Piles are a well-known health problem. It is also known as hemorrhoids. Many people suffer from this problem for a long time but feel reluctant to seek advice or see a doctor. In some cases, instead of proper treatment of piles, he took homeopathy, Kabiraji medicine, and other tips. For these reasons, piles gradually become more complex. So it is important to be aware of the details of piles or hemorrhoids.
What are piles or hemorrhoids?
If the mouth of the anus or toilet is swollen for any reason and there is blood from it or if there is a lump in the toilet, it is called piles. In medical language, it is called hemorrhoids. It is possible to treat hemorrhoids without surgery before they take on a complex shape.
What are the symptoms?
One of the four symptoms of hemorrhoids is highlighted below. If these symptoms occur, it is important to start treatment.
1. Blood in the toilet
If there are piles, bright red color i.e. fresh blood can go with the toilet. Usually, if you use toilet paper after going to the toilet, there may be a drop of blood. Or you can see beautiful red bloodstains on the commode or pan. Piles cause bleeding from the anal cushions in the mouth of the anus. This blood does not get a chance to go out and prevent clotting. For this reason, fresh red blood can be seen in this case.
But if for some reason dark brown blood goes with the stool or black and soft stools like tar, it is not usually due to piles. Bleeding in any part of the digestive tract can lead to dark blood in the stool, so seek medical attention immediately to determine the cause of the bleeding.
2. Protruding parts of the mouth of the anus
When it is piled up, the anal cushions usually come out like soft lumps after defecation. These go inside on their own after some time. In many cases, these may need to be inserted with the fingers. In some cases, the piles reach such a level that the lumps cannot be inserted even with the fingers.
3. Pain in the toilet
Piles disease usually does not cause severe pain. However, if the whole of the anus goes to such a stage that it cannot be inserted by pushing with the finger, and the blood flow in them stops, then there may be sharp or severe pain. This pain usually lasts for 1-2 days. If the pain is more, a doctor’s advice should be taken. In addition, special needs can be used to treat pain at home.
4. Itching on the toilet street
Piles can sometimes cause itching in the anus or around the mouth. In addition, mucus or sticky substances can come out through the anus. Even after defeating a lot of times, it may be felt again and again that the stomach is not clean, it is necessary to defecate again.
How to differentiate between piles and anal fissures?
Although there are some similarities between the symptoms of piles and anal fissure or gauge disease, these are two different diseases. Both diseases can cause itching in the anus and fresh red blood. However, very little blood goes to the anal fissure. The main differences between piles and anal fissures are:
Piles look like soft lumps in the anus. The lumps usually come out after defecation, then after some time they enter by themselves or have to be inserted with the fingers. In addition, if there are piles, some slippery substance may come out which looks like mucus in the anus.
These symptoms are usually not seen in the case of anal fissure or gauge disease. In this case, there is severe pain every time you defecate. Piles do not usually hurt.
If you want to know more about anal fissure or gauge disease, you can read our article.
Why are there piles?
Some things increase the risk of piles, as well as exacerbate someone who already has piles, such as:
- Hard or tanned toilet
- Strong pressure during defecation
- Exercising for a long time
- Restrict the speed of the toilet
- Do not do physical work
- Excess weight
In addition, various physical changes during pregnancy also increase the risk of piles in some cases.
Under normal circumstances, the toilet passage or the mouth of the anus is usually closed. When needed, the mouth of the anus is opened with pressure, and the stool is expelled from the body.
There are several things that work together to keep the mouth of the anus closed. Of particular importance is the anal cushion. These cushions help to keep the mouth of the anus closed by applying pressure from 3 directions.
If for any reason these three-sided cushions swell, bleed, fall down, or look like lumps around the anus, it is called piles.
