Facebook Twitter Youtube Instagram Quora
Book Appointment

Author: Dr Ravinder Sharma

Categories
All Pilonidal Sinus

Expert Advice on Managing Pilonidal Sinus Symptoms Without Surgery

A tiny opening or tunnel in the skin that is prone to infection is called a pilonidal sinus. It usually forms in the cleft at the top of the buttocks.

More than 70,000 cases of pilonidal cysts are reported in the United States each year, which makes it a prevalent condition.

Because pilonidal cysts are more common in people who sit a lot, they received the nickname “Jeep driver’s disease” during World War II.

Check if you have an infected pilonidal sinus

Most pilonidal sinus sufferers are unaware of their condition until symptoms arise from an infection.

An infection can result in pain and swelling at the top of the buttock cleft as well as the development of a pus-filled skin abscess. Hair, dirt, and debris are typically found inside a pilonidal cyst. It may ooze pus and blood, odor strongly, and cause excruciating pain.

Occasionally, an abrupt development of a pus-filled abscess can result in pain, swelling, and difficulty sitting.

Young adult men are most commonly affected by pilonidal sinus infections. Those who sit a lot, such as taxi drivers, are also more likely to experience it.

The signs of an infection include:

  • Pain when sitting or standing; 
  • Cyst swelling; 
  • Reddened, sore skin around the area; 
  • Pus or blood draining from the abscess, causing a foul odor; 
  • Hair protruding from the lesion; 
  • Formation of more than one sinus tract, or holes in the skin. 
  • A low-grade fever is possible, but it is much less common.
Urgent advice: Ask for an urgent appointment at Piles To Smiles if:
  • There is a tiny sore spot between your buttocks that is leaking pus, bleeding, or hurting. 

These signs and symptoms can appear suddenly, and frequently in a few days. These indicate an infection, so treatment is required. 

 

 

Request an appointment

How is a pilonidal cyst treated?

A pilonidal sinus that is not infected

If there are no infection symptoms, a pilonidal sinus treatment is not required. “Watch and wait” will be the advised course of action. 

It’s critical to regularly shower or take a bath to maintain a clean space between your buttocks. 

Unless your doctor instructs you otherwise, avoid shaving the area affected. 

Treatments for an infected pilonidal sinus

The following factors will determine how to treat an infected pilonidal sinus: 

  • Your symptoms 
  • The pilonidal sinus’s size; 
  • If this is your first infection or if it recurs frequently 

An abscess that hurts and swells typically needs to be cut open and the pus removed. Antibiotics may also be required. 

For a pilonidal sinus, there are several treatment options with varying results. Surgery is frequently recommended for the Pilonidal Sinus. Still, there are many drawbacks to various surgical procedures (such as bed rest and hospitalization, staying away from routine work, potential surgical complications, high treatment costs, etc.) that force a fellow to consider possible non-surgical treatments for the Pilonidal Sinus that can ensure full recovery.

Non-surgical Pilonidal Cyst Treatment:

Ksharsutra Treatment for Pilonidal Sinus:

Pilonidal sinus is a disease with infection as the root cause of the problem even then antibiotics are not successful in treating the condition. As a result of prolonged foreign body reaction and infection in the Pilonidal sinus cavity, there occur fibrotic changes in the pilonidal sinus tissue and antibiotics could not penetrate this fibrotic tissue hence the failure of antibiotics to cure pilonidal sinus. 

Not only antibiotics all other types of medications are not successful in treating Pilonidal sinus, this makes some intervention treatment necessary for Pilonidal Sinus. 

Considering the difficulties and complications associated with surgery for the Pilonidal sinus (especially recurrence of the Pilonidal sinus after surgery) Ayurveda proposes parasurgical treatment namely Ksharsutra treatment for the Pilonidal sinus.

What is Ksharsutra Treatment for Pilonidal Sinus:

In Ksharsutra, Kshar is an alkaline, unique Ayurvedic medication made from herbs, and Sutra is the word for thread, meaning that Ksharsutra is medicinal thread. Kshar can pierce fibrotic tissue and remove unhealthy tissue from the sinus tract. Thread is simply a vehicle for delivering medicine to the pathology site. 

The sinus tract is ligated by this Ksharsutra. The medication in the Ksharsutra lasts for approximately a week, so until the sinus tract heals entirely, the old Ksharsutra needs to be replaced every week. 

Generally, Ksharsutra treatment is done under local anesthesia so you can go home after a rest of 2-3 hours after primary ligation of Ksharsutra in the Pilonidal sinus tract (Applying Ksharsutra in the Pilonidal sinus for the first time). No hospitalization or bed rest is required during Ksharsutra treatment for the Pilonidal sinus. The fellow can continue his/ her normal routine activities as usual during treatment.

Subsequent Ksharsutra change can be done without any anesthesia. Your Ksharsutra expert doctor will attach the new Ksharsutra to the old one and gently pull it so that the new Ksharsutra takes its place.

Pilonidal Cyst Recovery

Follow your doctor’s instructions about at-home care. Other tips:

  • Keep the area clean.
  • Do regular sitz baths and dressings as per the advice of your Ksharsutra specialist doctor for the Pilonidal sinus.
  • Check for any changes of concern.
  • Some discomfort or irritation is normal during Ksharsutra treatment for the Pilonidal sinus. It can be managed by taking a sitz bath/ applying some anesthetic/ soothing ointment/ taking some pain-relieving medicines. If it is very troublesome, speak to your doctor to manage it.
  • Keep your follow-up appointments with your doctor for Ksharsutra change.

A complete cure is possible, but remember that it will take some time and you need to be patient during treatment.

Going back to work

How soon can I return to work during/ after Ksharsutra Treatment for Pilonidal sinus:

  • Since Ksharsutra Treatment for Pilonidal sinus is done under Local anesthesia so there is no need for Hospitalization or bed rest during treatment. From the very next day of Primary ligation of Ksharsutra in the Pilonidal sinus; the fellow can join his/ her work.
  • Subsequent Ksharsutra change sitting is an OPD treatment. You need not to plan something, especially for it. You just go to the Ksharsutra Specialist doctor, get the ksharsutra changed, and return to work… 

Home Remedies for Pilonidal Sinus:

Can Pilonidal Sinus be treated by home remedies?

Home remedies for Pilonidal sinus cannot cure the Pilonidal sinus. The following recommendations will help you in easing the pain and discomfort associated with the Pilonidal Sinus.

  • Maintain local hygiene: you should clean the affected area regularly with some anti-septic solution. If required you can plan for shaving the area or hair removal.
  • Cotton underwear and clothing: you should prefer cotton undergarments and clothing over others.
  • Hot compresses: Apply hot wet compresses 2-4 times a day. Warmth will help pull out the pus thus allowing the sinus/ cyst to drain. This will relieve pain and swelling.
  • Sitz bath: Hot water tub bath is equally effective in relieving pain and swelling. You should sit in warm water in such a way that the sinus/ cyst is immersed in water.
  • Regular exercise: obesity is a causative factor in the Pilonidal sinus so regular exercise will not only help in prevention but also in easing the pain and swelling of the pilonidal sinus.

Prevention of Pilonidal Sinus

How can pilonidal cyst/ sinus be prevented?

To help prevent pilonidal cysts, try to:

  • Wash the area daily with a mild soap
  • Make sure all soap is removed
  • Achieve or maintain a healthy weight.
  • Avoid prolonged sitting.

What are the causes of a pilonidal sinus infection?

Although the exact cause of an infected pilonidal sinus is unknown, hair growth, hormonal changes (since the condition usually develops after puberty), and friction from clothing or prolonged sitting are thought to be contributing factors.

Sitting and other friction-producing activities can push the hairs in that area to burrow back beneath the skin. Because the body perceives this hair as foreign, an immune reaction is triggered against it.

This immune response creates the cyst that surrounds your hair. These hairs serve as a source of infection.

Men are more likely to have pilonidal sinuses due to their tendency for hair growth.

Long periods of sitting can also raise your risk of developing a pilonidal sinus.

Risk factors for Pilonidal Sinus

Who can get a pilonidal cyst?

A pilonidal cyst can affect anyone. The following factors may make you more susceptible to a pilonidal cyst:

  • Being a white male young adult. (Men are diagnosed with a pilonidal cyst three to four times more frequently than women.)
  • Falling within the age range of puberty to 40 (the average age range is 20 to 35).
  • Being overweight.
  • Leading a sedentary lifestyle.
  • Extended periods of sitting.
  • Possessing stiff, thick body hair.
  • Dressing too tightly, which may exacerbate the skin disease.

FAQs About Pilonidal Sinus

Your cyst may occasionally open and drain by itself. If it does drain on its own, make sure the surrounding area is kept clean and dry.

