Piles Doctor in Chennai
Piles, also known as hemorrhoids, occur inside and outside the anus, along with the anal canal. They are swollen masses and clumps of tissues filled with blood vessels, elastic fibers, muscle, and support tissue.
Everyone has hemorrhoids. But, when these become too big because of inflammation, the vein walls of the passage becomes thin, irritated and stretched. This causes the development of piles.
Piles can be categorized into four groups:
1. Grade I
They are invisible, small inflammations present inside the anus’ lining.
2. Grade II
Larger than grade I, they are also present inside the anus. However, they might be pushed outside during a bowel movement.
3. Grade III
Also known as prolapsed hemorrhoids, this type is present outside the anus which makes it feel like it is hanging from the rectum. However, they can be re-inserted easily.
4. Grade IV
They are large in size and present outside the anus. They cannot be pushed back in and require medical attention.
Some people are at a higher risk of developing piles than others. The reasons include:
- Poor bathroom habits
- Less fiber in the diet leading to constipation
- Being overweight
- Lack of fiber in the diet
- Straining during bowel movements
- Sedentary lifestyle
- Diarrhea or constipation
- Inadequate fluid intake
- Anal intercourse
- Being overweight
- Constant weight lifting
- Previous bowel surgery
- Spinal cord injury
- Dysfunction of pelvis’ floor
- Bleeding from the anus
- Swelling and lump around the anus
- Itching in the anus
- Pain during bowel movements
- Red and sore anus
- Mucous discharge from the anus
If the doctor suspects piles, a visual examination of your anus will be done to check for piles. A digital rectal exam can also be performed to look for piles inside the anus. To look for internal hemorrhoid, a procedure named Sigmoidoscopy is used in which a small fiber-optic camera is fitted into a small tube and inserted inside the rectum to diagnose piles. There might be some other tests like proctoscopy, colonoscopy, and anoscopy.
- Pain and bleeding during bowel movements
- Poor hygiene around the anal area
- Itchiness in the anal area
- Cutting off blood supply to internal hemorrhoid leads to gangrene
- Grade I and II can be treated with medicine and planned diet. In some cases, a topical cream might also be prescribed.
- Grade III can be treated with a change in diet and some medications. But, if the symptoms are severe, it might also require some surgery.
- Grade IV treatment involves prompt surgery.
- For the external hemorrhoids, ice pack or a hemorrhoid cream is suggested to reduce the welling. However, if symptoms are severe, surgery might be the only way. It includes removal of hemorrhoids, using laser, infrared photo or electrical coagulation to burn the affected tissues or sclerotherapy to remove varicose veins responsible for piles.
- Banding – It is preferred for piles up to stage 3. During this procedure, your doctor will the cut the supply of blood by placing an elastic band surrounding the hemorrhoid.
- Sclerotherapy – This is preferred for Grade 2 and 3 hemorrhoids. During this procedure, medicine is injected into the piles, which helps shrink it.
- Infrared coagulation – This is preferred for grade 1 and 2. During this procedure, a device is used to burn down the piles.