Haemorrhoids (Piles)

Piles are enlarged and swollen blood vessels in or around the lower rectum and anus. Solid waste material (faeces or stools) is stored in the rectum before being passed out of the body through the anus.

Piles may be internal or external according to whether they are internal or external to anal orifice.

INTERNAL HAEMORRHOIDS: -develops above the dentate line. -covered by anal mucosa. -lacks sensory innervation (painless) -bright red or purple in color.

EXTERNAL HAEMORRHOIDS:

Arise below the dentate line. Innervated by the inferior rectal nerve

There are different varieties of piles which people can suffer from. These range from internal piles, external piles or a combination in between.

First Degree PilesFirst degree piles only occur within anal

canal.  They are swellings within the lining and they cannot be seen from the outside of bottom.  First degree piles can bleed, which is an initial sign that may be suffering from them.

Second Degree Piles

A slightly nasty version of piles are second degree piles.  These are similar to first degree piles in the sense that they occur within anal canal, however, if one go to the toilet they can come out, or prolapse.  Once have finished bowel movement they will return in after.

Third Degree Piles

These are a step further than second degree piles.  With third degree piles, the haemorrhoids are always outside of bottom.  With third degree piles it is possible to push them back inside.

Fourth Degree PilesThis is one of the most painful forms of piles. 

Fourth degree piles hag outside of bottom and cannot be pushed back in.  It is common for fourth degree piles to become large and swollen, along with it being common that blood clots within them.  Once blood starts to clot in the piles they can be extremely painful.

symptoms

Burning and pain in anus Itching in anus Discharge of blood due to

pressure during evacuation Loss of appetite Yellowish face due to

extensive bleeding Feeling of heaviness at the

opening of anusDiscomfort around anus,

such as feeling sore or it being visibly red

Excessive straining when passing a stool Bleeding after passed a

stool.Discharge of mucus present

after passing a stool Pain while passing a stool Feeling like bowels are still

full and need emptying

ComplicationsBleeding Pain NecrosisMucus discharge moisturePerianal sepsis.

Cause

ConstipationBeing overweight Prolonged diarrhea Regularly lifting heavy objects Pregnancy, where experience increased

abdominal pressure on pelvic blood vessel, causing blood vessels to enlarge

Having a family history of haemorrhoids.

TreatmentLaxatives for constipation Painkillers Creams and ointments (Corticosteroids)

and suppositories.Cold compresses - a cloth or flannel

soaked in cold water  Warm baths Drink lots of waterIncrease the amount of fiber in your diet

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