In general terms, 'piles' is a condition where the veins in the anal region get swollen and start to bleed.
"Piles are abnormally enlarged and dilated blood vessels (mainly veins) around the back passage or anus. They are also known as haemorrhoids," explains Dr Mrunal Ketkar, associate professor, department of surgery, Bharati Vidyapeeth, Pune.
Piles are not to be confused with fissures. "Most patients who come to us complaining of anal bleeding think they have piles; in many cases, though, bleeding could involve 'fissures' which is a temporary injury to the anal passage caused by hard stools," she says.
Treatment and prevention
Dr Mrunal stresses on the need to inculcate the right bowel habits during childhood itself; this goes a long way in avoiding piles in the long run.
The best way to clear up existing piles is to avoid constipation. By having regular bowel movements, stools pass easily and do not put pressure on the blood vessels in the anal area. Slowly, the condition improves.
Also, the stools should be soft, so they pass easily, thus decreasing pressure and strain.
One should try to empty bowels as soon as possible, when the urge occurs.
~ Diet control
Most piles cases can be cured by diet control. According to Dr Mrunal, increased fibre in the diet helps reduce constipation and straining by producing stools that are softer and easier to pass.
She advises the following important changes to diet:
Eat plenty of fibre-rich foods such as fruits, especially papayas and figs, vegetables and wholegrain cereals (eg brown rice, whole wheat bread), lot of greens, raw salads.
Have fruits, instead of fruits juices; most fruits contain high fibre.
Drink plenty of fluids, especially water, to keep bowel movements soft
Those suffering from piles should strictly avoid hot and spicy food, and non-vegetarian food too.
Diet changes helped Sanjana Mane, 30, a software manager with an IT firm in Pune. "I was a coffee addict and it resulted in acute constipation and in due course, I was affected by piles as well. It was so painful, it was getting impossible to sit on my chair for work. I was restless through out the day."
Severe diet control and regular intake of water throughout the day is what cured the problem for her.
~ Exercise
"Exercise for at least 30 minutes a day, this will aid your bowel movement," says Dr Mrunal.
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11:18 AM on September 11, 2008