PILES http://www.drsanjaykolte.in/ Although hemorrhoids are thought of as unpleasant inflammations, we all have them. It is when the hemorrhoidal cushions become too big (inflamed) that problems occur - when this happens they are called piles or pathological hemorrhoids. Put simply, "piles" are the swollen ones that are painful and cause problems, hemorrhoids can refer to the swollen ones (pathological hemorrhoids) or simply the normal structure. However, in most cases these days, the words piles and hemorrhoids are nearly always used interchangeably. Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. Exter nal piles (perianal hematoma) o ccur on the outside edge of the anus. The internal ones are much more common. Piles are hemorrhoids that become inflamed. Hemorrhoids are masses, clumps, cushi ons of tissue in the anal canal - they are full of blood v essels, support tissue, muscle and elastic fibers.
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The course of treatment which follows the findings of rectal examinationincludes the administration of anti inflammatory drugs of non steroidal
nature.
Traditional line of treatment is geared to the increased consumption of
dietary fibers.
If constipation happens to be the underlying cause, insistence is given on theinclusion of green and yellow vegetables apart from being well hydrated by
increasing the fluid intake.
Generally surgical removal of the inflamed vessels is resorted to as the last
possible alternative.
Means based on cauterization and cryosurgery has also been found to be
quite effective.
Decartelization using an ultra sound Doppler has also been used so as to