Piles (Haemorrhoids/ Hemorrhoids)

They are enlarged and swollen blood vessels in (internal haemorrhoids) and around (external haemorrhoids) the anus.

Symptoms:

• Pain and itching around the lower passage
• Bleeding may occur. Bright red blood covering the stool but not mixed, and can be seen on toilet paper
• A bulge or lump at the anus
• If external haemorrhoid gets a clot, it leads to tender, highly painful, hard lump

Causes:

• Any factor that raises the pressure in the abdomen and causes the veins to swell
• Chronic straining with constipation or diarrhoea
• Pregnancy and child birth (generally temporary)
• Heavy lifting
• Obesity
• Constant sitting and severe coughing may contribute to aggravating the problem

Prevention:

• It's a very common problem, but can be easily prevented by taking the following measures.
• Indulge in fiber-rich diet to prevent constipation
• Exercise regularly and avoid being overweight
• Maintain good bowel habits and avoid reading or sitting on the toilet for long periods of time
• In sedentary jobs, take breaks to stand and walk

Treatment:

• Most cases subside or settle down with little precautionary measures like treating the underlying cause of strain.
• Application of topical cream or suppository (bullet-shaped tablets inserted into the anus) to soothe symptoms.
• Cold compresses help to reduce swelling.
• If condition persists and worsens, quickly consult the doctor who may treat it chemically or in extreme cases, surgically.

Facts:

• Piles are not dangerous or life threatening
• Although internal haemorrhoids appear pretty harmless but they need to be taken care of since their bleeding could mask blood from other dangerous causes like colorectal cancer.

Compiled by: Parvinder Kaur, Last updated: 02.12.07 © Medhospital Foundation

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