fissure hospital ahmedabad

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Haemorrhoids (Piles)

• Haemorrhoids (piles) are enlarged blood vessels
  that you can get inside or around your anus (the
  opening of your bottom). Its completely normal
  to have blood vessels in your anus, as they play
  an important role in continence. But piles can
  develop if these blood vessels become enlarged,
  which can cause symptoms.

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About piles

• Your anus is lined with spongy tissue supplied
  with blood vessels the anal cushions and they
  help your anus to close. These are perfectly
  normal but sometimes they can develop into piles.
  Piles usually look like small, round, discoloured
  lumps. You might be able to feel them on your
  anus or hanging down from your anal canal. Your
  anal canal is the short, muscular tube with blood
  vessels that connects your rectum (back passage)
  with your anus.

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Types of piles

• Internal piles start inside your anal canal, but
  they might hang down and come out your anus.
  Theyre graded according to whether they come
  out, and if so, how far they come out.
• First degree piles may bleed but dont come out
  of your anus.
• Second degree piles come out of your anus when
  you have a poo, but go back inside on their own
  afterwards.
• Third degree piles come out of your anus and only
  go back inside if you physically push them back
  in.
• Fourth degree piles always hang down from your
  anus and you cant push them back in. They can
  become very swollen and painful if the blood
  inside them clots.
• External piles are swellings that develop further
  down your anal canal, closer to your anus. They
  can be really painful, especially if they have a
  blood clot in them.
• Its possible to have both internal and external
  piles at the same time.

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Causes of piles

• Piles develop when the veins in your anal canal
  become swollen, which may happen for a number of
  reasons, such as
• if you strain when you go to the toilet, for
  example if you have constipation or long-lasting
  diarrhoea
• getting older your anal canal weakens with age,
  which makes piles more likely
• having a persistent cough
• lifting heavy objects
• Piles are also common during pregnancy. They may
  develop due to the higher pressure in your tummy
  (abdomen) when youre pregnant. They usually get
  better after you give birth.
• Some people believe theres a link between stress
  and piles but theres no evidence to support
  this. But having piles can be potentially
  stressful.
• Another theory is that youre more likely to get
  piles around the time of your period. But theres
  currently no evidence to support this.

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Symptoms of piles

• Piles dont always cause pain or other symptoms,
  but if you do have symptoms, they might include
• bleeding when you poo you may see blood
  (usually bright red) on toilet paper or drips in
  the toilet or on the surface of your poo
• a lump in or around your anus
• a slimy discharge of mucus from your anus, which
  may stain your underwear
• a feeling of fullness and discomfort in your
  anus, or a feeling that your bowels havent
  completely emptied after youve gone to the
  toilet
• itchy or sore skin around your anus
• pain and discomfort after you go to the toilet
• These symptoms can vary a lot between
  individuals. They may also be caused by problems
  other than piles, such as inflammatory bowel
  disease, anal cancer, bowel cancer and an anal
  fissure (tear). So, if you have any of these
  symptoms, contact your GP for advice dont just
  assume theyre caused by piles.

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Diagnosis of piles

• Your GP will ask about your symptoms and examine
  you. They may gently put their finger into your
  anus to feel your rectum theyll wear gloves
  and use some gel to make it more comfortable. If
  necessary, your GP may refer you to a specialist
  doctor to look inside your rectum, using a short,
  rigid tube-like instrument called a proctoscope.
• You might need to have a blood test to check if
  you have anaemia if you have a lot of bleeding.
  Anaemia is when you have a low number of red
  blood cells in your blood or haemoglobin (the
  oxygen-carrying component of your blood).
• If your symptoms, examinations or test results
  suggest your symptoms might be caused by
  something else, your GP may refer you to hospital
  for more tests. These can rule out other
  conditions, such as bowel cancer.

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Self-help for piles

• If you make a few changes to your diet and
  lifestyle it can help with the symptoms of piles.
• Eat a high-fibre diet to help make your poo
  softer and easier to pass. This will help to
  reduce the pressure on the veins in your anus
  caused by straining when you have a poo.
• Drink enough fluids to keep hydrated but dont
  have too much caffeinated ones like tea and
  coffee.
• Keep active and exercise each day. There might be
  some activities that you may find difficult if
  you have external piles, such as cycling. You
  might find it helpful to use a cushioned seat pad
  if this is the case. Or, you may want to switch
  to something else for a while until your symptoms
  get better. Generally, though, physical activity
  is good for your health and shouldnt make your
  piles worse.
• Try not to strain when you go to the toilet.
  Afterwards, gently clean around your anus with
  water and pat the area dry.
• You wont need to cut things out of your diet
  unless your doctor advises you to.

