Piles/Hemorrhoids

Piles are inflamed and swollen collections of tissue in the anal area. They can have a range of sizes, and they may be internal or external. Piles is another term for hemorrhoids. Hemorrhoids are collections of inflamed tissue in the anal canal. They contain blood vessels, support tissue, muscle, and elastic fibers.

Piles can be divided into either internal or external piles. Some people develop internal and external piles at the same time.

Internal piles

internal piles are deeper and initially form above a point 2-3 cm inside the back passage (anal canal) in the upper part of the anal canal or lower rectum (the last part of the large bowel that connects to the anal canal).

External piles

External piles start off nearer the surface, below a point 2-3 cm inside the back passage.

Causes of Piles

• Straining during bowel movements
• Sitting for long periods of time on the toilet
• Having chronic diarrhea or constipation
• Being obese
• Being pregnant
• Having anal intercourse
• Eating a low-fiber diet
• Regular heavy lifting

Symptoms of Piles

• Constipation.
• Bright red blood after you poo.
• An itchy anus.
• Feeling like you still need to poo after going to the toilet.
• Slimy mucus in your underwear or on toilet paper after wiping your bottom.
• Lumps around your anus.
• Pain around your anus.

How you can treat or prevent piles

Do

• Drink lots of fluid and eat plenty of fiber to keep your poo soft
• Wipe your bottom with damp toilet paper
• Take a warm bath to ease itching and pain
• Use an ice pack wrapped in a towel to ease discomfort
• Gently push a pile back inside
• Keep your bottom clean and dry
• Exercise regularly
• Cut down on alcohol and caffeine (like tea, coffee and cola) to avoid constipation

Don’t

• Do not wipe your bottom too hard after you poo
• Do not ignore the urge to poo
• Do not push too hard when pooing
• Do not take painkillers that contain codeine, as they cause constipation
• Do not take ibuprofen if your piles are bleeding
• Do not spend more time than you need to on the toilet

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