Bleeding comes in splashes while pressing for stool.Bleeding may be profuse in some cases.
3) Protruding mass:-
In external piles the swelling can be felt around the anal orifice.In case of internal piles initially it can not be felt.When the disease progresses the piles protrude during stool and will go inside automatically.When the condition becomes worse the protruded piles will not go back in to the anus.
4) In some cases there will be discharge of mucus with itching around the anal orifice.
Complications of piles:--
1,Infection: The infection can spread to deep veins resulting in septicaemia.
2,Fibrosis: Here the piles become fibrosed with hardening of anal orifice.
3,Thrombosis: Here the blood inside the piles will form clots and can obstruct blood flow.
4,Gangrene: Here the tissues in the piles and nearby skin die due to lack of blood supply.
5,Suppuration: When the piles suppurate it can produce abscess with discharge of pus.
Treatment of piles:--
Initially it is treated on the basis of symptoms.Constipation should be treated.If there is anaemia iron should be give.Homoeopathic medicines can give good results. If medicinal treatment is not giving any result the following can be tried.
1) The thrombosed external pile is excised under local anaesthesia.
2) Sclerosant injection therapy can reduce the size of piles.
3) Rubber band ligation around the neck of piles is useful in some cases.
4) Cryosurgery is very effective.
5) Anal dilatation can reduce constipation and pain.
6) Haemorrhoidectomy is the surgical removal of piles.
How to prevent piles?
1) Eat plenty of fruits and vegetables.
2) Take fibrous food.
3) Avoid excess intake of meat,prawns,crabs ect.
4) Keep a regular timing for food.
6) Drink sufficient quantity of water.
7) Keep a regularity in bowel habits.
8) Take treatment for constipation.
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