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PILES (Hemorrhoids)

Piles are caused by swollen veins inside or on the outside of the anus.


A number of factors may lead to the formations of hemorrhoids including irregular bowel habits (constipation or diarrhea), exercise, nutrition (low-fiber diet), increased intra-abdominal pressure (prolonged straining), pregnancy, genetics, absence of valves within the hemorrhoidal veins, and aging.


1. It is the commonest cause of anal bleeding. Bleeding is bright red, (painless usually, rarely can be painful) along with defecation.
2. Blood splashes in pain as stool comes out.
3. Mucus discharge and itching.
4. Prolapse of piles either they go back themselves or they have to be replaced manually.
Sensation of incomplete evacuation of rectum.


The best way to prevent hemorrhoids is to keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs. Exercise, including walking, and increased fiber in the diet help reduce constipation and straining by producing stools that are softer and easier to pass. Spending less time attempting to defecate and avoiding reading while on the toilet have been recommended.


1. Don't strain at stool. Avoid prolonged sitting on the toilet. Don't strain at urination. Get the conditions treated that give rise to difficult micturition or defecation. Use high roughage diet and drink sufficient liquids to avoid constipation.
2. Lose weight, if over weight.
3. Avoid prolonged sitting at work. Get up and more around periodically. Exercise regularly.
4. Itchiness and pain can be relieved by taking hot baths.
5. Use moist wipes, instead of rough toilet paper.


If there is bleeding per rectum. Pain with passage of stools.

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