Hemorrhoids also called piles, are swollen veins in your anus and lower rectum. Piles are collections of tissue and vein that become inflamed and swollen. The size of piles can vary, and they are found inside or outside the anus. Piles occur due to chronic constipation, chronic diarrhoea, lifting heavy weights, pregnancy, or straining when passing a stool. A doctor can usually diagnose piles on examination. Hemorrhoids are graded on a scale from I to IV.
These are under the skin around your anus.
Internal hemorrhoids lie inside the rectum.
If you have bleeding during bowel movements or you have hemorrhoids that don't improve after a week of home care, talk to your doctor.
Don't assume rectal bleeding is due to hemorrhoids, especially if you have changes in bowel habits or if your stools change in color or consistency. Rectal bleeding can occur with other diseases, including colorectal cancer and anal cancer. Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.
Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.
Grade II: Grade II piles are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided.
Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.
Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.
External piles form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops, as the blood clot can block the flow of blood. Thrombosed external piles, or hemorrhoids that have clotted, require immediate treatment.
The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow these tips:
Eat high-fiber foods. 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 cause hemorrhoids. Add fiber to your diet slowly to avoid problems with gas.
Drink plenty of fluids. Drink six to eight glasses of water and other liquids (not alcohol) each day to help keep stools soft.
Consider fiber supplements. Most people don't get enough of the recommended amount of fiber — 20 to 30 grams a day — in their diet. Studies have shown that over-the-counter fiber supplements, such as psyllium (Metamucil) or methylcellulose (Citrucel), improve overall symptoms and bleeding from hemorrhoids.
If you use fiber supplements, be sure to drink at least eight glasses of water or other fluids every day. Otherwise, the supplements can cause or worsen constipation.
Don't strain. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, your stool could dry out and be harder to pass.
Exercise. Stay active to help prevent constipation and to reduce pressure on veins, which can occur with long periods of standing or sitting. Exercise can also help you lose excess weight that might be contributing to your hemorrhoids.
Avoid long periods of sitting. Sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.
Pain and bleeding from the piles make a patient to severe anaemic condition. There is no need for surgery for piles. Without surgery, by the simple herbal treatment the piles will be cured completely. The bleeding and pain is reduced by one or two days. By having the continuous treatment for two to three months the bulged out skin tag will shrink completely and back to the original position. The bulged veins because of heat it protruded out. No need for surgery. If the constipation is cleared and the body heat is reduced the protruded vein shrink and becomes normal. In RJR herbal hospitals without surgery ,giving permanent relief for piles.