Piles (Hemorrhoids)

What is Piles / Hemorrhoids?
Piles, also known as hemorrhoids, are swollen veins in the lower part of the rectum and anus. They can cause discomfort, itching, pain, and sometimes bleeding.
How to diagnose Piles? When to consult a doctor?
A doctor can usually diagnose piles by looking at the area around the anus. The doctor may insert a lubricated, gloved finger into your rectum to check for abnormalities. In some cases, a small tube with a light at the end (anoscope or proctoscope) may be inserted into the rectum to visualize internal hemorrhoids. If there is significant bleeding or the doctor suspects other conditions, they may recommend further investigations like a colonoscopy to rule out other gastrointestinal issues such as colorectal cancer or inflammatory bowel disease.
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Symptoms of Piles
- Pain or discomfort during bowel movements
- Itching or irritation in the anal region
- Swelling or a lump near the anus
- Bleeding during bowel movements (bright red blood)
- Mucus discharge after bowel movements
Frequently Asked Questions
Treatment options vary based on severity and may include:
- Lifestyle changes (increased fiber intake, hydration)
- Over-the-counter medications (topical creams, pain relievers)
- Minimally invasive procedures (rubber band ligation, sclerotherapy)
- Surgery (hemorrhoidectomy) for severe cases
While piles are generally not life-threatening, they can lead to complications if untreated, such as severe bleeding or thrombosis (clotted hemorrhoids).
Some effective home remedies include:
- Warm sitz baths
- Applying ice packs to reduce swelling
- Using witch hazel or aloe vera for soothing effects
- Increasing fiber intake through fruits, vegetables, and whole grains