Comprehensive Guide to Piles

Overview

At Dr.piles, we provide specialized care for hemorrhoids, using gentle and effective homeopathic remedies tailored to the unique symptoms and needs of each patient. Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus. Our approach targets the root causes, offering long-term relief without invasive procedures. Homeopathy strengthens the body’s natural healing process while addressing symptoms such as pain, swelling, and bleeding.

About Disease

Hemorrhoids, also known as piles, are swollen veins in the lower part of the anus and rectum. When the walls of these vessels stretch, they can become irritated. Older age, pregnancy, and constipation can cause piles. Lifestyle changes, such as eating more fiber and exercising, can help relieve symptoms and lower the risk of future hemorrhoids.

Symptoms

• Bleeding
• Itching or irritation in the anal area
• Discomfort, pain, or soreness around the anus
• Lumps and swelling in the anal region
• Dilation, or bulging, of a vein, which may or may not be painful

What causes hemorrhoids?

Hemorrhoids treatments

In many cases, simple measures will alleviate symptoms while hemorrhoids heal on their own. However, medication or surgery may be necessary in some instances.

Home treatments

Medications

Hemorrhoid medications come in various forms, including suppositories, ointments, and pads. A person can usually buy them over the counter.

Nonsurgical treatment options

If home remedies do not improve hemorrhoids, a person may need further treatment. Nonsurgical options include:Rubber band ligation: This outpatient procedure for internal hemorrhoids involves placing an elastic band on the base of the hemorrhoid to block its blood supply. The hemorrhoid will either shrink or fall off.Sclerotherapy: During this procedure, doctors inject a liquid into an internal hemorrhoid. This produces a scar that cuts off the blood supply to the hemorrhoid, causing it to shrink.Infrared photocoagulation: Shining infrared light toward an internal hemorrhoid heats the area, causing scar tissue to form. This blocks the hemorrhoid’s blood supply and reduces its size.Electrocoagulation: Doctors send a low electric current into a hemorrhoid to create scarring. This scar tissue cuts off the blood supply, leading the hemorrhoid to shrink.A doctor will usually carry out these procedures while a person is under local anesthesia.

Surgical options

Surgery may involve the complete removal of external hemorrhoids or prolapsed internal hemorrhoids. This procedure is known as a hemorrhoidectomy.Alternatively, a doctor or surgeon may staple a prolapsed hemorrhoid back into place in the anus.During these procedures, a patient may receive a spinal block, local, or general anesthesia.

Types of hemorrhoids

Hemorrhoids can be either internal or external. Healthcare professionals use a grading system to describe internal hemorrhoids based on whether they remain in the rectum or protrude out of the anus.

Internal hemorrhoids

Internal hemorrhoids occur inside the rectum and are not visible from the outside. They are typically painless. Often, rectal bleeding is the first sign of internal hemorrhoids.If an internal hemorrhoid protrudes through the anus, it’s called a prolapsed hemorrhoid. This condition may be due to a weakening of the muscles around the anus and can be painful.Healthcare professionals grade internal hemorrhoids from 1 to 4 depending on the degree of prolapse:Grade 1: Hemorrhoids remain in the rectum without prolapsing.Grade 2: Hemorrhoids prolapse when a person passes stool, then return inside on their own.Grade 3: Hemorrhoids are prolapsed and require pushing back in.Grade 4: Hemorrhoids are prolapsed and will not go back inside.

External hemorrhoids

External hemorrhoids occur in the skin around the anus and are, therefore, visible. There are more sensitive nerves in this part of the body, so external hemorrhoids can be very painful. Straining when passing stool may cause external or internal hemorrhoids to bleed.

Diagnosis

A doctor will likely ask about a person’s medical history and perform a physical examination and other tests to check for hemorrhoids. They will examine the area surrounding the anus for external hemorrhoids, which involves looking for lumps, small tears in the anus, irritated skin, and prolapsed internal hemorrhoids. They may also perform a digital rectal exam to diagnose internal hemorrhoids. This involves manually inspecting the anus using a gloved, lubricated finger to check for blood, sensitivity, and lumps. If a doctor does not find internal hemorrhoids with a digital rectal exam, they may use a small device called an anoscope to check the anal and rectal lining. They may be able to view internal hemorrhoids as bulges through the device.