Ways to cure piles of pain
Paracetamol can be taken to relieve the pain of piles. Other painkillers and ointments are available, and you can use them according to your doctor’s advice. Here are 4 ways to reduce the pain of hemorrhoids at home:
1. The sore spot can be soaked in lukewarm water. Kusum can sit there with hot water in a bowl the size of a bath for small children. This can be done up to 3 times a day. If you want to sit somewhere else, you can sit on it using a pillow.
2. Take some ice in a packet and wrap it in a towel and apply it to the anus. It will be comfortable.
3. Lying on the bed and keeping the legs high will facilitate blood circulation in the lumps and relieve the pain. You can put a pillow under your feet while sleeping. In addition, one side of the bed can be raised with something under the foot of the bed.
4. The anus should always be kept clean and dry. After defecation, the place should be gently cleaned without rubbing hard. You can lightly soak the toilet paper and then wipe it off.
Painkillers that cannot be used
Tramadol: One of the side effects of this medicine is constipation, so it should not be taken for hemorrhoids. Painkillers that contain paracetamol and tramadol together should also be avoided.
Ibuprofen: It increases the risk of bleeding. So if you bleed with pain in your anus, it cannot be eaten.
When to rush to the hospital?
In case of piles, it is important to seek medical help immediately in some special cases. E.g.
- If the condition does not improve even after taking treatment at home for 7 days in a row
- If there is a problem of repeated piles
- If someone over the age of 55 has symptoms of piles for the first time
- When pus comes out of the piles
- If you have a fever or chills or feel very sick
- If there is constant bleeding
- Excessive bleeding (for example, if the water in the commode turns red or large blood clots pass through the anus)
- If severe, unbearable pain
- If the color of the toilet looks black or black like tar
Home Remedies for Piles
For the treatment of piles, the causes of piles must be prevented. Here are 6 effective home remedies for hemorrhoids:
1. To avoid constipation, you need to eat more fiber-rich foods. These include vegetables, fruits, pulses, red rice, and red flour. You also need to drink plenty of water. Fiber softens the bowel by absorbing water, so if you want the fiber to work, you need to drink at least two liters of water throughout the day.
Doing these two things usually relieves constipation within a few days, and all the symptoms of piles go away within a few weeks. If enough fiber is ensured in the diet for 6 weeks i.e. one and a half months, then 95% of the patients with piles have reduced bleeding with the stool. Isabel husk is an effective medicine to relieve constipation.
2. Avoid pushing too hard during defecation. The advice is to follow the advice so that the toilet is soft and easy to defecate.
3. Excessive time in defecation cannot be spent. Magazines, papers, mobiles sitting in the toilet should be avoided.
4. The pressure of the toilet should not actually keep it stuck, as it makes the toilet harder and causes constipation. The pressure is actually to get to the bathroom without delay.
5. Need to exercise regularly. Choose a heavy exercise or running every day, not that. You can choose between walking, light stretching, yoga, etc. to keep your body moving. Studies have shown that walking or light exercise also play an effective role in reducing constipation.
If necessary, you can start small. Walk 20 minutes a day. Start with one, then walk twice in the morning and evening. First, walk three days a week like this and slowly bring it to five days.
. If you are overweight, you need to reduce it. Being overweight increases the chances of getting hemorrhoids, so patients with piles are advised to lose weight. You can read our related articles to know more about effective ways to lose weight.
Operation of piles
If the hemorrhoids do not resolve after proper adherence to the advice of home remedies and doctor’s medication, surgery may be required. Your doctor will advise you on this. There are usually 3 types of operations performed:
1. Hemorrhoidectomy: This operation involves cutting and removing piles.
2. Stapled hemorrhoids: This procedure involves surgically inserting lumps of piles back into the anus.
3. Hemorrhoidal Artery Ligation: In this case, the blood supply to the lumps of the piles is stopped by surgery so that the lumps become dry.
For these operations, the patient is usually anesthetized using anesthesia or anesthesia and may need to stay in the hospital for a day or two after the surgery.
Reference by Helen Lavretsky, MD, MS