What are Piles?

Piles or hemorrhoids are conditions where the blood vessels in the anus and rectum become inflamed. In the entire body, these blood vessels serve as shock absorbers for defecation. Hemorrhoids are one of the major causes of rectal bleeding. 

The anal cushions, that line your anus and are supplied with blood arteries, enable in your anus’s closure. These are completely normal, although occasionally they can turn into piles.

Pile appearances typically resemble tiny, rounded, discolored lumps on your anus or hanging from your anal canal (you might be able to feel them) Your rectum (back passage) and anus are connected by your anal canal, a small, muscular tube with blood vessels. 


Types of Piles

Internal piles occur within the rectum and are typically undetectable. However, sometimes an external pile may grow and extend from the anus. The medical term for this condition is prolapsed hemorrhoid. 

Internal piles are graded by medical specialists on a four-point scale. 

Grade I: The growth does not protrude from the anus and does not cause any symptoms. 

Grade II: Although the piles may prolapse from the anus, they return inside the anus on their own 

Grade III: The piles prolapse and only recede by manually pushing them within the anus. 

Grade IV: In this condition, the piles prolapse outside of the anus and it becomes impossible to push back at a place manually. 

External piles are enlargements or swellings that develop closer to the anus and much further down to the anal canal. They can be extremely painful, particularly if a blood clot is present. 

Both internal and external piles may exist simultaneously. 


Symptoms of Piles

The progression of symptoms can be occurred due to bleeding, vascular hypertrophy, or because of blood vessel slippage outside the anus. If you have piles, you could encounter any of the following signs: 

Piles don’t always cause pain or other symptoms, if you do, they might include: 

  • When you release motion, you may notice blood (often bright red) on the toilet paper, in the bowl, or on the surface of your waste.  
  • A slimy mucus discharge from your anus that might stain your underpants 
  • A feeling of “fullness” and soreness in your anus, or the feeling that your bowels haven’t fully emptied after using the restroom. 
  • Itching or sore skin surrounding the anus.  
  • Pain or discomfort after you go to the toilet. 

These signs can differ widely from person to person. Inflammatory bowel illness can also cause similar symptoms 

Therefore, if you experience any of these symptoms, seek medical consultation from Dr. Pradeep Tripathi before assuming piles are to blame. 


Causes of Piles

Piles are caused due to numerous reasons.  

The blood vessels supplying the anus and rectum expand when the pressure inside the vessels rises due to: 

  • Straining during bowel movements 
  • Sitting for long periods of time on the toilet 
  • Chronic diarrhea or constipation 
  • Obesity 
  • During pregnancy 
  • Having anal intercourse 
  • Eating a low-fiber diet 
  • Regular heavy lifting 
  • Spinal Cord Surgery 
  • Hereditary 
  • Rectal Cancer 
  • Colon Cancer 


Treatment for Piles

Usually, piles can heal on their own without any treatment. However, certain treatments can significantly reduce the itch and pain that many people encounter with piles. 

It can be uncomfortable to have piles, so it’s acceptable if they make you feel a little self-conscious. If your piles hang out or you experience any discharge, they could have an impact on other aspects of your life, such as your sexual life. Though they might return, lumps often remain less than a month before shrinking again. So try not to worry. 

There are several treatments that can help you feel better in the meanwhile.

Change your diet and way of living to avoid constipation if you every now and then if you are experiencing mild bleeding from piles; this may be all that is required for things to improve.

For further details, see our expert consultant Dr. Pradeep Tripathi. 


Surgeries to Treat Piles

If you have symptoms of piles and other treatments haven’t worked for you yet, or your piles keep bleeding, then the surgery might be an appropriate option for you.  

There are different types of surgery for piles, which include the following: 

  • Banding: To restrict the pile’s blood supply, the doctor places an elastic band around the pile’s base. Usually, the hemorrhoid will disappear after a week. 
  • Sclerotherapy: This procedure involves a doctor injecting a medication into the hemorrhoid to cause it to shrink and eventually shrivel up. This works effectively for grade II and III types of hemorrhoids and also performs as an alternative option to banding surgery. 
  • Infrared Coagulation Technique – Using an infrared light source, a surgeon will burn the hemorrhoid tissue. 
  • Hemorrhoidectomy: In this procedure, all hemorrhagic tissue is removed. Although it is the most reliable approach for entirely eliminating piles, there is a chance of consequences, including problems passing stools. 
  • Hemorrhoid Stapling: In this surgery, a surgeon uses staples to stop the flow of blood supply to the area that has the hemorrhage. 

To treat the root cause of piles or to remove it on permanent basis consult an expert with Dr. Pradeep Tripathi who is the best surgeon for piles Treatment in Thane. 


Preventative Measures for Piles

The best way to prevent piles and to keep your stools soft so they pass easily.    

Follow these preventative measures to avoid piles and reduce their possibilities to occur symptoms: 

  • Consume fiber-rich foods- Eat more whole grains, fruits, and vegetables. By doing this, the stool will become softer and more voluminous, preventing the straining that might result in piles.  
  • To avoid issues with gas, progressively incorporate more fiber into your diet. 
  • Drink a lot of water –To keep stools soft, drink six to eight glasses of water daily in addition to other liquids (avoid alcohol). 
  • Drink as least eight glasses of water or other fluids each day if you take fiber supplements. Otherwise, the supplements can make you constipated or make it worse. 
  • Recommended amount of fiber intake – The majority of people do not consume the 20 to 30 grams of fiber per day that are advised. According to studies, over-the-counter fiber supplements including methylcellulose (Citrucel) and psyllium (Metamucil) can reduce hemorrhoid bleeding and general discomfort. 
  • Avoid stress- Pressure in the veins in the lower rectum increases when you suppress your breathing and strain to pass a stool. 
  • As soon as you have the urge to go for a toilet – Just leave. Your stool may dry out and become more difficult to evacuate if you put off having a bowel movement until the desire passes. 
  • Do Exercise – Staying active can help prevent constipation and ease the pressure that prolonged standing or sitting can put on veins. Exercise can also assist you in losing extra weight that may be a factor in your hemorrhoids.


In Summary

Piles can also be referred to as hemorrhoids. They are enlarged veins that can generate lumps in and around the anus. They are located in the lower anus and rectum.  Many people who have piles are unaware that they have them since piles vary in size and location. 

Excessive exercise, protracted constipation, and straining while urinating can all lead to piles.  Many piles disappear on their own, however surgery may be necessary to eliminate obvious, uncomfortable piles. 

Book an Appointment with Dr. Pradeep Tripathi for your pile’s treatment or surgery.   

The best surgeon for piles Treatment in Thane can be contacted on +91 91522 21666.  

For further information, you can email us at info@drpradeeptripathi.com