Piles or hemorrhoids are enlarged, bulging blood vessels in and around the anus and lower rectum. The rectum is the bottom section of your colon (large intestine). The tissues supporting the vessels stretch. As a result, the vessels expand, the walls thin and bleeding occurs. When the stretching and pressure continue, the weakened vessels protrude. The two types of hemorrhoids, external and internal, refer to their location.
External (outside) hemorrhoids form near the anus and are covered by sensitive skin. They are usually painless unless a blood clot (thrombosis) forms or they become very swollen.
Thrombosed external hemorrhoids are blood clots that form in an outer hemorrhoid in the anal skin. If the clots are large, they can cause significant pain. A painful anal mass may appear suddenly and get worse during the first 48 hours. The pain generally lessens over the next few days. You may notice bleeding if the skin on top opens.
Internal (inside) hemorrhoids form within the anus beneath the lining. Painless bleeding and protrusion during bowel movements are the most common symptoms. However, an internal hemorrhoid can cause severe pain if it is completely prolapsed. This means it has slid out of the anal opening and cannot be pushed back inside.
Piles (Hemorrhoids) Facts & Stats
- Hemorrhoids are one of the most common condition everyone experiences.
- Millions of Indians currently suffer from hemorrhoids.
- The average person suffers for a long time before seeking treatment for hemorrhoids.
- Advances in treatment methods means some types of hemorrhoids can be treated with very less painful methods than before.
- It has been projected that about 50% of the population would have haemorrhoids at some point in their life probably by the time they reach the age 50, and approximately 5% population suffer from haemorrhoids at any given point of time
Why do you get Piles (Hemmorrhoids)?
The exact cause of hemorrhoids is unknown. A lot of pressure is put on human rectal veins due to our upright posture, which can potentially cause bulging. Other contributing factors include:
- Consistent heavy lifting
- Chronic constipation or diarrhea
- Straining during bowel movements
- Faulty bowel function due to overuse of laxatives or enemas
- Spending long periods of time on the toilet (e.g., reading/mobile usage)
How do you know that you have Piles/Hemorrhoids??
Any of the following may be a sign of hemorrhoids:
- Bleeding during passing stools
- Protrusion of skin during bowel movements
- Itching in the anal area
- Pain in the anal area
- Sensitive swelling in anal area
How are piles (hemorrhoids) diagnosed?
A visual examination of your anus may be enough to diagnose hemorrhoids. To confirm the diagnosis and to check for other parts of rectum and colon, there are different examination like
Treatment for Piles:
• Medication for symptomatic relief.
• Keeping the stools soft to pass easily without any pressure or straining.
• Increase fiber intake and oral fluids.
• Surgery in extreme cases.
What to do before and after surgery?
- Eating a high-fiber diet and taking over-the-counter fiber supplements (25-35 grams of fiber/day) to make stools soft, formed and bulky.
- Avoiding excessive straining to reduce the pressure on hemorrhoids and help prevent protrusion.
- Shortening time on the toilet to only 1 to 2 minutes to help prevent protrusion
- Drinking more water to help prevent hard stools and aid in healing.
- Taking warm tub baths (sitz baths) for 10 to 20 minutes, a few times per day to help the healing process.
Dietary changes for hemorrhoids:
The primary goal of this Indian diet plan for piles is to get strain-free and smooth stools so there is no further damage to the intestines. Include high fiber foods in your daily diet. Add leafy vegetables, whole grain cereals, millets, salads, unpeeled fruits and unstrained soups with your meals.
How does fiber help in hemorrhoids?
- The Roughage in the diet is excreted with the other waste products from the intestines.
- The water-absorbing fiber loosens the stools and helps in easy passage of the body waste a.k.a excreta.
- Thus, this reduces the pain and inflammation caused by hemorrhoids.
What Foods to Eat to Prevent Haemorrhoids and to Reduce Haemorrhoids?
• Green leafy vegetables are high in antioxidants and nutrients thus are good for digestions. Eat plenty of spinach, kale, cabbage, asparagus, broccoli, tomatoes, cauliflower, onions, cucumber, squash, turnips, carrots, celery, and zucchini. Make these Greens an integral part of your diet plan for piles.
• Whole-grain foods with bran cereals alleviate the strain applied while passing stools. Healthy foods like brown rice, oatmeal, bran cereals, whole grain flour, whole wheat pasta or multi-grain bread are good options to include in the diet plan for piles.
