Piles, also referred to as hemorrhoids, are enlarged veins located in the anus and lower rectum. They may manifest as internal (inside the anus) or external (outside the anus). Piles are prevalent and can affect individuals of all age groups.
These swollen veins present as round, small, and discolored lumps, which individuals may sense on or protruding from the anus. The anal canal, a brief yet muscular tube comprising blood vessels, acts as a connection between the rectum and the anus.
Various factors contribute to the development of piles, including constipation, diarrhea, pregnancy, aging, anal intercourse, chronic cough, and obstructive defecation.
Typically, piles are not a severe medical condition and often respond well to over-the-counter creams, ointments, warm water baths, and dietary modifications. However, in certain instances, more aggressive interventions such as surgery may be required.
While piles are a widespread condition, their symptoms may not always be apparent. According to a study in the United States, approximately half of individuals over the age of 50 experience noticeable symptoms of hemorrhoids.
Piles result from various factors that elevate pressure in the blood vessels providing the anus and rectum, leading to vessel swelling.
Causes include:
As previously mentioned, piles may not always manifest with pain or noticeable symptoms, but potential signs can include:
It’s important to note that symptoms of piles are similar in both males and females and may vary from person to person. Internal and external piles exhibit comparable symptoms. If you observe any early signs of piles or hemorrhoids, it is advisable to consult a doctor for a comprehensive evaluation.
Furthermore, these symptoms may also be associated with conditions such as inflammatory bowel disease, anal fissures (tears), anal cancer, and bowel cancer. If you are experiencing any of the aforementioned symptoms, seeking prompt medical attention is crucial to identify the underlying issue.
The factors that increase the risk of developing piles include:
Hemorrhoids can be diagnosed through various methods, including:
Non-Surgical Approaches
In the initial stages, patients are typically recommended to enhance dietary fiber intake, increase water consumption, and steer clear of activities that may strain the body, prolonged sitting, and heavy lifting. Lifestyle modifications can often lead to symptom resolution in mild cases. For individuals experiencing difficulty with hard stools, laxatives may be prescribed to soften stool consistency.
A “sitz” bath is another non-surgical method recommended for some patients. This involves sitting in a large tub filled with warm water and a pinch of salt for 10-15 minutes, three times a day, with the water reaching hip level. This procedure can provide relief from inflammation, constipation, and pain.
Should lifestyle adjustments prove ineffective in alleviating pile symptoms, further treatment procedures may be necessary. Patients taking blood thinners are generally advised to discontinue these medications before any surgical intervention to minimize the risk of bleeding. Non-surgical procedures are those that can be conducted without the need for anesthesia.
Post-bowel movements, it is advisable to clean the anal area with moist toilet paper, avoiding the use of dry toilet paper. Additionally, cold compresses and ice packs can be applied to reduce swelling in the anal region. Topical treatments, including hydrocortisone suppositories and pads containing numbing agents, are often employed for symptomatic relief.
Surgical Interventions
Patients dealing with distress caused by a sizable, swollen, and prolapsed pile may require surgical intervention. Surgery for piles can be conducted under local, spinal, or general anesthesia. Before the surgery, the rectum and anus are cleansed through an enema.
Surgical hemorrhoidectomy stands out as the most effective treatment in India for various hemorrhoid types. It is the preferred option for patients experiencing prolonged piles with recurrent bleeding, severe pain, and swelling. In this procedure, the surgeon uses a surgical scalpel or laser to remove the enlarged vessels. The resulting gap in the anal region is either left open or closed with stitches. While an open wound takes longer to heal, it is associated with fewer stitch-related complications.
Stapling for piles involves the removal of enlarged piles, followed by the insertion of a circular stapler into the anus to remove a ring of tissue around the anus. This procedure may need to be repeated to prevent the recurrence of piles.
Doppler-guided trans-anal “hemorrhoidal dearterialization” is a contemporary technique that employs Doppler to locate and remove the blood vessels causing piles.
Choosing Dr. Saurabh Kalia (Piles Surgeon in Jaipur) for piles surgery in Jaipur offers several compelling reasons:
Expertise: Dr. Saurabh Kalia possesses extensive expertise in the field of piles surgery. His specialized knowledge and experience make him a trusted professional in addressing hemorrhoidal conditions.
Experience in Jaipur: Dr. Kalia’s presence and practice in Jaipur mean that patients have local access to a skilled and experienced piles surgeon, eliminating the need for extensive travel for consultations and follow-up appointments.
Advanced Surgical Techniques: Dr. Kalia is likely to employ advanced surgical techniques for the treatment of piles, ensuring that patients receive state-of-the-art medical care and benefit from the latest advancements in the field.
Patient-Centric Approach: Dr. Saurabh Kalia is known for adopting a patient-centric approach, prioritizing individualized care and effective communication. Patients can expect a comprehensive and personalized treatment plan tailored to their specific needs.
Positive Reputation: A positive reputation in the medical community and among patients is a crucial factor. Dr. Kalia’s reputation for successful piles surgeries and positive patient outcomes can instill confidence in individuals seeking his services.
Patient Reviews and Testimonials: Positive reviews and testimonials from previous patients can serve as valuable indicators of Dr. Kalia’s competence and the satisfaction of those who have undergone piles surgery under his care.
Certainly. Adopting a lifestyle that includes regular exercise and a diet rich in fiber can help reduce the risk of developing hemorrhoids.
Yes, there is a possibility of hemorrhoids recurring after treatment. This risk can be mitigated by maintaining a diet high in fiber and staying adequately hydrated.
Yes, treatment for hemorrhoids during pregnancy is recommended if they cause discomfort or become problematic.
Absolutely. Lifestyle adjustments and non-surgical methods can effectively treat hemorrhoids. Book an appointment with Dr. Saurabh Kalia at +91-9530146803.
Appointment
Dr Saurabh Kalia is a very good and experienced GI surgeon. If I am safe today, it is because of his treatment. Dr. Saurabh Kalia likes to work very carefully and quickly. He saves the patient first. Thank you, boss.
Thank you so much sir you treated my father-in-law. We did not expect at all that he would be cured like this...your behavior is very commendable and of a high standard...and I have full faith I hope you will continue saving people's lives like this... once again thank you very much, sir.
I have never seen a doctor like this in the past, very intelligent calm and cool. Best in class
Best treatment and behavior by Dr. Kalia... Really the best experience and treatment