 
  2. Internal haemorrhoids- These develop within the anus and lower rectum lining. 
  3. Thrombosed haemorrhoids- It develops when blood accumulates and creates a clot in an external haemorrhoid (thrombus). 
  4.  Prolapsed haemorrhoids- The haemorrhoids can prolapse both internally and externally, meaning they expand and bulge even outside the anus. 

 

Haemorrhoids also referred to as piles are bulging veins in the lower abdomen and anus. The walls of these blood vessels might perhaps stretch so thin that the veins protrude and thus become uncomfortable, specifically whenever you defecate. 

In their basic state, the function of these cushions is to control the stool. 

There are four types of haemorrhoids: 

  1.  External haemorrhoids- These develop just below the skin of the anus. 
  2. Internal haemorrhoids- These develop within the anus and lower rectum lining. 
  3. Thrombosed haemorrhoids- It develops when blood accumulates and creates a clot in an external haemorrhoid (thrombus). 
  4. Prolapsed haemorrhoids- The haemorrhoids can prolapse both internally and externally, meaning they expand and bulge even outside the anus. 

Signs and Symptoms

The type of haemorrhoid mostly determines the signs and symptoms of haemorrhoids: 

External haemorrhoid 

  1.  Bleeding 
  2.  Swelling around the anus 
  3.  Pain 
  4.  Itching near the anus 
  5. Discomfort 

Internal haemorrhoid 

  1. Painless bleeding during defecating 
  2.  Rectal bleeding 
  3.  Tissues bulging out of the anus 
  4. Thrombosed haemorrhoid 
  5. Severe pain 
  6.  Swelling 
  7.  Hard lump near the anus 
  8.  Inflammation 

Prolapsed haemorrhoid 

  1.  Bleeding 
  2.  Pain  

CAUSES 

The major cause of haemorrhoids is straining, which lays pressure on the veins of the anus/rectum. Strain can occur by: 

  1. Heavy lifting 
  2. Pushing hard to defecate during constipation 
  3. Pelvic pressure from weight gain

Risk Factors

  1. Factors that increase the risk of development of haemorrhoid in an individual are: 
  2. Having a family history of haemorrhoids 
  3. Obesity  
  4. Age: Individuals older than 50 are at higher risk. 
  5. Pregnancy 
  6. Straining your abdomen by regular heavy lifting

Prevention and Disease reduction

Some preventive measures to avoid the development of haemorrhoids are: 

  1. Have a fibrous diet 
  2. Maintain a healthy weight 
  3.  Exercise regularly 
  4. Avoid straining your body 
  5.  Drink enough fluids 
  6. Avoid sitting for a long period 

When to See a Doctor?

You should consult a doctor if you have: 

  1. High bleeding 
  2. Unable to pee/defecate 
  3.  Constant high fever 
  4.  Abdominal pain  

Risk if not treated in Time

Although in most cases the haemorrhoids heal on their own. In situations where the haemorrhoids do not heal and are left untreated, the severity of the disease increases. It causes: 

  1. Anaemia  
  2.  Infection of external haemorrhoid 
  3. Skin tags 
  4.  Blood clots 

Diagnosis

  1. Your doctor will initially analyze your symptoms, review your medical history and then can perform a physical examination. 
  2. Other diagnostic tests performed by your doctor are: 
  3. Digital rectal exam (DRE): To check for haemorrhoids, fissures, or other abnormalities, your physician will gently enter a gloved, lubricated finger into your anus. 
  4. Sigmoidoscopy: Sigmoidoscopy is a noninvasive endoscopic evaluation of the large intestine from the rectum to the sigmoid colon, which is the closest region of the colon. 
  5. Anoscopy: It is a procedure that enables the doctor to inspect the anus and rectum's inner lining.  
  6. Colonoscopy: It is a procedure employed to identify abnormalities or variations in the large intestine or rectum.

Treatments

Haemorrhoids are usually self-healing; therefore, your specific line of treatment will be based upon your case. Some of the non-surgical options your doctor might advise you are: 

Home remedies:  

  1. Adding a fibrous diet into your lifestyle, and increasing your fluid intake relieve mild haemorrhoids in about 2-7 days.  
  2. Warm sitz bath for 20 minutes several times a day  
  3. Ice packs might ease the pain as well as the swelling 
  4. Take oral painkillers 
  5. Applying over-the-counter medications like lidocaine, and hydrocortisone might provide some relief. 
  6. Taking laxatives for stool softening 
  7. Performing some minimally invasive procedures: 
  8. o Rubber-band litigation: To stop internal haemorrhoids from bleeding, your physician will wrap one or two thin rubber bands all over its base. Within a week, the haemorrhoid withers and falls off. 
  9. Sclerotherapy: It is a painless procedure wherein your doctor will insert a chemical solution into the haemorrhoid tissue. 
  10. Coagulation: In this technique, they harden and shrivel tiny, bleeding internal haemorrhoids. It might be carried out using either laser, heat or IR. 

 How to Prepare for doctor Consultation

You must prepare a list of questions to ask your doctor that must include: 

  1. What is the cause of my symptom? 
  2.  What will be my line of treatment? 
  3. What is the recovery period? 
  4.  What are the required lifestyle modifications? 
  5. I have other medical issues. How can I manage these along with haemorrhoids? 
  6. Your doctor will ask you about your lifestyle, medical history, symptoms, and family history with haemorrhoids.

 

Hexahealth is the first step towards the right treatment and care. We help you to connect with the top doctors and surgeons from the most trusted hospitals at affordable prices to make your healing and recovery process as relaxing as possible. From our nationwide network, we offer you the greatest and most suitable healthcare and surgical guide for the proper treatment. You are just a phone call away from the correct health care service that you require.

 

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Last Updated on: 24 November 2023

Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

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HexaHealth Care Team

HexaHealth Care Team brings you medical content covering many important conditions, procedures falling under different medical specialities. The content published is thoroughly reviewed by our panel of qualified doctors for its accuracy and relevance.

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