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What Are Piles?

Piles (hemorrhoids) are common swellings that form inside and around the anal canal. There is a huge network of small veins within the lining of the anal canal. These veins sometimes become wider with more blood than usual. As a result, the swollen veins and overlying tissue may develop into one or more swellings (piles).

Types Of Piles

Piles can be classified into two main types based on their location within the rectum and where the swollen veins form. The types include:

  1. Internal piles

    Internal piles form inside the anal canal but might hang down and come out of the anus. They are graded based on the location within the rectum and where the swollen vein develops.

    • First-degree piles may bleed but don't come out of the anus.
    • Second-degree piles come out of the anus during defecation but go back inside on their own afterward.
    • Third-degree piles come out of the anus and only go back inside if you push them back in.
    • Fourth-degree piles hang down from the anus, and you can't push them back in. They can get swollen and painful if the blood inside them clots.
  2. External piles

    External piles are swellings that grow further down the anal canal, closer to the anus. They can be extremely painful, especially if they have a blood clot.

    It is possible to have both internal and external piles simultaneously.

How Is Piles Diagnosed?

A proctologist can easily diagnose piles based on medical history and a physical exam. In addition, they can diagnose external piles by inspecting the area around the anus. Your proctologist can also conduct a digital rectal exam to diagnose internal piles. In this diagnostic test, the doctor inserts a gloved, lubricated finger into the rectum to look for abnormalities in the anal canal and rectum. They can also perform procedures like anoscopy and rigid proctosigmoidoscopy to inspect the rectum and anus.

  • Anoscopy- An anoscopy is a technique that uses a small tube called an anoscope to view the lining of the anus and rectum. Your doctor will inspect the tissues lining the anus and rectum for signals of lower digestive tract problems and bowel disease.
  • Rigid proctosigmoidoscopy- It is a technique that uses a proctoscope to view and examine the lining of the rectum and lower colon. The doctor will examine the tissues or blood vessels lining the rectum and lower colon to look for signals of lower digestive tract problems and bowel disease.

What Are The Various Options To Treat Piles?

Depending on the severity, piles are graded from grades 1 to 4. Generally, grade 1 and grade 2 piles can be treated without any surgery, while grades 3 and 4 require surgery for treatment. Treatment for piles can be surgical and non-surgical.

Non-Surgical Treatment

Sclerotherapy is a non-surgical procedure to treat piles. In this procedure, you will be given injections to help shrink the piles. Rubber band ligation is also a non-surgical option in which the piles are tied off at their base with rubber bands, cutting off the blood flow to them.

Surgical Treatment

Your doctor might recommend one of the other surgical procedures for persistent bleeding or painful piles. The various surgical options include:

  • Closed hemorrhoidectomy- Closed hemorrhoidectomy involves the excision of piles bundle using a sharp instrument, like a scalpel, scissors, or electrocautery, followed by complete wound closure with an absorbable suture.
  • Open hemorrhoidectomy- In an open piles surgery, piles tissue is excised in the same manner as in a closed surgery, but here the incision is left open.
  • Stapled haemorrhoidectomy- Stapled haemorrhoidectomy is a daycare procedure where there is no cut or wound on the outside, and the piles mass is removed with a unique device called a stapler.
  • Laser surgery for piles- Laser surgery is one of the most advanced and less painful procedures for piles treatment. A laser beam is used to shrink the piles mass, and there is no pain or wound. You can go home the same day and resume routine activities the next day.

Contact us to undergo a safe and effective piles treatment in the [city_name]. We will help you connect with some of the best proctologists in the [city_name] who will accurately diagnose and treat your medical condition.

When To Consult A Doctor For Your Piles Treatment In [city_name]?

Knowing when to seek professional help for any medical condition is extremely important, and piles are no exception. Obtaining medical help at the right time can help you avoid unnecessary risks and complications. If you experience any of the following conditions or complications, it is time to consult with an experienced and skilled proctologist.

  • You have excruciating pain and discomfort in the anal and rectum area.
  • The stool you pass is dark red, maroon, or tar-like. It can be a sign of internal bleeding.
  • No amount of home remedies and medications can provide you relief from the symptoms.
  • If you feel weak and dizzy due to constant blood loss and stool.
  • You experience blood in the toilet paper every time you pass bowel movements.

How To Find The Best Doctor For Piles Treatment In [city_name]?

A proctologist is a specialized doctor who can diagnose and treat numerous anorectal conditions, including piles. A proctologist focuses on diagnosing and treating conditions of the colon, rectum, and anus. In addition, they are seen for complex lower digestive tract problems or when surgery is required to treat the patient. To find the best doctor for piles in [city_name], you must thoroughly research the qualifications and other skills of a piles specialist. Here are some things you need to consider before choosing your doctor for piles treatment in [city_name]:

  1. Educational requirements

    All medical doctors, including proctologists, must earn a bachelor's degree from an accredited college. In addition, proctologists are required to attend a four-year medical school accredited by the Liaison Committee on Medical Education (LCME). They are also required to complete a hospital residency in general surgery.

  2. Skills and Qualities

    A proctologist should be able to effectively and safely diagnose and treat numerous diseases related to the anus, colon, and rectum. Some of the skills and qualities that a proctologist is expected to possess include:

    • Strong analytical skills
    • Ability to observe and attend to details
    • Strong interpersonal and communication skills
    • Compassion
    • Empathy
    • Ability to solve the medical problem and make a correct decision
    • Updated with the advanced technology
  3. Favorable Online Reviews

    Word of mouth is one of the best ways to find a good and reliable proctologist, but you can also study online reviews and get a better idea of whether the doctor meets your needs. Online reviews give you a better idea of the doctor's strengths and weaknesses without relying on word-of-mouth.

  4. Disciplinary History

    You don't want to choose a proctologist just to find out they have a history of scamming patients. Therefore, checking out the proctologists' malpractice and disciplinary history is essential before making a final decision.

What Are The Qualifications Of Medical Specialists Who Can Treat Piles?

Qualifications of medical specialists who can treat piles include:

  • MBBS
  • Fellowship in gastroenterology
  • MD - Colorectal surgery
  • FRCS - General surgery [Colorectal]
  • FRCP - Gastroenterology
  • MS - General surgery
  • DNB - General surgery
  • Diplomate in the colon and rectal surgery
  • FRCS - General surgery
  • DNB - Surgical gastroenterology

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