Home' Trinidad and Tobago Guardian : May 27th 2017 Contents redness and swelling around the
anus area. Some of them contain
witch hazel, hydrocortisone, or
some other active ingredient
which can relieve symptoms of
itching and pain.
• Corticosteroids. These can
reduce inflammation and pain.
• Painkillers. For instance,
• Laxatives. Can help with
• Banding. The doctor places
an elastic band around the base of
the pile inside the anus, cutting
off its blood supply. After a few
days the haemorrhoids fall off.
This can work for grades 2 and 3
• Sclerotherapy. A medicine is
injected to make the haemorrhoid
shrink---it eventually shrivels up.
• Infrared coagulation. A de-
vice burns the haemorrhoid tissue.
• Surgery. Used for particularly
large piles (grades 3 or 4). Gener-
ally, surgery is used if other pro-
cedures were not effective.
• Haemorrhoidectomy. The
excess tissue that is causing the
bleeding is surgically removed.
• Haemorrhoid stapling.
Blood flow is blocked to the tis-
sue of the haemorrhoid. This
procedure is usually less pain-
ful than haemorrhoidectomy.
However, there is a greater risk
of haemorrhoid recurrence and
rectal prolapse (part of the rec-
tum pushes out of the anus). (www.
A22 body & soul
guardian.co.tt Saturday, May 27, 2017
Piles, also known as haemor-
rhoids, are swollen veins and mus-
cle around your anus or in your anal
canal. Your anal canal is a short,
muscular tube with blood vessels
that connects your rectum (back
passage) with your anus.
Piles are haemorrhoids that become
inflamed. Haemorrhoids are masses,
clumps, cushions of tissue in the anal
canal---they are full of blood vessels,
support tissue, muscle and elastic fi-
Although haemorrhoids are thought
of as unpleasant inflammations, most
people have them. It is only when the
haemorrhoidal cushions become too big
(inflamed) that problems occur---when
this happens, they are called piles or
Piles can be of various sizes and may
be internal (inside the anus) or external
ones (outside the anus). Typically, in-
ternal piles occur from two to four cm
above the opening of the anus. Exter-
nal piles (perianal haematoma) occur
on the outside edge of the anus. The
internal ones are much more common.
In most cases, piles are effectively
treated with over-the-counter med-
ications, a good fluid intake, and by
following a diet high in fibre. In severe
cases, the piles may have to be surgically
Symptoms of piles
• A hard lump around the anus. It
consists of coagulated blood, and can
• After going to the toilet, a feeling
that the bowels are still full.
• Bright red blood after a bowel
• Itchiness around the anus.
• Mucus discharge when emptying
• Pain while defecating.
• The area around the anus may be
red and sore.
Internal haemorrhoids are classified
into four grades:
• Grade 1—Small inflammations,
usually inside the lining of the anus;
• Grade 2—Larger than grade 1 haem-
orrhoids, but also inside the anus.
When passing a stool, they may get
pushed out, but return unaided.
• Grade 3—Often called prolapsed
haemorrhoids; outside the anus. They
can be pushed back in if the patient
presses with their finger.
• Grade 4—These are large and stay
outside the anus all the time.
External haemorrhoids are called
perianal haematoma. These are small
lumps that are located on the outside
edge of the anus. They are very itchy
and can be painful if a blood clot forms
inside (thrombosed external haemor-
rhoid). Thrombosed external haem-
orrhoid requires medical treatment
Why do piles occur?
Inflamed veins (haemorrhoids) can
develop when pressure increases in
the lower rectum. This may be due to
chronic constipation, chronic diar-
rhoea, lifting heavy weights, pregnancy,
or straining when passing a stool. The
tendency to develop haemorrhoids may
also be inherited. The risk of developing
piles grows with age.
Treatments for piles
A good doctor will initially recom-
mend some lifestyle changes.
• Diet. Piles can be caused by too
much straining when doing bow-
el movements, which is the result of
constipation. A change in diet can
help keep the stools regular and soft.
This involves eating more fibre, such
as fruit and vegetables, and drinking
• Body weight. If the patient is
obese, losing weight may help reduce
the incidence and severity of haem-
Simple things to help prevent piles
• Try not to strain when you go to
• Avoid laxatives.
There are some over-the-counter
(OTC) creams which help soothe the
Piles, also known as haemorrhoids, are swollen veins and muscle around your
anus or in your anal canal.
Inflamed veins (haemorrhoids) can develop when pressure increases in
the lower rectum. This may be due to chronic constipation, chronic
diarrhoea, lifting heavy weights, pregnancy, or straining when passing a
stool. The tendency to develop haemorrhoids may also be inherited.
All about piles
The Inter-American Investment Corporation (IIC), a member of the
Inter-American Development Bank (IDB) Group, is searching for a
Who will be part of the Development Effectiveness Division (DVF),
our commitment to maximizing impact while using resources in
energy, among others.
Links Archive May 26th 2017 May 28th 2017 Navigation Previous Page Next Page