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PILES (HEMORRHOIDS) Overview

What are Piles (Hemorrhoids)?



 Piles also known as hemorrhoids are normal part of the anal canal and have important role for continence of stools unless there is some abnormality associated with them. Piles are inflammed and swollen veins of the anal canal along with supportive tissue and elastic fibre as they are part of the anal sphincter. The size of the piles may vary. 

Hemorrhoids or piles are swollen veins in the anus and lower rectum which may result from straining while passing stool or during pregnancy also due to increased pressure in these veins.

 Types of piles:

There are two anal sphincters viz. internal and external. Hemorrhoids may be located inside the rectum known as internal piles or may develop under the skin around the anus  known as external hemorrhoids. Occasionally a clot may form in the external hemorrhoids known as thrombosed piles.

Internal piles: internal piles (around internal anal sphincter) are usually painless but usually bleed when they are irritated (by passage of hard stool). they can be of four grades.

Grades of internal piles:

Grade I - In grade I piles, there is just swelling of veins but no protrusion or prolapse of veins. Thus there is prominence of veins only.

Grade II - In grade II piles, the veins prolapse or protrude only on bearing down which reduce spontaneously on removal of pressure.

Grade III - In grade III piles, the veins are protruded on bearing down but don't reduce on their own and has to be pushed back manually.

Grade IV - In grade IV piles, the prolapsed veins can't be reduced even manually.

External piles: external piles are swelling of veins present outside the anus which may be painful sometimes and don't bleed usually. Common symptoms are irritation and itching.

 

Risk factors for developing piles are:

  • Chronic constipation
  • Chronic diarrhoea
  • During pregnancy
  • Heavy weight lifting
  • Prolonged straining for stool
  • Inactive lifestyle
  • Obesity
  • Low fibre diet
  • Family history of piles

 

 

Check More About PILES (HEMORRHOIDS)

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Jyoti Singh

Dr. Jyoti Singh

Dr Jyoti is Homeopath in Saket. She graduated from Asia no. 1 college Nehru Homoeopathic Medical College and chose counseling psychology as her stream for masters. She take her work as meditation. In order to give the patient true sense of cure she love to be with patients for ample time so that she can be in their shoes to understand their true state, which helps her to cure the patient.

Deepa Khatri

Dr. Deepa Khatri

Dr Deepa Khatri completed her BHMS from Nehru Homeopathic Medical College and did post graduation in Clinical Psychology. She is one of the best homeopath in Delhi based out of Saket. She is also Skilled in person-centered Therapy, Interventions, and Mental Health Counseling for Teenagers, Adults, and Couples. Helped thousands of people in India and Abroad via Online and Face to Face counselling Sessions.

Sumit Munakhia

Dr. Sumit Munakhia

Dr Sumit Munakhia Graduated in homeopathy from Delhi University. He is a board certified licensed homeopath. Presently he is practicing in South Delhi, Saket since 10+ years. He is registered as a medical practioner with Delhi homeopathic board and central council of homeopathy, Govt. of India. He is also DNHE which is a diploma in dietetics & nutrition. He got interested in homeopathy and chose it as his life journey after reading books by Dr. George Vithoulkas who is revered by physicians all around the world. Since 2004 he has been extensively studying medicine and has an excellent academic record.

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