PILES, are very common in Nigeria as studies have shown that 1 of every 10 Nigerians suffer pile . According to Medical news today, Piles are hemorrhoids that become inflamed. Hemorrhoids are masses, clumps, cushions of tissue in the anal canal – they are full of blood vessels, support tissue, muscle and elastic fibers. Hemorrhoid, small swelling, occurring in or around the rectum or at the anus, caused by enlargement of the superficial vein. Although hemorrhoids are thought of as unpleasant inflammations, we all have them. It is when the hemorrhoidal cushions become too big (inflamed) that problems occur – when this happens they are called piles or pathological hemorrhoids.
Types of pile?
Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus).
Typically, internal piles occur from 2 to 4cm above the opening of the anus.
External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.
What are the signs and symptoms of piles?
In most cases piles are not serious and go away on their own after a few days. An individual with piles may experience the following symptoms
• A hard lump may be felt around the anus. It consists of coagulated blood, called a thrombosed external hemorrhoid. This can be painful
• After going to the toilet, a feeling that the bowels are still full
• Bright red blood after a bowel movement
• Itchiness around the anus
• Mucus discharge when emptying the bowels
• Pain while defecating
• The area around the anus may be red and sore.
Internal hemorrhoids are classified into four grades;
• Grade 1 – there are small inflammations, usually inside the lining of the anus. They are not visible
• Grade 2 – larger than grade 1 hemorrhoids, but also inside the anus. When passing a stool, they may get pushed out, but return unaided
• Grade 3 – often called ‘prolapsed hemorrhoids’; these appear outside the anus. The patient may feel them hanging out. They can be pushed back in if the patient presses with their finger
• Grade 4 – these cannot be pushed back in and need to be treated by a doctor. They are large and stay outside the anus all the time.
External hemorrhoids are called perianal hematoma.
These are small lumps that are located on the outside edge of the anus. They are very itchy and can be painful if a blood clot forms inside (thrombosed external hemorrhoid). Thrombosed external hemorrhoid requires medical treatment straight away
Why do piles occur?
The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge. Inflamed veins (hemorrhoids) can develop when pressure increases in the lower rectum. This may be due to:
• Chronic constipation
• Chronic diarrhea
• Lifting heavy weights
• Pregnancy
• Straining when passing a stool.
The tendency to develop hemorrhoids may also be inherited. The risk of developing piles grows with age.
Diagnosing piles
A doctor can usually diagnose piles after carrying out a physical examination, examining the patient’s anus.
The doctor may ask the following questions:
• Do any close relatives (parents, siblings) have piles?
• Has there been any blood on the stools?
• Has there been any mucus on the stools?
• Has there been any recent weight loss?
• Have bowel movements changed recently?
• What color are the stools?
For internal hemorrhoids, the doctor may perform a digital rectal examination (DRE) or use a proctoscope – a hollow tube fitted with a light. The proctoscope allows the doctor to see the anal canal and take a small tissue sample from inside the rectum, which can be sent to the lab for analysis.
If the physician is presented with signs and symptoms which may suggest another digestive system disease, risk factors for colorectal cancer, and some other factors, he/she may recommend ordering an examination of the colon using colonoscopy.
Complications associated to piles
Anemia – hemorrhoids can sometimes cause long-term blood loss, which may lead to anemia.
Stangulated hemorrhoid – the blood supply to an internal hemorrhoid is cut off, causing severe pain, and even gangrene (death of tissue).
What are the treatment options for piles?
In the majority of cases, piles resolve on their own without the need for any treatment; effectively treated with over-the-counter medications, a good fluid intake, and by following a diet high in fiber. In severe cases, the piles may have to be surgically removed. About 10% of patients who go and see their doctor about piles eventually require surgical intervention.
In the majority of cases,. Treatments can help significantly reduce the discomfort and itching that many patients experience. It can be by orthodox and Alternative medicine treatment.
A good doctor will initially recommend some lifestyle changes.
Diet – piles can be caused by too much straining when doing bowel movements, which is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or switching your cereal breakfast to bran.
Water is the best drink, and the patient may be advised to increase his/her water consumption. Some experts say too much caffeine is not good.
Body weight – if the patient is obese, losing weight may help reduce the incidence and severity of hemorrhoids.
Simple things you can do yourself to help prevent piles:
• Try not to strain when you go to the toilet
• Avoid laxatives
• Exercise.
Ointments, creams, pads and other OTC medications – there are some over-the-counter (OTC) medications which help soothe the redness and swelling around the anus area. Some of them contain witch hazel, hydrocortisone, or some other active ingredient which can relieve symptoms of itching and pain. It is important to remember that they do not cure piles, they only treat the symptoms. Do not use them for more than seven consecutive days – longer periods may irritate the anus area and cause skin thinning. Unless advised to by your doctor, do not use two or more medications simultaneously.
Alternative Medical treatment combinations from either
Greenlife Herbal Network or Ng4L has highly effective products to cure piles, namely,
Heam pill, Double Ginseng , Kordy and Alovera.
