It is a condition that occurs when the veins around the anus or the lower rectum called cushions, gets swollen up. It is commonly experienced by the elderly and pregnant women. Pregnant women are likely to experience it because of increased abdominal pressure and resolves on its own after delivery of baby. There are certain risk factors that increases the likelihood of developing piles such as low fibre diet, chronic constipation, smoking, family history of haemorrhoids and straining during defecation.
They can be of certain stages; it is called internal when it is confined within the anus or rectum or can be external which is when it protrudes out of the anus. This can be temporary, visible only during defecation or permanent when it doesn’t go back in. Piles can be worrisome to patients. It can cause pain, bleeding, itching, wetness, faecal discharge and also general feeling of discomfort. Patients tend to get embarrassed about them and suffer in silence. One of the complications of piles is that there could be bleeding which can lead to anaemia and thus symptoms such as easy fatigue, shortness of breath and signs like palpitation and paleness.
However, one must realize it is a very treatable condition. Haemorrhoids surgery Singapore can offer the relief that one may be looking forward to, and is a rather uncomplicated and simple operation. The surgery could be either rubber band ligation or sclerotherapy. In rubber band ligation blood supply to haemorrhoid is cut off thus leading it to shrink and in sclerotherapy, a chemical is injected directly to the haemorrhoid which causes it to shrink. However, before surgery it is important to visit a surgeon and be diagnosed. The surgeon may do a visual examination of the anus called the digital rectal examination. Rectal cancers also can have a similar presentation and therefore must be excluded as it is a more serious condition. If digital rectal examination revealed any positive findings, he may do a sigmoidoscopy which will help to see the haemorrhoids up close.
The surgeon may sometimes believe it could be managed non-surgically, using pain relief such as over the counter suppository and ointments containing hydrocortisone which also helps to bring down the swelling. If patient is constipated stool softeners may be prescribed to make defecation easier. Lifestyle changes maybe encouraged such as quitting smoking, eating a healthy, balanced fibre rich diet, reducing stress, exercising, drinking at least two litres of water per day, practicing good hygiene and not spending too much time in the bathroom.
Haemorrhoids is a condition that is easily treatable. The options for treatment and prevention are plenty. Education and awareness must be spread as much as possible.