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Hemorrhoids / Piles

Haemorrhoids (often known as Piles) are enlarged and engorged blood vessels (varicosities) in or around the anus. These may be associated with pain, bleeding, itching and feeling as if a lump or bump is hanging down.
Symptoms of Hemorrhoids
The most common symptom of internal hemorrhoids is painless bright red blood covering the stool, on toilet paper, or in the toilet bowl. However, an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful. This is known as a protruding hemorrhoid.
Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus that results when a blood clot forms. This condition is known as a thrombosed external hemorrhoid.
In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms. Draining mucus may also cause itching.
Causes of Hemorrhoids:
It is a known fact that constipation and prolonged straining at stool are main causes of piles but there are some other important aspects too.
Low fibre diet causing small caliber stool and straining during defecation.
Sitting for prolonged period at closet.
Hypertension mainly in portal vein.
Anal sex without proper use of lubricants stresses anus.
Sedentary life style.
Constipation as well as chronic diarrhea.
Pregnancy causes hypertension and increases strain during bowel movements.
Increased use of alcohol and caffeine.
Lack of erect posture.
Familial tendency.
Higher socio-economic status.
Colon malignancy.
Hepatic disease.
Spinal cord injury.
Loss of rectal muscle tone.
Rectal surgery.
Ageing – weakened support structures.
Prevention of Hemorrhoids/Piles:
Drinking more fluids in routine.
Eating more dietary fibers.
Practicing better posture.
Reducing bowel movement strain and time.
Avoid wearing tight under clothes.
Washing the anus with cool water and soap may reduce swelling and increase blood supply for quick healing.
Using squat toilets may help.
Self-Care at Home
Hot sitz bath.
Stool softeners – but overuse of laxatives should be avoided.
Improving posture and muscle tone.
Taking herbs and dietary supplements to strengthen vein walls.
Topical application of astringents and soothing agents (like honey and aloe Vera)
Drinking chamomile tea several times a day.
Eating fiber rich bulking agents like plantain to help create soft stool and to lessen irritation of existing hemorrhoids.
Horse chestnut – extract or Aesculus hippocastanum contains a saponin known as aescin that has anti inflammatory, anti edema and venotonic actions. It improves tone in vein walls.
Hemorrhoids / Piles


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