Mayo Clinic Healthy Living,” and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. 1998-2018 Mayo Foundation for Medical Education and Research. Hemorrhoids or Piles as is generally known is a very common disease. Piles or Hemorrhoids are actually, distended veins in the anal canal. Veins tend to stretch under pressure. When veins in the lower part of the rectum or anus stretch, swell or descend in to the anal canal, i. The set of veins inside the rectum when distended result in internal hemorrhoids and the set of veins under the skin around the anus when distended result in External Piles. Some other factors also contribute to the prolepses of the veins.
They are long standing constipation, leading to straining while passing stool, pregnancy, weakening of the muscles supporting the veins due to ageing etc. One may also have a hereditary tendency to develop piles. If you have any of the following symptoms you are probably suffering from Hemorrhoids- Piles. As described earlier, hemorrhoids develop because of increasing pressure in the veins of the lower part of the rectum and anus. In this stage the patient will have no mass protruding from the anus. Second degree Hemorrhoids: The mass protrudes out of the anus, but only during defecation. The hemorrhoidal mass returns into the anal canal spontaneously after passing stool as soon as the accompanied straining stops.
Oral medicines, like laxatives, stool softeners etc and local anti inflammatory creams and warm water sits bath can help to reduce the symptoms. However second, third and fourth degree piles can not be cured with just oral treatment. The pressure exerted by the rubber band stops the circulation in the tied off pile mass. Gradually, within seven to ten days, the pile mass falls off. This is comparatively a simple procedure and is usually painless. It is performed under anesthesia or even without anesthesia. Sclero therapy: A chemical solution is injected around the veins of the hemorrhoids.
This treatment is indicated in first to second degree piles. Sclero therapy is not preferred by most surgeons now. Crayo surgery: The affected part is freezed by nitrous oxide or carbandioxide gas. This cuts off the circulation and destroys the pile mass. This is indicated in first to third degree hemorrhoids. This method is now not preferred by most surgeons.
Cauterization: The pile mass is shrunk with the help of bursts of electric current. Indicated in second to third degree piles. This method is not now practice by most surgeons. Infrared photo coagulation: Infra red rays are given to an internal hemorrhoid which cuts off the circulation in it. Some heat may be experienced during the procedure. The pile mass falls off within a few days. Laser therapy: The hemorrhoid mass is vaporized by a laser beam. Using laser beams for surgery is beneficial since it minimizes pain and bleeding.
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