A pilonidal cyst may be inherited from a family member. For instance, your risk of developing a cyst increases if you have thick, coarse body hair in your family.

Similar to a pimple, a pilonidal cyst is an non contagious skin condition that you cannot spread.

Pilonidal cysts can occur in pregnant women as well, though they are far more common in men. Pain in your buttocks may indicate a pilonidal cyst rather than just being a typical pregnancy discomfort. In those situations, it is usually best to get in touch with your healthcare provider and request a checkup.

Surgery is typically recommended to treat the Pilonidal Sinus because it cannot be treated with oral medications alone. However, surgery is not the best option for the Pilonidal sinus because of the reason for its recurrence following surgery.

Therefore, to manage the Pilonidal sinus, a para-surgical treatment called Ksharsutra treatment is recommended.

This treatment does not require bed rest or hospitalization. The patient can carry on with his or her regular activities while receiving treatment.

Surgery may occasionally be used to treat pilonidal cysts, and your skin may recover completely. A pilonidal cyst, however, may continue to be a chronic, recurrent condition even after surgery. This is particularly true if pilonidal cysts run in your family or if the condition has gotten worse.

However, the Ksharsutra Treatment, an Ayurvedic remedy, may ensure a total recovery from pilonidal sinus without any complications. A fellow receiving Ksharsutra Treatment for Pilonidal Sinus can carry on with his or her regular activities.

For the Primary ligation of Ksharsutra in the Pilonidal sinus (the first time putting Ksharsutra in the Pilonidal sinus), you will need to take one day off from work. For subsequent Ksharsutra changes sittings, there is no need to take off from your work.

Long periods of sitting may cause some irritation or discomfort, which can be treated with sitz baths, the application of anaesthetic gel in that area, the use of painkillers, etc. If it is becoming too bothersome, discuss treatment options and strategies to enhance comfort at work with your provider.

Pilonidal cysts are not known to cause bowel issues. However, since bleeding is a sign of pilonidal cysts, you might wipe over the bleeding cyst and find blood on the toilet paper after having a bowel movement. which could be misinterpreted as anal bleeding.

You shouldn’t squeeze your pilonidal cyst. By doing this, the cyst may become more irritated, the infection may worsen, or the cyst may start to bleed. It is best to have your doctor clear the cyst because you are unlikely to be able to remove all the pus by squeezing.

A Note from Piles To Smiles

While a pilonidal cyst does not pose a direct threat to your life, delaying treatment can make the cyst harder to cure and eventually become a chronic illness. Because of this, it is critical to have an examination as soon as you notice any pilonidal cyst symptoms. Always communicate openly with your doctor about your symptoms and concerns.

Pilonidal cysts are tiny lumps or sacs filled with fluid that develop along the top or buttock crease. You can attempt to “wait and watch” if the cyst is not painful. 

However, if you experience pain or the cyst appears to be infected, you should consult your doctor. The pilonidal cyst may be surgically removed or treated by your doctor. It is essential to understand the symptoms of pilonidal cysts because they can recur after surgery. Therefore, Ksharsutra Treatment is advised by Ayurveda for Pilonidal sinus. The procedure involves the ligation of Ksharsutra, a specially medicated thread, in the Pilonidal sinus. New Ksharsutras are then placed in the sinus every week until the sinus heals fully. 

Categories
All Piles

Piles in Females (Women): Causes, Symptoms, Diagnosis and Treatment

Piles is a common condition that affects many people, including women. Piles or hemorrhoids are common in people but only become noticeable when they become inflamed or enlarged, causing discomfort and pain. This can result from several factors, such as a sedentary lifestyle, pregnancy, constipation, and obesity.

In women, piles can be particularly painful and humiliating, causing pain and discomfort during the menstrual cycle, during pregnancy, and during childbirth. In addition, it may be challenging for women to ask for assistance and support due to the stigma associated with piles. But piles can be effectively managed, and even prevented, with the proper treatment and attention, giving women a better quality of life.

Severe cases may need medical attention, such as surgical removal, while mild cases can be managed with lifestyle modifications.

What are Piles in Women?

Hemorrhoids, or piles, may affect both sexes. However, because pregnancy and childbirth put pressure on the veins in the rectal area, they can make women more susceptible to developing piles. In addition, obesity, a sedentary lifestyle, and a low-fiber diet can raise a woman’s risk of developing piles.

Although piles can develop at any age, they are more common in pregnancy, affecting between 25% and 35% of women, particularly in the third trimester.

Understanding Different Types and Pile Symptoms in Females (Women)

Piles in women can be classified into several types based on the location and severity of swollen veins in the anal area. To diagnose piles quickly and treat them effectively, one must be aware of their various forms. The different kinds of piles consist of: 

  • External hemorrhoids: These are extremely uncomfortable swollen lumps that are visible from the outside. These hemorrhoids frequently hurt when sitting, urinating, or engaging in regular physical activity.
  • Internal hemorrhoids: Since they develop inside the rectum, they are invisible from the outside. Often, no apparent symptoms are there.

But they can be forced out of the anal opening if they are subjected to pressure and friction repeatedly; this condition is called prolapsed hemorrhoids.

  • Prolapsed hemorrhoids: internal hemorrhoids that push out are referred to as prolapsed hemorrhoids. Internal hemorrhoids can be divided into the following grades based on how severe they are:
    • Grade 1 Hemorrhoids: The hemorrhoids of this type are located within the anal canal. They are usually small, inflame very little, and are often painless. Females with this type of piles may experience painless bleeding after having a bowel movement.
    • Grade 2 Hemorrhoids: Swelling is more noticeable than in Grade 1. The swelling may bulge outward during bowel movements, but it eventually returns to its original position on its own.
    • Grade 3 Hemorrhoids: This grade is characterized by swelling outside the anal opening, which makes a lump visible. Hemorrhoids that prolapse need to be manually pushed back into place with the fingertips.
    • Grade 4 Hemorrhoids: This advanced stage is characterized by a noticeable outward bulge and possible protrusion from the rectum. Forced repositioning fails to keep them in place. This condition may or may not be accompanied by bleeding, and pain may develop if clotting happens or if the hemorrhoids become constricted by the anal opening.
  • Thrombosed hemorrhoids: These hemorrhoids form a blood clot, or “thrombus,” inside of themselves. These are very painful. If pain is not relieved by conservative treatment, blood clot removal, and drainage, also known as “thrombectomy,” is typically performed to provide relief.

Piles never get better on their own. With time these will worsen for sure and progress from Grade I to Grade IV which may result in infection, strangulation of Pile mass, or thrombosis which may need emergency surgery so it is always advisable to get Piles in Females treated at their earliest.

-Dr. Ravinder Sharma MS (Ayurveda) Sr. Proctologist, Piles To Smiles, New Delhi

Symptoms of Piles in Females:

Hemorrhoids are asymptomatic and painless in about 40% of cases. However, the following early signs of piles in female patients are observed in the remaining 60% of patients:

  • Rectal Bleeding: In females with first-grade internal piles, painless rectal bleeding is a common symptom. As a result, bright red blood might show up on the stools’ surfaces, the toilet paper, or the toilet bowl. Bleeding should be treated as soon as possible by a doctor who specializes in piles because it can be severe enough to cause the patient to faint from low blood pressure.
  • Pain and Discomfort: When a woman has thrombosed piles, it can cause intense pain and discomfort, particularly when it comes to bowel movements. The condition may worsen due to external factors like extended sitting or activities that apply pressure to the affected area.
  • Itching and Irritation: Swollen veins in the rectum and anus may cause an itchy and irritating sensation. When a woman has hemorrhoids, her quality of life may be negatively impacted by this persistent discomfort.
  • Inflammation and Swelling: Hemorrhoids may cause lumps or edema to develop around the anus. Inflammation may accompany this, which makes sitting and moving around uncomfortable.
  • Protrusion or Prolapse: Severe cases (3rd and 4th-grade internal hemorrhoids) may cause internal piles to protrude or prolapse during bowel movements outside the anal opening. This may be associated with an external lump or a sensation of fullness.
  • Mucous Discharge: Some females with piles may have mucous discharge from their rectum. This discharge can add to a feeling of wetness and discomfort and is typically linked to 4th-grade internal hemorrhoids. 
  • Pain during physical activity or while sitting: Hemorrhoids can be uncomfortable or painful during physical activity or sitting, especially if the piles are prolapsed or thrombosed.
  • Pain and discomfort during sexual activity: Women may occasionally feel pain and discomfort during sexual activity, which may be brought on by the pressure of their hemorrhoids pressing against the vaginal wall.
  • Incomplete Bowel Movements: A feeling of incomplete evacuation can result from piles interfering with regular bowel movements. This may intensify the symptoms of hemorrhoids and start a vicious cycle of straining.

