Piles

From WikiMD's Wellness Encyclopedia

Piles or Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop. Hemorrhoids are one of the most common causes of rectal bleeding. They're rarely dangerous and usually clear up in a couple of weeks.

Causes[edit | edit source]

Hemorrhoids may be caused by:

  • Straining during bowel movements
  • Sitting for long periods of time, especially on the toilet
  • Chronic diarrhea or constipation
  • Obesity
  • Pregnancy
  • Anal intercourse
  • Low-fiber diet

Symptoms[edit | edit source]

The most common symptoms of both internal and external hemorrhoids include:

  • Bleeding during bowel movements
  • Itching or irritation in your anal region
  • Pain or discomfort
  • Swelling around your anus
  • A lump near your anus, which may be sensitive or painful (may be a thrombosed hemorrhoid)

Diagnosis[edit | edit source]

Doctors can often diagnose hemorrhoids using a simple internal examination of your rectum, or they may use a short, lighted scope to look inside your rectum.

Treatment[edit | edit source]

Home remedies Over-the-counter creams, ointments, suppositories or pads designed to treat hemorrhoids contain ingredients such as witch hazel or hydrocortisone that can lessen pain and itching. These products are often effective, but don't use them for more than a week at a time.

Medical procedures If a blood clot has formed within an external hemorrhoid, your doctor can remove the clot with a simple incision, which may provide prompt relief. For persistent bleeding or painful hemorrhoids, your doctor may recommend one of the other minimally invasive procedures available.

Prevention[edit | edit source]

The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow these tips:

  • Eat high-fiber foods
  • Drink plenty of fluids
  • Consider fiber supplements
  • Don't strain
  • Go as soon as you feel the urge
  • Exercise
  • Avoid long periods of sitting
Piles Resources

Contributors: Prab R. Tumpati, MD