Clinically known as hemorrhoids; is an inflammation of the veins located in the rectum or under the skin around the anus. Even though piles are rarely dangerous, however if left ignored, it can lead to serious health complications.

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CAUSES OF PILES/HEMORRHOIDS
*Chronic constipation
*Pregnancy
*Pelvic tumor
*Increasing age *Recurrent diarrhea
*Over purgation

It is not established yet what actually causes the veins around your anus to swell and bulge, yet nearly two out of the four adults undergo the symptoms of hemorrhoids. Some of the common factors contributing to an increased risk of suffering from piles are

TYPES OF HEMORRHOIDS/PILES
The four different types of hemorrhoids include:
*Internal hemorrhoids – found inside the rectum. They are painless but tend to bleed, invisible and tend to heal themselves.

*Prolapsed haemorrhoids – a more severe painful form of internal haemorrhoids. These veins push through the anus and hang out of body, particularly after going to the toilet. Sometimes, the anal sphincter (ring of muscle) can strangulate veins that hang out permanently.

*External haemorrhoids – are like small haemorrhages (bleeds) under the skin around the anus. They feel like hard lumps. External hemorrhoids are characterized by inflammation and excruciating pain.

*Thrombosed haemorrhoids-hemorrhoids that have no blood flow due to blood clots. They’re most often external but can be internal, as well. Thrombosed hemorrhoids are not considered to be dangerous, yet they can be quite painful. Thrombosed piles can either resolve themselves or turn purple and swollen. This type of pile may look scary but are not indicative of any serious health concerns. The best thing to do is avoid touching the area till you get rid of it.

SIGNS AND SYMPTOMS
*Rectal pain
*Itching
*Excessive bleeding
*Sore and redness in the anus area
*Mucus discharge
*Swelling around the anus
“Fecal incontinence
*Infections
*Anemia

MANAGEMENT
At the first sign of pain or bleeding, patients should visit a gastroenterologist. Even though they are the number one cause, bleeding from the anus can be a sign of worse conditions than hemorrhoids. Other potential conditions range from Crohn’s disease or colorectal cancer.
Some hemorrhoids are chronic. Even if they appear to go away, chronic cases will inevitably come back and need to be treated. There are several creams, ointments and suppositories than can help alleviate the pain, however the best methods of fighting hemorrhoids involve pharmacological and non pharmacological treatment such as;

*Avoid straining during defecation
*Eat lots of green leafy vegetables and fruits.
*Keep the body hydrated by drinking adequate amount of water.
*Avoid constipation causing foods.
*Reduce consumption of fatty foods.
*Exercising regularly .
*Pain medication to soothe pain and inflammations.
*Surgical interventions

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