Common Causes of Piles in Females (Women):

The cause of piles is usually increased pressure in the lower rectum and anal space, which pushes veins outward and causes them to enlarge into lumps. Hemorrhoids in women are frequently caused by the following: 

  • Straining while passing stools causes increased pressure on veins in the lower rectum and anus. This causes inflammation and swelling of the veins, which eventually leads to hemorrhoids. 
  • Constipation: this condition increases the risk of hemorrhoids, causes straining during bowel movements, and causes uncomfortable in the veins surrounding the rectum. 
  • Prolonged sitting or standing: Women who sit or stand for extended periods may experience restricted blood flow in their lower bodies, which can lead to vein enlargement and swelling.
  • A diet lacking in fiber: Increasing the water content of stools through fiber helps them become larger and thus easy to pass. A diet low in fiber can cause constipation, which contributes to piles.
  • Hormonal Fluctuations: During menstruation and pregnancy, hormonal fluctuations may affect blood vessel integrity, increasing the risk of edema and hemorrhoid formation.
  • Pregnancy and Increased Pressure: Women experience piles most frequently during pregnancy because the baby presses against the pelvic region as it descends into the pelvic cavity at around 36 weeks. This pressure causes the anal and rectal blood vessels to enlarge, which in turn causes the formation of piles. 
  • Straining during labor and delivery: Hemorrhoids can develop because of strain during labor and delivery.
  • Hereditary Predisposition: Hemorrhoids may be inherited by certain females. People may be more likely to develop the condition themselves if there is a family history of it.
  • Excessive weightlifting: Lifting weights too much can put pressure on the lower body, which can cause piles to develop.
  • Being overweight or leading a sedentary lifestyle: Being inactive can slow metabolism, which in turn causes constipation—a condition that can eventually result in piles. 
  • Diarrhea: In females, this is another major cause of piles. Hemorrhoids can become more irritated and swollen due to frequent or prolonged episodes of diarrhea, which can enhance discomfort and inflammation.
  • Aging: Although they can affect people of any age, hemorrhoids are more common in those over 50.

Ksharsutra treatment for Piles in females is a non-invasive treatment requiring no hospitalization or bed rest, the patient can resume her normal routine activities on the same day of treatment. It is an effective, even permanent fix of the Piles in females. Complications are rare and not usually serious.

- Dr. Ravinder Sharma, MS (Ayurveda)

Diagnosing Piles in Females (Women):

Piles in women usually get diagnosed through a physical examination by a physician. When a patient is suspected of having piles, the doctor will closely inspect their anus. Before proceeding, the doctor will inquire about the following:

  • History of piles in the family
  • Changes in bowel movements; 
  • Blood or mucus in the stools
  • Recent weight loss; 

For female internal piles, the physician may utilize a proctoscope or a digital rectal examination (DRE). A proctoscope is a hollow tube with a light inside that gives the doctor a close-up view of the anal canal. A tiny tissue sample from inside the rectum may also be taken for additional analysis.

If the patient has symptoms of another digestive system illness or exhibits any risk factors for colorectal cancer, the proctologist might recommend a colonoscopy.

Treatment Options for Piles in Women: 

There are a few non-surgical treatment options for piles in women, though surgery might be required in severe cases. These include over-the-counter medicines, home remedies, and changes in diet to help control the symptoms and promote healing.

Home Remedies for Piles in Women

Although there are medical treatments for female piles, some women find that using home remedies for piles helps to reduce their symptoms. Following are a few home remedies for female piles:

  • Sitz bath: 1-2 times a day, the affected anal region needs to be soaked in warm water for 10 to 15 minutes. The muscles in and around the anal region can be relaxed and blood flow can be enhanced with a Sitz Bath. Go to How to Take a Sitz Bath: Procedure and Benefits to find out how to do that.
  • Over-the-counter remedies: To help ease pain and discomfort fast, you can buy a soothing ointment.
  • Stool softeners: these medications can ease constipation and facilitate bowel movements, lowering the chances of straining and aggravating the anal area further.
  • Pelvic floor exercises, or Kegels: Kegel exercises can strengthen the muscles in the pelvic floor, providing additional support for the veins in the lower abdomen. 
  • Try not to strain when using your toilet.
  • Avoid medication that causes diarrhea and constipation; 
  • Engage in regular exercise

Dietary Changes for Piles in Women

  • A high-fiber diet can prevent constipation and promote regular bowel movements in women with piles (hemorrhoids). Fiber-rich foods include:
    • Fruits like pears, berries, and prunes.
    • Vegetables: broccoli, carrots, sweet potatoes, leafy greens, etc. 
    • Whole grains, such as oatmeal and brown rice
    • Legumes high in fiber include lentils, chickpeas, and beans.
  • Keeping yourself hydrated with lots of water and other liquids is just as important as eating enough fiber. 
  • Reducing your intake of processed, fried, and spicy foods can also help ease pile symptoms.

Non-surgical medical treatments for Piles in women:

If none of the aforementioned home treatments work, you should consult a physician immediately. Certain non-surgical medical treatments may be recommended by your doctor, such as:

  • Electrotherapy: An electric current is used to cause the piles to shrink.
  • Sclerotherapy: The size of the piles is reduced by injecting a liquid into them.
  • Infrared coagulation: In this technique, hemorrhoids are made smaller by cutting off their blood supply with infrared light.
  • Rubber band ligation: Using rubber bands and a tiny instrument known as a ligator, this technique cuts off the hemorrhoids’ blood supply, causing them to shrink and fall off.
  • Cryotherapy: Applying freezing temperatures to tissues for therapeutic purposes results in tissue destruction.
  • Doppler-guided haemorrhoidal artery ligation: This treatment causes fibrosis (shrinkage) by cutting off the artery supply to the rectum and anal canal.
  • Kshar Karma Treatment for Piles in Women: The unique ayurvedic drug Kshara is applied in the anal passage at the site of pile masses as part of this treatment. The bleeding stops and the pile shrinks when Kshar is applied. Kshar karma treatment is advised for females with first- and early-stage internal hemorrhoids.

Surgical Treatment of Piles in Women:

If non-surgical treatments do not work for hemorrhoids, surgery might be necessary. Surgical methods for treating hemorrhoids in women include the following:

  • Hemorrhoidectomy: This treatment eliminates hemorrhoids that have prolapsed internally or externally. Surgery to excise hemorrhoid(s) may be the only effective course of action when banding or other treatments are ineffective in treating a grade 3 or 4 pile. The process is carried out under general anesthesia. On the other hand, the days that follow the procedure may be extremely painful.
  • Stapled Haemorrhoidectomy: Using a stapling tool, internal hemorrhoids are either pulled back into the anus or removed entirely. A circular stapling gun is used to remove a circular portion of the anal canal lining above the piles. The piles are consequently drawn back up in the anal passage.
  • Laser Surgery: Hemorrhoids can be made smaller by using laser surgery, which involves cutting off the hemorrhoids’ blood supply.

However, because of the potential complications that may affect the developing fetus or the mother, they are not recommended for pregnant women. The third trimester of pregnancy carries a higher risk of these complications than the preceding trimesters.

  • Ksharsutra Treatment for Female Piles: The Ksharsutra treatment involves ligating a medicated thread at the base of the mass of piles. It stops the blood flow to the pile mass, causing it to shed in a week or ten days. It is recommended that men with late-stage internal piles (stages two, three, and four) receive Ksharsutra treatment.

Benefits Of Ksharsutra Treatment for Piles in Females

Benefits of Ksharsutra Treatment for female piles include the following:

  • No hospital stay is necessary; 
  • Less pain than other surgical procedures for female piles; 
  • Safer and more effective course of treatment
  • Less bleeding during the procedure; 
  • Quick healing; 
  • A shorter recovery period; 
  • No cuts, open wounds, or sutures; 
  • Early return to activities;
  • Less time is needed to treat women’s piles; 
  • Success rate is higher; 
  • Follow-up visits are fewer; 
  • There is no or very little chance of post-surgical infections; 
  • There is no or very little tissue damage

Prevention of Piles in Women

Adopting certain healthy lifestyle habits can help prevent piles in women. Some preventative measures against piles in women are listed below. Women who already have piles can also benefit from these. Some examples include:

