Bawasir (Piles) explained with symptoms and piles operation 2020
What are piles?
Bawasir ‘Piles’ refers to the condition of having dilated veins in the rectal area, inside of your anal canal. These are also called ‘hemorrhoids’. Veins are much weaker than arteries are, and have much thinner walls. As a result, excess pressure on these can injure and distend them. The rectal area has three main veins the inferior, middle and superior rectal veins. Piles form when any of these are blocked and endure increased pressure.
You may suffer from two different kinds of piles, dependent upon your condition – internal or external.
External piles exist on the exterior of the anus, underneath your skin. They are usually brown or black, and because this area is full of nerves, they can be extremely painful.
Internal piles exist at the interior of the anal canal. These are usually covered over by your mucous membranes and are painless. They are purplish or red in color.
Occasionally, a person may suffer from both types of piles at once.
Piles can be prevented by consuming lots of vegetables and fruits. Consume food which is fibrous, and limit how often you eat crab, shrimp, and other types of meat. Eat and drink regularly and on a schedule, and always drink enough water. Maintaining regular bowels is critical, so if you are experiencing constipation, seek treatment quickly.
Hemorrhoids are most often caused by straining of the bowels due to difficult bowel movements, heredity, pregnancy, aging, persistent constipation, and diarrhea. Most people will have experienced hemorrhoids by the time they turn 50, and both sexes are likely to experience them.
Your doctor will diagnose external hemorrhoids by asking a few questions and then giving you a check-up. Your doctor may suggest you undergo some tests to properly diagnose you with hemorrhoids. If you have bloody stool, then you need to visit your doctor for an examination and correct diagnosis. Bleeding may be a sign of other disorders of the digestive system like colon and rectal cancer.
When external hemorrhoids bleed, the blood can buildup and create a painful lump. This lump is referred to as a clotted or thrombosed, hemorrhoid.
Most hemorrhoid cases are treated by minimizing the symptoms, decreasing pressure by adding fiber and fluids to the diet and eliminating bad bowel habits.
To treat external hemorrhoids, you can apply an ice pack to the affected area, soak in a warm bath a few times each day, use a stool softener, take medication to relieve the burning and itching, and add more fiber and fluids to your diet.
Internal hemorrhoids seldom cause any pain or itching, nor can you feel them as they are usually deep inside the rectum. While internal hemorrhoids are mostly harmless, any bleeding from them might be covering up blood from a more dangerous problem such as colon cancer, so treatment of them is advised.
Internal hemorrhoids usually occur from hard stool rubbing against them and causing a rupture, which results in blood on the stool, toilet paper, even red blood in the toilet bowl.
There’s also the possibility of internal hemorrhoids “prolapsing,” or being pushed outside the anal opening. There are rare occasions when the sphincter muscle can start to spasm and end up trapping the prolapsed hemorrhoids outside the anus.
This situation ends up cutting off the blood flow and circulation to the strangulated hemorrhoids. Both strangulated and prolapsed hemorrhoids are always considered to be serious, and require medical attention immediately.
Any amount of bleeding from the anus needs to be checked by your doctor, as there’s always the possibility of cancer or other serious medical conditions.
Waiting when “nature calls,” can end up causing your stool to harden or dry out, which causes difficulty in passing it. You also want to avoid having to strain, as well as spending time just sitting (and reading) on the toilet.
Under normal circumstances, it should only take 2 to 5 minutes for your stool to pass. After the urge is gone, wash the anus well, and leave the bathroom; try to maintain an active lifestyle as that will reduce pressure on those veins and keep you from being constipated.
Remember that standing or sitting for long periods of time can also add to the pressure of hemorrhoidal veins. Remind yourself to get up and move around for regular breaks to prevent hemorrhoids from developing.
Warning signs and symptoms of piles:
The pain associated with straining for stool is a common symptom of external piles.
There may even be some bleeding, possibly even profuse bleeding when the sufferer is pressing for stool.
Swelling can be felt around the anal orifice in the case of external piles; with internal piles, swelling cannot initially be felt. Initially, the piles will protrude during extrusion of stool and then retreat back into the anus. As the condition progresses, the piles which have protruded no longer retreat into the anus.
There may also be mucus discharge and itching around the anus related to having piles.
Pile is a familial disease that only occurs in animals who maintain an erect posture. This is due to gravity causing congestion in the veins of the rectum and anus. For those who suffer from chronic constipation, piles are very common. Those who have a frequent urge for stool and spend a lot of time visiting the toilet are also at risk for developing piles.
Another way to get piles is to take in an excess of spicy food, prawns, chicken, or similar things. Because of the uterus causing compression of rectal veins during pregnancy, many ladies develop piles during pregnancy. Another reason for the development of piles is rectal cancerous lesions obstructing the flow of blood in the area.
Bleeding piles, also known as hemorrhoids, are blood vessels in the rectum that have expanded due to excessive pressure. This can be a hereditary condition, so there are some people who will have more of a propensity toward getting them than others.
There are common causes of bleeding piles developing: sitting in one position without getting up for a long period of time, lifting things that are too heavy, constipation (having to strain to have a bowel movement while sitting too long on the toilet), and childbirth. Be aware if you are seeing blood, this can indicate a ruptured pile and an immediate remedy is required.
There are several symptoms associated with bleeding piles. Itching is usually one of the first signs of piles. Additional symptoms might include discomfort, burning sensations, and extreme pain. You may not have any symptoms with internal piles until you notice bleeding. As soon as there is any bleeding the condition must have immediate treatment.
One effective remedy for bleeding piles is mango seeds. During the mango season the seeds are collected and dried in the shade, then they are powdered and stored for use as a medicine. This powder is given in doses of one and a half to two grams twice daily, and can be taken with or without honey.
Jambul fruit or blackberry fruit is also considered another effective remedy for bleeding piles. If using fresh fruit, it should be consumed along with salt each morning for two-three months while in season. Using the blackberry fruit this way during each season assures you of a complete cure as well as saving you from bleeding piles for the rest of your life.
Piles operation (Surgery) is always an option for treating hemorrhoids and might be done by laser or traditional means. While surgery offers a higher success rate than less invasive procedures, it also can be much more painful and often requires longer recovery time. Surgery usually requires a short time in the hospital, and you may deal with complications like fever, colonic bleeding, and possible infection and the formation of pus.
You might be looking at six weeks of recovery and distress due to this process. However, there are other treatment options that are not as harsh, such as elastic band litigation (tying off the blood supply), as well as cauterization. While these particular procedures don’t stop piles from happening. They do cut off blood supply and cause them to wither and die off.
Since the hemorrhoids are only an indication that your blood vessels in the rectum are weak, there is seldom a guarantee that they won’t develop again. Even though suppositories, surgery, and creams can relieve the symptoms, it might be better to work on strengthening the vascular circulation in that area with lifestyle changes and herbal remedies.
An example of this would be if you eat a low fiber diet and consume a lot of alcohol, this situation would need to be addressed.
There are some people who have a family history of vascular weakness, or a job where they have to stand a lot – this presents challenges.
Don’t be in any hurry to choose just one treatment. Have a conversation with your doctor about referring you to a proctologist or other specialist so you can find out what your various options are. Be sure to ask which options they have performed most often, how many they’ve done, and have they been successful.