Some complementary therapies are promoted as a way to reduce the inflammation and pain you might experience with piles. If you have internal piles, mucus from your rectum can leak out, which can make the surrounding area itchy. You may also find that poo occasionally leaks out too, which can make it worse.
If you have external piles, skin tags can develop, which can be itchy because they trap moisture near your skin. They can also make it difficult to clean yourself properly after you go to the toilet, causing further itching and discomfort. Our short survey takes just a few minutes to complete and helps us to keep improving our health information. At Bupa we produce a wealth of free health information for you and your family. This is because we believe that trustworthy information is essential in helping you make better decisions about your health and wellbeing.
It also follows the principles of the The Information Standard. Eating a healthy, well-balanced diet means eating food from a variety of food groups to get the energy and nutrients that your body needs. A rectal prolapse is when part of your rectum sticks out through your anus back passage to form a lump. A healthy balanced diet is essential for your physical and mental wellbeing.
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Back to top Menu. Haemorrhoids Piles. Expert reviewer, Mrs Sara Badvie , Consultant Laparoscopic, Colorectal and General Surgeon Next review due November Haemorrhoids piles are enlarged blood vessels that you can get inside or around your anus the opening of your bottom. About piles Your anus is lined with spongy tissue supplied with blood vessels — the anal cushions — and they help your anus to close.
Types of piles Internal piles start inside your anal canal, but they might hang down and come out your anus. Second degree piles come out of your anus when you have a poo, but go back inside on their own afterwards. Third degree piles come out of your anus and only go back inside if you physically push them back in.
They can become very swollen and painful if the blood inside them clots. Need a GP appointment? Telephone or Video GP service. Causes of piles Piles develop when the veins in your anal canal become swollen, which may happen for a number of reasons, such as: if you strain when you go to the toilet, for example if you have constipation or long-lasting diarrhoea getting older — your anal canal weakens with age, which makes piles more likely having a persistent cough lifting heavy objects Piles are also common during pregnancy.
Diagnosis of piles Your GP will ask about your symptoms and examine you. Self-help for piles If you make a few changes to your diet and lifestyle it can help with the symptoms of piles. Eat a high-fibre diet to help make your poo softer and easier to pass. This will help to reduce the pressure on the veins in your anus caused by straining when you have a poo. Keep active and exercise each day. There might be some activities that you may find difficult if you have external piles, such as cycling.
You might find it helpful to use a cushioned seat pad if this is the case. Or, you may want to switch to something else for a while until your symptoms get better.
Try not to strain when you go to the toilet. Afterwards, gently clean around your anus with water and pat the area dry. Over-the-counter painkillers , such as paracetamol, may help to ease any pain from piles. Soothing creams, ointments and suppositories may ease any pain and itchiness from piles.
There are lots of different products available over the counter. Some contain a local anaesthetic such as lidocaine. Infrared coagulation : Also referred to as infrared light coagulation, a device is used to burn the hemorrhoid tissue. This technique is used to treat grade I and II hemorrhoids. Hemorrhoidectomy : The excess tissue that is causing the bleeding is surgically removed. This can be done in various ways and may involve a combination of a local anesthetic and sedation, a spinal anesthetic, or a general anesthetic.
This type of surgery is the most effective for completely removing piles, but there is a risk of complications, including difficulties with passing stools, as well as urinary tract infections. Hemorrhoid stapling : Blood flow is blocked to the hemorrhoid tissue. This procedure is usually less painful than hemorrhoidectomy.
However, this procedure can lead to an increased risk of hemorrhoid recurrence and rectal prolapse, in which part of the rectum pushes out of the anus. While they can be painful and debilitating, piles do not usually pose any ongoing threat to health and can be self-managed up to grades III or IV. If a complication develops, such as a fistula, this can become serious. The surgical options for more advanced piles are normally outpatient procedures with minimal recovery time.
Read the article in Spanish. Hemorrhoids or piles are common irritations around the rectum and can be extremely painful. They are internal or external and can get bigger if not…. A look at dumping syndrome, a condition where food moves too quickly through the digestive system. Included is detail on diagnosis and risk factors. Thrombosed hemorrhoids happen when sacs in the anal passage get pushed onto the outside of the anus and fill with blood clots. Learn more. Hemorrhoids, also known as piles, often go away without treatment.
They can be painful and uncomfortable, but there is a range of treatment options…. Hiatal hernias occur when part of the stomach enters the chest cavity. Learn about which foods to eat and which to avoid with this condition. Everything you need to know about piles. Medically reviewed by Daniel Murrell, M. What are piles? Symptoms Causes Diagnosis Treatments Outlook We include products we think are useful for our readers.
Share on Pinterest A person with piles may experience swollen collections of tissue in the anal area. Share on Pinterest Pregnancy may increase the risk of developing piles. Share on Pinterest Eating a high fiber diet may help to prevent and treat the condition.
Exposure to air pollutants may amplify risk for depression in healthy individuals. Costs associated with obesity may account for 3. This cuts off the blood supply to the haemorrhoid which then dies and drops off after a few days. The tissue at the base of the haemorrhoid heals with some scar tissue.
Banding of internal piles is usually painless, as the base of the haemorrhoid originates above the anal opening in the very last part of the gut where the gut lining is not sensitive to pain. In about 8 in 10 cases, the piles are cured by this technique. In about 2 in 10 cases, the piles come back at some stage. However, you can have a further banding treatment if this occurs. Piles are less likely to come back after banding if you do not become constipated and do not strain on the toilet as described above.
A small number of people have complications following banding, such as bleeding, infection or ulcers forming at the site of a treated haemorrhoid, or urinary problems.
Injection sclerotherapy Phenol in oil is injected into the tissues at the base of the piles. This causes a scarring fibrotic reaction which obliterates the blood vessels going to the piles. The piles then die and drop off, similar to after banding.
It seems to be as effective as banding treatment and injection sclerotherapy for first- and second-degree piles. Diathermy and electrotherapy This uses heat energy to destroy the piles. They appear to have similar success rates as infrared coagulation and the risk of any complications is low. Haemorrhoidectomy the traditional operation An operation to cut away the haemorrhoid s is an option to treat grade 3 or 4 piles or for piles not successfully treated by banding or other methods.
The operation is done under general anaesthetic and is usually successful. However, it can be quite painful in the days following the operation. Stapled haemorrhoidopexy A circular stapling gun is used to cut out a circular section of the lining of the back passage anal canal above the piles. This has the effect of pulling the piles back up the back passage.
It also has the effect of reducing the blood supply to the piles and so they shrink as a consequence. Because the cutting is actually above the piles, it is usually a less painful procedure than the traditional operation to remove the piles.
Haemorrhoidal artery ligation The small arteries that supply blood to the piles are tied ligated. This causes the haemorrhoid s to shrink. Strangulated or thrombosed piles are uncommon but usually very painful.
Treatments usually include bed rest, medication for pain relief, hot baths, ice packs and keeping your stools faeces soft see above. Surgery may, rarely, be needed to remove the haemorrhoid. Ann R Coll Surg Engl. I am a gay man in my late 30s. I have always enjoyed receptive anal sex. For several years, I have suffered from piles. I've had them treated various times but they always came back.
The surgeon Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.
Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. In this series. In this article What are piles? How many types of piles are there?
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