Piles ( Mulvyadh / Bavasir ), clinically known as Haemorrhoids, is the swelling of the blood vessels near the anal opening. An increased pressure on these blood vessels due to any reason, causes them to enlarge and swell, thus forming lumps which are occasionally felt at the anal opening.
We understand that Piles ( Mulvyadh / Bavasir ) may not be a subject you feel comfortable talking about, but there is no need to suffer in silence. If you have piles, you are not alone. It is estimated that piles will affect at least 50% population at some point during their lives, that makes it one in two of us!
A medical history followed by visual examination of the anus is usually enough. However, a digital examination and Proctoscopy ( a scope is inserted to examine the anal canal ) is done to confirm the diagnosis. At times a Barium study or Colonoscopy may be advised if your doctor suspects any other cause of bleeding that needs to be ruled out.
An innovation of Dr Porwal himself, this is a conservative approach intended to halt and reverse the early disease without any surgical intervention :
Laser Haemorrhoidoplasty is the preferred treatment for Grade 2 and early stages of Grade 3 Piles. This procedure is done under short general anaesthesia and takes about 20 minutes. Through the natural anal opening, laser energy is applied using a special radially emitting fibre. The controlled emission of laser energy causes vaporization leading the haemorrhoidal mass to shrink
It is a procedure that was originally conceived in 1994 by Dr Antonio Longo and has since gained popularity as the treatment of choice for Grade 3 and Grade 4 prolapsed Piles.
The procedure is usually done under short general anaesthesia and takes around 25-30 minutes. Using the circular stapler, the mucosa which is responsible for the prolapse of Haemorrhoids is circumferentially excised and the prolapsed Haemorrhoids are pulled up back to their normal position.
The Stapler procedure has definite advantages over other treatments available for Piles ( Mulvyadh ).
As with any surgical procedure there are possible drawbacks associated with MIPH.
Depending upon the severity of the disease piles can be classified into 4 grades. Initial grades of piles can be treated with medications, physiotherapy and ayurvedic treatment. But if the disease advances then surgery is recommended. Laser surgery for piles or hemorrhoids is painless and bloodless. Also there is negligible recurrence rate after the surgery.
Piles can be naturally treated at home by simple lifestyle modifications. It includes physical activities, increasing fluid intake and including diet rich in fibers. Ayurvedic oil therapies can also be used to treat initial stages of piles. If these remedies don’t work then surgery is recommended.
Piles occurs when there is increased pressure on blood vessels near the anus. The main cause of piles is chronic constipation. Other causes include sitting for a long period of time, obesity, pregnancy and lifting heavy weights.
One must consult piles specialist for piles treatment. As only the specialist can suggest you the right treatment. Piles specialist is known as proctologist or colorectal surgeon.
Piles are generally diagnosed through physical examination followed by proctoscopy or in some cases through colonoscopy.
It’s like taking a small nap! All you will feel is a small needle prick during your preparation for the procedure. The entire surgery takes about 30 minutes.
You will normally be able to start drinking water shortly after the procedure and can start eating as soon as you are hungry. You will be able to get out of bed a few hours after surgery.
You are likely to have some pain after the procedure that is easily controlled with painkillers. You can expect a small amount of bleeding and wearing a pad will protect your clothes from getting soiled.
If your operation is planned as a day care procedure you can go home as soon as the effect of the anaesthetic has worn off, you have passed urine and you are comfortable, eating and drinking. Since a general anaesthetic is used, it is advisable that a responsible adult take you home and stay with you for 24 hours.
Before you are discharged you will be advised about post-operative care, painkillers and laxatives.
You will normally open your bowels within 2-3 days of your operation. This may be uncomfortable at first and there could be a sense of ‘urgency’ ( need to rush to the toilet ). You may notice mild blood loss after each bowel movement but this will gradually reduce over the next few days. Maintain hygiene, and wash and keep the operation site clean.
It is important to maintain a regular bowel movement that should be well formed but soft. You may need to take prescribed laxatives for 2-4 weeks. Eating a high fibre diet and increasing water / fluid intake will help.
You can return to normal physical and sexual activities when you feel comfortable. Anal sex should be avoided.
You can return to work usually by the 5th day after the surgery, although this also depends on the type of work you do.
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