Preventing hemorrhoids

Lifestyle changes can help lower the risk of hemorrhoids. These include:Eating a healthy diet: Eating plenty of foods rich in fiber, such as fruits, vegetables, and whole grains, can help keep stools soft. Taking OTC fiber supplements and staying hydrated can also ease constipation.Avoiding straining: A person should try not to strain when using the toilet. Straining puts pressure on the veins in the lower rectum.Going to the bathroom when necessary: It is best to avoid waiting to use the toilet. The longer a person waits, the drier the stools will be.Getting regular physical activity: Exercise helps stool move through the bowel, making bowel movements more regular.Maintaining a moderate body weight: Being overweight increases the risk of hemorrhoids.

Outlook

Hemorrhoid symptoms often resolve on their own with conservative treatment, although there is a 10–50% chance they will return over 5 years. The chance of hemorrhoids returning after surgery is less than 5%.Complications can sometimes occur, such as:bleedingstrangulated hemorrhoid — when muscles around the anus block blood supply to a prolapsed hemorrhoidanemiablood clotsinfectionurinary retention

When to contact a doctor

Anyone with the following symptoms should seek immediate medical help:persistent or heavy bleeding, with or without painpus leaking from hemorrhoidsfeversevere pain.It is important for a person to talk with a doctor if hemorrhoids show no improvement after a week or if new hemorrhoids keep forming. Besides hemorrhoids, conditions such as colorectal and anal cancers can cause bleeding from the rectum.

Overview

At Dr.piles, we provide personalized care for anal fissures and sentinel piles using gentle homeopathic remedies. Anal fissures are small tears in the lining of the anus, causing pain and discomfort, especially during bowel movements. Sentinel piles are small skin tags that may develop due to chronic anal fissures. Our approach focuses on addressing the root cause of these conditions, offering relief without invasive treatments. Homeopathic remedies help in healing the fissure, reducing pain, and preventing further complications, while also promoting long-term anal health and well-being.

About Anal Fissures

An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus.

Symptoms

• A sharp pain during bowel movements, often followed by a deep burning pain that may last several hours.
• Bleeding during bowel movements, with bright red blood either in the stool or on toilet paper.

Who’s Affected

Anal fissures are quite common, affecting around 1 in every 10 people at some point in their life. They affect both sexes equally, and people of all ages can get them, but children and young adults between 15 and 40 years of age are more likely to experience anal fissures.

When to See a Doctor

Consult a doctor if you suspect you have an anal fissure. Do not let embarrassment prevent you from seeking help. Most anal fissures resolve without treatment, but a doctor will want to rule out other conditions with similar symptoms, such as hemorrhoids (piles). They can provide self-help measures and treatments to relieve symptoms and reduce the risk of recurrence.

What Causes Anal Fissures?

Anal fissures are most commonly caused by damage to the lining of the anus or anal canal, often due to constipation.Other possible causes include persistent diarrhea, inflammatory bowel disease (IBD) such as Crohn's disease and ulcerative colitis, pregnancy and childbirth, sexually transmitted infections (STIs) like syphilis or herpes, and unusually tight anal sphincter muscles.

Diagnosing Anal Fissures

A GP will ask about your symptoms and the type of pain you have been experiencing. They may also inquire about your toilet habits. The fissure is usually visible by gently parting the buttocks. A digital rectal examination is not typically used for diagnosis due to potential pain. Further specialist assessment may be necessary for persistent cases.

Treatment for Anal Fissures

A doctor may prescribe medication to relieve symptoms and expedite healing, which can include laxatives and painkilling ointments. In persistent cases, surgery may be recommended, though most anal fissures heal within a few weeks without treatment.

How to Ease Symptoms of Anal Fissures

Adopt self-help measures to facilitate bowel movements and promote healing:Increase fiber intake (aim for at least 30g per day) through fruits, vegetables, and whole grains.Stay hydrated by drinking plenty of fluids.Avoid delaying bowel movements when the urge arises.Exercise regularly (at least 150 minutes of activity weekly).Pain relief can be managed with paracetamol or ibuprofen, and warm baths may soothe the area.

