Home Remedies For Piles #piles #bawaseer #health

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Piles, also known as **hemorrhoids**, are swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. They are a common condition that can affect individuals of all ages. Here's a complete description:

### **Types of Piles**
1. **Internal Hemorrhoids**:
- Located inside the rectum.
- Generally painless but may cause bleeding during bowel movements.
- Larger internal hemorrhoids may prolapse (bulge out of the anus).

2. **External Hemorrhoids**:
- Found under the skin around the anus.
- Can be painful, especially if a blood clot forms (thrombosed hemorrhoids).
- May cause itching, swelling, and discomfort.

3. **Prolapsed Hemorrhoids**:
- Internal hemorrhoids that have extended outside the anus.
- They may retract on their own, need manual repositioning, or remain permanently prolapsed.

4. **Thrombosed Hemorrhoids**:
- Occur when blood pools in an external hemorrhoid, forming a clot.
- These are very painful and may require surgical intervention.

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### **Causes of Piles**
- Chronic constipation or diarrhea.
- Straining during bowel movements.
- Prolonged sitting, especially on the toilet.
- Pregnancy and childbirth (due to increased pressure on the pelvic veins).
- Obesity.
- Low-fiber diet.
- Aging (weakened rectal veins).
- Heavy lifting or activities causing strain.

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### **Symptoms**
- Bleeding during bowel movements (bright red blood on the toilet paper or in the stool).
- Itching or irritation in the anal region.
- Swelling or a lump near the anus.
- Pain or discomfort, especially with external or thrombosed hemorrhoids.
- Leakage of feces or mucus.

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### **Diagnosis**
- **Physical examination**: For external hemorrhoids or prolapsed piles.
- **Digital rectal examination (DRE)**: To check for internal hemorrhoids.
- **Anoscopy**: A small scope is used to examine the anal canal.
- **Proctoscopy or colonoscopy**: To rule out other causes of rectal bleeding, such as colorectal cancer or polyps.

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### **Treatment Options**
1. **Lifestyle Changes**:
- Eat a high-fiber diet (fruits, vegetables, whole grains).
- Stay hydrated.
- Avoid straining during bowel movements.
- Engage in regular physical activity.

2. **Home Remedies**:
- Warm sitz baths (soaking the anal area in warm water for 10–15 minutes).
- Over-the-counter creams or ointments containing hydrocortisone.
- Use of stool softeners.

3. **Medical Interventions**:
- Rubber band ligation: A band is placed around the base of the hemorrhoid to cut off its blood supply.
- Sclerotherapy: Injection of a chemical solution to shrink the hemorrhoid.
- Infrared coagulation or laser treatment: Uses heat to shrink internal hemorrhoids.

4. **Surgical Options**:
- **Hemorrhoidectomy**: Complete removal of hemorrhoids.
- **Stapled hemorrhoidopexy**: A less painful surgery to reposition and reduce prolapsed hemorrhoids.

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### **Prevention**
- Maintain a high-fiber diet and drink plenty of water.
- Avoid prolonged sitting or standing.
- Regularly exercise to improve bowel function.
- Avoid delaying bowel movements to prevent straining.

If symptoms persist or worsen, it’s crucial to seek medical attention to prevent complications such as severe bleeding, anemia, or infections.

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