• Dr.Bhavik Rana(Consultant)|Vapi & Valsad

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Hemorrhoids

Hemorrhoids

Hemorrhoids or piles are swelling containing enlarged blood vessels that are found inside or around the rectum and anus.

Hemorrhoids result from increase pressure on the anus.

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Causes

The exact cause of hemorrhoids is unclear, but they’re associated with increased pressure in the blood vessels in and around your anus. This pressure can cause the blood vessels in the rectum and anus to become swollen and inflamed.

Factors predisposing to the development of hemorrhoids include:

  • irregular bowel habits (constipation or diarrhoea)
  • increased intra-abdominal pressure (prolonged straining) a low-fiber diet
  • pregnancy: the increased intra-abdominal pressure and the effect of straining at delivery can predispose to the development of piles
  • absence of valves within the haemorrhoidal veins
  • aging: as we grow older the body’s supporting tissues get weaker
  • being overweight or obese

WHAT ARE THE SYMPTOMS?

  • Blood in stools
  • Pain while defecating .
  • Mucus discharge while defecating
  • Painful hard lump in the anus
  • Feeling of full ness in the bowels even after passing a stool

The severity of symptoms vary in patients and depends upon the grading of the piles and the type of piles:

Internal Hemorrhoids usually present with painless rectal bleeding. If they are large they may emerge outside the anus (prolapse). Most prolapsed hemorrhoids shrink back inside the rectum on their own. Severely prolapsed hemorrhoids may protrude permanently and require treatment.External hemorrhoids present with pain in the area of the anus. If a blood clot forms in an external hemorrhoid, it can be very painful (thrombosed external hemorrhoid)s

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What are the implications of piles?

If untreated, hemorrhoids may cause complications such as anemia with resultant generalized weakness from the chronic blood loss during defecation. There is a risk of developing strangulated hemorrhoids where the blood supply of a prolapsed pile gets occluded by the constriction of the anal sphincter

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What are the lifestyle changes suggested for the management of Piles?

Lifestyle changes to reduce the strain on the blood vessels in and around your anus is recommended to reduce the risk of hemorrhoids developing or recurring:

  • Increase the amount of fibre in your diet through foods like fruit, vegetables, wholegrains, pulses and beans, nuts and oats
  • Drink plenty of fluid especially water
  • Do not delay going to the toilet as this may make your stools harder and drier, which can lead to straining when you do go to the toilet
  • Avoid medication that causes constipation – such as painkillers that contain codeine
  • Lose weight if overweight
  • Exercise regularly –it can help prevent constipation and help you lose weight.

TREATMENT

All kind of Hemorrhoids are very well managed by Ayurved Treatment Protocol .


  • According to Ayurveda Hemorrhoids can be treated by Four modalities i.e., 1 ) AUSHAD (MEDICNE ) 2) SHASTRA ( SURGICAL INTERVENTION ) 3) KSHAR (CHEMICAL CAUTERIZATION ) 4) AGNI (MECHANICAL cAUTERIZATION)
  • This modalities of treatment can be choose according to different type and stage of Hemorrhoids .
  • Yes , in Ayurveda Surgical management of Hemorrhoids(piles) are very well explain in detail, which is in practice in this modern era . Ayurveda surgical management is very effective and result oriented .
  • Its a Day care procedure .