  • Avoid spending too much time sitting on the toilet: Prolonged sitting puts needless strain on the veins in and around the anus, increasing the likelihood that women may develop piles. 
  • Avoid straining: One major reason why women get piles is straining during bowel movements. In other words, try not to strain too much and just use light pressure.
  • Quickly Attend to Bowel Urges: To avoid stool hardening and reduce the chance of straining, respond quickly to the urge to have a bowel movement.
  • Customize your diet: The consistency of your stool is influenced by your diet. Constipation can result from hard stools, and when this happens, the pressure from passing feces increases significantly, increasing the chances of developing piles. You can reduce your chances of constipation and prevent piles by maintaining a healthy diet and drinking lots of water. A diet high in fruits, vegetables, and whole grains is recommended. It is essential to incorporate foods high in fiber into the diet. Isabgol and Triphala are two popular Ayurvedic fiber supplements. 
  • Exercise: Keep yourself moving to avoid constipation and to release vein pressure from long-standing or sitting. Exercising can also help in weight loss, which could be the cause of your hemorrhoids.
  • Kegel exercises: These exercises are especially helpful for women because they strengthen the muscles of the pelvic floor, supporting the rectal veins and reducing the risk of hemorrhoids.
  • Keep a healthy weight: Overweight and obesity can raise the risk of hemorrhoids. Therefore, be mindful of your weight.
  • Avoid heavy lifting: Abstaining from heavy lifting can help relieve hemorrhoids by putting away strain from the rectum and anus veins.
  • Practice good hygiene: It is important to keep the anal region dry and clean to prevent piles in women. It is advised to clean the area with mild, fragrance-free wipes or just water after having a bowel movement.
  • Mindful Eating: Avoid difficult-to-digest foods, especially if you are expecting. These foods tend to cause hemorrhoids due to their excessive pressure on the anus. To reduce strain, choose foods that are simple to digest.
  • Refrain from sitting for too long: Prolonged sitting puts undue strain on the veins in and around the anus. This makes pile development more likely.

Complications of Delayed Piles Treatment in Women:

A woman’s quality of life may be considerably negatively affected by many complications that can arise from piles if treatment is not received. To prevent and treat piles, it is important for women to be aware of the risks involved and to seek medical assistance if they show any symptom. Some of the complications are:

  • The disease gets worse from Grade I to Grade IV
  • Thrombosis: A blood clot inside the hemorrhoid causes excruciating pain and swelling.
  • Infection: A hemorrhoid infection may result in fever, chills, and excruciating pain.
  • Strangulation: This is a condition in which the hemorrhoid gets stuck outside the anal opening, cutting off its blood supply and resulting in excruciating pain and tissue death.
  • Anemia: prolonged hemorrhoid bleeding can result in anemia, a low red blood cell count that can exacerbate weakness and fatigue.
  • Psychological distress: Anxiety, depression, and social isolation can result from persistent hemorrhoid symptoms, such as pain, bleeding, and itching.
  • Fecal incontinence: The muscles that regulate bowel function can weaken because of repeated straining during bowel movements, resulting in involuntary bowel movements.

Piles in Pregnant Women

Pregnant women are more susceptible to hemorrhoids, particularly in the third trimester or in the days following delivery. The following are the most typical causes of piles in women: 

About half of pregnant women experience hemorrhoids. The main cause is increased blood volume during pregnancy and the resulting vein swelling.

Constipation is another factor contributing to piles in pregnant women. Reduced gut motility during constipation causes a slowdown in bowel movement. This occurs because of the progesterone hormone levels rising during pregnancy.

The mother may experience piles in the days after giving birth if the delivery is extremely stressful. But by making a few lifestyle modifications, this uncomfortable period in pregnancy can be avoided.

Click Pile During Pregnancy to read in detail.

Who is the Best Piles Specialist in Delhi NCR?

Hemorrhoids are very common, affecting 40–50% of the population. Even after trying home remedies and making necessary lifestyle changes, piles symptoms in females can be serious at times.

Piles To Smiles is the best option if you’re looking for a piles clinic in Delhi NCR. You can find the Best Doctor for Piles in Delhi NCR at this specialized AnoRectal Treatment Center, which offers non-surgical or minimal surgical treatment for AnoRectal health problems like piles, fistula, fissure, pilonidal sinus, etc. 

It is always advisable for patients to consult with a Piles specialist if their hemorrhoids do not go away after a week. Female patients with different kinds of piles, especially those that occur during pregnancy and after childbirth, can be treated by qualified pile surgeons. Schedule a consultation with our top-rated Piles Doctor to receive more details or customized treatment.

 

Faqs about Piles in women

Yes, piles can affect women as well. Constipation, straining during defecation, prolonged sitting on a toilet seat, excessive weightlifting, pregnancy, or vaginal delivery are the causes of piles in women.

The following factors may contribute to piles in females:

  • Straining during bowel movements;
  • Chronic constipation or diarrhea;
  • Pregnancy;
  • Obesity;
  • Prolonged sitting or standing;
  • Aging

Yes, for females, pregnancy is a risk factor for piles. Hormonal changes, weight gain leading to increased abdominal pressure, and increased pressure on the rectum and anal area from the growing fetus are the reasons for piles during pregnancy.

Hormonal changes, weight gain, and increased pressure on the rectum from the growing fetus are the main causes of piles in pregnant women.

No, the idea that piles will disappear on their own in a few days is one of the biggest lies. The truth is that Piles only get worse with time if they are not treated promptly.

Due to their low fiber content, processed, unhealthy, and spicy foods, as well as deep-fried foods, may cause piles in women. They also make piles worse by making digestion difficult and causing constipation.

Stress causes abnormal gut function and elevated blood pressure, both of which can lead to piles in females.

The following are some of the symptoms of piles in females:

  • Swelling or a lump;
  • Itching or irritation;
  • Pain or discomfort;
  • Bleeding during bowel movements that may be seen in the toilet bowl or on toilet paper;
  • Mucus discharge.

First-degree hemorrhoids, or first-stage woman piles, are not visible from outside the anus. Usually, they result in minor symptoms like painless bleeding during a bowel movement.

If there is blood after your bowel movement, lump-type feeling around the anus, itchiness in the anus, and mucus even after wiping with tissues are some of the indications to note for piles.

No, piles are not dangerous or life-threatening. However, piles can be extremely uncomfortable and painful, and they can worsen over time, so it’s best to get treatment for them as soon as possible.

Yes, piles in females can affect marital life. Increased blood flow and arousal following sex naturally raise pressure in and around the anal region. Such elevated pressure could make piles worse.

Female piles can result in increased pain, infection, and bleeding that can cause anemia, thrombosis, and strangulation of the pile mass if left untreated.

Yes, it is possible to fully cure female piles. While closed/open hemorrhoidectomy, laser treatment, and Ksharsutra ligation of the pile mass are advised in the third and fourth grades, diet, and lifestyle modifications, sclerotherapy, infrared coagulation, rubber band ligation, and Kshar Karma are advised in the first and second grades.

Certain lifestyle modifications can provide relief from mild hemorrhoid symptoms, including first- and early second-grade hemorrhoids, in as little as two to seven days. These adjustments include increasing water intake and consuming foods high in fiber. The healing process may take longer in certain advanced cases, such as third and fourth-grade hemorrhoids.

Fruits that are good for piles include raspberries, pears, pineapple, and papaya. These are healthy sources of dietary fiber, which makes stools bulkier and easier to pass.

Hemorrhoids can be avoided by eating a high-fiber diet, drinking plenty of water, avoiding extended periods of sitting or standing and adopting healthy bathroom practices like not straining during bowel movements.

Pelvic muscle exercises help in the prevention and treatment of piles. The following yoga poses can help with improved blood circulation in the rectal area: Adho Mukha Svanasana, Balasana, Pawanmuktasana, Malasana, Mulabandhasana, Baddha Konasana, Ardha matsyendrasana, Viparita Karani.

No, self-diagnosing any medical condition—including female piles, or hemorrhoids—is not appropriate. A medical examination by an experienced proctologist is necessary for a correct diagnosis because piles can have a variety of symptoms and severity levels, and other conditions can also have symptoms that are similar to piles.

Understanding piles in women is essential for recognizing and managing this common condition.

  • A proctologist will usually perform a physical examination of the rectum and anus to diagnose piles in women.
  • During the examination, the physician may look inside the rectum and anal canal using a gloved finger or an anoscope, a tiny tube with a light.
  • A sigmoidoscopy or colonoscopy, which allows the physician to examine the entire length of the colon and rectum, may be required in some cases.
  • If bleeding is present in conjunction with the piles, the physician may also suggest additional testing, such as a stool culture or a fecal occult blood test, to rule out other potential causes of bleeding.

Some quick remedies for piles include using hemorrhoid creams, having a warm hip bath, and avoiding constipation and straining during defecation.

Gynecologists can treat female patients with first- and second-grade hemorrhoids because they are easily controlled with dietary and lifestyle modifications. Gynecologists are not qualified to treat female patients with advanced hemorrhoids (3rd and 4th grade hemorrhoids).

However, for the treatment of piles in females, it is best to contact proctologists.

Pregnant women should avoid piles surgery because it requires anesthesia, which could harm the developing fetus. In addition, there is a risk of bleeding, infection, and other issues that make piles surgery unsafe to undergo while pregnant.

