.....Proven Solution to Pile (Haemorrhoids).....
Piles (haemorrhoids) are swellings that develop inside and around the back passage (anus). Symptoms range from temporary and mild, to persistent and painful. In many cases, piles are small and symptoms settle down without treatment. If required, treatment is usually effective. There are various treatment options, detailed below.
What are piles (haemorrhoids)?
Piles are swellings that can occur inside and around the back passage (anus) and the anal canal.
The anal canal is the last part of the large intestine and is about 4 cm long. At the lower end of the anal canal is the opening to the outside (usually referred to as the anus), through which stools (faeces) pass. At the upper end, the anal canal connects with the rectum (also part of the large intestine).
There is a network of small veins (blood vessels) within the lining of the anal canal. These veins sometimes become wider and engorged with more blood than usual. The engorged veins and the overlying tissue may then form into one or more small swellings called piles.
What are the different types of piles (haemorrhoids)?
Internal piles are those that form above a point 2-3 cm inside the back passage (anus) in the upper part of the anal canal. Internal piles are usually painless because the upper anal canal has no pain nerve fibres. External piles are those that form below that point, in the lower part of the anal canal. External piles may be painful because the lower part of the anal canal has lots of pain nerve fibres.
The terminology can be a little confusing - you would have thought that external piles would mean outside of the anal canal (and so outside of the anus) but this is not always the case. There are external piles that are actually inside the anus. Internal piles can also enlarge and drop down (prolapse), so that they hang outside of the anus.
Some people develop internal and external piles at the same time.
Internal piles can be classified into grades 1 to 4 according to their severity and size:
• Grade 1 are small swellings on the inside lining of the anal canal. They cannot be seen or felt from outside the anus. Grade 1 piles are common. In some people they enlarge further to grade 2 or more.
• Grade 2 are larger. They may be partly pushed out from the anus when you go to the toilet, but quickly spring back inside again.
• Grade 3 hang out from the anus when you go to the toilet. You may feel one or more as small, soft lumps that hang from the anus. However, you can push them back inside the anus with a finger.
• Grade 4 permanently hang down from within the anus, and you cannot push them back inside. They sometimes become quite large.
What causes piles (haemorrhoids)?
The exact reason why the changes in the veins within the lining of the anal canal occur and lead to piles forming is not clear. Some piles seem to develop for no apparent reason. However, it is thought that an increased pressure in and around the back passage (anus) and anal canal can be a major factor in many cases.
About half the people in the UK develop one or more piles at some stage. Certain situations increase the chance of piles developing:
• Constipation: passing large stools (faeces), and straining at the toilet. These increase the pressure in and around the veins in the anus and seem to be a common reason for piles to develop.
• Pregnancy: Piles are common during pregnancy. This is probably due to pressure effects of the baby lying above the rectum and anus, and the affect that the change in hormones during pregnancy can have on the veins.
• Ageing: The tissues in the lining of the anus may become less supportive as we become older.
• Hereditary factors: Some people may inherit a weakness of the wall of the veins in the anal region.
• Other causes include heavy lifting and persistent (chronic) cough.
What are the symptoms of piles (haemorrhoids)?
Symptoms can vary. Sometimes no symptoms may be present and a person may not realise that they have piles.
The most common symptom experienced is bleeding after going to the toilet to pass stools (faeces). The blood is usually bright red and may be noticed on the toilet tissue, in the toilet pan or coating the stools.
A haemorrhoid can hang down (prolapse) and can be felt outside the back passage (anus). Often, it can be pushed back up after you have been to the toilet. However, more severe piles remain permanently prolapsed and cannot be pushed back up inside.
Small internal piles are usually painless. Larger piles may cause a mucous discharge, some pain, irritation and itch. The discharge may irritate the skin around the anus. You may have a sense of fullness in the anus, or a feeling of not fully emptying your back passage when you go to the toilet.
A possible complication of piles that hang down is that they can 'strangulate' (the blood supply to the haemorrhoid can be cut off). This can be intensely painful. Another possible complication is a blood clot (thrombosis) which can form within the haemorrhoid. This is uncommon, but again causes intense pain if it occurs. The pain usually peaks after 48-72 hours and then gradually goes away over 7-10 days.
How are piles (haemorrhoids) diagnosed?
If you think that you may have piles, or have bleeding or pain from your back passage (anus), you should visit your doctor.
Piles are usually diagnosed after your doctor asks you questions about your symptoms and performs a physical examination. The examination usually includes an examination of your back passage. Wearing gloves and using a lubricant, your doctor will examine your back passage with their finger to look for any signs of piles or other abnormalities.
Sometimes, if your piles are not obvious after an examination of your back passage, your doctor may suggest a further examination called a proctoscopy. In this procedure, the inside of your back passage is examined using an instrument called a proctoscope. A proctoscope is a short, hollow tube that has a light at one end and allows the doctor to see the lining of your back passage, and any piles, more clearly.
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