Piles is often feared as the tumour of the anus. Actually, piles is not tumourous and not dangerous. It is a simple enlarged / engorged blood vessel(s) of the anus. It is also called haemorrhoids in medical terminology. It is the dilatation (varicosity) of the haemorrhoidal plexus (veins of anus). It appears as bluish or purple coloured swellings due to stagnated blood. Piles may cause symptoms like bleeding, itching, pain and lump feeling in the anus.
Blood vessels are supposed to suffer with varicosity, when there is obstruction or resistance/ sluggish or reduced or back flow of blood / valvelessness, etc. Varicosity is often noticed in the legs of pregnant women or policemen or in persons whose job/habit is to stand continuously for a prolonged period. Veins of the legs are most commonly affected with varicosity, since it is the most dependent part of the body, where the gravitational force constantly gives pressure with stagnation. Other than varicosity of legs, the next commonest spot of varicosity is the anus since it has a cluster of loosely supported blood vessels anastamosing (joining) systemic & portal (liver) circulation. These blood vessels have no valves to avoid back flow and is more prone to varicosity.
Piles patients mostly suffer silently with their complaints due to shyness to explain or show the thing to the doctor. They bear the pain and complaints as far as possible and go for treatment only in unbearable conditions, which usually leads them directly to the surgeon’s table. Every complaint should be treated then and there, for easy cure and to avoid progress of the disease into complications. Also, nowadays piles is often misspelled for all anal complaints (fissures, fistulas, rectal tumours, prolapsed anus, etc.) Every complaint should be clearly analysed by examination and investigation before being diagnosed and treated.
Incidences – Piles is very commonly seen nowadays. Women have higher incidence than men. The reason behind it is not clearly known. It is more commonly seen in adolescent age group and aged persons who all seem to be more tensed. There must be a relation between piles and tension/psychological factors. Its incidences is more common in persons who deviate more from nature in diet, living style and sitting habits. Sufferers are mostly
Long sitting travellers
Sedentary workers
Alcoholics and those who suffer from liver disorders
Anal architecture - is designed in such a manner to control even the release of air (flatus) and watery stools i.e., airtight and leak-proof. It is well-formed with internal sphincter and external sphincter muscles. Anal canal is anatomically divided into two parts (namely upper part and lower part) by Hilton’s line (bluish pink ring). This upper anal part originates from the endoderm and is covered with mucous membranes. The nerve supply of the upper part is supplied from the autonomic nervous system which doesn’t have any pain sensitive nerve fibres. The lower part of the anal canal originates from ectoderm and is covered by skin. Unlike the upper part, it is supplied by spinal nerves which have pain sensitive nerve fibres. The blood supply to upper part of the anus is supplied by superior haemorrhoidal plexus and the lower part is supplied with inferior haemorrhoidal plexus. The occurrence of swelling/varicosity in the anus (piles) is more common in 3 O’, 7 O’ & 11 O’ clock position of anus which are all supposed to be weak points of the anus
Internal piles - lies inside the anus. Usually internal piles originates from superior haemorrhoidal plexus of the upper part of anal canal and lies above the Hilton’s line. This type usually will not be painful, since it lies in the upper part of anal canal, which lacks pain-sensitive nerve innervations.
External piles - lies outside the anus. External piles originates from inferior haemorrhoidal plexus of the lower part of the anal canal i.e. it lies lower to the Hilton’s l

Answered by Rekha , an ibibo Advisor, at 6:34 PM on February 18, 2008

piles is also called haemorrhoids as the person suffering from it has bleeding per rectum while one is passing stools the treatment of piles depends upon the stage in which a peson is in first and second degree where only bulging of piles is present it can be managed with medicines always avouid constipation or take some laxatives in routine.you can also use pilex or anovate, fakty ointment locally before and after passing of stools .orally some tab like pilex can also be taken desi treatment which i recomnd to my patients take some taramira and rasount orally it is quite effective . if the ples are second degree then ligation or some local injection also helps in third or fourth degree it is advisable to get operated upon as medicines are of little help at this stage

Answered by rajesh goyl , an ibibo Advisor, at 6:20 PM on February 18, 2008

Piles can be cured by drinking onion juice mixed with ghee or sugar for about a month will help you to become better.

Answered by jyothi . , an ibibo Specialist, at 4:53 PM on February 18, 2008

PILES CAN BE TREATED WITH SURGERY BUT CAN RECOCCUR.EAT A HIGH FIBRE DIET,DRINK PLENTY OF WATER ,AVOID CONSTIPATION,DONT STRAIN TO EVACUATE HARD FAECAL MATTER,TAKE EASILY DIGESTED FOOD AVOID SPICES,CHILLIES,HOT FOOD AND ALCOHOL.TAKE LOTS OF GREEN VEGETABLES , BITTER GOURD,BEET ROOT,GINGER AND GARLIC.PAPAYA,MANGO,LIME ,JAMUN AND FIGS ARE VERY GOOD IN PILES.TAKE JAMUN FRUIT WITH SALT IN ITS SEASON EVERY DAY OR BOIL ONE RIPE BANANA IN A GLASS OF MILK,MASH,COOL AND DRINK TWICE DAILY.HOMEOPATHIC MEDICINES ARE GOOD FOR PILES TREATMENT ,TAKE THEM ALONG WITH HOME REMEDIES.

Answered by sanya , an ibibo Master, at 4:38 PM on February 18, 2008

Eat plenty of fibre foods and give him food without spices

Answered by The Bond , an ibibo Citizen, at 1:50 PM on February 18, 2008

well newton i think u better flwo like this Soak 75 gms. of mung seed (green gram) in water over-night; wash and e-husk in the morning, grind it along with 21 leaves of neem tree without adding any salt or condiments, form into I-g- inch balls and deep fry them in ghee and eat daily for 21 days. 2 Piles can be cured if you daily eat one gram of powdered Terminalia chebula fruit (Arale; Kadukai; Harde) along with a little old-jaggery moistened with water if necessary (for 21 days).

Daily drinking of the decoction made out of Garike grass (Cynodon dactylon; Kadke; dhub; durva; Kali ghas; Bahama grass) along with a little milk will cure piles. 4 For the cure of piles : Steam-boil Elephant yam (surana- gadde) and extract about I tbsp. of its juice, add I tbsp. of gingely oil and a pinch of rock-salt, mix well and strain; drink the strained liquid once a day for 7 days.

The root of bitter gourd can be used externally as a paste in piles.

Answered by sanjay , an ibibo Guru, at 1:31 PM on February 18, 2008