Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Hemorrhoids
(Piles)
S.S Hotchandani
4th year BDS Student at Bibi Aseefa Dental College, SMBBMU, Larkana, Sindh, Pakistan.
Introduction
Greek word..
Haim; Blood
Rhoos; Flowing
Latin Word
Pila; Ball
Introduction
Prevalence of
Asymptomatic Piles is
greater than
Symptomatic Piles.
Internal Hemorrhoids
 Piles inside Anus…
 Occur in Anal Cushions, usually at 3, 7 & 11 o'clock Position.
 AKA, Symptoma...
Causes of PRIMARY Internal Hemorrhoids
There are some misconceptions
about the anatomy of vascular
system of anal canal an...
PORTAL HYPERTENSION &
VERICOSE VEINS
 Man’s upright or standing posture contribute to hemorrhoids formation, though
there...
Other Theories or Causes told by Some Scholars!!
Hemangioma
Infection
Diet & Stool
Anal Hypertonia
Ageing
New Concept about Development of Piles.
Shearing forces which act on anus causes
displacement of anal cushions caudally
a...
Causes of Secondary Internal Hemorrhoids (LOCAL)
Causes of Secondary Internal Hemorrhoids
(Abdominal)
Causes of Secondary Internal Hemorrhoids
(Neurological)
Causes of Secondary Internal Hemorrhoids (Pelvic)
Clinical
Features
Medical & Surgical
Conservative Treatment
Exclude other cause of bleeding from anus
Normalize bowel and defecation habits.
Only evacuating...
Surgical
Management
THANKS!
Follow on Twitter: @hotchandaniss
Hemorrhoids (piles)
Hemorrhoids (piles)
Hemorrhoids (piles)
Hemorrhoids (piles)
Upcoming SlideShare
Loading in …5
×

Hemorrhoids (piles)

1,150 views

Published on

Haemorrhoids are swollen blood vessels in or around the anus and rectum. The haemorrhoidal veins are located in the lowest part of the rectum and the anus. Sometimes they swell so that the vein walls become stretched, thin, and irritated by passing bowel movements.

Published in: Health & Medicine
  • Be the first to comment

Hemorrhoids (piles)

  1. 1. Hemorrhoids (Piles) S.S Hotchandani 4th year BDS Student at Bibi Aseefa Dental College, SMBBMU, Larkana, Sindh, Pakistan.
  2. 2. Introduction Greek word.. Haim; Blood Rhoos; Flowing Latin Word Pila; Ball
  3. 3. Introduction Prevalence of Asymptomatic Piles is greater than Symptomatic Piles.
  4. 4. Internal Hemorrhoids  Piles inside Anus…  Occur in Anal Cushions, usually at 3, 7 & 11 o'clock Position.  AKA, Symptomatic Anal Cushions  Called as Secondary if they occur in b/w Primary masses…
  5. 5. Causes of PRIMARY Internal Hemorrhoids There are some misconceptions about the anatomy of vascular system of anal canal and these misconceptions has led to give many theories about the Development of Primary Internal Hemorrhoids…
  6. 6. PORTAL HYPERTENSION & VERICOSE VEINS  Man’s upright or standing posture contribute to hemorrhoids formation, though there are no any cases of hemorrhoids in Animals!!  Portal venous system does not contain any valves and this causes backward flow and dilate Anal cushions’ blood vessels & cause piles.  Increased abdominal pressure contribute to formation of anal varicosity resulting piles.  Note; Prevalence of Ano rectal varices is greater than Piles in Patients of Portal Hypertension..
  7. 7. Other Theories or Causes told by Some Scholars!! Hemangioma Infection Diet & Stool Anal Hypertonia Ageing
  8. 8. New Concept about Development of Piles. Shearing forces which act on anus causes displacement of anal cushions caudally and also mucosal trauma.. With time, fragmentation of supporting structures causes loss of elasticity of cushion and they do not retract back after defecation
  9. 9. Causes of Secondary Internal Hemorrhoids (LOCAL)
  10. 10. Causes of Secondary Internal Hemorrhoids (Abdominal)
  11. 11. Causes of Secondary Internal Hemorrhoids (Neurological)
  12. 12. Causes of Secondary Internal Hemorrhoids (Pelvic)
  13. 13. Clinical Features
  14. 14. Medical & Surgical
  15. 15. Conservative Treatment Exclude other cause of bleeding from anus Normalize bowel and defecation habits. Only evacuating stool when natural desire appears Adopting defecation position so that minimal straining occur during defecation Use of stool softener and bulking agents.
  16. 16. Surgical Management
  17. 17. THANKS! Follow on Twitter: @hotchandaniss

×