Piles diagnosis and Piles treatment procedures
What are piles?
Piles are tissue in the anal region, which are inflamed and swollen. It can have a range of sizes and it
can be inside or outside. Internal piles are usually between 2 and 4 cm above the anus entrance, and
it’s the most common type. On the external border of anus, external piles occur.
Diagnosis of piles:
A physical exam and visual inspection can detect most haemorrhoids, commonly called piles. While
external haemorrhoids may be identified with a simple observation of the anal region, internal
haemorrhoids normally need a digital rectal examination (DRE).
The doctor can in some circumstances prescribe anoscopy or sigmoidoscopy, both using a
lighted viewing tube, to see piles that have formed deep into the rectum and anal canal clearly and
closely. An X-ray barium can also be performed when a barium enema is used to show colon
abnormalities in the rays.
Piles treatment varies person to person and relies on the size, stage, location and quantity of the
problem. Symptoms may be alleviated by lowering stress during bowel motion in the case of 1st or
2th degree haemorrhoids. This could mean extra liquids or laxatives should be used. Your doctor
may use oral medications or suppositories to ease the discomfort.
Piles treatment options
Non-surgical Piles treatment
1- BANDING
Banding is an out-patient technique performed to treat internal haemorrhoids. This treatment
includes placing a tight band around the hemorrhoid base to cut down the blood flow, also known as
rubber band ligation. It’s not painful to band, but you might feel pressure or minor discomfort or anurge to move. Usually this is temporary.
2- SCLEROTHERAPY
Injecting a chemical near the hemorrhoid is part of this treatment. This chemical narrows the root of
the blood artery and prevents it from bleeding. Most patients have relatively minor pain during this
treatment. Sclerotherapy is done in out-patient care. Few risks are known. For small internal
haemorrhoids, sclerotherapy seems to have the greatest results.
3- Doppler-Guided Artery Ligation
Artery ligation inhibits blood supply instead of eliminating haemorrhoids. It works well for grade II-III
haemorrhoids, however 20% of patients still report the discomfort after the procedure especially
while they are pooping despite it being designed to lower their pain after surgery.
3- Heat Coagulation
Heat is utilised to harm the hemorrhoid tissue in a range of therapies and causes inflammation and
scarring, such as:
● bipolar diathermy,
● direct-current electrotherapy, and
● infrared photocoagulation.
These treatments damage the tissues and cause the scar tissue to develop in and around the
haemorrhoids. It is used for first, second, and third grade treatment of haemorrhoids. Some pain is
there, although it is probably lesser than artery ligation, and also bleeding is less than other type of
treatments. Hemorrhoids are treated non-surgically at grade I through II and, in certain
circumstances, grade III. You should discuss therapy and expected results and recurrence rates with
your doctor.
Surgery was the most efficient treatment for persistent piles. But with advancement of medical
technology, lasers for piles management have become increasingly popular. A laser offers numerous
advantages over older methods and is a minimum invasive approach.
Non-surgical piles treatment
The prominent Piles treatment for 3 rd and 4 th degree includes:
● Hemorrhoidectomy – It is also known as piles surgery and it is one of the good ways of removing
persistent piles. It is generally utilized for piles of 3rd or 4th grade or piles of 2nd grade that have
failed other treatments like ligation. There are many ways to do a pile surgery such as:
1- Conventional Hemorrhoidectomy - This process includes making tiny incisions to remove
the piles around the anus. The incision is often left open to allow healing after haemorrhoids
have been removed. The operation takes around 1 hour without a hospital stay.
However, conventional hemorrhoidectomy is, like other traditional operations, It takes a
long time to recover and has a larger risk of inflammation and bleeding. However, it has
the lowest recurrence rate among other piles treatment
2- Stapled Hemorrhoidectomy - Stapled hemorrhoidectomy is commonly performed for the
treatment of 3rd or 4th degree piles, which involves taking out the protruding piles in the
position and cutting blood supply and causing them to wither and die. This novel procedure
represents a faster and less painful alternative to standard haemorrhoidectomy. It is,
however, also more likely to reoccur, especially for prolapsed piles.
SURGICAL RISKS
Although there is a small risk of severe issues, complications may sometimes happen following a
haemorrhoid operation.
These can include:
● Bleeding and passing blood clots can happen a week or so after the surgery in case of some
minor infection.
● build-up of pus (an abscess) due to Infection.
● Hard to empty your bladder (urinary retention)
● Narrowing of the anal canal which is due to excessive scarring of the surgical site
However, the possibilities of complications are low in the hands of an expert hemorrhoid surgeon.
Moreover, these issues are treatable with medication and additional surgeries. Ask your
piles surgeon to explain more the risks and procedures before you decide to have an operation.
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