This information was published by Bupa's Health Content Team and is based on reputable sources of medical evidence. It has been reviewed by appropriate medical or clinical professionals and deemed accurate on the date of review. Photos are only for illustrative purposes and do not reflect every presentation of a condition. Any information about a treatment or procedure is generic, and does not necessarily describe that treatment or procedure as delivered by Bupa or its associated providers.
The information contained on this page and in any third party websites referred to on this page is not intended nor implied to be a substitute for professional medical advice nor is it intended to be for medical diagnosis or treatment.
Third party websites are not owned or controlled by Bupa and any individual may be able to access and post messages on them. Bupa is not responsible for the content or availability of these third party websites. We do not accept advertising on this page.
For more details on how we produce our content and its sources, visit the About our health information section. 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. Only use these for a few days as they may affect the sensitivity of your skin — ask your pharmacist for more information. Products that contain corticosteroids , such as Anusol HC and Proctosedyl, may reduce swelling and pain. Most are available over the counter and others on prescription.
In this procedure, your doctor will put a small elastic band around the pile, which will reduce the blood supply. The pile will die and fall off after about a week or two and the area left behind will heal naturally. Your doctor will inject an oily solution into your piles, which will make them shrivel up. Infra-red coagulation. Your doctor will apply an infrared light to certain areas of the piles, which will cut the blood supply to your piles and make them shrink.
Bipolar diathermy and direct current electrotherapy treatment. In this procedure, your doctor will use an electrical current to destroy the pile. Stapled haemorrhoidopexy — in this operation, your surgeon will attach the area of tissue with piles higher up your anal canal and staple it in place.
Haemorrhoidal artery ligation operation known as HALO. During this procedure, arteries in your anal canal are closed to limit the blood supply to your piles. Because of pressure from pooling blood, thrombosed hemorrhoids can actually burst and cause significant bleeding as well.
In almost all cases, the potential bleeding associated with hemorrhoids is due to damage of the swollen tissue; in other words, the bleeding can be traced to an action like straining during defecation or aggressive wiping. In that sense, bleeding hemorrhoids are treated in much the same way as any other hemorrhoid. Differences in treatment options have more to do with severity and duration of the inflammation. Below are some common at-home treatment options that can help ease the symptoms until the hemorrhoids go away:.
This kind of greater care is usually needed for thrombosed hemorrhoids or hemorrhoids that are causing extreme, constant severe pain or significant bleeding. If you have symptoms like that, you should make an appointment with a gastroenterologist.
Below are some medical treatment options doctors may employ to treat hemorrhoids:. Hemorrhoids can be nothing more than a mild nuisance, but sometimes they can turn into an incredibly painful malady that requires rapid treatment.
Even though hemorrhoids are rarely dangerous, the disruption to daily life can become significant enough that medical intervention is the only path. If you have hemorrhoids that are bleeding or extremely painful, you should contact a gastroenterologist soon. At Cary Gastro, we are passionate about promoting good digestive health and helping improve the quality of life when a gastrointestinal problem arises. Book an appointment today at one of our office locations throughout the Cary, Raleigh, Holly Springs and Triangle region.
We are committed to providing you with the most comprehensive quality of gastroenterology care. What Are Hemorrhoids? Hemorrhoid Symptoms As noted above, internal hemorrhoids are not visible outside the body and tend not to cause much pain or discomfort; the main symptom is occasional rectal bleeding which will show up on toilet paper or in the toilet bowl as bright red blood.
Why Do Hemorrhoids Bleed? Bleeding Hemorrhoids Treatment In almost all cases, the potential bleeding associated with hemorrhoids is due to damage of the swollen tissue; in other words, the bleeding can be traced to an action like straining during defecation or aggressive wiping. Many medical conditions, including cancer and inflammatory bowel disease IBD , can have similar symptoms. Next, try to soften your stools to keep your digestive system in good working order and reduce your risk of further irritation or damage to a bleeding hemorrhoid:.
If your bleeding hemorrhoids are larger or more severe, your doctor may recommend more advanced treatment, such as more extensive surgery. They may also recommend this if you have a prolapsed hemorrhoid. These happen when an internal hemorrhoid starts to hang out of the anus. Your doctor will be able to recommend which procedure may be best for you based on the type and severity of your hemorrhoids.
These approaches often involve general or regional anesthesia, as well as a potential stay overnight in the hospital:. While it could be due to a hemorrhoid, it could also be a sign of something more serious, such as colorectal cancer.
This will help them check for any signs of other conditions that could be causing the bleeding. You can book an appointment with a primary care doctor in your area using our Healthline FindCare tool. However, while primary care doctors can usually provide treatment for hemorrhoids, you may need to visit a gastroenterologist or colorectal surgeon if you have severe hemorrhoids or experience any complications.
Gastroenterologists specialize in the treatment of conditions that affect the digestive tract, including hemorrhoids, and can perform colonoscopies and other procedures, such as rubber band ligation. In severe cases where surgery is required, you may be referred to a colorectal surgeon , which is a physician that specializes in diseases that affect the colon, rectum, and anus. Hemorrhoids can bleed when they become damaged or irritated.
Usually, this bleeding and irritation can resolve with home treatment. Hemorrhoids, also known as piles, are swollen veins located around the anus or in the lower rectum. Feel like your hemorrhoid burst? Learn what you…. Hemorrhoids are swollen veins that appear near the rectum.
If you have a severe case that doesn't resolve with home treatment, there are a number of….
0コメント