Causes of Hemorrhoids / Piles

• Straining During Bowel Movements: Straining to pass stools due to constipation or diarrhea puts pressure on the veins in the rectal area, leading to swelling and inflammation.

• Chronic Constipation or Diarrhea: Conditions that cause frequent constipation or diarrhea can increase the risk of developing piles, as straining during bowel movements aggravates the veins in the anal canal.

• Pregnancy: Increased abdominal pressure and hormonal changes during pregnancy can lead to the development of piles, which often improve after childbirth.

• Sitting or Standing for Prolonged Periods: Jobs or activities that require prolonged sitting or standing can contribute to this disorder, as extended periods in these positions put pressure on the veins in the lower rectum.

• Obesity: Being overweight or obese increases pressure on the pelvic area and abdomen, which can lead to the development of piles.

• Age: As individuals age, the tissues supporting the veins in the rectum and anus weaken, making them more susceptible to swelling and inflammation.

• Genetics: A genetic predisposition may increase the risk of developing piles, particularly in individuals with a family history of the disorder.

• Heavy Lifting: Activities that involve heavy lifting or straining can increase intra-abdominal pressure, contributing to the development of piles.

• Poor Diet: A diet low in fiber can lead to constipation, thereby increasing the likelihood of straining during bowel movements and the subsequent development of piles.

Preventions of Hemorrhoids

To reduce the risk of developing hemorrhoids, consider implementing the following preventive strategies:

• Maintain Regular Bowel Habits: Ensure you have regular bowel movements and avoid straining during defecation, as this can lead to hemorrhoids.
• Increase Fiber Intake: Consume a diet high in fiber, including fruits, vegetables, and whole grains, to soften stools and promote easier bowel movements.
• Stay Hydrated: Drink plenty of water daily to help maintain stool consistency and prevent constipation.
• Exercise Regularly: Engage in regular physical activity to improve digestion and reduce the risk of constipation, which can contribute to hemorrhoid formation.
• Avoid Prolonged Sitting: Limit sitting for extended periods, especially on the toilet, to reduce pressure on the anal region.
• Consult a Healthcare Provider: If you have risk factors such as a family history of hemorrhoids or other digestive issues, seek personalized advice from a healthcare professional.

Treatment Options for Hemorrhoids / Piles Treatment

There are various treatment options available for hemorrhoids, ranging from non-surgical approaches to surgical interventions:

• Non-surgical Treatment Options:
• Lifestyle Changes:

  Boost your daily intake of fiber to soften stools and reduce straining during bowel movements. High-fiber foods include whole grains, legumes, fruits, and vegetables. Adequate fiber intake can significantly alleviate symptoms by promoting smoother bowel movements.

  Drinking plenty of water is essential to maintain soft stools and prevent constipation, which can exacerbate this condition.

• Medications:

  Over-the-counter creams, ointments, and suppositories can help relieve symptoms like itching, pain, and swelling. Common active ingredients include lidocaine (for pain relief), witch hazel (for soothing), and hydrocortisone (to reduce inflammation).

• Sclerotherapy:

  Sclerotherapy involves injecting a chemical solution directly into the affected area, which causes the blood vessels to shrink by reducing blood flow. This procedure is typically painless and effective for treating certain cases.

• Rubber Band Ligation:

  In this procedure, a small elastic band is placed at the base of the internal hemorrhoid, cutting off its blood supply. The hemorrhoid then shrinks and falls off within several days. This minimally invasive procedure can often be performed in a doctor’s office without anesthesia.