What is piles?

21 june

What is piles?

Piles means balls or mass. This is caused by downward sliding of anal coushins due to straining. Anal Cushion is aggregation of blood vessels, smooth muscles and elastic tissue in submucosa at the night times.

Types of Piles Internal : Above the dentale live covered with mucus membrane. External : Below the dentale live covered with skin. Type 3: Internal & External together occurs. .

Grades in Piles:

First Degree : Hemorrhoids that bleed, but do not Comeout. These are slightly enlarged hemorrhoids, but they do not protrude outside the anus.
Second Degree : Comes out during deafaction These may come out of the anus during certain activities like passing stool, and then return back inside the body.
Third Degree : Comes out during daefesation Hemorrhoids that prolapse and must be pushed back in by a finger.
Fourth Degree : Completely comes out of the anus.

Causes of Piles:

• Heredrity
• Straining, Constipation, Hard stools
• Low Fibre diet, Pregnancy
• holding your breath while straining to do physical labor

Investagation of Piles Treatment:

1. Proctoscopy in OP Basis.
2. Colonoscopy to ruleout malignancy
3. concrete contiguous bored pile (CBP)

Treatment for Hemorrhoids or piles:

Non Operative(Without Surgery):

• Taking more liquids cures piles without surgery at first degree.
• Take more fibre diet
• Sitz bath (Sitting in warm water for 15-20 mins).


Most popularly used method of curing piles of second and third degree

Laser Treatment

Surgical removal of hemorrhoids, known as a hemorrhoidectomy or stapled hemorrhoidectomy, is reserved for patients with third- or fourth-degree hemorrhoids.

Advantages of Surgecal method of treatment:

• Less Operative tension
• Less Pain, Less Bleeding
• Rapid Healing
• Quick Recovery

If you are suffering from Piles since long peroid don’t hesitate to consult DR. Naresh Kumar, +91 9985227564. He has 8 years of surgical experience. He did his fellowships in Laparoscopy under AMASI, fellowship in Laser Proctology under association of Coloproctology.