Types of Piles Treatment

The Piles as well as their treatments

Haemorrhoids, also known as piles, are blood vessels that are swollen within the anus and rectum. They are quite common, and there are a variety of treatments for piles available to treat different kinds of piles. The treatment of piles is important as they can cause of extreme discomfort and can get worse.

The most appropriate types of piles treatment will depend on the area and severity of the piles. Haemorrhoids that are smaller may heal by themselves and the symptoms are manageable with changes in lifestyle and diet, and medicines. If the symptoms don't improve following conservative treatments or are already causing severe pain could require surgery to manage. Surgery may be suggested for piles that are an arthrogram that has prolapsed (protruding from the anus) or have thrombosis (developed a blood clot).

How are Piles Classified?

Haemorrhoids may be external, appearing on the skin surrounding the anus or they can be internal and forming inside the rectum. They are further classified based on the extent of prolapse

• Grade 1 – A hemorrhoid that produces mild discomfort but is not a protrusion.
• Grade II The haemorrhoid extends out of the anus during straining during bowel movements. However, it will fall back later.
• Class III: The hemorrhoid extends from in the anus while boweling however, it must be manually pulled back.
• Haemorrhoid Grade IV prolapsed from the anus, and can't be pulled back into. There is also a risk of complications like strangulation.

A Piles Doctor in Kolkata will decide the best treatment for piles based on their type.

When is Piles Surgery Needed?

Most haemorrhoids are treated with conservative methods that include preventing constipation, relaxing in sitz baths applying ointments to the skin and applying topically applied. However, when these remedies are not enough or if haemorrhoids already cause severe pain and disrupting the quality of life of the patient and quality of life, a surgery called piles is recommended.

Different Types of Piles Treatments

Treatments for piles can be classified into two categories: surgical and non-surgical.

Non-Surgical Piles Treatments

Non-surgical therapies include:

• Suppositories and medications For mild pain, it is possible to alleviated by prescription or over-the-counter pain relievers. Suppositories for rectal and topical use can also be used to ease itching, pain and swelling.
• Ligitation with a rubber band - Often called banding, the procedure involves placing a piece of tightly around the bottom of the haemorrhoid. The haemorrhoid is cut off from its blood supply, which causes it to shrink, and then fall off naturally. Banding is often used to deal with prolapsed or swollen piles.
• The artery of haemorrhoidal energy The procedure is similar to a rubberband ligation. The objective is to reduce the haemorrhoid through cutting off the blood supply to it. The distinction is that this method usually employs the power of heat. The discomfort that is associated with the techniques is very minimal.

Surgical Piles Treatments

The types of surgery for piles include:

• Conventional excisional haemorrhoidectomy is the most common method of treating piles, this treatment involves opening the anus with lasers or surgical scissors to cut off the piles. The wounds that result remain open for healing. An excisional haemorrhoidectomy that is conventionally performed is performed with general anaesthesia. Similar to open surgery the healing process is more lengthy and more painful than less-invasive techniques.
• Closed-wound excisional haemorrhoidectomy is similar to a traditional haemorrhoidectomy the closed-wound haemorrhoidectomy entails cutting off the haemorrhoid tissue. The resulting cut is closed by sutures using absorbable stitches. This is a quicker and less painful healing time.
• Stapled haemorrhoidectomy is carried out to treat prolapsed or internal haemorrhoids. The procedure involves stapling the haemorrhoid to its original place in a manner that blood flow to the area is eliminated. Stapling is more efficient in its recovery time than excisional haemorrhoidectomy however the risk of recurring haemorrhoid is greater.
• Ligasure haemorrhoidectomy is like a haemorrhoidectomy however, it also involves coagulating tissue prior to it being removed to reduce the bleeding. This reduces the chance of complications, and also helps to reduce bleeding and pain following surgery.
• Transanal Haemorrhoidal Dearterialization (THD) (THD) THD is a minimally-invasive procedure that requires an anoscope and Doppler images to determine and then ligate haemorrhoid vessels, cutting blood supply, causing haemorrhoids shrink.

Also Read: Piles Laser Treatment: A Comprehensive Guide

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