Take lot of pure water daily.
Take hot and clean food.
Morning exercise after attending the toilet.
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You can be comfortable with 07 to 10 days of exercise, water and food care.
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Few things about piles one should know :
Piles
The lining of the anal canal contains three soft, spongy pads of tissue that act as an extra seal to keep the canal closed until you go to the lavatory. The lining of the gut is very slimy (so that faeces can pass along easily); the extra seal stops the slime (mucus) from leaking out. The pads contain a network of tiny blood vessels.
What are piles?
People sometimes think that piles (haemorrhoids) are like varicose veins of the legs (i.e. a single vein that has become swollen). This is not the case. A pile is one of the soft pads that has slipped downwards slightly, because the surrounding tissue is not holding it in place properly. When this happens, the small blood vessels within the cushion become engorged with blood, so the cushion swells up. When faeces are passed, the pile may be pushed further down the anal canal to the outside, and this is called a prolapsed pile. Doctors classify piles into three types.
First-degree piles are swollen cushions that always remain within in the anal canal; these are painless.
Second-degree piles are pushed down (prolapsed) when faeces are passed, but return to their starting position afterwards.
Third-degree piles are pushed down (prolapsed) when faeces are passed, or come down at other times. They do not go back by themselves after faeces have been passed.
Who gets piles?
Piles can occur at any age, but are more common in older people. They affect both men and women. In fact, most people suffer from piles at some time, but usually they are nothing more than a temporary problem. Many experts believe that they are caused by continuous high pressure in the veins of the body, which occurs because humans stand upright. They are particularly common in pregnancy because of the additional pressure from the baby, and because of hormonal changes. Sometimes they result from straining hard to pass faeces, which is more likely if you do not eat enough fibre, or lifting heavy weights. They are not caused by sitting on hot radiators or cold, hard surfaces, or by sedentary jobs.
What are the symptoms of piles?
The symptoms of piles can come and go. There are five main symptoms:
itching and irritation
aching pain and discomfort
bleeding
a lump, which may be tender
soiling of underwear with slime or faeces (‘skid marks’).
Itching and irritation probably occur because the lumpy piles stop acting as soft pads to keep the mucus in; instead, a little mucus leaks out and irritates the area around the anus. Pain and discomfort comes from swelling around the pile, and from scratching of the lining of the anal canal by faeces as they pass over the lumpy area. The scratching also causes bleeding, which is a fresh bright red colour and may be seen on faeces or toilet paper or dripping in the pan. A pile that has been pushed down (a second- or third-degree pile) may be felt as a lump at the anus.
How you can help yourself
Most piles get better in a few days without any treatment, but there are several ways of relieving the discomfort.
Wash the area gently with warm, salty water, to get rid of irritant mucus that has leaked out. Dry carefully with cotton wool and apply petroleum jelly (available from pharmacies) or nappy rash cream to protect your skin if more mucus or moisture leaks out.
Use soft toilet paper, and dab rather than wipe.
Wear loose underwear and clothing (i.e. not tight trousers), so that nothing will rub the pile.
Do not scratch. For more information on dealing with itch, look at the section on anal itching.
Avoid constipation by eating lots of fresh fruit and vegetables and bran cereal. Aim for faeces that are soft enough to change their shape as you push them out.
Drink plenty of fluids.
After you have passed the faeces, do not strain to finish. People with piles often think there is more to come, but this is a false sensation caused by the swollen spongy pads in the piles themselves. Do not read on the toilet and aim to be out of the toilet within a minute.
If you can feel a lump, try pushing it gently upwards; try to relax your anus as you do so.
If you have a lot of discomfort, buy a haemorrhoid cream or gel. A pharmacist will be able to help you choose one that is suitable for you. A haemorrhoid cream or gel does not cure the pile, but will usually relieve the discomfort effectively until the pile goes away of its own accord. Do not use it for longer than a week or two.
To stop piles returning, continue the high-fibre diet to keep your stools soft and do not put off opening your bowels, and avoid straining.
When to see your doctor
See your doctor if the symptoms last longer than a week. You should also see your doctor if you have bleeding, to ensure that there is not some other cause. Your doctor will examine your anus, feel inside the anal canal and may also insert a small metal tube, called a proctoscope, an inch or two into the anal canal to give a better view. For more information, look at the section on seeing your doctor about an anal problem.
First- and second- degree piles usually go away on their own if constipation is avoided, but your doctor may prescribe a short course of haemorrhoid cream to relieve symptoms. Third-degree piles may also go away on their own, but if they persist, they may need hospital treatment.
