Piles or Hemorrhoids.

Piles are also termed “Hemorrhoids” which are the collections of inflamed tissue in the anal canal that contains blood vessels and also supports tissues, muscles, and elastic fibers.

A lot of people are suffering from piles, but the symptoms are not always critical. Piles cause noticeable symptoms for at least 50% of people in the world before the age of 50 years.

Here in this article, we will explore piles, their causes, how to diagnose and treat, and what effects they provide on the body.

Some of the facts on the piles (Hemorrhoids) :

  • Hemorrhoids are the collections of tissues and veins that gets inflamed and swollen.
  • The size of Hemorrhoids can vary from person to person, and they are also found inside or outside anus.
  • It occurs due to chronic diarreha, chronic constipation
  • , during pregnancy , lifting heavy weights, etc.
  • Piles can be diagnosed by a doctor usually on examination.


The symptoms of Hemorrhoids are not serious in most cases. It has been seen that they normally get resolved on their own after passing a few days.

A person having Hemorrhoids can experience the following symptoms :

  • A hard painful lump can be felt around the anus.
  • It can contain coagulated blood.
  • Hemorrhoids that contain blood are called thrombosed external piles.
  • A person with Hemorrhoids can experience the feeling that his/her bowels are still full after passing a stool.
  • The area around the anus becomes red, itchy and sore.

Hemorrhoids, when converted into severe condition, includes :

  • Excessive bleeding from anal.
  •  Also possibly leading to Anemia infection.
  • Control bowel movement gets disabled.
  • A new channel gets created inside the anus and between the surface of the skin near anal.
  • Blood supply stops proper supply and blood clot begins to gather at that place near anal.

Small lumps are formed on the outside edge of the anus during external Hemorrhoids. These lumps become very itchy and also they are very painful after the development of blood clots as the clots are responsible for the stoppage of the flow of blood. And these type of Hemorrhoids or Piles requires immediate medical treatment.


Increased pressure in the lower rectum causes Hemorrhoids or piles.

     Some common causes are following :

  • Chronic diarrhea
  • Straining when passing a stool
  • In pregnancy
  • Lifting heavy weights
  • Chronic constipation

The piles or Hemorrhoids increase with the increment in the age of a person. Usually, a person in his old age suffers from the disease.


For the diagnose of Hemorrhoids, a doctor usually carry out a physical examination of the anus of the person with the suspected piles.

Questions asked by a person from the patient during examining Hemorrhoids :

  • Is there any family member having piles or Hemorrhoids ?
  • Have you suffered from any severe weight loss ?
  • Recent changes in the bowel movements?
  • About the colors of the stools?

The doctor performs a Digital Rectal Examination (DRE) or uses a Proctoscope.

(A proctoscope is a hollow tube fitted with a tiny light at the end which helps and allows the doctor to observe or examine the anal canal).

After observing the anal canal the doctor takes a small tissue sample from inside the rectum and sends that tissue to the lab for analysis.

In many cases, a physician recommends a colonoscopy if the person with piles presents signs and symptoms that are responsible for diseases in the digestive system. Also, they are demonstrating any risk factors for COLORECTAL CANCER.


It has been observed that in maximum cases piles get automatically treated on their own without any treatment. But many people suffer a lot of problems of itching and pain, so they need proper treatment for the disease.

Lifestyle changes

The person suffering from piles is recommended to change his/her lifestyle to control the effects of piles.

Diet: Straining during bowel movements is the cause of the piles. Excessive straining causes constipation. So a change in diet is advised to start that can help keep the stools regular and soft. This involves eating more fiber like fruits and vegetables or primarily eating breakfast cereals.

A doctor also advises the person with piles to increase the level of water consumption. It is the best way to avoid caffeine.

Losing bodyweight reduces the incidence and severity seriousness of piles.

You are also advised to take exercise and avoid straining to pass the tools.

The main therapy for reducing the effects of piles is to exercise.


There are several options in medical science that manages the symptoms more manageable for the pile’s patients.

OTC (Over-the-counter) medications: These are available on the counter or online including painkillers, creams, ointments, pads and soothes redness and swelling around the anus.

These remedies do not cure piles but are helpful for the symptoms. Patients are advised not to use them for more than 7 days in a row because they can cause further irritation of the area and thinning of the skin. Do not use several medications at the same time unless advised by your medical professional.

Corticosteroids: These reduce inflammation and pain in that particular area.

Laxatives: The doctor prescribes laxatives when a person with piles suffers from constipation. This helps the person passing stools easily and reduces pressure on the lower section.

Surgical options.

It has been observed that around one in ten people with piles needs surgery to overcome the disease.

Banding: The doctor may place an elastic band around the base of the pile cutting off its blood supply and the hemorrhoid falls off automatically after a few days.

Hemorrhoidectomy: The tissues causing the bleeding are removed by doing surgery. There are different ways that involve a combination of a spinal anesthetic, local anesthetic, and general anesthetic. It has been observed that it is the most effective method for removing the piles completely. But there are some risks and complications also of getting some infections in the urinary tract.

Hemorrhoid stapling:  This method is generally less painful as compared to a hemorrhoidectomy. It is done when the flow of blood is blocked in the tissue.


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