What are Piles (Hemorrhoids) and their Treatment?

Piles, also known as mulvyadh, are swollen, inflamed veins that develop either inside or outside the anus and rectum. Effective piles treatment can help alleviate symptoms and prevent complications.

At Indu Wellness Piles Speciality Laser Hospital in PCMC, Pune, we offer the most effective piles treatment, provided by our expert piles doctors who are specialists in their field.

Types of Piles

Internal Piles

• Occur within the rectum and are typically not visible during an external examination.
• In some cases, they may protrude outside the anus, known as prolapsed hemorrhoids.

Medical Grading of Internal Piles

• Grade I: No symptoms, do not protrude from the anus.
• Grade II: May prolapse but retract on their own.
• Grade III: Prolapse and require manual intervention to recede
• Grade IV: Permanently prolapsed, cannot be pushed back.

External Piles

• Appear as small lumps on the outer edge of the anus.
• Symptoms include itchiness and severe pain, especially if a blood clot forms, leading to thrombosed hemorrhoids requiring immediate medical attention from a piles doctor or specialist.

Symptoms

Common symptoms of piles include:

• Painful lumps around the anus
• Itching and discomfort near the anus
• Pain during and after passing stools
• Blood in stools
• Burning sensation during or after bowel movements

Causes

Hemorrhoids or mulvyadh develop due to increased pressure in the rectal veins, caused by

• Straining during bowel movements
• Prolonged sitting, especially on the toilet
• Chronic diarrhea or constipation
• Obesity or pregnancy
• Anal intercourse
• Low-fiber diets
• Frequent heavy lifting

Diagnosis of Piles

Accurate diagnosis by a piles doctor is crucial to determine the right piles treatment. Methods include:

• Digital Rectal Examination: A gloved, lubricated finger is inserted into the rectum to detect swollen veins.
• Anoscopy: Examination of the rectum and anus with a lighted tube.
• Sigmoidoscopy: A camera-equipped tube inspects the rectum and lower colon.
• Video Proctoscopy: Provides a detailed view of the anal and rectal regions via a small camera.

Treatment Options

Conservative Treatment

• Dietary Changes: Increase fiber intake with fruits, vegetables, and whole grains.
• Sitz Baths: Warm water baths for the hips and buttocks, taken 2–3 times daily and after bowel movements, to alleviate discomfort.
• Laxatives: Useful when bowel issues are not resolved through dietary changes.
• Topical Medications: Over-the-counter creams and suppositories to reduce pain and swelling.

Surgical Treatment

For severe cases (Grades III and IV), recurrent piles, or external piles, surgical intervention is often recommended by a piles specialist. Advanced options include:

• Hemorrhoidectomy: Complete removal of hemorrhoids.
• Laser Treatment for Piles: A minimally invasive method offering faster recovery and minimal pain.
• Stapled Hemorrhoidopexy: Blocks blood flow to the affected tissue.
• Rubber Band Ligation: Cuts off blood supply to internal piles, causing them to shrink
• Coagulation Therapy: Uses infrared or heat to treat non-protruding piles.
• Sclerotherapy: Involves injecting a solution to shrink internal piles.

Ayurvedic Treatment for Piles

Ayurveda offers holistic piles treatment, focusing on balancing doshas, improving digestion, and removing toxins. Key methods include:

• Detoxification (Shodhana): Purifies the body of harmful toxins.
• Herbal Formulations (Aushadhi): Relieve symptoms and improve bowel function.
• Ksharsutra Therapy: A unique Ayurvedic surgical method used for treating piles and mulvyadh.

Preventive Measures

• Follow a high-fiber diet to ensure smooth bowel movements.
• Stay hydrated to prevent constipation.
• Avoid prolonged sitting or straining during bowel movements
• Maintain regular physical activity.

Consulting a piles doctor or specialist for early diagnosis and exploring options like laser treatment can significantly improve outcomes and ensure long-term relief from mulvyadh. Visit Indu Wellness Piles Speciality Laser Hospital in PCMC, Pune for best treatment and care possible related to piles issue.