Only a few people need an operation; most are treated by banding or phenol injections. There is usually no need for a general anaesthetic or to stay in hospital overnight for these procedures. Stretching (anal dilatation) was a popular treatment in the 1970s, but is seldom used now.
What are piles
Piles are not to be confused with fissures. "Most patients who come to us complaining of anal bleeding think they have piles; in many cases, though, bleeding could involve 'fissures' which is a temporary injury to the anal passage caused by hard stools," she says.
Types of piles
There are two types of piles -- internal and external.
As the name suggests, internal piles occur inside the anus and cause the release of blood.
External piles can be seen and felt on the outside of the anus. Though they are painful, they do not bleed as much.
The most common form of piles is intro-external types -- a combination of internal and external piles.
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Stages of piles
Piles develop in different stages (called grades in medicinal terms).
~ First-grade piles develop inside the rectum or anal canal.
~ Second-grade piles protrude from the anus when the bowels are opened, but return inwards of their own accord afterwards.
~ Third-grade piles are similar, but only return inside when pushed back physically. ~ Fourth-grade piles hang permanently outside the anus.
Most piles infections are of the second- and third-grade variety.
Symptoms
~ Chronic constipation
The pressure exerted to evacuate the constipated bowels affects the surrounding veins. This leads to piles.
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~ Bleeding
Says Dr Mrunal, "The earliest symptom is often the fresh, red blood from the anal passage when the bowels are opened."
Bleeding from the anus is more common with internal than external haemorrhoids. It can occur before, during or after defecation, she adds. Patients suffering from piles often have a feeling of incomplete evacuation because of the protrusion.
Causes
Piles take time to develop and hence are found very rarely in children; its most common causes are consistent bad diet and bad lifestyle habits.
~ Diet
Wrong diet habits and a sedentary lifestyle are main causes of piles, says Dr Mrunal. The increased Westernisation of our diet, which now includes more bread, colas and junk food, has an adverse effect on our bowel movement. The lack of vegetables and fruits, raw salads, etc, in our regular diet and cups and cups of tea or coffee are fatal for regular bowel movement.
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~ Lack of exercise
Combine this with long working hours, sitting for long hours, lack of exercise or physical activity and you are most likely to suffer from irregular bowel movement.
~ Stress
Bowel movement is often related to mental well-being. Stress can have an adverse effect on your regular bowel movement, resulting in constipation. This can develop into piles.
~ Wrong bowel habits
Sometimes, people have the habit of straining when passing stools -- ie, applying more pressure then necessary -- which leads to piles.
With everyone chasing the clock these days, defection is many times according to the time available, resulting in incomplete or even postponed bowel movement.
~ Pregnancy
The weight of the foetus on the abdomen and the increased blood flow, as well as the effect of hormones on the blood vessels, can be responsible for development of piles.
~ Childbirth
Pushing during childbirth increases pressure in the veins.
Treatment and prevention
Dr Mrunal stresses on the need to inculcate the right bowel habits during childhood itself; this goes a long way in avoiding piles in the long run.
The best way to clear up existing piles is to avoid constipation. By having regular bowel movements, stools pass easily and do not put pressure on the blood vessels in the anal area. Slowly, the condition improves.
Also, the stools should be soft, so they pass easily, thus decreasing pressure and strain.
One should try to empty bowels as soon as possible, when the urge occurs.
~ Diet control
Most piles cases can be cured by diet control. According to Dr Mrunal, increased fibre in the diet helps reduce constipation and straining by producing stools that are softer and easier to pass.
She advises the following important changes to diet:
Eat plenty of fibre-rich foods such as fruits, especially papayas and figs, vegetables and wholegrain cereals (eg brown rice, whole wheat bread), lot of greens, raw salads.
Have fruits, instead of fruits juices; most fruits contain high fibre.
Drink plenty of fluids, especially water, to keep bowel movements soft
Those suffering from piles should strictly avoid hot and spicy food, and non-vegetarian food too.
Diet changes helped Sanjana Mane, 30, a software manager with an IT firm in Pune. "I was a coffee addict and it resulted in acute constipation and in due course, I was affected by piles as well. It was so painful, it was getting impossible to sit on my chair for work. I was restless through out the day."
Severe diet control and regular intake of water throughout the day is what cured the problem for her.
~ Exercise
"Exercise for at least 30 minutes a day, this will aid your bowel movement," says Dr Mrunal.
