Piles, also known as haemorrhoids, are swollen veins in the lower part of the rectum and anus. This common condition can cause significant discomfort, pain, and sometimes bleeding during bowel movements. At Jeevan Jyot Hospital, we offer expert diagnosis and treatment for piles, helping patients manage symptoms and recover effectively. Dr. Gaurav Sangam, the best proctologist in Ghatkopar West, Mumbai, provides advanced care to ensure relief and prevent recurrence.

What Are Piles?

Piles, or haemorrhoids, are enlarged or swollen veins in the rectum or anus. There are two main types of piles:

• Internal Hemorrhoids: These occur inside the rectum and may not be visible or painful, but they can cause bleeding and discomfort.
• External Hemorrhoids: These develop outside the anus and can cause pain, swelling, and itching, especially when sitting.

Piles are common and can occur at any age, often due to increased pressure in the rectal veins. Factors such as chronic constipation, pregnancy, obesity, and prolonged sitting can contribute to the development of piles.

Causes of Piles

Several factors can contribute to the development of piles, including:

• Chronic Constipation: Straining during bowel movements due to hard stools is a major cause of piles.
• Pregnancy: The increased pressure on the veins during pregnancy can lead to piles, especially during childbirth.
• Obesity: Excess weight can put additional pressure on the rectal area, leading to swollen veins.
• Prolonged Sitting or Standing: Sitting for long periods, especially on the toilet, can increase pressure on the anal veins.
• Low-Fiber Diet: A lack of fibre can lead to constipation and make bowel movements more difficult, increasing the risk of piles.
• Age: As we age, the tissues supporting the veins in the rectum can weaken, increasing the likelihood of piles.
• Heavy Lifting: Lifting heavy objects can strain the rectal area and cause piles.

Symptoms of Piles

The symptoms of piles can vary depending on the type and severity of the condition. Common signs include:

• Pain or Discomfort: Especially when sitting or during bowel movements.
• Bleeding: Bright red blood may appear on toilet paper or in the toilet bowl after bowel movements.
• Itching or Irritation: Around the anus, often caused by swelling or inflammation.
• Swelling or Lumps: External piles may create noticeable lumps around the anus, which can be tender and painful.
• Mucus Discharge: Sometimes, mucus may be released from the rectum along with stool.

If you are experiencing any of these symptoms, it is important to seek treatment from a qualified proctologist like Dr. Gaurav Sangam, the best proctologist in Ghatkopar West, Mumbai, to ensure proper diagnosis and management.

Diagnosis of Piles

To diagnose piles, a doctor will perform a thorough examination, which may include:

• Visual Examination: A physical inspection of the anus and rectum to check for external piles or signs of internal haemorrhoids.
• Digital Rectal Examination: The doctor may use a gloved finger to gently examine the rectum for signs of internal hemorrhoids or other abnormalities.
• Anoscopy: A small, lighted instrument may be used to examine the inside of the rectum to assess the size and location of internal haemorrhoids.

Treatment Options for Piles

The treatment for piles depends on the severity and symptoms. At Jeevan Jyot Hospital, Dr. Gaurav Sangam, the best proctologist in Ghatkopar West, Mumbai, provides a variety of treatment options tailored to the patient’s needs:

Conservative Treatments

In many cases, piles can be managed effectively with conservative treatments. These include:

• High-Fiber Diet: Eating more fibre-rich foods, such as fruits, vegetables, and whole grains, helps soften stools and reduces the need to strain during bowel movements.
• Stool Softeners: Medications that make bowel movements easier and less painful.
• Pain Relief: Over-the-counter pain medications such as ibuprofen or acetaminophen can help manage pain and inflammation.

Minimally Invasive Procedures

If conservative treatments don’t provide relief, minimally invasive procedures may be recommended:

• Rubber Band Ligation: A small rubber band is placed around the base of an internal haemorrhoid to cut off its blood supply, causing it to shrink and fall off.
• Sclerotherapy: A chemical solution is injected into the haemorrhoid, causing it to shrink and harden.
• Infrared Coagulation (IRC): A laser or infrared light is used to coagulate the hemorrhoidal tissue, reducing swelling and bleeding.

Surgical Treatments

In severe or chronic cases, surgery may be necessary. Surgical options include:

• Hemorrhoidectomy: A surgical procedure to remove large or prolapsed haemorrhoids. This is often done under general anaesthesia.
• Stapled Hemorrhoidopexy: A less invasive surgery that involves stapling the haemorrhoids to reduce their size and prevent prolapse.

If you are suffering from piles, don't hesitate to seek professional help. Contact Jeevan Jyot Hospital today to schedule a consultation with Dr. Gaurav Sangam, and start your journey to healing and relief.