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Piles Treatment
Laser Surgery Procedure & Operation Benefits for Pile Treatment
The most common anorectal condition is piles, but one of the least talked about is haemorrhoids. A pile is a swollen tissue and blood vessel within the rectal region of the body. Krescent Healthcare offers top-notch medical technology and equipment for treating piles. Get rid of piles with a consultation with Krescent Healthcare.
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What are Piles?
Haemorrhoids, which are swollen veins in the anus and lower rectum, can occur internally, inside the rectum, or externally, around the anus' external opening.
It is generally not a serious medical condition and can be treated with lifestyle changes and home remedies, such as increasing fibre intake, drinking plenty of water, practising good hygiene, using over-the-counter creams and ointments, and avoiding straining during bowel movements. It may, however, be necessary to undergo surgical procedures in more severe cases.
Precautions
The following are some of the best ways to treat piles without surgery :
Apply topical treatments: Itching, pain, and inflammation can be relieved by applying over-the-counter piles creams, ointments, or suppositories, containing ingredients such as witch hazel or hydrocortisone.
Consume high fibre food: In order to reduce constipation, which can contribute to piles, eating a fibre-rich diet can soften stools. The symptoms of piles can be reduced and relieved if patients consume high-fibre foods like fruits, vegetables, and whole grains. Hemorrhoidal shrinkage can also be accelerated with fibre supplements such as psyllium husk or methylcellulose.
Exercise: In addition to managing and preventing piles, exercise may not be able to permanently cure them. Regular exercise can relieve symptoms, improve bowel function, and reduce the risk of developing new piles or worsening existing ones. Cardiovascular exercises, kegel exercises, yoga poses, and stretching exercises may be helpful.
Hydration: Aim for at least 8 to 10 glasses of water per day to prevent constipation and maintain regular bowel movements.
Proper Hygiene: After bowel movements, clean the anal region gently with soft, unscented toilet paper or wipes. Avoid harsh soaps and excessive wiping, which can aggravate the condition.
Sitz Baths: When you sit in a warm water bath, you can soothe the anal region and reduce swelling associated with piles. Fill a basin with water and soak for 10 to 20 minutes. In order to reduce swelling and promote healing, doctors recommend soaking piles patients' bottoms in lukewarm water at least 2-3 times daily.
Stool Softeners: Constipation can be relieved by over-the-counter stool softeners, which soften stools, making them easier to pass. However, stool softeners may not be appropriate for everyone. Consult your healthcare provider before using one.
Good Food habits to avoid Piles
The following foods are considered good for piles :
Adequate Fluid Intake: By drinking enough water and other healthy fluids throughout the day, you can prevent constipation and make your stool easier to pass.
Flavonoid-Rich Foods: Citrus fruits (oranges, lemons), berries, cherries, and dark chocolate may help strengthen blood vessels and decrease inflammation, relieving piles symptoms.
Healthy Fats: Healthy fats, such as avocados, seeds, and olive oil, can lubricate stools and ease bowel movements.
Legumes: By eating legumes like lentils, chickpeas, black beans, and kidney beans, you can maintain regular bowel movements and avoid constipation. When you consume legumes in your diet, fibre softens the stool and reduces strain during bowel movements, which relieves the discomfort associated with piles.
Nuts and seeds: Almonds, walnuts, and chia seeds can help prevent piles and promote healthy bowel movements. Particularly high in fibre and anti-inflammatory properties, walnuts and almonds could help minimise swelling in the affected area due to their high fibre content.
Probiotic Foods: Yogurt, kefir, and sauerkraut are probiotic-rich foods that can improve gut health and promote a healthy gut microbiome.
Vegetables: Leafy greens, such as spinach and kale, broccoli, Brussels sprouts, carrots, and cauliflower, are high in fibre and can stimulate healthy digestion.
Whole Grains: Consume whole grains such as whole wheat, oats, brown rice, and quinoa in your diet. Whole grains have high fibre content and can aid in regular bowel movements.
Instructions after the Surgery
It is advisable to relax as much as possible during the first few weeks after surgery, as the anal region will be very sensitive.
Cold compresses should be applied: Cold compresses can help reduce swelling and relieve pain after surgery. Wrap an ice pack in a cloth or wrap a bag of frozen vegetables in a towel and apply it to the anal region.
Keep your physical activity to a minimum: After your surgery, you should ease up on your physical activities for a few days. For at least two to three weeks, avoid lifting or pulling weights or doing strenuous physical activities. Keep moving and walking; however, don't exert too much pressure on your body.
