Summary about Disease
Bleeding piles, also known as hemorrhoids, are swollen and inflamed veins in the rectum and anus that can cause pain, itching, and bleeding, particularly during bowel movements. They are a common condition that can affect people of all ages but are more prevalent with increasing age.
Symptoms
Bleeding during bowel movements (usually painless)
Itching or irritation in the anal region
Pain or discomfort in the anal area
Swelling around the anus
A lump near the anus, which may be sensitive or painful
Fecal leakage
Causes
Straining during bowel movements
Chronic constipation or diarrhea
Pregnancy
Obesity
Sitting for long periods, especially on the toilet
Aging (weakening of tissues supporting veins)
Heavy lifting
Family history of hemorrhoids
Medicine Used
Topical treatments:
Creams, ointments, or suppositories containing hydrocortisone, lidocaine, or witch hazel to relieve pain, itching, and inflammation.
Pain relievers:
Over-the-counter pain relievers such as acetaminophen or ibuprofen to reduce pain.
Stool softeners:
To make bowel movements easier and reduce straining.
Laxatives:
If constipation is contributing to the problem, gentle laxatives can be used.
Prescription medications:
In some cases, stronger pain medications or corticosteroids may be prescribed.
Procedures:
Rubber band ligation
Sclerotherapy
Infrared coagulation
Hemorrhoidectomy
Is Communicable
No, bleeding piles are not communicable or contagious. It is not an infectious disease and cannot be spread from person to person.
Precautions
Eat a high-fiber diet to prevent constipation.
Drink plenty of fluids to stay hydrated.
Avoid straining during bowel movements.
Go to the toilet as soon as you feel the urge.
Exercise regularly.
Maintain a healthy weight.
Avoid sitting for prolonged periods, especially on the toilet.
Use proper lifting techniques.
Practice good anal hygiene (gentle cleaning with mild soap and water).
Avoid using harsh or scented toilet paper.
How long does an outbreak last?
The duration of a hemorrhoid outbreak can vary. Mild cases might resolve within a few days to a couple of weeks with conservative treatment. More severe cases or those left untreated can persist for several weeks or even months. Chronic hemorrhoids may flare up intermittently over time.
How is it diagnosed?
Physical Examination: A doctor can often diagnose hemorrhoids by visual inspection of the anus.
Digital Rectal Exam (DRE): The doctor inserts a gloved, lubricated finger into the rectum to feel for abnormalities.
Anoscopy: A short, lighted tube (anoscope) is inserted into the anus to view the anal canal.
Sigmoidoscopy or Colonoscopy: If there's suspicion of other digestive system diseases, the doctor might perform a more extensive examination with a sigmoidoscope or colonoscope.
Timeline of Symptoms
Initial Stage: Mild itching or discomfort, occasional bleeding during bowel movements.
Progression: Increased pain, more frequent bleeding, possible swelling or lumps around the anus.
Chronic Stage: Persistent pain, discomfort, and bleeding; potential for complications like thrombosis or infection. Symptoms may fluctuate in intensity over time.
Important Considerations
Bleeding from the rectum should always be evaluated by a doctor to rule out other, more serious conditions like colorectal cancer.
Self-treating with over-the-counter remedies is often effective for mild cases, but persistent or severe symptoms require medical attention.
Pregnancy can worsen hemorrhoids; consult with a doctor about safe treatment options.
Lifestyle changes are crucial for preventing and managing hemorrhoids long-term.
If symptoms worsen or do not improve with treatment, seek further medical advice.