PILES


About Hemorrhoids- We are all familiar with hemorrhoids or the more common terminology ‘Piles’. Hemorrhoids can be described as masses or cushions of tissue within the anal canal that contain blood vessels and they have surrounding, supporting tissue made up of muscle and elastic fibers.
Although most people think hemorrhoids are abnormal, they are present in everyone. However, only when the hemorrhoidal cushions enlarge, when the hemorrhoids cause problems and are termed as “hemorrhoids disease”.

Surgical treatment of hemorrhoids- The management of hemorrhoids, based upon the results of through clinical evaluation, involves local procedures like removal of a clot, ambulatory mucosal fixation techniques or excision surgery. But it must in all cases include a medical aspect like regularization of intestinal function or dealing with the vascular component, which while not always sufficient in it, is necessary and useful. Surgery, always limited to what is required by the individual case, should remain the final therapeutic step.
    These days most of the hemorrhoidal surgeries can be performed as day care procedures where the patients are discharged within 24 hours of the surgery.

Piles is just a mass of dilated and tortuous veins that occur in the anal canal. Simple fact and surprising, isn't it?


These dilated veins arise from under the mucous membrane in the lower rectum. They form a mass containing several branches of veins which descend down the anal canal giving rise to piles. Such piles may be external (Present and visible at the anus) or internal (within the anus and required internal examination to confirm its presence) to the anal orifice.
The external type is covered by skin while the internal is covered by mucous membrane. Both of these may be present in the same individual. It is these dilated veins that cause bleeding, pain and other discomfort at the anus