Make sure your anal region is dry and clean: Whenever you pass a bowel movement, take a shower or sitz bath to relieve discomfort. A sitz bath is a warm water bath where you sit to reduce discomfort in your anal area. Warm water soothes your anal sphincter, which helps increase blood flow through your anal tissues, resulting in healing and reducing pain, itching, and irritation. Clean the area with wet tissues but avoid excessive wiping.
Prescribe medications as directed: To prevent constipation, take pain relievers, antibiotics (if prescribed), and stool softeners or laxatives as prescribed by your doctor.
Sit correctly: Reduce pressure on the surgical area by using a cushion or a donut-shaped pillow when sitting.
Make sure what you eat is healthy: For a few days after piles surgery, you should avoid junk, spicy, and oily foods. Consuming any of these can alter your bowel movements, make you constipated, which can exacerbate your condition, or cause diarrhoea, which is not good for your piles.
Different Treatments for Piles
The following are some common non-surgical and surgical treatments for piles.
Non Surgical Treatment:
There are several non-surgical treatments for piles, including:
Electrocoagulation: The piles are eliminated through the use of an electric current in this method. To locate the piles, a proctoscope is inserted into the anus, followed by placing a probe at their base. Through a handpiece connected to the probe, an electric current is administered to the piles. The objective is to thicken and cauterise the blood vessels at the base of the piles, causing them to shrink. The length of time for recovery after electrocoagulation for piles varies among individuals, depending on factors like pile size and severity, as well as personal healing capabilities.
Infrared Photocoagulation: Infrared photocoagulation is an effective medical procedure used to treat small and medium-sized piles. It specifically targets internal piles, utilising a device that emits a powerful beam of infrared light. This light generates scar tissue, which restricts blood flow to the piles, causing them to shrink and eventually detach. This scar tissue also reinforces the anal canal walls, preventing nearby veins from bulging into it. Recovery time following this treatment is typically brief, allowing individuals to resume their regular activities without delay.
Rubber Band Ligation: The popular non-surgical method of treating internal piles is rubber band ligation. During this procedure, an anoscope is inserted into the anus by a doctor, who then uses a specialised instrument called a ligator to place a small rubber band at the base of the piles. The deprived blood supply causes the piles to diminish and eventually drop off in a few days. It only takes about 30 minutes to complete and you can leave once it is finished. Recovery time after rubber band ligation is usually brief, allowing most people to resume their regular activities within days.
Sclerotherapy: The non-surgical treatment option for piles is sclerotherapy. Sclerotherapy involves injecting a solution (sclerosant) into the vein that causes it to shrink and eventually fade away. Since sclerotherapy is not a surgical procedure, it typically offers a faster recovery time than surgery because it is a non-surgical procedure.
Surgical Treatments
The following types of piles surgery are used to treat piles when home remedies, medications, and other conservative measures fail to relieve piles.
Laser Surgery: Laser surgery is the most effective and safest surgical method for treating piles. Laser energy is used in this procedure to shrink and coagulate the piles tissue, leaving surrounding healthy tissues unaffected. Laser surgery is performed as an outpatient procedure. The procedure is relatively painless and requires a short recovery period afterward.
Open Surgery: Open surgery, also known as open hemorrhoidectomy, is a traditional method of removing piles. During the procedure, a surgical incision is made in the anal region to access the piles. The location and severity of the piles determine whether the incision is made around the anus or in the anal canal. Using specialised instruments, the surgeon removes the piles with great care. This may involve excising them or tying them off with sutures to stop their blood supply. The main objective is to completely eliminate or reduce the size of the piles. Recovery time can vary based on factors such as the extent of surgery, individual healing abilities, and adherence to post-operative care instructions. It could take anywhere from several weeks to a few months for complete recovery.
Stapler Surgery: Stapled hemorrhoidectomy, a surgical approach for treating piles, uses a specialised device to remove the affected tissues. This treatment is commonly recommended for patients with prolapsed or unusually large piles, as well as those who have not seen improvement with non-surgical methods. The procedure involves elevating the pile's tissue with sutures and removing it using the stapling device, which restricts blood flow to the area. Compared to traditional piles surgery, patients who undergo this method typically report reduced pain and less bleeding, itching, and swelling in the anus and rectum. Recovery time is also shorter and associated with fewer complications.
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