Common symptoms of piles
Pain, bleeding, stinging feeling, anal soreness and bloodstained toilet paper after you finished your business on the toilet are the usual symptoms of haemorrhoids. In addition to that you may get a lumpy feeling inside your rectum or protruding from your backside.
Thorough investigations are needed to establish the right diagnosis and eliminate other conditions, for example anal fissures, fistulas, polyps or rectal cancer.
Types of haemorrhoids
There are two types of hemorrhoids, external and internal: whereas external hemorrhoids are painful, internal hemorrhoids mostly remain unnoticed.
External piles are varicosities of the blood vessels draining the territory of the inferior rectal arteries, therefore they may in fact be concealed from sight, while internal haemorrhoids are only visible if they are prolapsed. As the the part of our body where internal haemorrhoids are formed lacks pain sensors, these kinds of piles are generally not painful.
Piles treatment options
Depending on your diagnosis, internal and external haemorrhoids can be treated using a variety of specialised methods. While haemorrhoids can often be managed in an effective way by simple local medication and changes in lifestyle and eating habits, sometimes specialist medical care needs to be undertaken at a specialised clinic, or in hospital.
Traditional piles surgery
Piles surgery used to be a painful process with long recovery, but today the old-fashion type surgery rarely needed, the non-operative piles treatments ó such as rubber band litigation or sclerotherapy ó provide usually exact results with much less pain or discomfort.
Rubber band ligation
This is a more uncomplicated office or roomís treatment for haemorrhoids as opposed to operation, which needs hospitalisation. This is a method in which elastic bands are applied onto an internal haemorrhoid to block its blood supply, therefore the withered haemorrhoid will fall off in a few days.
Sclerotherapy means the injection of a sclerosing agent, such as phenol, into the haemorrhoid. This causes the blood vessel’s walls to shrink up and the haemorrhoids to dwindle. This is usually a very safe and painless procedure: the injection is usually carried out in the Doctorís office.
Skin tags are an ailment that might be as an external haemorrhoid. Many people have an anal skin tag, an inconvenient extra skin around the back passage. This usually causes hygienic problems, and a few people feel embarrassed about the appearance of this body part. The removal of this condition generally carried out under local anaesthesia, and the result is usually excellent, as this place has a very good blood supply and the wound disappears quickly.
Other condition that mimic haemorrhoids is anal fissure. In former times surgery was suggested, which unfortunately leads to partial anal incontinence, but today this condition is often treated with rectal biofeedback, which is a non-operative alternative to re-train the co-ordination of the abdominal, rectal and anal sphincter muscles in order to attain a normal and complete evacuation.
About non-operative treatments in general
The first step when going to a specialist clinic is an exhaustive discussion about your health problem, and the following step is an examination. You will be informed about the diagnosis before any treatment. The procedures needed are usually carried out right after the diagnosis. As aching is very rarely an issue, the patients can go home (drive or transported) after the treatment.