Categories
All General

Everything You need to Know about Sitz Bath

A sitz bath is a therapeutic and relaxing practice in which you sit in warm water to relieve symptoms of various health conditions, particularly those affecting the pelvic region. “Sitz” comes from the German word “sitzen,” which means “to sit.” Sitz baths can be taken in a standard bathtub or in a specially-made basin that fits over the toilet. You sit in the bath with your genitalia, anus, and the space between (perineum) submerged in water for ten to fifteen minutes.

Although a sitz bath is not a cure, it is a useful home remedy for anal pain and discomfort.

Uses of Sitz bath

In addition to relieving pain, Sitz baths are excellent for cleaning and draining wounds in these areas following surgery, particularly after urinating or having bowel movements to reduce the bacterial load. Sitz Bath is beneficial for the following conditions, to mention a few:

  • Bartholin’s cyst: A sitz bath is very beneficial when treating conditions such as Bartholin’s cyst. Bartholin’s glands are lubricating glands located on both sides of the vaginal opening in females. The fluid may become infected when these glands become clogged. The fluid builds up to create a swelling called a Bartholin’s cyst. A sitz bath helps to clear the area, reduces discomfort, and discharges the cyst.
  • Hemorrhoids: Hemorrhoids are enlarged veins in the lower rectum and anus. Constipation, exerting excessive pressure on those veins while sitting on the toilet for an extended period, straining during a bowel movement, pregnancy, and childbirth are just a few of the causes of these conditions. While internal hemorrhoids can result in rectal bleeding, external hemorrhoids can cause pain and itching. Warm water soothes the region affected, lessens swelling, and eases the pain associated with hemorrhoids. If one has recently had hemorrhoids removed, sitz baths can help with any post-surgical discomfort.
  • Anal Fissures: Constipation, prolonged straining, large or hard stool, or diarrhea can all result in anal fissures, which are tiny tears in the anus lining that are painful and cause discomfort. Sitz baths can ease pain, promote the healing of anal fissures, and relax the anal muscles. The sitz baths provide relief by increasing blood flow and relaxing the muscles surrounding the anus.
  • Pelvic Inflammatory Conditions: A sitz bath can help people who are suffering from infections or other pelvic inflammatory conditions. In addition to promoting general comfort, the warm water helps to reduce inflammation.
  • Prostate Health: Men who suffer from conditions related to the prostate, such as prostatitis or an enlarged prostate, may find that sitz baths help them feel better. The pelvic muscles can become more relaxed and discomfort can be reduced by the warm water.
  • Pregnancy and Postpartum Healing: Taking a Sitz bath may help with pain management during or after pregnancy. Sitz baths are a common postpartum aid for women who have recently given birth.
  • Improves healing after certain surgeries: To speed up the healing process, women who have had episiotomies—a surgical incision made to widen the vaginal opening—during childbirth frequently take sitz baths. In addition to easing discomfort and keeping the area clean, warm water has the potential to accelerate the healing process. The recovery may also be less painful after the bath. This is because, even after just ten to fifteen minutes of soaking, the warmth of the bath can help to relax muscles.
    • Following a hemorrhoidectomy: a procedure to remove internal or external hemorrhoids—a sitz bath is also frequently advised.
  • Perineal Care: It has been suggested that having regular sitz baths will help to maintain a clean and hygienic perineal area. Particularly when it comes to issues like excessive perspiration or incontinence. As a result, discomfort and infections could be reduced.
  • Yeast Infections: Those suffering from genital irritations or other yeast infections may find relief with Sitz baths. This also relieves irritation in the vulvar, rectal, and vaginal areas. Additionally, it helps to clean the region surrounding the genitalia and anus.
  • Helps manage certain infections and diseases: One side effect of treatment for individuals with acute leukemia (a kind of blood cancer) receiving chemotherapy is perianal infection. A mass encircling the anus is indicative of the infection.  Sitz baths reduce the discomfort and infection that comes with it. A sitz bath may help some monkeypox sufferers find relief as well. A rash may appear on or near the genitalia or anus because of the disease known as monkeypox. The rash could hurt or itch. Sitz baths have the potential to lessen discomfort and itching. 
  • Relieves constipation: By relaxing the anal sphincter, or the muscle in the anal region, sitz baths help improve bowel movements, which is beneficial for constipation.
  • Assists in relieving cramps during menstruation: Additionally, sitz baths relieve period cramps.
  • A sitz bath may relieve symptoms and promote healing for individuals with various health conditions, including.
    • Perianal abscesses.
    • Anal fistulas.
    • Recent surgery on the vagina, vulvar, or anal areas.
    • Anal diseases.

Sitz Bath Benefits 

The following is a list of some probable sitz bath advantages that make it beneficial. 

  • Pain Relief: Seated baths have been used for centuries as a pain relief method for a variety of perineal discomforts. This covers postpartum discomfort hemorrhoids, and anal fissures.  
  • Improved Circulation: Warm water in a sitz bath is thought to encourage blood flow to the area around the perineum. Eventually, this lessens inflammation and supports the body’s natural healing processes.
  • Relaxation: A sitz bath’s soothing warmth may promote relaxation. Additions of Epsom salt or relaxing herbal additives such as lavender oil are said to enhance relaxation. 
  • Reducing Infections: Regular sitz baths may help lower the risk of infections by maintaining a clean and hygienic perineal area. 
  • Reducing Swelling: It has been suggested that a sitz bath’s increased blood flow can reduce inflammation. This could help relieve pain and promote healing for conditions like hemorrhoids.
  • Healing Wounds: It has been proposed that a sitz bath may speed the healing process for perineal problems including open wounds or tears (such as anal fissures). It exhibits this through maintaining hygiene and increasing circulation, as previously indicated.

Who should take Sitz Bath?

  • Individuals who have undergone groin and anogenital surgery, or who suffer from genital herpes, cramping in the uterus, or other painful pelvic conditions.
  • Individuals experiencing pain from anal fissures, perianal fistulas, pelvic floor surgery, inflammatory bowel disease, pilonidal cysts, vaginal, prostate, or bladder infections, and particularly those with hemorrhoids (piles).

When to take a Sitz bath?

  • It is recommended to take a sitz bath following each bowel movement if the anal area is very painful. 
  • At least twice a day, or as directed by your physician, to alleviate the pain associated with hemorrhoids, fissures, fistulas, and cramping in the uterus.
  • Twice daily, or as directed by your physician, to relieve pain associated with vaginal, prostate, or bladder infections as well as inflammatory bowel diseases.

What are the advantages of sitz baths?

  • Non-invasive: Unlike surgery, sitz baths don’t require any incisions and have been shown to be successful in treating pain, swelling, and discomfort brought on by conditions such anal fissures, hemorrhoids, and perianal abscesses.
  • Cost-effective: This procedure is less expensive than other treatments and can be carried out without the need for any specialized tools or medication.
  • Simple to use: Using a Sitz bath doesn’t require any medical or professional training. 
  • Relieving pain and itching: A warm sitz bath can help ease conditions like yeast infections or anal fissures that cause pain and itching in the perianal area.
  • Accessibility: You can do it in the privacy of your own home and it’s available to people of all ages.

Did You Know?

  • With an average healing period of 3.5 weeks and a recovery rate of 73.7%, sitz baths show promise as a treatment option for anal fissures. source: NCBI
  • The internal sphincter muscle may relax after a Sitz bath. Source: PubMed.
  • As a postpartum care technique, sitz baths can aid in comfort and healing. Source: American Pregnancy.
  • For women experiencing urine incontinence, sitz baths can help reduce symptoms. Source: NAFC.
  • Sitz baths can cause herpes transmission, maternal-neonatal Streptococcus outbreak, and skin burns. Source: NCBI.

Sitz Bath Procedure: How to take Sitz Bath?

There are two ways to perform a sitz bath: in a bathtub or with a sitz bath bowl. The two kinds of sitz baths can be used as follows:

Instructions for Using a Sitz Bath in a Basin/Sitz Bath Bowl

A unique plastic bowl called a “sitz bath bowl” is set on top of a toilet. Usually, these shallow, rounded basins fit over the toilet rim. When using a basin kit, please read and follow the specific instructions in the package. In general, to use a basin sitz bath, you will need to do the following:

  • Unpack the kit and get familiar with the parts.
  • To make sure the basin is clean, rinse it.
  • Raise the toilet seat and place the sink over the bowl. This should fit in there perfectly. Verify that the bowl is securely fixed and will not slide around.
  • Some kits include a plastic bag, tubing, and optional nozzles or paddles to create a whirlpool effect. This enables you to shoot water into the bowl and directly onto the part of your body that requires care. There might be a hole or slot in the back of the bowl. This allows water to escape and keeps it from spilling onto the ground. Take care not to fill the bowl too full if there isn’t a hole.
  • Fill the basin with a little warm water. To avoid having too much water overflow when you sit down, leave about one-third of the basin empty. Your perineum should be immersed in water. Not too hot, but just warm enough to swim in. Put a drop on your wrist to check the temperature.
  • Stir in any additional ingredients that your doctor suggests, such as baking soda, Epsom salts, or prescription drugs. To dissolve this, gently twirl it around.
  • Sit comfortably on the basin and stay there for 10-15 minutes.
  • Sink into the sitz bath bowl with gentleness. Hold onto the railing. Or, if assistance is required, ask a friend, family member, or caregiver for it.
  • If you have a wound, the water may hurt at first, but eventually it should stop hurting. Verify that the area in need of treatment is submerged in water.
  • Stand up, towel off, and discard the water.
  • Wipe the sink clean before using it again.

