Hemorrhoid Bleed

Piles is often feared as the tumour of the anus. Actually, piles is not tumourous and not dangerous. It is a simple enlarged / engorged blood vessel(s) of the anus. It is

Incidences – Piles is very commonly seen nowadays. Women have higher incidence than men. The reason behind it is not clearly known. It is more commonly seen in adolescent age group and aged persons who all seem to be more tensed. There must be a relation between piles and tension/psychological factors. Its incidences is more common in persons who deviate more from nature in diet, living style and sitting habits. Sufferers are mostly

• Long sitting travellers
• Sedentary workers
• Alcoholics and those who suffer from liver disorders
• One who suffers often from constipation or diarrhoea

Types :- Piles is classified in two ways.

Internal piles – lies inside the anus. Usually internal piles originates from superior haemorrhoidal plexus of the upper part of anal canal and lies above the Hilton’s line..

External piles :- lies outside the anus. External piles originates from inferior haemorrhoidal plexus of the lower part of the anal canal i.e. it lies lower to the Hilton’s line. Primary piles – occurs due to hereditary reason without any causative factor or obstruction

Secondary piles :– occurs in continuation with other diseases or obstruction to portal circulation like liver disorders, portal hypertension due to obstruction, rectal or pelvic tumours, cancer,

Prolapsed piles :–is the piles which gets descend from the place of origin, i.e. internal piles descends to get visualised as external piles.

Symptoms :– Symptoms of piles usually vary according to the type and place of origin. Piles in its initial stages is most commonly found to be without any symptoms. It is often noticed after constipation and abrasions. As said earlier internal piles are usually silent except rarely bleeding, but the external piles mostly produce a lot of suffering/symptoms. Internal piles, when get prolapsed or protruded, produce symptoms like external piles.

The most common symptoms of piles are

• Feeling a lump or discomfort in anus
• Frequent ineffectual urge for stool without passing stool or without satisfaction of complete evacuation. Even after passing stool,
• Bleeding from anus – Mostly pile mass bleed as bright red blood in drops just after defecation, Pinkish or bluish colour swellings protrudes from anus like bunch of grapes
• Pain – Piles mass will usually have a burning or stabbing or throbbing type of pain which often makes the person restless and doesn’t allow them to sit and relax. They may also have a sensation of having thorns or glass pieces in anus while sitting.
• Itching of anus.
• Mucus discharge or oozing/leakage of faecal matter from anus, since anus could not be able to close so tightly due to pain.
• Strained and frequent urination due to irritability of anus with the contact of expanding, filling bladder.
• Prolapsed or protruded piles often become thrombosed and become hard tender external mass.

Diagnosis – Piles can be easily diagnosed by examination of the anus with finger palpation and proctoscope. The prolapsed internal piles and external piles are easily visible and can be diagnosed on the spot. Sentinal piles – a natural skin tag/knot which guards the extension of fissure – is often misunderstood as pile mass by many patients.

MANAGEMENT : Take rest and avoid long walks, long distance travelling and cycling

• Take plenty of water and follow regular bowel habits to avoid constipation and strain
• Use Indian style toilets since squatting position will be a better position for pain and natural defecation
• Follow hygienic measures in cleaning and caring
• Pass stool twice a day to avoid dry hard stool and strain to rectum and anus
• * Never suppress an urge. Go for stool whenever there is a call since it is passed on easily
• Don’t strain to evacuate hard faecal matter. Take time in toilet for a natural descend or try enema or stool liquefiers. It is better to have semisolid stool for easy defecation
• Take proper treatment for cause of pile mass, if it is of secondary to any other disease
• Sitz bath – Before passing stool, sit in a shallow bath tub of warm water for 10-15 minutes to relieve the anal spasm and relaxation of anal sphincter. This method also pacifies all painful anal conditions
• Ice application is advised, when there is constant bleeding
• Take easily digestible, simple cooked foods. Avoid spices and chillies

Haemorrhoidectomy – Removal of pile mass by surgery surgery. Allopathy usually considers piles as a surgical complaint and treats it mostly with surgery even for painless piles. Patients, also with the fear of getting cancer or tumours, opt for removal..

Homeopathic : Homeopathy medicines :commonly used in case of piles are Acid Nit, Aconite, Aesculus Hip, Aloes, Apis mel, Bryonia, Calc carb, Calc Phos, Capsicum, Carboveg, Causticum, Chamomilla, Collinsonia, Graphites, Hamemelis, Hepasulf, Hypericum, Ficus.R, Ignatia, kali carb, Lachesis, Lycopodium, Mag Phos, Mer cor, Millefolium, Muriatic acid, Nat Sulp, Nux Vom, Paeonia, Phosphorus, Podophyllum, Ratahnia, Silicea, Sulphur, Thuja, etc. These medicines should be taken under the advice and diagnosis of a qualified Homoeopath.

Tags: Bleeding piles burning in rectum colitis fissure and fissure in ano haemorrhoid homeopathy treatment piles piles homeopathy treatment. piles homeopathy treatment with out opretions pilesNo Comments