Self-Help Measures

Increase daily fiber intake with high-fiber foods.Drink plenty of water to avoid dehydration.Incorporate regular exercise into your routine.Establish a comfortable toilet routine.Use non-irritating wet wipes or soft toilet paper.Soak in warm baths to relax anal muscles, especially post-bowel movement.

Medicines

Laxatives to ease bowel movements.Painkillers for symptom relief.Topical anesthetics to numb the area.

Overview

At Dr.piles, we offer specialized homeopathic treatments for fistula in ano and perianal abscesses. A fistula in ano is an abnormal connection between the anal canal and the skin around the anus, often resulting from a previous infection or abscess. A perianal abscess is a painful collection of pus near the anus caused by infection. Our approach focuses on addressing the infection and inflammation, promoting natural drainage and healing without the need for surgery. Homeopathic remedies provide relief from pain, swelling, and discomfort while promoting the body’s natural healing process.

About Fistula in Ano

The term "fistula" refers to an abnormal connection between two structures, such as an organ or blood vessel and another part of the body. An anal fistula, or fistula in ano, is a tunnel-like connection that often develops from the anus to the outer anal skin. It typically arises from infection in the anal glands, which then drains and forms a fistula.

Incidence of Anal Fistula

Anal fistulas are more common in men than in women, with an incidence rate of approximately 12.3 cases per 100,000 men and 5.6 cases per 100,000 women. They are most frequently seen in individuals between the ages of 20 and 40 years.

Types of Anal Fistulas

Intersphincteric fistula: The most common type, accounting for 45% of cases. It infiltrates the internal sphincter but spares the external sphincter.Transphincteric fistula: Comprises 30% of cases, passing through both internal and external sphincters.Suprasphincteric fistula: Represents 20% of cases, with the fistula penetrating the internal sphincter, extending above the external sphincter, and potentially forming a horseshoe abscess.Extrasphincteric fistula: Rare (5% of cases), this type forms a connection between the rectum and perineum, bypassing both sphincters and requiring complex treatment.Subcutaneous or submucosal fistula: A superficial, short fistula that doesn’t impact the anal sphincter.

Symptoms of Anal Fistula

Swelling and pain around the anal regionFever and chillsFatigue or feeling unwellRedness, soreness, or itching near the anal openingDrainage of pus from the anal opening

Causes of Anal Fistula

Perianal abscessInflammatory conditions (e.g., Crohn’s disease, diverticulitis)Radiation therapySexually transmitted infections (STIs)Hidradenitis suppurativa (chronic skin inflammation)Tuberculosis affecting the anusSurgical complications near the anus

Risk Factors

Anal gland obstruction leading to infectionHistory of anal region surgery or radiation therapyObesity, especially after surgery for complex fistulasDiabetes, due to higher infection riskSmoking, linked to inflammatory conditionsSedentary lifestyle and diet low in fiberInflammatory bowel disease (IBD)Chronic STIs causing anal itching and infections

Complications

Persistent infection and recurring abscessesExtension of fistulas into complex branching patternsIncreased risk of anal cancer from chronic inflammationFistula recurrence and possible fecal incontinenceSevere anorectal infections or sepsis

Diagnosis

Physical and digital rectal examinationFistula probeAnoscopyImaging (CT pelvis, CT fistulography, MRI of the pelvis)Lab tests (CBC, CRP)

Treatment

Anal fistula treatment Treatment for an anal fistula or fistula in ano typically depends on its severity, location, and the underlying cause. Here are some common approaches to anal fistula or fistula in ano treatment: Conservative Management: For simple and superficial fistulas, especially those that don't cause significant symptoms, your doctor might recommend conservative management. This involves keeping the area clean, using warm water soaks or sitz baths, and ensuring proper hygiene. Medical management Anal fistula prevention.The following lifestyle modifications can do anal fistula or fistula in ano prevention. This includes anal fistula diet, anal fistula medicine, and anal fistula home treatment.

Prevention

Fiber-rich diet with fruits, vegetables, and whole grainsStay hydrated with plenty of waterUse fiber supplements as neededLimit alcohol and caffeine intakeSoak in warm water or take sitz baths for comfortMaintain a healthy weight and exercise regularlyAvoid painkillers that can cause constipation

Overview

At Dr.piles, we provide specialized homeopathic treatments for varicose veins, focusing on alleviating discomfort, reducing swelling, and supporting vein health. Varicose veins occur when veins become enlarged, twisted, and painful due to weakened or damaged valves, often resulting from prolonged standing, obesity, or pregnancy. Our approach targets the underlying causes, promoting vein health and reducing symptoms without invasive procedures. Homeopathic remedies offer relief from pain, heaviness, and visible swelling while encouraging the body's natural healing processes.

