PILES ( HAEMORRHOIDS ) Treatment in Solapur
What is Hemorrhoids or Piles?
Hemorrhoids or Piles are dilated veins in the anus, they look like abnormal lumps, they cause one of three common symptoms: Pain, bleeding or repeated inflammatory attacks and prolapse.
Not all Hemorrhoids are equal and treated equally, some are purely internal, some are pure external hemorrhoids which can develop a blood clot in them after prolonged sitting and cause severe pain necessitating urgent intervention, and some are mixed. Most hemorrhoids are the mixed type and advanced in stage by the time a patient seeks medical help.
Internal Hemorrhoids usually bleed without pain or repeatedly prolapse after each bowel movement and go back up by themselves or by a little push by the patient’s fingers. They are classified in four grades or stages. Niraml hospital is one of the best Piles Clinic in Solapur, Provides the best Piles treatment in Solapur
Grades of Hemorrhoids
Causes of Hemorrhoids
- Prolonged straining at stools often disturbs the stool evacuation mechanism leading to piles
- The most common cause of piles is straining which in turn is mostly due to Constipation
- Increase in abdominal pressure during pregnancy, childbirth & weight-lifting
- Jobs which require long hours of sitting/standing like software Engineers, drivers, conductors, tailors etc
- Low fiber diet – intake of less than 30 grams of fiber per day
- Obesity – because excessive weight puts pressure on the veins of the rectum and anus
- Faulty toilet habits (sitting on the toilet for extended duration)
- Family history
Symptoms of Hemorrhoids
- Painless bleeding during bowel movements
- Itching or irritation in anal region
- Pain or discomfort
- Swelling around anus
- Protruding mass or lumps from the anus
- Formation of lumps near the anus due to blood clots in the hemorrhoid (thrombosed hemorrhoid) leading to painful swelling which worsens with bowel movement and sitting
- Leakage of feces or feacal soiling of undergarments
Diagnosis of Hemorrhoids
Your doctor may be able to see if you have external hemorrhoids simply by looking. Tests and procedures to diagnose internal hemorrhoids may include examination of your anal canal and rectum:
- Digital examination. During a digital rectal exam, your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths. The exam can suggest to your doctor whether further testing is needed.
- Visual inspection. Because internal hemorrhoids are often too soft to be felt during a rectal exam, your doctor may also examine the lower portion of your colon and rectum with proctoscope, video rectoscope or sigmoidoscopy.
Your doctor may want to examine your entire colon using colonoscopy if:
- Your signs and symptoms suggest you might have another digestive system disease like IBS, ulcerative colitis, etc.
- You have risk factors for colorectal cancer
- You are middle-aged and haven’t had a recent colonoscopy
Treatment of Hemorrhoids
No matter how difficult and unmanageable hemorrhoids treatment may look like, they can be treated with ease by our internationally trained surgeons who are the best Piles Doctor in Solapur understand various symptoms & causes of Piles. Our surgeons & staff are well trained and experienced to ensure that we, provide the best and affordable Piles Treatment in Solapur.
A conservative treatment intended to halt and reverse the early stage without any surgical intervention.
- Topical Treatments: Apply cream or suppository. Don’t use an over-the-counter steroid cream it may cause thinning of the skin.
- Sitz Bath: Soak your anal area in plain warm water 10 to 15 minutes two to three times a day.
- Stool Softeners: use of stool softener and herbal formulation to relieve constipation
- High-Fiber Diet: Eat more fruits, vegetables, and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids.
- Water Intake: Drink plenty of water.
- Physiotherapy: Pelvic floor physiotherapy helps to strengthen muscles in the anal region.
- Ayurveda Therapy: This includes enema with medicated herbal oils.
With these treatments, hemorrhoid symptoms often go away within a week.
Consult us, if you don’t get relief in a week, or sooner if you have severe pain or bleeding.
2. Advanced Stage Piles Treatments in Solapur
“Nirmal Anorectal and Multispecialty Hospital is the first Laser Surgery center for Piles Treatment in Solapur and have done more than 500 laser surgeries. Dr. Sachin Pandhare is the best Piles Doctor in Solapur. He is chief proctologist who has been trained in Germany and invented new techniques to minimize the bleeding and make it painless.”
For persistent bleeding or painful hemorrhoids, one of the other minimally invasive procedures are available.
