Piles, or haemorrhoids, are areas in the anal canal where the tissue, which
contains lots of blood vessels, has become swollen. They can be internal,
occurring inside the anus, or external, when they can be seen and felt on the
outside of the anus. When visible they look like round pink swellings, the size
of a pea or a grape. Piles are common in pregnant women, but are rare in
What causes piles?
Straining to empty the bowels when constipated.
Pregnancy the weight of the fetus on the abdomen and the increased blood flow,
as well as the effect of hormones on the blood vessels.
Childbirth pushing during childbirth increases the pressure in the veins.
Straining to pass urine, especially in men with prostate problems.
Cancer or growths in the pelvis or bowel, which may exert pressure in a similar
way to a pregnancy. Family history piles can run in families and are
potentially hereditary, perhaps because of weak veins in the anal area.
Varicose veins many people with these also develop piles, although piles are
not varicose veins.
Different types of piles
Piles are classified according to their position. First-degree piles remain
inside the rectum or anal canal. Second-degree piles protrude (or prolapse) from
the anus when the bowels are opened, but return of their own accord afterwards.
Third-degree piles are similar, but only return inside when pushed back.
Fourth-degree piles hang permanently outside the anus.
What are the symptoms?
Most people affected have internal piles and may not have any symptoms at
all. The earliest symptom is often bleeding of fresh, red blood from the anal
passage when the bowels are opened. There may be itchiness around the anal area.
Third and fourth degree piles may be more painful and tend to produce a slimy
discharge of mucus that leaks from the exposed lining of the pile.
There are conditions other than piles that can cause
bleeding from the anus, so anyone who notices bleeding in their stool should
visit a doctor for advice.
The doctor will ask about your health and carry out a physical examination.
If there are external piles, these will be spotted on
examination. A rectal examination, where a gloved finger is gently inserted into
the anal canal, will be performed. Internal piles cannot normally be felt in
this way, but the examination can reveal other problems such as an anal fissure
- a painful tear of the lining of the anus. These other conditions need to be
excluded before a diagnosis can be made.
Regular warm baths may relieve the irritation; Ice packs may help reduce
Piles can usually be treated at home. The most important element in
encouraging existing piles to clear up is to avoid constipation. By having
regular bowel movements, and avoiding straining, stools pass easily and do not
put pressure on the blood vessels in the anal area.
Eating plenty of fibre-rich foods such as fruit, vegetables
and wholegrain cereals (eg brown rice, wholemeal bread), and drinking plenty of
fluids, especially water, should keep bowel movements soft.
Avoid rich and spicy food,non-vegtarian food,strict no to pickles
It may help to take a fibre supplement or mild laxatives
which soften bowel motions.
Homeopathic treatment for Piles
Homeopathy greatly helps in curing piles specially the 1st 2nd
and 3rd degree piles and no surgery should be thought of till
homeopathy has been tried. Some of the most commonly used medicines in treating
Hamamelis Q very very useful in controlling bleeding caused due to piles
Aesculus hip-piles with acute pain in the back
Collinsonia..chronic painful bleeding piles with pain as if sticks were placed
in the rectum.
Graphitis-for piles and fissures with hard stools
Ratanhia-pain as if splinters of glass were sticking in the rectum
Other commonly used medicines are ..Sulphur,Nux.Vomica,silicea etc.
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