What type of disease is piles

If these treatments do not work, you may need surgery to remove your piles. You'll usually need to be asleep for this type of treatment and may need to stay in hospital for more than 1 day.

Page last reviewed: 22 May Next review due: 22 May Piles haemorrhoids. Check if it's piles Symptoms of piles include: 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 See what piles look like They can be small lumps, around the size of a pea.

Infrared coagulation : Also referred to as infrared light coagulation, a device is used to burn the hemorrhoid tissue. This technique is used to treat grade I and II hemorrhoids.

Hemorrhoidectomy : The excess tissue that is causing the bleeding is surgically removed. This can be done in various ways and may involve a combination of a local anesthetic and sedation, a spinal anesthetic, or a general anesthetic. This type of surgery is the most effective for completely removing piles, but there is a risk of complications, including difficulties with passing stools, as well as urinary tract infections. Hemorrhoid stapling : Blood flow is blocked to the hemorrhoid tissue.

This procedure is usually less painful than hemorrhoidectomy. However, this procedure can lead to an increased risk of hemorrhoid recurrence and rectal prolapse, in which part of the rectum pushes out of the anus.

While they can be painful and debilitating, piles do not usually pose any ongoing threat to health and can be self-managed up to grades III or IV.

If a complication develops, such as a fistula, this can become serious. The surgical options for more advanced piles are normally outpatient procedures with minimal recovery time. Read the article in Spanish. Hemorrhoids or piles are common irritations around the rectum and can be extremely painful.

They are internal or external and can get bigger if not…. A look at dumping syndrome, a condition where food moves too quickly through the digestive system.

Included is detail on diagnosis and risk factors. Thrombosed hemorrhoids happen when sacs in the anal passage get pushed onto the outside of the anus and fill with blood clots. Learn more. Hemorrhoids, also known as piles, often go away without treatment. They can be painful and uncomfortable, but there is a range of treatment options…. Hiatal hernias occur when part of the stomach enters the chest cavity.

Learn about which foods to eat and which to avoid with this condition. Everything you need to know about piles. You'll probably experience significant pain after the operation, but you will be given painkillers. You may still have pain a few weeks after the procedure, which can also be controlled with painkillers. Seek medical advice if you have pain that continues for longer. After having a haemorrhoidectomy, there's around a 1 in 20 chance of the haemorrhoids returning, which is lower than with non-surgical treatments.

Adopting or continuing a high-fibre diet after surgery is recommended to reduce this risk. It's usually carried out under general anaesthetic and involves inserting a small ultrasound probe into your anus. The probe produces high-frequency sound waves that allow the surgeon to locate the vessels supplying blood to the haemorrhoid. Each blood vessel is stitched closed to block the blood supply to the haemorrhoid, which causes the haemorrhoid to shrink over the following days and weeks.

The stitches can also be used to reduce prolapsing haemorrhoids haemorrhoids that hang down from the anus. The National Institute for Health and Care Excellence NICE recommends haemorrhoidal artery ligation as a safe and effective alternative to a haemorrhoidectomy or stapled haemorrhoidopexy see below.

It causes less pain and, in terms of results, a high level of satisfaction has been reported. The recovery time after having haemorrhoidal artery ligation is also quicker compared with other surgical procedures. There's a low risk of bleeding, pain when passing stools, or the haemorrhoid becoming prolapsed after this procedure, but these usually improve within a few weeks. Stapling, also known as stapled haemorrhoidopexy, is an alternative to a conventional haemorrhoidectomy.

It's sometimes used to treat prolapsed haemorrhoids and is carried out under general anaesthetic. The procedure isn't carried out as often as it used to be, because it has a slightly higher risk of serious complications than the alternative treatments available. During the operation, part of the anorectum the last section of the large intestine , is stapled. This means the haemorrhoids are less likely to prolapse and it reduces the supply of blood to the haemorrhoids, which causes them to gradually shrink.

Stapling has a shorter recovery time than a traditional haemorrhoidectomy, and you can probably return to work about a week afterwards. It also tends to be a less painful procedure.