Instructions for Using a Sitz Bath in a Tub

Follow these instructions for a sitz bath if you’re using a bathtub:

  • Ensure that the tub is clean.
  • Add three to four inches of warm water to the tub.
  • Add any additives that your healthcare provider may have recommended, and shake to dissolve them. 
  • Sit on the bottom of the bathtub after carefully lowering yourself inside. Make sure the water in the bathtub is at a comfortable temperature before stepping in.
  • To keep your legs out of the water, bend your knees or hang them over the tub sides.
  • Hold on to a rail. Or, if assistance is required, ask a friend, family member, or caregiver for it.
  • The water may initially hurt if you have a wound. However, discomfort should subside. Make sure that the area in need of treatment is submerged in water. Bend your knees up to expose the area that needs to come into contact with the water.
  • Step into the bathtub. To allow the water to cover the entire area, lean backward rather than sitting upright.
  • Allow 10-15 minutes in the tub before draining and drying off.

Instructions For any type of sitz bath

  • Sit in water for 10-15 minutes.
  • To maintain a comfortable water temperature, add more warm water as needed.
  • Water should not be too hot. Warm water with a temperature of 104°F (40°C) is ideal.
  • Carefully get out of the toilet or tub. You might have dizziness or lightheadedness. Grab hold of a rail. Or, if assistance is required, ask a friend, family member, or caregiver for it.
  • Using a clean towel, gently pat dry your genitalia, anal area, and perineum. Avoid rubbing the affected area.
  • Wash your hands thoroughly. Apply any recommended cream or ointment to the affected area.
  • After every use, wash the sitz bath or bathtub with soap and water.
  • Take sitz baths two to three times a day, or as frequently as recommended by your doctor.
  • Avoid sharing your tub with other people.
  • A word about ingredients for sitz baths: To avoid irritating and inflaming your skin, avoid adding shower gel, soap, bubble bath, or any other external agent to your sitz bath.

Sitz Bath Ingredients 

Although all you need for a sitz bath is warm water, you can increase its overall healing effect by adding certain ingredients. Let us analyze some favored sitz bath ingredients and their benefits: 

  • Warm Water: Warm water is the fundamental component of each sitz bath. It offers comfort to any injured tissues and aids in cleaning the perineal area.  
  • Povidone-iodine liquid: 5–10 ml of povidone-iodine added to warm water is used in sitz baths. Using more than this can harm your skin. It lessens the chances and severity of perianal infections because of its antibacterial properties.
  • Triphala Decoction: Heat half a bucket of water with a tablespoon of Triphala powder added for two minutes, or until the water is lukewarm. Sit in the sitz bathtub after adding triphala water to it. After adding triphala water to the sitz bathtub, sit there for ten to fifteen minutes. It reduces pus production and the size of the pile mass while also assisting in the reduction of pain, inflammation, swelling, and itching in the anal region.

  • Potassium Permanganate (KMnO4): Potassium permanganate is an antiseptic drug that also has antifungal and antibacterial properties. It is recommended for the treatment of rashes, dermatitis, eczema, and superficial wounds, such as those caused by shingles. It relieves itching and speeds up the healing of wounds by drying out the skin. 

Potassium permanganate baths can also be used to treat yeast infections, vulvovaginitis, and vaginitis, as directed by a physician.

Mix one 100 mg tablet into roughly three to four liters of warm water, as directed by the physician and depending on the severity of the disease to be treated. Pour the diluted solution into a dry, clean bowl and soak your Ano genital area in the bowel for a few minutes to perform a potassium permanganate sitz bath. Only follow a doctor’s instructions when doing a potassium permanganate sitz bath because this medication can change the pH of the vagina and cause imbalances in the natural flora of the vagina. This may increase the chances of developing more bacterial or fungal infections.

  • Epsom Salt: Epsom salt is a naturally occurring source of magnesium sulfate. It is well known for its ability to help flush toxins from the body, relax muscles, and reduce inflammation. For this reason, sitz baths typically include it.   
  • Baking soda: It is recommended that baking soda be used to keep skin pH balanced, reduce irritation, and have a purifying effect.
  • Herbal Additives: Several herbs have different therapeutic qualities that may enhance the benefits of taking a sitz bath. Here are a few proposed popular choices:
    • Witch Hazel: This astringent herb also has anti-inflammatory properties. Anything that can cause proteins to precipitate on the surface is an astringent. It may reduce the swelling, pain, and itching associated with perineal conditions.  
    • Lavender Oil: Lavender oil has a subtle anti-inflammatory effect and a calming scent. Its inclusion can enhance healing and relaxation. 
    • Chamomile: It is thought that chamomile has anti-inflammatory qualities. Because its tinctures may soothe irritated skin and promote healing, they have been tried in sitz baths. 

Sitz Bath Precautions

To ensure a safe and effective Sitz bath, it is important to take into consideration a few precautions, which include:

  • Refrain from using an extremely hot sitz bath: the water should be warm but not so hot as to be unpleasant.
  • Open wounds or active infections: It is recommended to consult a doctor before taking a sitz bath if you have open wounds or active infections in the genital or anal region.
  • Persistent pain or discomfort: If following a Sitz bath, there is still pain or discomfort, there may be underlying conditions to consider. Seeking advice from a physician is essential for that. 
  • Heart or circulatory issues: It is advisable to speak with your doctor before using it if you have a heart condition or other circulatory issues that could affect blood flow and raise the risk of complications.
  • Use a basin specifically designed for Sitz baths: It is best to use a basin made especially for Sitz baths rather than a regular bathtub or another kind of basin to ensure the most efficient and secure experience.

Sitz Bath Risks

Although Sitz baths are generally thought to be safe and effective, there are certain risks and concerns to be aware of:

  • Burns: Warm but not hot water is perfect for a Sitz bathtub because burns can result from overheating.
  • Infections: If the tub is not properly cleaned, there is a higher chance of infections in the perineal area. 
  • Rashes: Using a hard towel to dry the area after a sitz bath may worsen the condition by resulting in more rashes.
  • Allergy Reaction: If you have sensitive skin or are prone to allergies, using certain products in your Sitz bath (like bath salts or essential oils) may result in an allergic reaction.
  • Overuse: Refrain from taking sitz baths too frequently or for extended periods. This may result in excessively dry skin and irritation around the perineum. The advice of the healthcare professional must be followed regarding how frequently to take sitz baths.  
  • Inappropriate Ingredients: Avoid adding items that aren’t intended for sensitive skin, such as soaps, bubble baths, or other similar items. These could aggravate pre-existing conditions or make them even more severe. 
  • Additional side effects: Taking a Sitz bath in addition to other treatments for a lower body condition may cause undesirable side effects.

When to Get in Touch with a Medical Professional

  • You should see a doctor if, despite using a sitz bath to treat your hemorrhoids, your symptoms do not get better after a week. Additionally, after taking a sitz bath, you should get in touch if the skin around your anus becomes dry or if you get a rash there. 
  • If you experience severe pain in your anus and rectal bleeding, you should see a doctor right away. This is particularly true if you have diarrhea, a fever, or abdominal pain.
  • Should pain or other symptoms worsen, you should seek medical attention if you are using a sitz bath for conditions other than hemorrhoids, such as an episiotomy or perianal infection.
  • Consult your healthcare provider before beginning sitz baths if you are pregnant or recently gave birth. You will receive detailed instructions from them on when and how to take them.
  • Seek immediate medical attention if you experience any of the following symptoms: fever, increased perineum temperature, increased redness, discharge, or worsening pain. 
  • If you have a fever of 100.4°F (38°C) or higher, consult your healthcare provider.
  • If an incision’s redness, swelling, or fluid leakage worsens
  • If new symptoms start to appear

FAQs about Sitz Bath

A Sitz bath is a type of bath in which you sit in warm water to relieve pain and promote healing in the lower body. “Sitz bath” is derived from the German word “Sitzbad,” which translates to “sitting bath.”

Sitz baths provide various advantages for the lower body, such as alleviating pain and discomfort resulting from ailments like prostatitis, hemorrhoids, and perineal tears. Additionally, they promote healing by decreasing swelling and improving blood flow.

