Piles | Haemorrhoids | Bawasir | Bleeding in stools | Blood Pain while passing motion | Treatment

STAR Hospital - Region's First Internationally Certified Super-Specialist Centre for Bariatric Surgery | Weight Loss Surgery | Metabolic Surgery | Diabetes Surgery Dr. Jasmeet Singh Ahluwalia (MS, FNB-MAS, FBMS) Super-Specialist Bariatric, Metabolic & Advanced Laparoscopic Surgeon Star Hospital 265, Near Guru Nanak Mission Chowk, Lajpat Nagar, Model Town Jalandhar, Punjab 144001 Helpline: +91-9888958889 Website: http://drjasmeetahluwalia.com YouTube channel :    / drjasmeetsinghahluwalia   Facebook page:   / drjasmeetahluwalia   Google Map Link - Dr Jasmeet Singh : http://location.drjasmeetahluwalia.com Star Hospital : http://location.thestarhospital.com Appointment: 0181-4674888 For International Patients- Tour planning & help in medical visa Airport pickup and drop Deluxe Suit Local accomodation Long term followup from India Hemorrhoids (know as “Piles” commonly) are nothing but enlarged veins in anus and or lower rectum. • Internal Hemorrhoids: When they develop inside the rectum • External Hemorrhoids: When they develop under the skin around anus Haemorrhoids is a very common condition and fortunately is not a difficult condition to treat. Symptoms External hemorrhoids • Bleeding – Fresh blood usually while or after passing stools. May be painful or painless • Swelling around anal area • Itching • Pain or discomfort • Internal hemorrhoids • Painless fresh bleeding while passing stools. • If they become very big, they may come out of anal opening. Thrombosed hemorrhoids This means blood clot has formed in external piles. It results in: • Severe painful swelling at rim of anus Cause Exact cause may not be apparent in every patient but some of the possible causes are: • Prolonged diarrhea or constipation • Straining while passing stools • Obesity • Pregnancy • Eating a low-fiber diet • Advanced age Complications Left untreated, piles can lead to: • Anaemia • Strangulated hemorrhoid. If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be "strangulated," which can cause extreme pain • Blood clot – Thrombosed haemorrhoid as described above Prevention The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow these tips: • Pass stools as soon as you get an urge to do so – Do not wait • Eat high-fiber foods • Drink plenty of water • Exercise • Avoid prolonged sitting Diagnosis External hemorrhoids may be visible just by looking but for internal – doctor needs to see inside: • Digital examination. But inserting finger inside. • Proctoscopy- Because internal hemorrhoids are often too soft to feel a small instrumented is inserted to see them. • Sigmoidoscopy or Colonoscopy – In some cases if there is a doubt of another disease being present as well. Treatment External hemorrhoid thrombectomy If a painful blood clot (thrombosis) has formed within an external hemorrhoid, your doctor can remove the hemorrhoid, which can provide prompt relief. This procedure, done under local anesthesia, is most effective if done within 72 hours of developing a clot. Minimally invasive procedures For persistent bleeding or painful hemorrhoids treatment is indicated Rubber band ligation. Small rubber bands can be placed at base of internal haemorrhoids to cut off their blood supply and thereby making them shrink. Bands fall off within a week or two. This is a painless office procedure. • Injection (sclerotherapy). A chemical is inserted into haemorrhoid to shrink it. This method is now less popular as it is less effective than band ligation. • Coagulation (infrared, laser or bipolar). Coagulation techniques use laser or infrared light or heat. They cause small, bleeding internal hemorrhoids to harden and shrink. Surgical procedures Only a small percentage of people with hemorrhoids require surgery. However, if other procedures haven't been successful or you have large hemorrhoids, your doctor might recommend one of the following: • Hemorrhoid removal (hemorrhoidectomy). Excessive tissue along with enlarged blood vessels is removed. This is the most complete way of treatment but leads to post operative discomfort which can be relieved with medication and hot water bath. • Hemorrhoid stapling. This procedure, called stapled hemorrhoidopexy, blocks blood flow to hemorrhoidal tissue. Since it is fired in non pain sensitive tissue, it results in very less discomfort after surgery and blood loss is also less. Transanal Hemorrhoidal Artery Ligation It involves the use of a proctoscope that allows the insertion of a Doppler transducer through it. Arterial branches are identified by means of the Doppler device and ligated with an absorbable suture. In the case of grade III or IV hemorrhoids, a mucopexy is also performed to prevent prolapse. #PilesHaemorrhoids #TreatmentSurgery #LaserStaplerModernSurgery