• Fresh fruits with skin are high in fiber. The vitamin
, minerals, and nutrients in fruits improve the digestive system function, easing the bowel movement. Include fruits like apples, strawberries, blueberries, raisins, prunes, and grapes. Fruits that can be eaten without skin are papaya, banana, oranges, grapefruit, and muskmelon.
• Sprouts are rich in fiber, vitamin C, proteins and calcium. All these nutrients help to treat hemorrhoids. Consume at least 1 cup of sprouts daily. But don’t eat raw sprouts as they will worsen the symptoms. Eat sprouts in the soft-cooked or steamed or boiled form to avoid irritation to the bowel.
• Consume psyllium husk to relieve constipation and loosen the stools. Psyllium husk is rich in soluble fiber. It makes the stool bulky and reduces the pressure during defecation.
• Drink at least 3 – 4 liters of water daily. Sometimes only fiber or dietary changes do not work. Thus, increasing water intake aids the easy passage of stool, thus relieving constipation.
• Consume probiotics or curd or buttermilk to aid proper digestion. Probiotics not only increase gut immunity and integrity but also fights back with any infection or inflammation. It relives hemorrhoid symptoms.
Dietary home remedies for the treatment of hemorrhoids:
- Eat soaked figs
Soak 3 – 4 dry figs overnight and eat it in the morning. The seeds of figs are a good source of fiber to relieve constipation.
- Foods that are rich in vitamin C, bioflavonoids and vitamin E
Include citrus fruits like orange, lemon, sweet lime in your daily diet.
- White radish juice
Take White radish juice and mix with honey. Make at least 60 – 90 ml mixture. Consume it twice a day for instant relief.
- Carrot Juice
Carrot juice on daily basis relieves constipation and thus relieves piles symptoms.
Try eating Jamun fruit with salt for 2 – 3 months every morning. This helps in smooth defecation and Relief from piles.
- Vitamin B6 supplementation
The List of Foods to Avoid in Piles :
- High carbohydrate and high-fat foods. These foods cause irritation to the bowel and also lead to constipation.
- Meat, fish, eggs to avoid constipation.
- Caffeinated products, like coffee, tea, chocolate aggravate constipation as well as inflammation of the bowel.
- Smoking and alcohol too directly or indirectly affect the gastrointestinal wall health.
- Bakery products made from refined flour, bread, cakes, pastries, pies, and puffs also cause constipation and worsen the hemorrhoids.
- Spicy food causes bowel irritation and burning sensation while defecating. Eliminate chilies from your diet. It worsens the symptoms of hemorrhoids. Also, avoid black pepper.
- Gas-forming foods like lentils, pulses, and dals irritate the bowel. hence use them in a properly cooked form and use 1 or 2 servings at the max in a day. Bloating increases pressure during defecation.
How to Avoid Haemorrhoids:
Apart from eating a fiber-rich diet, one must,
- Involve Moderate intensity exercise like walking for at least 4 – 5 times a week.
- Adopt a ‘squatting’ position to defecate, rather than sitting on a Western-style commode
- Avoid reading while defecating.
Laser Surgery for Piles:
At our centre all patients are treated with Latest Laser surgery.
Laser Proctology is now the standard care for Piles(Hemorrhoids)/Fissure/Fistula/Pilonidal Sinus
Why you should choose Laser Piles Treatment at BariOSS Centre
- Get treated through First Laser Piles Surgeon in Tirunelveli
- Open Surgery is most painful and takes a many days to recover.
- Laser Piles Treatment is the most advanced piles treatment.
- It is an FDA approved treatment.
- It is a Minimal Invasive Surgery , so no cuts & stitches.
- Instant relief from existing pain and symptoms.
- It can be done in with short General Anaesthesia.
- It's only a 30 mins procedure.
- You can resume work the next day after the Laser Piles Treatment.
- No Scar post the laser piles operation.
- Painless surgery without Blood Loss.
- Very minimal pain even after the surgery.
- We have managed to have zero recurrence till date.
– Sitting in warm water (Sitz bath) provides great relief.
– Drink plenty of water to keep you hydrated.
– Try not to exert pressure while passing stools.
– Exercise regularly.
– Do not neglect or feel embarrassed if you have piles. Consult your doctor immediately.
So, just don’t be afraid! Having piles is not the end of the world. There is no miracle fix. But, yes knowing what you need to know is surely going to help!
Please leave your queries in the comment or contact space and we will get right back to you with solutions.