One out of every 2 people suffer from pain caused by enlarged haemorrhoids at least once in their lifetime. The treatment options available for haemorrhoids are often associated with pain. Due to this people seek medical treatment at an advanced stage. However with the advancement of technology, treatment of piles is no more a painful procedure. Here we have experts from the field of General Surgery bursting the myths about the causes & treatment options for haemmaroids.
What are haemorrhoids?
Haemorrhoids, commonly known as piles are dilated veins within the anal canal and the distal part area of rectum.
What causes haemorroids?
The exact cause is unknown; however, the upright posture of humans in itself forces a great deal of pressure on the rectal veins, which sometimes causes them to bulge. Other factors include: Aging, Chronic Constipation or Diarrhea, Pregnancy, Heredity, Faulty bowel function due to overuse of laxatives or enemas; straining during bowel movements; Spending long periods of time (e.g. reading) on the toilet. Whatever the cause, the tissues supporting the veins stretch. As a result, the veins dilate; their walls become thin and bleed. If the stretching and pressure continue, the weakened veins protrude.
What are the symptoms?
Bright red bleeding with defecation, external protrusion, tenderness (severe pain when thrombosed), itching, burning, and soilage.
What do I do if I have hemorrhoids?
Piles is a very common disease. There is no need to panic. The earlier you consult the doctor, the better. In the early stages, medications can be used to treat hemorrhoids. However in advanced cases surgical intervention might be needed. Your surgeon is the best judge.
What are the surgical options for treating hemorrhoids?
Depending upon the size of the protruding haemorrhoidal tissue, they are either ligated or cut-off. Again, depending on the method chosen by your surgeon, the wounds are either surgically closed (sutured) or left open. Both can be very painful for the patient, since the wounds are located in a very sensitive region of the body. This may require a hospitalisation of the patient between 3 to 10 days and up to four weeks, before the patient can return to work.
What are the latest advancement in treatment of have hemorrhoids?
Most quaternary care centers like Sikkim Manipal Hospital, Bengaluru use the HAL (Haemorrhoidal Artery Ligation) procedure, which is the latest in treating hemorrhoids. This is a minimally invasive procedure, hence there are no open wounds. As there is no cutting or no destroying of tissue involved, this procedure causes least trauma to tissue . This procedure has a success rate of 95% on Stage II and Stage III haemorrhoids. The procedure takes only 20 Minutes and requires a 1 day hospitalization. Most patients can return to work after 1or 2 days.