About Varicose Veins

Varicose veins are swollen, twisted, and enlarged veins visible beneath the skin, often in a red or blue color. These typically appear in the legs but may develop in other areas as well.

Causes

Weakened or damaged one-way valves in leg veins, causing blood to back up and the vein to swellAge-related wear and tearHormonal changes (puberty, pregnancy, menopause), and use of birth control or hormone replacement therapyCongenital valve defectsObesityPregnancyHistory of blood clots in the legsProlonged periods of standing or sittingFamily history of varicose veins

Risk Factors

Older ageFemale genderCongenital defective vein valvesObesityPregnancyFamily history of varicose veinsSedentary lifestyle or prolonged standing/sitting

Symptoms

• Fullness, heaviness, aching, or pain in the legs
• Visible, swollen veins
• Spider veins (tiny visible veins on the skin surface)
• Night-time thigh or calf cramps
• Mild swelling of feet or ankles
• Itching around varicose veins
• Restless leg sensations

Diagnosis

Physical examination for visible signs such as swelling, skin changes, or soresBlood flow examination in the veinsAssessment of any complications, such as blood clots

Treatment

Self-care:Wear compression stockings to reduce swelling by aiding blood flow.Avoid sitting or standing for prolonged periods; even slight leg movement helps circulation.Elevate legs above the heart for 15 minutes, 3-4 times daily.Care for wounds properly if any sores or infections develop.Weight management for improved circulation and reduced pressure on veins.Exercise regularly; walking and swimming are beneficial for circulation.Moisturize dry or cracked skin (consult a provider on appropriate products).Procedures for larger or persistent veins may include laser or radiofrequency treatments.

Prognosis

Varicose veins often worsen gradually over time. Self-care can help alleviate pain, prevent progression, and reduce the risk of more serious complications.

When to Contact a Medical Professional

Varicose veins are painful or worsening despite self-care.Sudden onset of pain, swelling, redness, or fever in the leg.Persistent leg sores that don’t heal.

Overview

At Dr.piles, we offer specialized homeopathic treatment for varicocele, focusing on reducing discomfort and promoting natural healing. Varicocele is an enlargement of the veins within the scrotum, similar to varicose veins, which can lead to pain, swelling, and in some cases, fertility issues. Our approach aims to improve blood flow, reduce vein enlargement, and alleviate symptoms without the need for surgical intervention. Homeopathic remedies support vein health, provide relief from pain and heaviness, and enhance the body’s natural healing processes.

About Varicocele

The scrotum is a skin-covered sac that holds your testicles, arteries, and veins supplying blood to reproductive glands. A vein abnormality in the scrotum may result in a varicocele—an enlargement of veins called the pampiniform plexus. Varicocele affects the scrotum, is similar to leg varicose veins, and can reduce sperm quality or cause infertility. Varicoceles commonly develop during puberty, are mostly found on the left side of the scrotum, and affect around 15% of adult men, with 35% of cases associated with primary infertility.

Symptoms

• A lump in one of the testicles
• Swelling in the scrotum
• Visibly enlarged or twisted veins in the scrotum, resembling a "bag of worms"
• Dull, recurring pain in the scrotum

Causes

A spermatic cord, holding each testicle, contains veins, arteries, and nerves. Healthy veins inside the scrotum allow one-way blood flow from testicles to the scrotum and back to the heart. When blood doesn’t flow properly, pooling occurs, causing the vein to enlarge and gradually form a varicocele. The exact cause is often unclear, with no established risk factors.

Diagnosis

Physical Exam: The doctor examines the testicles standing and lying down.Valsalva Maneuver: Patient takes a deep breath, holds it, and bears down while the doctor examines the scrotum.Scrotal Ultrasound: Helps measure spermatic veins and provides an accurate picture of the condition.

Varicocele Grading

Once diagnosed, a varicocele is graded 1 through 3 based on the size of the lump. Grade 1 is the smallest, and Grade 3 is the largest. Treatment is determined by symptoms rather than the size alone, with considerations for discomfort or fertility issues.