The purpose of a Sitz Bath is to relieve pain and encourage lower body healing. It is used to treat many disorders that affect the anal and genital regions, such as vaginal yeast infections, prostatitis, hemorrhoids, and perineal tears.

Yes, you can take sitz baths at home. For convenience and privacy, a Sitz bath at home is preferred by many. To maximize the benefits of a Sitz bath, you can perform one in a shallow basin that fits over a toilet seat and add baking soda, Epsom salts, or other remedies to the water as recommended by your healthcare provider.

  • Sitz baths are frequently used to treat a variety of lower-body disorders.
  • Sitz baths are commonly used to relieve the pain and discomfort caused by hemorrhoids,
  • Promote healing after perineal tears,
  • Relieve prostatitis symptoms, and
  • Relieve symptoms of vaginal yeast infections.

  • Sitz baths encourage relaxation and improve blood flow to the injured area.
  • The lower body’s blood vessels widen as a result of the warm Sitz bath, which can aid in healing, pain relief, and decreasing swelling.
  • The body and mind are soothed by the warm water’s calming effects, which can aid in stress relief and relaxation.

The objective, context, and water depth of a Sitz bath and a standard bath are different. A Sitz bath is a type of shallow bath that is intended to be used while seated over a toilet seat. It covers only the lower body.

A typical bath, however, consists of soaking your entire body in a tub of water. Cleaning and relaxing the entire body—not just the lower body—is the aim of a regular bath.

Compared to a regular bath, a sitz bath offers numerous advantages. It enhances cleanliness, lessens inflammation, and increases blood flow to the anogenital area.

Warm but not hot is the perfect temperature for a Sitz bath. At about 104°F (40°C), the water should be comfortably warm to the touch. Utilizing water that is too hot should be avoided as it can result in burns.

To make sure the water is safe to use, always check the temperature with your hand or a thermometer before stepping into the bath.

Sitting in a Sitz bath basin with just your hips and buttocks submerged in water is known as the Sitz bath position. Usually, the basin is placed on the toilet seat with the affected area submerged in water.

You can use a tiny plastic tub that fits over the toilet or a bathtub to take sitz baths. Add enough water to the bathtub so that the perineum (space between your genitalia and anus,) is submerged. Then spend 15 to 20 minutes relaxing in the tub.

Sitz baths are generally safe, although if the tub or plastic bath is not completely clean, there is a small chance of infection. Before settling into the tub, it is also crucial to make sure the water is not too hot. People who have open wounds should take sitz baths as directed by their doctor.

Sitz baths might be safe for pregnant women, but before beginning any new self-care regimen, consult your physician.

Children can take sitz baths, but an adult should always keep an eye on them.

Two or three times a day, for up to fifteen minutes, you should take sitz baths. Physician recommendations may vary based on your condition.

Ten to fifteen minutes should be spent in a sitz bath. It is typically taken two to three times a day, depending on the severity of the disease.

No. Use a fresh, dry towel to pat dry your genitals or, if you can’t, use a hair dryer. The skin surrounding the anus is sensitive, so try not to rub too hard.

If you take a regular bath in a tub filled with warm water, it can also be considered a sitz bath. It is necessary to soak the perineal area in water.

Regular baths can relieve some of the discomfort in the perineal area, but sitz baths are designed specifically to focus on and treat the perineal areas more effectively. So, sitz baths cannot be substituted with regular baths.

A shower can have some cleaning and calming benefits for the perineal area, even though it does not offer the same advantages as a sitz bath.

Sitz baths are recommended by most doctors because they help with a variety of proctology-related issues. Povidone-iodine, Triphala decoction, Epson salt, vinegar, sea salt, baking soda, and witch hazel are the primary ingredients.

It is advised to take a sitz bath with warm water. Before adding anything to the sitz bath, speak with your physician.

Yes, taking a sitz bath helps ease the discomfort and itchiness associated with piles and constipation. It is often considered the initial course of treatment for piles and constipation.

When performed incorrectly, a sitz bath can exacerbate hemorrhoids. Boiling water, for instance, can exacerbate hemorrhoids by causing more swelling and blood to accumulate.

When your symptoms go away or your doctor advises you to stop, stop taking sitz baths.

If your symptoms get worse or you start to notice redness or puffiness around the anus, you should stop taking sitz baths.

Categories
All Piles

Piles in Men – Causes, Symptoms, Diagnosis and Treatment

As cushions around the anal canal, hemorrhoids are a normal component of the human anatomy and help in controlling bowel movements. They do, however, consist of many blood vessels. Excessive straining can cause them to swell and become annoying. This can lead to symptoms like bright red blood when one goes to the toilet, lumps around the anus, discomfort, and itching. 

Men are more likely to have it than women, especially those over 50.

Piles formation may result from straining while using toilets or from overexerting it when working out, but there are many options for relief and treatment. Piles in men can be initially treated with over-the-counter drugs and home remedies; however, surgery becomes necessary later.

Piles/ Hemorrhoids can affect both men and women, and it is predicted that three out of every four of us will have piles at least once. 

What Are Piles in Men and How do Men get piles?

The hemorrhoidal cushions, which are made of spongy tissue and fed with blood vessels, line our anus and help in its closure. While these are normal, they occasionally tend to develop into piles, particularly if blood accumulation causes them to enlarge. Piles are typically shaped like little, spherical, discolored lumps. These may be felt on the surface of the anus or hanging down from the anal opening.

What are the different types of piles in men?

Piles can be classified based on their location, the severity of symptoms, and the pathology that contributed to their development. Different types of hemorrhoids that affect males are: 

  • Internal piles are found deeper within the anal canal, and the patient usually complains of bright red bleeding when using the restroom. Bleeding is painless.
  • External piles, on the other hand, are those that develop closer to the surface of the anus and are frequently extremely sensitive and painful. These could feel like lumps close to the anal opening. 

A man can potentially have both internal and external hemorrhoids at the same time. 

  • Prolapsed piles are internal hemorrhoids that have come out of the anal opening and become noticeable. These are quite painful at times.
  • Thrombosed piles, which are typically external hemorrhoids with blood clots formed, are also frequently extremely painful.

Grading of Internal Piles in Men: 

Internal piles in men are graded on a four-point scale by proctologists.

  • Grade 1 refers to small swellings on the anal canal’s inner lining. From outside the anus opening, they are not apparent and cannot be felt or seen. When a fellow tries to defecate, he complains of painless bleeding. 
  • Grade 2 is more severe. When someone strains to defecate, they protrude from the anus, but they go back inside on their own. 
  • Grade 3 comes out of the anus and will not return unless the fellow pushes them back in with physical force.
  • Grade 4 prolapses and hangs there permanently, making it impossible for a fellow to push them back inside. 

Causes & Symptoms of Piles in Males

What causes piles in men? / Causes of Piles in Men

Some common causes of piles in men are listed below.  They are closely associated with elevated pressure in the anal tissues and blood vessels. 

  • Straining and constipation: Excessive straining on the toilet is a common cause of hemorrhoids in men. There are two reasons for this. One reason is that prolonged sitting on the toilet relaxes the anus, which opens the door for blood to enter the hemorrhoids. Second, straining, which is frequently brought on by constipation, can put too much strain on the veins and blood vessels surrounding the anus, causing them to swell up and bleed.
  • Inadequate dietary fiber: Hemorrhoids in men are frequently caused by a diet deficient in fiber. A man who is low in fiber is much more likely to experience constipation and overstrain himself on the toilet, as fiber helps to keep tools softer.
  • Obesity: It should come as no surprise that being overweight can increase the risk of developing piles because it puts strain on the blood vessels, which is a common cause of hemorrhoids.
  • Prolonged Sitting: Sitting for extended periods may increase the risk of piles.
  • Heavy Lifting: Men who lift large, heavy objects regularly run the risk of piles developing. This is due to the possibility of anal vein inflammation caused by the strain of lifting large weights.
  • Aging: A man’s body’s tissues, particularly those in the rectum and anus, weaken with age, increasing his risk of hemorrhoids.
  • Hereditary factors: Some people may inherit a weakness of the wall of the veins in the anal region.
  • A persistent cough
  • Increased anal tone

What are the symptoms of piles in men?

