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Disease Overview
Piles, also known as hemorrhoids, are swollen blood vessels in the rectum or anus. They can be internal (inside the rectum) or external (under the skin around the anus).
Straining during bowel movements, which can occur due to chronic constipation or diarrhea.
Sitting for extended periods of time on the toilet.
Pregnancy and childbirth, which can cause increased pressure on the veins in the rectal area.
Obesity, which puts extra pressure on the rectum and anus.
Aging, as the tissues supporting the veins in the rectal area may weaken over time.
Rectal bleeding, typically bright red blood on the toilet paper or in the toilet bowl after a bowel movement.
Itching, irritation, or discomfort in the anal area.
Pain or discomfort during bowel movements.
Swelling and a lump or mass near the anus.
Mucus discharge from the anus.
A feeling of incomplete bowel movement.
1. Lifestyle changes: Increasing fiber intake, drinking plenty of water, and regular exercise can help soften the stool and prevent constipation, reducing the strain on the rectal veins.
2. Topical treatments: Over-the-counter creams, ointments, or suppositories containing hydrocortisone or witch hazel can provide relief from itching and discomfort.
3. Sitz baths: Soaking the affected area in warm water for 10-15 minutes several times a day can help reduce swelling and provide temporary relief.
4. Medications: Non-prescription pain relievers, such as acetaminophen or ibuprofen, can help alleviate pain and discomfort. Your doctor may also prescribe medications to reduce inflammation or promote healing.
5. Minimally invasive procedures: If conservative measures don't provide sufficient relief, your doctor may recommend procedures such as rubber band ligation, sclerotherapy, or infrared coagulation to shrink or remove the hemorrhoids.
6. Surgery: In severe cases or when other methods are not effective, surgical options like hemorrhoidectomy (removal of hemorrhoids) or hemorrhoid stapling may be considered.
It is important to consult with a healthcare professional or a specialist, such as a gastroenterologist or proctologist, for a proper diagnosis and to discuss the most appropriate treatment options based on your condition. At Charak Hospital in Lucknow, we provide personalized advice and guidance for managing piles effectively.
Minimally invasive procedures for treating piles, also known as hemorrhoids, are medical procedures that are performed with minimal invasion to the body. These procedures are designed to reduce the discomfort and complications associated with traditional surgical methods.
There are several minimally invasive procedures used to treat piles, including:
1. Rubber band ligation: This procedure involves placing a rubber band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and eventually fall off.
2. Sclerotherapy: In this procedure, a chemical solution is injected into the hemorrhoid, causing it to shrink and eventually disappear.
3. Infrared coagulation: This procedure uses infrared light to create scar tissue, which cuts off the blood supply to the hemorrhoid, causing it to shrink and eventually disappear.
4. Laser coagulation: In laser coagulation, a laser beam is used to create scar tissue, which cuts off the blood supply to the hemorrhoid, causing it to shrink and eventually disappear.
These minimally invasive procedures work by either cutting off the blood supply to the hemorrhoid, causing it to shrink and fall off, or by creating scar tissue that blocks the blood flow to the hemorrhoid. Both methods result in the reduction or elimination of the hemorrhoid.
It is important to note that the choice of procedure depends on the severity of the hemorrhoids and the recommendation of a healthcare professional. It is recommended to consult with a healthcare provider at Charak hospital, Lucknow to determine the most suitable treatment option for your specific case.
The recovery time after a minimally invasive procedure for piles can vary depending on several factors, including the type of procedure performed, the severity of the hemorrhoids, and individual healing capabilities. However, in general, the recovery period for these procedures is relatively short compared to traditional open surgery.
In most cases, patients can expect to experience some discomfort or pain in the treated area for a few days after the procedure. This can be managed with pain medications prescribed by the healthcare provider. It is common to have some bleeding or discharge during the first few days.