Possible Complications

Varicocele can affect fertility. Approximately 35-44% of men with primary infertility and 45-81% with secondary infertility have a varicocele.Primary infertility: A couple has not conceived after at least one year of trying.Secondary infertility: Couples have conceived before but cannot again.

Methods of Treatment

Treatment isn’t always necessary, but it may be advised if:The varicocele causes pain or testicular atrophy.It leads to infertility.Assisted reproductive techniques are being considered.To alleviate discomfort, wearing supportive underwear or a jockstrap may help. For worsening symptoms, varicocelectomy or varicocele embolization may be required.

When to Consult a Doctor

Varicoceles often cause no symptoms and are commonly detected during routine exams or fertility assessments.Seek medical advice if you notice:Dull, aching, or throbbing pain in the scrotum, testicle, or groinSwelling in the scrotumShrinkage of the affected testicleA lump or bulge on the scrotumChanges in testicle sizeImpaired fertility

Overview

At Dr.piles, we offer specialized homeopathic treatments for pilonidal cysts, aiming to reduce infection, promote natural drainage, and relieve discomfort. A pilonidal cyst is a sac filled with hair and skin debris that forms near the tailbone, often becoming infected and causing pain and swelling. Our homeopathic approach focuses on addressing the root cause of the cyst, reducing inflammation, and encouraging natural drainage and healing without surgical intervention. Homeopathic remedies help alleviate pain, swelling, and tenderness while supporting the body’s healing process.

About Pilonidal Cyst

A pilonidal cyst is a round sac of tissue filled with air or fluid, typically located in the crease of the buttocks. Often caused by skin infections, pilonidal cysts may contain ingrown hairs and skin debris. They are common, particularly among individuals who sit frequently, such as truck drivers and office workers. Pilonidal cysts can either be a one-time (acute) issue or a chronic (recurring) condition. Without treatment, chronic pilonidal cysts can develop into abscesses or sinus cavities, causing further infection.

Who Can Get a Pilonidal Cyst?

Anyone can develop a pilonidal cyst, but certain factors increase the risk:Men (three to four times more likely than women)People aged 20-35Individuals who sit for prolonged periodsPeople with overweight/obesityThose with thick or coarse body hair (can be hereditary)Wearing tight clothing, which can worsen the condition

Is a Pilonidal Cyst Hereditary?

In some cases, pilonidal cysts can be hereditary. A family history of thick or rough body hair may increase the likelihood of developing a pilonidal cyst.

Symptoms and Causes

Cause: Pilonidal cysts are believed to develop due to ingrown hairs in the crease of the buttocks, leading to a skin infection and cyst formation. The infection may worsen over time, potentially causing abscesses or sinus cavities.Symptoms:Pain, especially when sittingA small dimple or swollen area between the buttocks, often tender and redAn abscess with pus or blood drainage, sometimes with an unpleasant odorNausea, fever, and fatigue in severe cases

Diagnosis and Tests

Your healthcare provider will perform a physical exam of the buttocks crease to identify signs of a pilonidal cyst, which is often visible to the naked eye.If a cyst is present, it may look like a pimple or oozing cyst.Your provider may ask questions regarding any changes in the cyst’s appearance, fluid drainage, and symptoms.In rare cases, a CT scan or MRI may be ordered to check for sinus cavities beneath the skin.

Management and Treatment

While pilonidal cysts can sometimes resolve with surgery, even surgical treatment may not fully cure the condition, and cysts may recur. Homeopathic treatment focuses on encouraging natural drainage and healing, reducing infection, and preventing recurrence. In addition, some preventive steps may be helpful, such as cleaning and drying the buttocks area, avoiding prolonged sitting, losing weight if necessary, and shaving or using hair removal products around the buttocks to prevent ingrown hairs.

Outlook / Prognosis

Pilonidal cysts are not life-threatening, but untreated cysts may lead to significant health issues such as recurrent cysts, chronic pilonidal disease, and systemic infections that can become life-threatening.Getting prompt treatment at the onset of symptoms can help prevent chronic conditions. If you experience any symptoms of a pilonidal cyst, consult a healthcare provider for evaluation and management.