Understanding Piles (Haemorrhoids)

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Gastroenterology

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Last updated: Mar 24, 2025

What Are Piles?

Piles, or haemorrhoids, are swollen blood vessels that form in and around the anus and lower rectum. They can be:

  • Internal: Located inside the rectum
  • External: Visible around the anal opening

Common Symptoms

  • Bright red blood during bowel movements
  • Itching around the anal area
  • Pain or discomfort, especially when sitting
  • Lumps near or around the anus
  • Mucus discharge after passing stools

Risk Factors

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Pregnancy and childbirth
  • Age (more common over 50)
  • Family history
  • Obesity
  • Heavy lifting

Treatment Options

Self-Care Measures

  • Increasing fiber intake
  • Maintaining good hydration
  • Regular exercise
  • Avoiding straining during bowel movements

Medical Treatments

  1. Topical Treatments

    • Over-the-counter creams and ointments
    • Witch hazel pads
    • Local anaesthetic treatments
  2. Procedural Options

    • Rubber band ligation
    • Sclerotherapy
    • Infrared coagulation
    • Surgical removal (hemorrhoidectomy)

Prevention

  • Eat a high-fiber diet
  • Exercise regularly
  • Don't delay bowel movements
  • Avoid sitting for long periods

When to Seek Medical Help

  • Persistent bleeding
  • Severe pain
  • Iron deficiency anemia
  • Failed home treatments

Complications

  • Blood clots
  • Chronic bleeding
  • Infection
  • Strangulation of hemorrhoid tissue

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