A. Laser Treatment:
This Laser Hemorrhoids treatment represents the single best advance that occurred in Hemorrhoids treatment during the last decade. It is easy, painless, fast and very effective with permanent results.
In the laser treatment, coagulation technique is used to reduce the size and bleeding of internal hemorrhoids leading to hardening and shriveling. Modern Laser treatment is recommended to treat piles, anal fissure, anal fistula, and pilonidal cyst to minimize post-operative pain as compared to other procedures.
It is done in a painless fashion, it involves using the laser to remove the hemorrhoidal tissues, no stitches or packings are necessary and almost all patients are up and running immediately after their treatments, they can return to their work and daily activities the next day. Advantages and potential drawbacks of laser treatment is discussed below:
Advantages of Laser Treatment
- No cuts or open wounds
- Less post-operative pain compared to other procedures
- Healing is excellent as faster as there are no cuts or stitches
- No sense of urgency (need to rush to the toilet) after the procedure
- No risk of rectal stenosis
- Patient can return to normal activities within a short period of time
- Minimize chance of prolapse
- More effective as compared with conventional methods
- Faster patient recovery
Potential Drawbacks
- Burning sensation during the operative procedure
- External skin tag thrombosis
B. Injection (sclerotherapy).
In this procedure, we inject a chemical solution into the hemorrhoid tissue to shrink it. The injection causes little to no pain.
C. LigaSure Hemorrhoidectomy
LigaSure Hemorrhoidectomy is the normal treatment for III and IV degree hemorrhoids. The introduction of LigaSure vessels sealing electrosurgical unit for the treatment of piles had gained wide acceptance and popularity and universally accepted. A LigaSure electrosurgical unit is a multifunctional device due to its ability of grasping, sealing, blunt dissection, and ultimately dividing tissues. LigaSure vessels unit is an improved version of bipolar diathermy with the further advantage of achieving homeostasis by its vessels sealing system. It can seal blood vessels up to 7 mm in diameter.
The confined thermal dispersion allows the surgeon to perform a relatively bloodless surgery and reduce the anal spasm which responsible for most pain after hemorrhoidectomy. Besides, LigaSure electrosurgical unit stops energy delivery as soon as the tissue sealing is complete. LigaSure hemorrhoidectomy is considered now superior to conventional hemorrhoidectomy.
Procedure: In LigaSure hemorrhoidectomy, after the hemorrhoids are prolapsed out from the anal canal with an artery forceps, LigaSure hemorrhoidectomy will be performed by applying the LigaSure forceps close to the edge of each pile. Repeated applications of the device will be performed, and excision will be continued into the anal canal, lifting the pile from the internal anal sphincter to the level of the vascular pedicle, which will be finally divided.
LigaSure compared with conventional hemorrhoidectomy such as Milligan Morgan and Ferguson
D. Hemorrhoid Stapling.
This procedure, called stapled hemorrhoidectomy or stapled hemorrhoidopexy, blocks blood flow to hemorrhoidal tissue. It is typically used only for internal hemorrhoids.
Stapling generally involves less pain than hemorrhoidectomy and allows for the earlier return to regular activities. Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of recurrence and rectal prolapse, in which part of the rectum protrudes from the anus. Advantages and potential drawbacks of stapler treatment is discussed below:
Advantages of Stapler Surgery
- No cuts or wounds or stiches
- Minimal blood loss
- Minimal pain
- Sphincter function is not hampered hence voluntary control over motion is preserved
- Faster recovery – Patient can resume work within a week
- Safe in diabetics, heart patients and senior citizens
Potential Drawbacks
- Post-surgical inflammation or infection
- Post-surgical bleeding
- Staple line stricture
- Urinary retention and pain
- Rarely, a life-threatening blood infection (sepsis)
- Urgency (i.e. need to rush to the toilet)- May last for 4-8 weeks.
- A higher rate of recurrence compared with other surgical option.
Stapler compared with LigaSure hemorrhoidectomy
E. External Hemorrhoid Thrombectomy
If a painful blood clot (thrombosis) has formed within external hemorrhoid, removal of the clot with a simple incision and drainage under local anesthesia is recommended, which may provide prompt relief. This procedure is most effective if done within 72 hours of developing a clot.
After your treatment, the nurse will go over few instructions and you will be given a prescription for few medications and an appointment for a postoperative checkup few days later.