Haemorrhoids (Piles) Treatment in Indore

Haemorrhoids (Piles) – Description

Haemorrhoids, or piles, are a condition where the veins of the rectum and anus swell and become inflamed. The condition arises when one or more veins in the anus or the lower part of the rectum swell up, which may be due to increased pressure. They cause discomfort, bleeding, itching, and pain during the passing of stool.

Common causes include:

Straining with bowel movements (constipation or diarrhoea)

Prolonged sitting, especially on the toilet

Pregnancy is due to increased abdominal pressure

Obesity

Low-fiber diet

Symptoms include:

Pain or discomfort during bowel movements

Itching around the anus

Swelling or a lump near the anus

Bleeding (bright red blood on toilet paper or stool)

Types of Haemorrhoids

1. Internal Haemorrhoids

Occur inside the rectum and are generally not visible.

Bleeding is common, though pain is usually minimal unless prolapsed.

It can prolapse outside the anus in severe cases.

2. External Haemorrhoids

It occurs under the skin around the anus.

Causing pain, swelling, itching, and sometimes thrombosis (blood clot).

3. Thrombosed Haemorrhoids

A blood clot forms inside an external haemorrhoid.

Causes severe pain and swelling; occasionally, minor surgical intervention may be necessary.

Treatment of Haemorrhoids

1. Lifestyle and Home Measures

High-fibre diet: fruits, vegetables, whole grains

Adequate hydration to prevent constipation

Avoid prolonged sitting or straining

Regular physical activity improves bowel movements

Sitz baths (warm water soaking) to relieve pain and itching

2. Medications

Topical creams and ointments: Hydrocortisone, witch hazel, or lidocaine for pain and itching

Oral analgesics: Paracetamol or NSAIDs for pain

Stool softeners or laxatives to reduce straining

3. Minimally Invasive Procedures

Rubber band ligation: band placed around the base of the internal haemorrhoid to cut off the blood supply

Sclerotherapy: injection to shrink a haemorrhoid

Infrared coagulation: laser or heat to shrink the haemorrhoid

4. Surgery

Haemorrhoidectomy: Surgical removal of large or persistent haemorrhoids

Stapled hemorrhoidopexy: repositions internal haemorrhoids and reduces blood flow

Prevention of Haemorrhoids

1. High-Fibre Diet

Prevents constipation and straining

Include fruits, vegetables, legumes, and whole grains.

2. Hydration

Drink plenty of water and fluids throughout the day.

3. Healthy Bowel Habits

Avoid sitting on the toilet.

Answer the call to bowel immediately.

Avoid straining

4. Exercise Regular exercise increases bowel motility and decreases pressure on the veins of the rectum. 5. Weight Management: Maintain a healthy body weight to reduce abdominal pressure.