PILES/HEMORRHOIDS



INTRODUCTION

Piles and Hemorrhoids are synonymous. Dilatation and tortuation of rectal veins with support tissue , elastic fibers and muscle is named Hemorrhoid. Piles are collections of inflamed tissue within the anal canal.


TYPES

  1. Internal
  2. External


INTERNAL HEMORRHOIDS

The internal hemorrhoid are a mucosa covered plexus of superior hemorrhoidal veins.


Causation

  1. Chronic cough
  2. Hereditary
  3. Benign hypertrophy of Prostate
  4. Pregnancy
  5. Straining with constipation
  6. Cirrhosis of Liver
  7. Over purgation
  8. Position
  9. They are arranged in three groups in position
  10. 3 O'clock - Left lateral
  11. 7 O'clock- Right posterior
  12. 11 O'clock- Right anterior


SIGN AND SYMPTOMS

  1. Bleeding is that the earliest symptoms for internal hemorrhoids. Blood generally bright red during every defecation.
  2. Prolapse - Bleed and don't prolapse- 1st degree
  3. Prolapse only on defecation- 2nd degree
  4. Prolapse aside from defecation- 3rd degree
  5. Mucoid discharge
  6. Pain is rare unless complication supervene.


INVESTIGATION

Proctoscopy

Sigmoidoscopy

Sentinel piles are overlying skin tag over a fissure.


COMPLICATION

  1. Anemia
  2. Strangulation
  3. Ulceration
  4. Suppuration
  5. Gangrene


MANAGEMENT

  1. Increased fluid intake
  2. High fiber diet
  3. Decrease straining at stools
  4. Routine vital sign check-up.


EXTERNAL HEMORRHOIDS

External piles arise from the inferior hemorrhoidal veins covered by squamous epithelium.

These are external to the anal orifice and covered by skin.


Causation

It arises thanks to bursting of an anal venule consequent upon straining at stool, coughing or lifting an important weight.. Sudden onset.


INVESTIGATION

Tender, tense, swelling looking sort of a overripe cherry with naked eyes

A sentinel pile is related to fissure in ano.

Dilatation of the veins of anal verge.

Skin tag of old piles


TREATMENT

High roughage diet

Rest


HOMEOPATHIC MEDICINES

AESCULUS HIP 30 Internal twice daily for any sorts of piles. it's going to be used externally as ointment on external piles.


HAMAMELIS 6 it's utilized in bleeding piles with black blood .


PIONIA 6 it's utilized in piles where itching is supervene.


ALOE SOC 30 it's used where showing mucous round the piles and grapes like.


BELLADONNA 30 it's used where much pain and inflammation


RATANHIA 200 it's used where there's stick like sensation and far pain, bleed or might not bleed.


SULPHUR 200 it's utilized in every sort of piles.


NUX VOMICA 200 it's used where patient has debauchery life and chronic constipated.


NB: Physician's consultation is usually got priority.

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