Piles or Haemorrhoids are a common clinical condition. About 20 – 30 percent of people are suffering form this disease. It is a condition where veins around the anus or lower rectum become swollen and inflamed. Haemorrhoids usually occurs due to straining to move stool. But hereditary factor (family history) is also an important contributory factor. Other contributing factors are pregnancy, aging, chronic constipation or diarrhea and incontinence.
Haemorrhoids are classified into four stages
Stage one: Where only fresh bright red blood seen during bowel movement, no pain or swelling seen.
Stage Two: Along with blood one or more swelling comes out during bowel movement. But goes in after defecation.
Stage three: Here swelling comes out during bowel movement but does not go in,patient pushes it up in the rectum.
Stage four: Here the swelling always remain outside the anus .They cannot be pushed in .At this time severe problem like gangrene or strangulation can occur.
Beside swelling and bleeding, discomfort around anus, Haynes around anus, difficulty in deification can occur in 3rd and 4th stage of hemorrhoids.
Treatment: In stage 1&2 Medical treatment like stool softener,some drug to stop bleeding or to decrease swelling can be taken by mouth.Some ointments also can be applied in the anus. If these does not work then some injection in the piles(in anal canal) can be given or band ligation can be applied.
These are painless procedure which can be done in the chamber of the doctor.
Operation: Operation needs in 3rd and 4th stage of the disease.Now some noble operation can be done where pain after operation is minimum.Patient can go home from hospital in one day and to work in 2/3 days.
In Bangladesh,we are performing all types of piles operation, which are world class. Results are also compare able to any best center in the world.