piles surgery


Piles disease (also known as hemorrhoids) can be separated into three general categories.

1. Piles disease/hemorrhoids

2. Anal Fistula

3. Anal Fissure

Each one of these piles and hemorrhoid diseases come with very distinct indications.
As a general rule of thumb, here’s how you can tell what you have. Of course, a piles disease specialist will confirm what you might have.

Piles disease = some pain and discharge, but bleeding.
Anal Fistula = some bleeding and pain, but a lot of discharge.
Anal Fissure = moderate bleeding, some discharge, but major pain

Piles disease definition and causes

Piles disease is known by many different names such as the most common called hemorrhoids or more precisely external hemorrhoids. Others are piles, skin tags, fissures and fistulas.

You probably have piles when there is bleeding without pain. The blood vessels in the anal swells up, then rips and tears thus causing the bleeding.

First off, don’t not worry. It’s very common to get piles disease/hemorrhoids. About half of the population in the world (men and women) gets it in their lifetime at least once. Hemorrhoids is most common in older folks, but can happen at any age. Even in children as young as 5 years old.

With so much practice, the medical community still does not know what really causes piles disease. It has been theorized that it can be caused by age, pregnancy, downward pressure, and faulty bowel function.

Whatever the cause, the tissue supporting the veins stretch and become thin so they bleed.

Piles can be internal or external. Some refer to this as thrombosed hemorrhoids. For some unfortunate few, they have both internal hemorrhoids and external hemorrhoids at the same time.

Unlike internal hemorrhoids, external hemorrhoids can become inflamed, turning red and really painful. If they become a clot, it will feel like a small tumor, making it painful to sit, walk or even cough.

Piles Disease Grades

The higher the grade, the more you made need immediate medical help.

Grade 1: Protruding piles, but they do not prolapse (fall out) out of the anal canal
Grade 2: When eliminating waste, your piles fall out of the anal canal, but go back in themselves
Grade 3: If you have to physically push your piles disease/hemorrhoids back in
Grade 4: Hemorrhoids remaining prolapsed or develop thrombosis or worse

Other hemorrhoid symptoms

You may have all or some of these other piles disease symptoms…

1. Anal Itching
2. Pain
3. Bleeding
4. Accidental defecation and soiling of underwear

Treatments For Hemorrhoids

For temporary relief of piles or external hemorrhoids, you can try a cold pack. Soaking in a warm bath typically eases perianal conditions. Most common hemorrhoid treatments are creams and suppositories and may work for Grade 1 piles disease. Some may have allergic reactions to the medication, so be sure to read all warnings and try on a small area before proceeding.

Piles disease .net helpful tip: If you think you may be allergic, place a small amount of the medication on the inside of your wrist or the back of your hand. Wait 30 minutes and wash off. If it turns pink or red, you are probably allergic.

Additional options for treating piles disease include:

    1. Natural hemorrhoid cure (non-surgical piles treatment)
    2. Cryotherapy for hemorrhoids (non-surgical piles treatment)

    3. Rubber band ligation

    4. Infrared coagulation (non-surgical piles treatment)

    5. Radio frequency coagulation (non-surgical piles treatment)

    6. Direct current

    7. Hemorrhoidolysis

    8. Scalpel surgery

    9. Laser surgery

Non-Surgical piles disease treatments are typically for Grade 1 and Grade 2 hemorrhoids. However, the natural hemorrhoid cure may be used for all grades.

Natural Hemorrhoid Cure: Used predominantly in Eastern cultures. The western world is learning what Chinese doctors have used for centuries to effectively treat piles disease.  These include special herbs, diets and creams. They have shown to be very effective in some people, saving them from having to use surgery. Also the least painful of all treatments.

Cryotherapy: A very similar treatment to freezing warts, however, it can be painful for piles disease if not done correctly. Cryotherapy using liquid nitrogen (temperature –196C) involves the use of a cryospray, cryoprobe or a cotton-tipped applicator. The nitrogen is applied to the hemorrhoid for a few seconds, depending on the desired diameter and depth of freeze. The treatment is repeated in some cases, once thawing has completed.

Rubber band ligation: Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. To perform the procedure, a doctor inserts an anoscope into the anus.  The hemorrhoid is suppose to shrink because no blood flow goes to it and falls off. Moderate pain and may require repeat treatments. Sometimes two or three.

Infrared coagulator: A special infrared light shoots a high intense light to the hemorrhoid. Last around eight seconds. Of course, may cause burning and repeat treatments are probably needed.

Radio frequency coagulation: This piles disease treatment typically 6 to 8 seconds with repeated treatments. A special radio frequency energy is delivered directly to the hemorrhoid by a specialist via an insulated needle to the tissue. The needle remains in the hemorrhoid which leads to stiffening of the tissues. One to three applications at six-week intervals may be necessary to achieve desired results.

Direct Current: Two sharp electrodes make contact with your hemorrhoids and is shocked until they go away. The piles disease treatment takes 6-to-12 minutes of probe contact and can damage surrounding tissue if not careful.

Hemorrhoidolysis: Therapeutic galvanic waves applied to the hemorrhoid with manual pressure to shrink hemorrhoid. Similar to electrolysis.

Scalpel and Laser Surgery: Typically a last resort for piles disease. This is the most invasive and requires a lengthy hospital stay. This piles disease treatment surgically removes the hemoroids and modern methods have improved to reduce pain and bleeding. However, treatment costs $1,000 and more. Some patients have had hemorrhoid come back after surgery and require additional surgeries.

All decisions about hemorrhoids treatments should consulted with your doctor. You may have specific requirements that others may not have. It all depends on your unique situation and how your body responds. There may be a need to try multiple methods, but you can do it.

Good luck!

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