Piles Tratment

1-INTERNAL:-
These are inside the butt-centric waterway and inward to the butt-centric hole. these are brilliant red or purple in shading, these are normally effortless as butt-centric waterway layer from where they start isn't delicate to pain.

2-EXTERNAL:-
Arranged external the butt-centric opening and covered by skin, two assortments may exist together and the condition is called internoexternal haemorrhoids.

CAUSES:-

• Hereditary
• Constipation/Straining
• Low roughage diet

Haemorrhoids may be secondary to a few conditions eg.

• Pregnancy
• Chronic constipation
• Difficulty in micturition
• Portal hypertension
• Cancer of rectum

SYMPTOMS:-

• Bleeding
• Prolapse
• Pain (when associated with thrombosis or in Gd 3/ Gd 4 haemorrhoids)
• Mucous discharge- in prolapsed haemorrhoids
• Anaemia

CLASSIFICATION:- .

Gd - 1 when hemorrhoids don't come out from butt-centric channel, draining is just symptom

Gd - 2 hemorrhoids come out just during crap and is diminished precipitously after defecation

Gd - 3 hemorrhoids come out just during crap and don't return without anyone else, yet should be supplanted physically and afterward they stay reduced.

Gd - 4 The hemorrhoids that are forever prolapsed. At this stage extraordinary inconvenience is grumbled of with a sentiment of weight in the rectum

COMPLICATIONS:-

• Bleeding
• Thrombosis
• Anaemia
• Strangulation

TREATMENT:- INJECTION THERAPY:- ONLY WORKS IN first DEGREE Hemorrhoids. A few purported specialists advertise

"BAWASEER EK TEEKE ME JAD SE KHATM"BEWARE OF SUCH ADVERTISEMENT as there is no job infusion in any illness other than gd 1 hemorrhoids besides it might be RISKY in the event that it isn't infused appropriately or given in different sicknesses like FISSURE or FISTULA.

RUBBER BAND LIGATION:- Previously it was treatment of decision in little hemorrhoids of gd 1 or 2, however now obsolete as a result of its HIGH FAILURE RATE.

KSHAR SUTRA:- KSHAR SUTRA is treatment of decision in gd 2 to 4 haemorrhoids.when attached to the base of hemorrhoids they shed off in 5 to 7 days. there is no necessity of invassive techniques like activity and THERE IS NO CHANCE OF RELAPSE in the wake of getting treated by kshar sutra.

THROMBOSED PILE/PERIANAL HAEMATOMA

A little clump can be seen in some cases underneath skin. This is an ensuing after resisting stool, hacking, or lifting weighty weight.

Condition shows up abruptly and is difficult. It might be viewed as tense and delicate swelling.

TREATMENT:- Sometimes it resolve without anyone else or may fibrose or blast offering ascend to bleeding.

It can be etched the haemorrhoid under nearby anaesthesia.