What is Piles?
The condition in which the blood vessels in and around the anus and lower rectum get swollen and inflamed is called piles. Sometimes the passing bowel movements irritate and stretch the vein walls, which lead to their swelling.
The symptoms are:
- Anal bleeding (bright red colour)
- Pain or tenderness during defecation
- Hard lump close to the anus
- Itching of the anus
- Mucous discharge from the anus
What causes Piles?
- Piles (haemorrhoids) can affect anybody after a certain age. Piles are observed more frequently among older people and during pregnancy.
- Excessive abdominal pressure may lead to the swelling of the veins, which in turn can cause piles.
- Obesity, sitting for a long time, pregnancy, excessive straining during defecation, heavy strenuous physical activity, coughing, and sneezing may be the reasons for the extreme pressure that can lead to piles.
- Risk of piles increases in the population that fancies processed foods diet.
What are the treatment options for Piles?
A general practitioner can be consulted or treatment can be availed from the pharmacies. There are creams that help reduce the swelling and ease the pain.
Warm bath for around 15 minutes in a day for quite a number of times can treat piles.
Pain can be relieved by taking painkillers.
Laxatives can be used in case you are suffering from constipation
Injection can be given which may cease the haemorrhoid to a considerable extent.
Rubber-band ligation can also used to remove prolapsed haemorrhoids to close off its blood supply thoroughly.
The end of the haemorrhoid can be sealed off by using laser or an electric probe.
Very painful internal haemorrhoids can be treated by surgery called haemorrhoidectomy.
What are the surgical options for treatment of Piles?
Haemorrhoidectomy is performed where incisions are made around the anus in order to cut the haemorrhoids away. Local or general anaesthesia may be given during the surgery.
An invasive procedure is often performed to let the haemorrhoid slip out of the anal canal. The blood supply of the haemorrhoid is cut off by a procedure similar to stapling. This process is less painful and the recovery is quicker while the complications are minimal.
Rubber band ligation
A chemical is injected that leads to the shrinking of the haemorrhoid. This process is known as sclerotherapy.
Which doctors perform Piles surgery?
Consult a general physician first.
In case a surgery is needed you shall be referred to either a general surgeon or a gastroenterologist.
Who is a candidate for Piles surgery?
A candidate who is suffering from the following conditions for a prolonged period of time.
- Substantial bleeding
- Incapability to urinate
- Incapability to defecate
What are the preparations for Piles surgery?
You may have to discontinue any medications that can cause bleeding during the week prior to the surgery. Such medications may include pain-relievers and any blood thinning medication.
You will have to perform bowel-prep a day before the surgery that may include drinking a solution to clear your system of stools or you might have to perform an enema (a kind of fluid that is injected to the lower bowel) on yourself.
The risks of the surgery will be discussed with you by your doctor and questions will be answered. The queries will include questions regarding the type of anaesthesia is used and so on. The risk factor will depend on your overall health status.
What are possible risks and complications of Piles surgery?
- Anaesthesia reaction
- Trouble urinating
- Pain in the anal sphincter and inconsistent defecation
What is the recovery time after Piles surgery?
- Around 2 weeks post-surgery
- In some cases full recovery might require 6 weeks
What are the precautions after Piles surgery? What can be done to prevent Piles occurring again?
- Keep your stools soft so that they can be excreted easily
- Keep a high fibre diet
- Have plenty of fluids
- Take supplements like Citrucel or Metamucil
What is the cost of Piles Surgery?
- Sclerotherapy will cost around Rs 1000 to 3000
- Surgery can cost between Rs. 10000 to Rs.20000
- Stapler will cost around Rs 12000