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Piles
or hemorrhoids are nothing but swollen and inflamed veins
present inside the internal regions of the penis or the rectum.
As a result there may be simmering pain whenever there is a
strain on that particular part which is infected. There might be
several reasons for the development of enlarged veins. One of
the reasons being the flow of blood through the veins slowing
down or due to any obstruction caused similar to the case of
varicose veins in the legs. Another theory is that hemorrhoids
are caused due to very high pressure in the veins which is
humans tend to remain upright unlike other species. However some
people might have more of a tendency to suffer from hemorrhoids
as compared to others.
Some of the common reasons considered
to be a factor for hemorrhoids include
1. Genetic factors
2. Pregnancy
3. Age
4. Obesity
There are two types of hemorrhoids
depending on the place where it is located
1. Internal hemorrhoids:
internal hemorrhoids are the most difficult kind of hemorrhoids
to detect because they are not visible to the naked eye .also
they are relatively painless. The only significant difference
might be found during the emission of stool. This is because
strain caused by emission of stool might lead to injury on the
delicate surface of the hemorrhoids causing it to bleed. As a
result of this you might notice red blood on your toilet tissue
or in the toilet bowl
2. External hemorrhoids:
this kind of hemorrhoids are far more painful than the internal
hemorrhoids this is because in internal anal membranes lack pain
sensitive nerve fibers but our external surface has a very
sensitive pain nerve fiber. Often blood may pool in an external
hemorrhoid and form a clot (thrombus), causing severe pain,
swelling and inflammation.
Treatment
Treatment of hemorrhoids is at different levels .treatment
depends on varied factors like the intensity of the complication
and also the place where the hemorrhoids is. If the pain is very
nominal you can treat it with over the counter medications,
ointments or pads containing some kind of anti inflammatory
agent along with daily warm baths. But if the pain is too much
of a problem and you are not being able to treat it with off the
counter medications you might need to see a doctor and might
even need a surgery. If there is a blood clot in an external
hemorrhoid it can easily be removed with a simple incision which
provides for instant relief.
Some
common procedures include
Banding hemorrhoids: in this
method the doctor places one or two rubber bands along the base
of the internal hemorrhoid in order to cut off the circulation.
As a result sooner or later hemorrhoids fall off. This simple
procedure — called rubber band legation — is done in the
doctor's office and is effective for many people.
Sclerotherapy: In this
method a chemical solution is injected into the blood vessel to
shrink the hemorrhoid so that it can easily be removed after
that.
Infrared light: Here the
doctor uses a 1- or 2-second burst of infrared light which cuts
off circulation to small, bleeding, internal hemorrhoids.
Surgery: Another most
critical cases when you have very large hemorrhoids you might
need to have a surgery where the doctor removes the whole tissue
in a process called Hemorrhoidectomy. Normal this surgery is
done using local anesthetic combined with sedation, a spinal
anesthetic, or general anesthetic. It's normally requires an
outpatient or overnight hospital stay. Although the surgery
might be painful it is the most comprehensive method and
medicines might be used to decrease the pain.
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