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Treatment of piles

• If you have piles, it can be uncomfortable, and
  its understandable if they make you feel a bit
  self-conscious. They might have an effect on
  other areas of your life, such as your sex life
  if your piles hang out or you have some
  discharge. But try not to worry piles usually
  last less than a month and then shrink back,
  although they might come back.
• In the meantime, there are plenty of treatments
  that can relieve your symptoms. If you have mild
  bleeding from piles every now and then, change
  your diet and lifestyle to prevent constipation
  this may be all you need for things to get
  better. See our Self-help section above for more
  information.
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Medicines for treating piles

• Theres a range of medicines that can help to
  relieve the symptoms of piles. Always read the
  patient information leaflet that comes with your
  medicine and ask your pharmacist for advice if
  you have any questions.
• If youre passing hard poo, a fibre supplement
  such as ispaghula husk (eg Fybogel) or mild
  laxative such as lactulose will soften it.
• Over-the-counter painkillers, such as
  paracetamol, may help to ease any pain from
  piles. Dont take painkillers that have an opioid
  in them (like codeine), as these could make you
  constipated and add to your problems.
• Soothing creams, ointments and suppositories may
  ease any pain and itchiness from piles. There are
  lots of different products available over the
  counter. Some contain a local anaesthetic such as
  lidocaine. Only use these for a few days as they
  may affect the sensitivity of your skin ask
  your pharmacist for more information.
• Products that contain corticosteroids, such as
  Anusol HC and Proctosedyl, may reduce swelling
  and pain. Dont use these for more than a week as
  they can damage the skin around your anus. Most
  are available over the counter and others on
  prescription.
• It can sometimes take up to a month for self-help
  measures and medicines to work. If your symptoms
  dont improve after this time, contact your GP.
  They may refer you to a specialist.

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Non-surgical treatments for piles

• Piles will usually go away on their own but, if
  they dont, you might need to have a procedure to
  deal with the problem. There are some treatments
  that youll need to go into hospital for as an
  out-patient. This means you can have the
  treatment and go home the same day.
• Banding. In this procedure, your doctor will put
  a small elastic band around the pile, which will
  reduce the blood supply. The pile will die and
  fall off after about a week or two and the area
  left behind will heal naturally.
• Sclerotherapy. Your doctor will inject an oily
  solution into your piles, which will make them
  shrivel up.
• Infra-red coagulation. Your doctor will apply an
  infrared light to certain areas of the piles,
  which will cut the blood supply to your piles and
  make them shrink.
• Bipolar diathermy and direct current
  electrotherapy treatment. In this procedure, your
  doctor will use an electrical current to destroy
  the pile.
• Your doctor will let you know the benefits and
  risks of each procedure and which is the best
  option for you.

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Surgery for piles

• Most people dont need an operation to treat
  piles. But if you still have symptoms of piles
  and other treatments havent worked, or your
  piles keep bleeding, it might be an appropriate
  option for you. There are different types of
  surgery for piles, which include the following.
• Haemorrhoidectomy this is a surgical procedure
  to remove piles if theyre causing problems.
• Stapled haemorrhoidopexy in this operation,
  your surgeon will attach the area of tissue with
  piles higher up your anal canal and staple it in
  place. Your piles then wont come out your anus
  anymore and will shrink.
• Haemorrhoidal artery ligation operation. During
  this procedure, arteries in your anal canal are
  closed to limit the blood supply to your piles.
  Sometimes an ultrasound probe will be used to
  help find your arteries and guide your surgeon
  during the procedure.
• The vision of Shah Piles Fistula Hospital is
  fissure doctor Ahmedabad to serve the people
  suffering from the most common heath problems
  related to Anal Canal. The hospital has been
  brought to action to serve society.

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About Us
Shah Piles Fistula Hospital was set up on the 3rd
of January, 1982. Since, the day the father-son
duo Dr. Devendra k shah and Dr. Niket Devendra
shah has been providing the society with their
capabilities and extraordinary vision in the
field of Proctology. The decision to treat.
fissure hospital Ahmedabad first consideration
for the treatment of a shallow fistula will be
fistulotomy. The positioning of the fistula also
matters. If its between the internal and
external anal sphincters, this surgery will be
the most suitable treatment. For larger fistulas
that are deep into the tissues, other options are
available. The doctor can use an additional
procedure known as sphincteroplasty to treat the
sphincter after performing a fistulotomy. This
process is more complex. fistula doctor Ahmedabad.
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Contact Us
Address  Gandhikunj society, behind kothawala
flats, Kocharab, Paldi,
Ahmedabad, Gujarat-380006
Address  616, Shivalik Square, nr. Adani cng
pump, opp. gsrtc office, nr. RTO circle, 132 Feet
Ring Rd, Old Wadaj, Ahmedabad,
Gujarat 380027
Mobile No.  91 78782 92929 , 91 98240 22376
Landline No.  91 2657 7678 , 91 2657 7878
E-mail  shahpilesfistulahospital_at_gmail.com