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Piles.

Piles, also known as hemorrhoids, are swollen veins in the lower rectum and anus. They can develop internally inside the rectum (internal hemorrhoids) or externally under the skin around the anus (external hemorrhoids). Piles are a common condition and can occur due to various factors, including straining during bowel movements, chronic constipation or diarrhea, prolonged sitting or standing, obesity, pregnancy, and aging.

Here are some key points to describe piles diseases:

  • Symptoms: Piles can cause a range of symptoms, including:

    Rectal bleeding, typically during bowel movements, which may appear as bright red blood on toilet paper or in the toilet bowl.

    Itching or irritation in the anal area.

    Pain or discomfort, especially during bowel movements.

    Swelling or lumps around the anus.

    Leakage of feces or mucus.

  • Types: Piles are classified based on their location and severity:

    Internal Hemorrhoids: These occur inside the rectum and may not cause any noticeable symptoms unless they prolapse (protrude) outside the anus during bowel movements.

    External Hemorrhoids: These form under the skin around the anus and can be painful, especially if they develop blood clots (thrombosed hemorrhoids).

  • Causes: Piles develop when the veins in the rectum or anus become swollen or inflamed. Factors that increase the risk of developing piles include:

    Rectal bleeding, typically during bowel movements, which may appear as bright red blood on toilet paper or in the toilet bowl.

    Itching or irritation in the anal area.

    Pain or discomfort, especially during bowel movements.

    Swelling or lumps around the anus.

    Leakage of feces or mucus.

  • Symptoms: Piles can cause a range of symptoms, including:

    Straining during bowel movements.

    Chronic constipation or diarrhea.

    Sitting or standing for prolonged periods.

    Obesity or being overweight.

    Pregnancy and childbirth.

    Aging, as the tissues supporting the veins weaken over time.

  • Diagnosis: Diagnosis of piles is usually based on a physical examination of the rectum and anus. In some cases, additional tests such as anoscopy, sigmoidoscopy, or colonoscopy may be recommended to evaluate the extent of the condition or rule out other potential causes of symptoms.
  • Treatment: Treatment for piles depends on the severity of symptoms and may include:

    Lifestyle modifications, such as increasing fiber intake, staying hydrated, and avoiding straining during bowel movements.

    Topical treatments, such as over-the-counter creams or suppositories to relieve itching, pain, and swelling.

    Sitz baths, which involve soaking the anal area in warm water to alleviate discomfort and promote healing.

    Procedures to remove or shrink piles, such as rubber band ligation, sclerotherapy, infrared coagulation, or surgical removal (hemorrhoidectomy) for severe cases.

  • Prevention: To prevent piles or reduce the risk of recurrence, individuals can:

    Maintain a high-fiber diet to promote regular bowel movements and prevent constipation.

    Stay hydrated by drinking plenty of fluids.

    Avoid straining during bowel movements.

    Practice good anal hygiene, such as gently cleaning the anal area with moist wipes or a bidet instead of harsh toilet paper.

    Exercise regularly to improve circulation and bowel function.