The majority of patients can resume their normal daily activities within a few days to a week after the procedure. However, it is important to follow the post-operative instructions provided by the healthcare professional, which may include dietary modifications, proper hygiene practices, and avoiding strenuous activities for a certain period of time.
It is crucial to note that individual recovery times can vary, and it is best to consult with your healthcare provider for specific guidance based on your unique situation. They will be able to provide you with personalized advice and monitor your progress during the recovery period.
During the recovery period after a minimally invasive procedure for piles, there are certain dietary modifications that patients may be advised to follow. These modifications can help promote healing, prevent constipation, and reduce discomfort. Here are some general dietary recommendations:
1. High-fiber foods: Include plenty of high-fiber foods in your diet, such as fruits (berries, apples, pears), vegetables (broccoli, carrots, leafy greens), whole grains (oats, brown rice, whole wheat bread), and legumes (beans, lentils). Fiber helps soften the stool and promote regular bowel movements, reducing the strain on the healing area.
2. Increased fluid intake: Drink an adequate amount of fluids, particularly water, throughout the day. Staying hydrated helps prevent constipation and ensures the softening of the stool. Avoid excessive caffeine and alcohol intake as they can dehydrate the body.
3. Avoid processed foods: Minimize the consumption of processed foods, such as fast food, fried foods, and packaged snacks. These foods tend to be low in fiber and high in unhealthy fats, which can worsen constipation.
4. Avoid spicy and irritant foods: Spicy foods and irritants, such as chili peppers, hot sauces, and citrus fruits, may irritate the digestive system and increase discomfort during the healing process. It's best to avoid them temporarily.
5. Stool softeners: Depending on your healthcare provider's recommendation, you may be advised to take over-the-counter stool softeners or fiber supplements to help maintain regular bowel movements and relieve any potential strain during bowel movements.
Remember, these dietary modifications are general recommendations, and it's important to consult with your healthcare provider for personalized dietary advice based on your specific needs and condition. They can provide you with detailed instructions tailored to your recovery process.
Yes, charak hospital has all the facilities related to treating Piles.
For more severe cases of hemorrhoids that cannot be effectively treated with minimally invasive procedures, there are alternative treatments and surgical options available. Here are a few of them:
1. Hemorrhoidectomy: This is a surgical procedure where the hemorrhoids are surgically removed. It is usually recommended for severe or recurring hemorrhoids, especially for large external hemorrhoids or internal hemorrhoids that have prolapsed and cannot be treated with other methods. Hemorrhoidectomy is performed under anesthesia, and recovery time can vary depending on the extent of the procedure.
2. Hemorrhoidopexy (Stapled Hemorrhoidopexy): This surgical procedure is primarily used for prolapsed internal hemorrhoids. It involves using a circular stapling device to reposition the hemorrhoids back into their normal position within the anal canal, thereby reducing blood flow and preventing prolapse. Hemorrhoidopexy is usually associated with less pain and a shorter recovery time compared to traditional hemorrhoidectomy.
3. Doppler-guided hemorrhoidal artery ligation (DG-HAL): This procedure involves using a special instrument equipped with a Doppler probe to identify and tie off the arterial blood vessels that supply the hemorrhoids. By reducing the blood flow, the hemorrhoids shrink and symptoms are relieved. DG-HAL is generally less invasive than traditional hemorrhoidectomy and may offer a quicker recovery time.
4. Laser or infrared coagulation: In certain cases, laser or infrared coagulation may be used for larger internal hemorrhoids. These procedures use laser or infrared energy to shrink and coagulate the hemorrhoids, similar to the minimally invasive procedures mentioned earlier. They may be performed on an outpatient basis and generally have a shorter recovery time compared to traditional surgery.
It's important to note that the most appropriate treatment option for severe cases of hemorrhoids will depend on various factors, including the individual's overall health, the specific condition of the hemorrhoids, and the expertise of the healthcare professional. It's recommended to consult with a medical specialist who can evaluate your case and recommend the best treatment option for you.