Know your disease

Frequently asked Questions

What are Piles?

Piles is the dilatation of the veins in the anal canal on account of increased pressure in the hemorrhoid plexus of anal canal. These veins becomes dilated and turn in to piles to get out of the anus while passing the stool. Piles may be categorized in to four stages:

Stage 1: Piles remain inside the anus and only bleeding is noticed by the patient and the bleeding is painless. It is it painful, then some other disease such as fissure may also be associated with piles.

Stage 2: Piles come outside the anus during passing the stool and it automatically goes back inside the anus without any effort. There is on and off bleeding.

Stage 3: Piles come outside the anus during motion and it is usually pushed inside the anus by the patients after passing stool. The bleeding is less and prolapse outside is main issue.

Stage 4: Piles permanently come out of the anus and it is inflamed at times and may cause great discomfort to the patient.


How do Piles look?

There are three primary sites, where these piles are usually situated and in some long standing cases more than three piles may also be seen.

This picture demonstrates the grade 4 or stage 4 piles. Let us have a more clear picture of the three sites of Piles

Is there a pain associated with Piles?

Piles can be painful but only in the case of thrombosis or in other words the clot of blood formation in internal or external components. The external blood clot is termed as Perianal hematoma.

What is Perianal Hematoma?

A patient feels suddenly after the act of passing stool that a peanut shaped swelling appears at the corner of the anus. This is hematoma or external piles. 

What are the causes of piles?

 Piles is a lifestyle disease and it occurs on account of some disturbed lifestyle. A few of the causes are mentioned below: 
  • 1. Straining during passing stool
  • 2. Dysentery and Constipation both
  • 3. Multiple times toilet habit
  • 4. Pregnancy
  • 5. Liver disease
  • 6. Lack of fibres in diet
  • 7. Stress and inadequate sleep

Can Piles be managed without surgery?

Absolutely, piles can be managed without surgery by modifications in lifestyle. Piles can be managed by surgical intervention and by modification of lifestyle as well as with the help of some Ayurvedic medicines.

The life style changes can be as –

  • Avoid straining during passing stool
  • Don’t read newspaper or play with mobile in toilet
  • Don’t sit in toilet for more than 5 minutes
  • Take adequate water and fibre in diet.
  • Take fruits and vegetables and avoid liquor and smoking
  • Early to bed and early to rise.
  • Ayurvedic medicines as per need
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