However, after stapling, more people experience another prolapsed haemorrhoid compared with having a haemorrhoidectomy. There have also been a very small number of serious complications following the stapling procedure, such as fistula to vagina in women where a small channel develops between the anal canal and the vagina or rectal perforation where a hole develops in the rectum.

Other treatment options are available, including freezing and laser treatment. However, the number of NHS or private surgeons who perform these treatments is limited. Although the risk of serious problems is small, complications can occasionally occur after haemorrhoid surgery.

These problems can often be treated with medication or more surgery. Ask your surgeon to explain the risks in more detail before deciding to have surgery. Seek medical advice from the hospital unit where the surgery was carried out, or from your GP, if you experience:. Home Illnesses and conditions Stomach, liver and gastrointestinal tract Haemorrhoids piles. Haemorrhoids piles See all parts of this guide Hide guide parts 1.

About haemorrhoids 2. Diagnosing haemorrhoids 3. Treating haemorrhoids 4. Surgery for haemorrhoids. About haemorrhoids Haemorrhoids, also known as piles, are swellings containing enlarged blood vessels that are found inside or around the bottom the rectum and anus.

However, when symptoms do occur, they may include: bleeding after passing a stool the blood is usually bright red itchy bottom a lump hanging down outside of the anus, which may need to be pushed back in after passing a stool a mucus discharge after passing a stool soreness, redness and swelling around your anus Haemorrhoids aren't usually painful, unless their blood supply slows down or is interrupted.

When to seek medical advice See your GP if you have persistent or severe symptoms of haemorrhoids. What causes haemorrhoids? Other factors that might increase your risk of developing haemorrhoids include: being overweight or obese age — as you get older, your body's supporting tissues get weaker, increasing your risk of haemorrhoids being pregnant — which can place increased pressure on your pelvic blood vessels, causing them to enlarge read more about common pregnancy problems having a family history of haemorrhoids regularly lifting heavy objects a persistent cough or repeated vomiting sitting down for long periods of time Preventing and treating haemorrhoids Haemorrhoid symptoms often settle down after a few days, without needing treatment.

These can include: gradually increasing the amount of fibre in your diet — good sources of fibre include fruit, vegetables, wholegrain rice, wholewheat pasta and bread, pulses and beans, seeds, nuts and oats drinking plenty of fluid — particularly water, but avoiding or cutting down on caffeine and alcohol not delaying going to the toilet — ignoring the urge to empty your bowels can make your stools harder and drier, which can lead to straining when you do go to the toilet avoiding medication that causes constipation — such as painkillers that contain codeine losing weight if you're overweight exercising regularly — can help prevent constipation, reduce your blood pressure and help you lose weight These measures can also reduce the risk of haemorrhoids returning, or even developing in the first place.

Diagnosing haemorrhoids Your GP can diagnose haemorrhoids piles by examining your back passage to check for swollen blood vessels. Rectal examination Your GP may examine the outside of your anus to see if you have visible haemorrhoids, and they may also carry out an internal examination called a digital rectal examination DRE. Proctoscopy In some cases, further internal examination using a proctoscope may be needed.

This allows your doctor to see your entire anal canal the last section of the large intestine. Types of haemorrhoids After you've had a rectal examination or proctoscopy, your doctor will be able to determine what type of haemorrhoids you have.

Haemorrhoids can be further classified, depending on their size and severity. They can be: first degree — small swellings that develop on the inside lining of the anus and aren't visible from outside the anus second degree — larger swellings that may come out of your anus when you go to the toilet, before disappearing inside again third degree — one or more small soft lumps that hang down from the anus and can be pushed back inside prolapsing and reducible fourth degree — larger lumps that hang down from the anus and can't be pushed back inside irreducible It's useful for doctors to know what type and size of haemorrhoid you have, as they can then decide on the best treatment.

If you have internal hemorrhoids , you may have. Internal hemorrhoids that are not prolapsed most often are not painful. Prolapsed internal hemorrhoids may cause pain and discomfort.