Hemorrhoids also known as Piles are swellings that develop from the lining of the anus and lower rectum. Dr Sanjay Kolte has done around 500 surgeries for piles.

1. PILES
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Although hemorrhoids are thought of
as unpleasant inflammations, we all
have them. It is when the hemorrhoidal
cushions become too big (inflamed)
that problems occur - when this
happens they are called piles or
pathological hemorrhoids.
Put simply, "piles" are the swollen ones that are painful and cause problems,
hemorrhoids can refer to the swollen ones (pathological hemorrhoids) or
simply the normal structure. However, in most cases these days, the words
piles and hemorrhoids are nearly always used interchangeably.
Piles can be of various sizes and may be internal (inside the anus) or external
ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the
opening of the anus. External piles (perianal hematoma) occur on the outside
edge of the anus. The internal ones are much more common.
Piles are hemorrhoids that become inflamed. Hemorrhoids are masses,
clumps, cushions of tissue in the anal canal - they are full of blood vessels,
support tissue, muscle and elastic fibers.

2. TYPES OF PILES
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Piles can be broadly classified into two broad kinds on the basis of
their locations.
The ones located internally.
The ones located externally.

3. SYMPTOMS OF PILES
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Piles which tend to affect elderly people, often turns out to be a major
source of irritation.
The one located externally are more painful than the internal ones.
The external ones exist as painful inflammation or swelling.
Internally located piles can be a source of extreme irritation when they
tend to hang out through the anal passage.
The ones located internally are susceptible to take on a necrotic form,
whereby they develop into clots of blood. Necrotic ones are however
quite painful.
One of the most common clinical features of piles includes passage of
blood along with stool.
Along with bleeding itching and irritation may also persist.

4. DIAGNOSES OF PILES
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The piles which exist in prolapsed form can be usually diagnosed by
means of an external examination of areas surrounding the anal cavity.
Proctoscpy usually serves to highlight the presence of internal piles.
By means of proctoscopy the presence of tumors or polyps and that of
an inflamed prostate are also detected as the detection is valuable in
determining the line of treatment.
Proctoscopy or anoscopy is usually performed with patients being
subject to sedation.

5. TREATMENT FOR PILES
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The course of treatment which follows the findings of rectal
examination includes the administration of anti inflammatory drugs of
non steroidal nature.
Traditional line of treatment is geared to the increased consumption of
dietary fibers.
If constipation happens to be the underlying cause, insistence is given
on the inclusion of green and yellow vegetables apart from being well
hydrated by increasing the fluid intake.
Generally surgical removal of the inflamed vessels is resorted to as
the last possible alternative.
Means based on cauterization and cryosurgery has also been found to
be quite effective.
Decartelization using an ultra sound Doppler has also been used so as
to rectify the prolapsed structure of piles.

6. Dr. Sanjay Kolte
http://www.drsanjaykolte.in/
MBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICAL
COLLEGE, PUNE, INDIA
FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA
(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)
DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIAL
HOSPITAL, PUNE, INDIA (DIPLOMATE OF NATIONAL BOARD,
NEW DELHI)
MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL
SCIENCES, NEW DELHI
Contact Details:
Laparoscopic Surgery Clinic, Parihar
Chowk,
Aundh,
Pune, M maharashtra 411007
Mobile : 91+98 22 00 94 90
Email : doctorsanjaykolte@gmail.com