PILES

Piles are hemorrhoids that become inflamed. Hemorrhoids are masses, clumps, cushions of tissue in the anal canal - they are full of blood vessels, support tissue, muscle and elastic fibers. Although hemorrhoids are thought of as unpleasant inflammations, we all have them. It is when the hemorrhoidal cushions become too big (inflamed) that problems occur - when this happens they are called piles or pathological hemorrhoids.

Put simply, "piles" are the swollen ones that are painful and cause problems, hemorrhoids can refer to the swollen ones (pathological hemorrhoids) or simply the normal structure. However, in most cases these days, the words piles and hemorrhoids are nearly always used interchangeably. Piles can be of various sizes and may be internal (inside the anus) or external ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the opening of the anus. External piles (perianal hematoma) occur on the outside edge of the anus. The internal ones are much more common.

http://www.drsanjaykolte.in/

TYPES OF PILES
Piles can be broadly classified into two broad kinds on the basis of their locations. The ones located internally. The ones located externally.

http://www.drsanjaykolte.in/

SYMPTOMS OF PILES
Piles which tend to affect elderly people, often turns out to be a major source of irritation. The one located externally are more painful than the internal ones. The external ones exist as painful inflammation or swelling. Internally located piles can be a source of extreme irritation when they tend to hang out through the anal passage. The ones located internally are susceptible to take on a necrotic form, whereby they develop into clots of blood. Necrotic ones are however quite painful.

One of the most common clinical features of piles includes passage of blood along with stool.
Along with bleeding itching and irritation may also persist.

http://www.drsanjaykolte.in/

DIAGNOSES OF PILES
The piles which exist in prolapsed form can be usually diagnosed by means of an external examination of areas surrounding the anal cavity.

Proctoscpy usually serves to highlight the presence of internal piles.

By means of proctoscopy the presence of tumors or polyps and that of an inflamed prostate are also detected as the detection is valuable in determining the line of treatment.

Proctoscopy or anoscopy is usually performed with patients being subject to sedation.

http://www.drsanjaykolte.in/

TREATMENT FOR PILES

The course of treatment which follows the findings of rectal examination includes the administration of anti inflammatory drugs of non steroidal nature. Traditional line of treatment is geared to the increased consumption of dietary fibers.

If constipation happens to be the underlying cause, insistence is given on the inclusion of green and yellow vegetables apart from being well hydrated by increasing the fluid intake.
Generally surgical removal of the inflamed vessels is resorted to as the last possible alternative. Means based on cauterization and cryosurgery has also been found to be quite effective. Decartelization using an ultra sound Doppler has also been used so as to rectify the prolapsed structure of piles. http://www.drsanjaykolte.in/

Dr. Sanjay Kolte

MBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICAL COLLEGE, PUNE, INDIA FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA

(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)

DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIAL HOSPITAL, PUNE, INDIA (DIPLOMATE OF NATIONAL BOARD, NEW DELHI) MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL SCIENCES, NEW DELHI

Contact Details: Laparoscopic Surgery Clinic, Parihar Chowk, Aundh, Pune, M maharashtra 411007 Mobile : 91+98 22 00 94 90 Email : doctorsanjaykolte@gmail.com

http://www.drsanjaykolte.in/