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getting rid of piles
The recognition of hemorrhoids (piles) dates back to ancient times long before Hippocrates. Piles, probably result from increased venous pressure in the hemorrhoidal plexus. Hemorrhoidal disease is more common in persons of higher socioeconomic classes due to the increased consumption of refined foods which are constipatory.
Some of its causes are: genetic predisposition, unhealthy diet, obesity, constipation, childbirth. Predisposing factors include activities that require prolonged standing or sitting; straining due to constipation, diarrhea, coughing, sneezing, or vomiting; heart failure; hepatic disease, alcoholism; anorectal infections; loss of muscle tone due to old age, rectal surgery, and pregnancy.
Types and symptoms
Piles are varicosities or swelling and inflammation of the veins in the rectum and anus. They are very common, at least 50% of people over age 50 suffer with them. Internal piles are present inside the anal canal and are known to exist either by bleeding or by various disagreeble sensations and even painful symptoms such as itching, burning, tensus, etc.
When enlarged, elongated, engorged hemorrhoidal veins appear outside the anal sphincter, they are called external piles. These are very fragile and can cause a great deal of discomfort and pain to the patient as they bleed very easily especially following the movement of the bowels. This is very evident especially when the area is wiped using toilet tissue papers.
The primary cause of bleeding during hemorrhoids is excessive straining during bowel movement, the veins in the anus and the rectum are under pressure when the person strains excessively and this results ruptures along the vein.
A hemorrhoid is a progressive disorder and there is a scale of the severity of its symptoms.
- Mild hemorrhoids are present if the patient complains of painless, bright red rectal bleeding on defaecation.
- Moderate hemorrhoids occur when there is anal protrusion on straining at defaecation but spontaneously reduces or requires manual replacement for reduction after defaecation.
- Severe hemorrhoids are present when the hemorrhoids are permanently prolapsed or prolapse readily on standing up.
The uncomfortable nature of treatment options often lead a patient to postpone evaluation until aggressive intervention is necessary. Treatment comprises of three factors: dietetic, hygienic and medicinal. Medical treatment is aimed initially at relieving symptoms (to reduce pain and swelling).
Conservative therapies include diet, lifestyle changes, and hydrotherapy (hot sitz bath) as well as local medication with suppositories and creams. They provide relief from pain and promote healing.
When conservative hemorrhoid therapy is ineffective, physicians may choose other non-surgical modalities: injection of chemicals into the piles (sclerotherapy), cryotherapy. Most patients with symptomatic hemorrhoids can be successfully treated by manual anal dilatation, direct current electrocoagulation, or rubber band ligation.
Several botanical extracts have been shown to improve microcirculation, capillary flow, and vascular tone, and to strengthen the connective tissue of the perivascular region.
Oral dietary supplementation is an attractive addition to the traditional treatment of hemorrhoids.
Supplementation with horse chesnut, witch hazel, and bioflavonoids may prevent painful complications of varicose veins and hemorrhoids mainly used for their antiinflammatory, hydrating, and barrier-stabilizing effects.
There are several over-the-counter herbal topical ointments available for piles. Following the movement of the bowels, and when the hemorrhoids cause a lot of painful sensations, herbal ointments would be helpful. Swollen tissues in the anal region can also be shrunken down and reduced in size by their continuous application.
How to prevent piles?
- diet can play a big part in hemorrhoid prevention: eat high-fiber foods (fruits, vegetables, grains) and drink more liquids (to soften stool); foods that may cause indigestion, gas or diarrhea should be avoided; avoid refined and sugary (biscuits, ice cream, soft drinks) as well as spicy foods;
- changing the toilet habit (to lessen straining);
- losing excess body weight;
- physical training helps in passing stool easy and toning the muscles surrounding the veins.
- personal hygiene applied in relation to movement of bowels is of foremost importance in these troubles.
A piles sufferer should always keep the anus safe by practicing good personal hygiene: keep the anal area clean and avoid using rough toilet paper! Avoid toilet tissue with colores or parfume!
Hemofarm Plus - a hygienic wet wipe - impregnated with herbal extracts of Aloe vera (Aloe barbadensis M.), Witch hazel (Hamamelis virginiana L.), and Horse chestnut (Aesculus hypocastanum) cleans softly and disinfects after bowel evacuation. Due to beneficial effects of its herbal constituents, Hemofarm is able to minimize skin irritation, reduce oedema and tone up the vessel wall.