The following lists some typical signs of piles in men that are simple to recognize:

  • Bleeding During or After Bowel Movements: Hemorrhoids can cause spontaneous bleeding during or after bowel movements.
  • Lump around the Anus: An internal hemorrhoid may feel as if something is coming out from the anal opening that goes in on its own or requires manual pushing back. If it is an external hemorrhoid, there might be a lump or swelling associated with the anal opening.
  • Itching and Burning in the Anal Area: The anal area may experience burning or itching due to swollen veins.
  • Feeling of Incomplete Bowel Movement: Hemorrhoids may restrict the normal passage of stool and result in the feeling of an incomplete bowel movement.
  • Some discomfort While Sitting: Pressure on the enlarged veins in the rectum and anus may cause pain while sitting.
  • A slimy mucus discharge from the anus that might stain the undergarments, if it is a prolapsed hemorrhoid,

These symptoms can differ greatly from person to person. In addition to piles, other conditions like colon cancer, anal cancer, inflammatory bowel disease, and anal fissures (tears) may also be the cause. Therefore, do not assume that piles are the cause of any symptoms you may be experiencing; instead, seek advice from a nearby proctologist.

Piles Diagnosis in Males

You should consult with a qualified proctologist physician if you are experiencing any of the above symptoms. Based on the patient’s medical history and physical examination, a skilled proctologist can identify piles in men. By looking closely at the region surrounding the anus, he can recognize external hemorrhoids. But to recognize internal piles in men, the proctologist will perform a digital rectal examination and may opt to look inside the rectum and anal canal using techniques like sigmoidoscopy, colonoscopy, and anoscopy.

What Is the Treatment of Piles in Males? / Piles Treatment in Males

In most cases, piles in men can be cured without the need for medication or other treatments. There are several non-surgical ways to treat piles.

Home Remedies for Piles in Men

Home remedies are helpful methods for managing piles. A few natural remedies consist of:

  • Sitz Bath: This healing method involves sitting in a warm tub of water. It decreases burning and itching in the pelvic region.
  • Aloe Vera Oil: It decreases burning and itching from piles because of its inherent anti-inflammatory properties. You only need to gently massage the affected area with a small amount of aloe vera oil.
  • Coconut Oil: Like Aloe Vera oil, coconut oil can be rubbed into the anal passage to ease burning or itching sensations.

Food Modifications for Piles in Men

Another way to lessen the likelihood of piles is with food. You could do the following:

  • High-fiber foods: Eating foods high in fiber can help soften stools and ease constipation, both of which comfort hemorrhoids in men. Whole grains, legumes, fruits, vegetables, nuts, seeds, and bran are some of these foods.
  • Vitamin C: An antioxidant that can potentially strengthen blood vessels, lower inflammation, and improve immune system performance. It can also lessen the symptoms of hemorrhoids. Vitamin C-rich foods like broccoli, bell peppers, and citrus fruits are excellent additions to your diet.
  • Flavonoids: Plant compounds found in foods high in flavonoids can strengthen blood vessels and lower inflammation, which may help in piles symptoms. These foods include dark chocolate, berries, and citrus fruits.
  • Probiotics: Eat curd as part of your diet for probiotics. It has beneficial bacteria that can regulate bowel movements and enhance gut health, which can lower the risk of constipation and piles symptoms.
  • Limit Red Meat: Red meat is difficult to digest and exacerbates the symptoms of piles; instead, choose other forms of protein.
  • Avoid Processed Foods: Processed foods often contain high amounts of unhealthy fats, salt, and sugar, which can aggravate the condition by causing inflammation, digestive troubles, and other health problems. Avoid these foods to manage the symptoms of hemorrhoids.

Lifestyle Changes for Piles in Men

By making lifestyle modifications, hemorrhoids can be kept from getting worse. Hemorrhoids can be effectively relieved with these non-surgical methods. A few modifications consist of:

  • Stay Hydrated: It’s advised to maintain hydration to soften stool and facilitate bowel movements, which will lessen pressure and strain on the afflicted veins and help heal hemorrhoids.
  • Exercise: Engaging in regular exercise helps enhance blood flow throughout the body. It relieves constipation, which can play a role in the emergence of hemorrhoids.
  • Use a donut pillow or a cushioned seat pad: Certain activities, like sitting, may be particularly challenging for someone who has external hemorrhoids. Therefore, using a donut pillow or cushioned seat pad will be very beneficial.
  • Do not strain when you go to the toilet
  • Do not sit for a long time for defecation

Over-the-counter medicines for Piles in Men:

  • A fiber supplement like ispaghula husk or mild laxatives like Triphala or Haritaki powder can soften a man’s hard-to-pass stool.
  • Painkillers available over-the-counter, like paracetamol, may help reduce pile-related discomfort. Avoid taking opioid-containing painkillers, such as codeine, as they may exacerbate your constipation issues.
  • Pain and itching from piles may be reduced with the use of suppositories, ointments, and soothing creams. A wide variety of products are offered over the counter. Use these for no more than a few days at a time as they may cause skin sensitivity.

Non-Surgical Treatment for Piles in Men:

Non-surgical treatments for hemorrhoids may be explored if home remedies and medication fail to provide relief. These consist of:

  • Sclerotherapy: The hemorrhoid is injected with a liquid known as a sclerosant, such as Phenol in oil, which reduces the blood supply and causes the hemorrhoid to shrink. This results in a fibrotic reaction that scars and obliterates the blood vessels that supply the piles. In piles of Grade 1 and early Grade 2, it is advised.
  • Rubber Band Ligation: This technique involves ligating the hemorrhoid’s root with a rubber band that causes tissue death. As a result, piles start to collapse. For piles of grades 2 and 3, banding is the most used pile treatment.
  • Electrotherapy: This involves shrinking the hemorrhoid with an electrical current after it eventually falls off. Heat energy is used in diathermy and electrotherapy to destroy the piles. They seem to be as successful as infrared coagulation, and there is little chance of complications.
  • Infrared Coagulation: This technique uses infrared light to shrink the hemorrhoid. Using infrared light to burn and cut off the hemorrhoid’s circulation, this pile treatment technique reduces the hemorrhoid’s size. For first- and second-degree piles, it may be just as successful as injection sclerotherapy and banding treatment.
  • Kshar Karma Treatment for Piles in Men: This treatment involves applying a unique ayurvedic medication called Kshara in the anal passage at the location of pile masses. The application of Kshar causes the pile mass to decrease and the bleeding to stop. For males with first- and early- 2nd stage internal hemorrhoids, kshar karma treatment is recommended.

Surgical Treatment of Piles in Men

Surgery may be indicated for hemorrhoids if non-surgical treatments are ineffective. Hemorrhoids in men can be treated surgically using a variety of techniques, including:

  • Hemorrhoidectomy: This procedure removes prolapsed internal or external hemorrhoids. When banding or other methods fail to treat a grade 3 or 4 pile, surgery to remove the hemorrhoid(s) may be the only viable option. General anesthesia is used during the procedure. It can, however, be extremely painful in the days that follow the procedure.
  • Stapled Haemorrhoidectomy: Internal hemorrhoids are either pulled back into the anus or removed completely using a stapling instrument. Above the piles, a circular section of the anal canal lining is removed using a circular stapling gun. As a result, the piles are drawn back up in the anal passage.
  • Hemorrhoidal Artery Ligation: By cutting off the hemorrhoids’ blood supply, this minimally invasive treatment causes the hemorrhoids to shrink and eventually fall off. Under the guidance of ultrasonography, the small arteries supplying blood to the piles are tied or ligated.
  • Laser Surgery: To reduce the size of hemorrhoids, a surgeon uses a laser to cut off their blood supply. 
  • Ksharsutra Treatment for Piles in Men: The Ksharsutra treatment involves ligating a specialized medicated thread at the base of the pile mass. It causes the pile mass to stop receiving blood, which causes it to shed off in a week or ten days. Men with late second, third, and fourth stage internal piles are advised to undergo Ksharsutra treatment.

Why should you not delay piles treatment in men? Or Complications of Delayed Piles Treatment in Men:

Men tend to keep their medical conditions to themselves, avoid talking about their problems, and pass off their discomfort as momentary discomfort. Delaying treatment for male piles can lead to complications, however. If hemorrhoids are not treated promptly, they can result in problems like:

  • Masses of tissue hang out on the skin
  • Advancement of disease from Grade I to Grade IV
  • Rectal prolapse can be the result of continuous pressure during stools.
  • Worse Pain: Postponing pile treatment may result in worsening pain, itching, and discomfort in the affected area.
  • Excessive Bleeding: Untreated hemorrhoids can swell and become more inflammatory, which increases the risk of bleeding and anemia.
  • Extended Healing Period: Hemorrhoids that are not treated for a longer time may require a longer healing period for the affected area.
  • Thrombosis: If left untreated, hemorrhoids may thrombose, forming a blood clot inside them. This may result in extreme discomfort and require more intensive treatment.
  • Risk of Infection: Hemorrhoids have the potential to get infected leading to more pain, discomfort, and possible complications.
  • Effects on Quality of Life: Hemorrhoids can make it difficult to perform regular tasks like walking, sitting, and working out. Delaying treatment can have a lasting impact on one’s quality of life.
  • Need for Surgery: More invasive treatment options, like surgery, might be required to relieve hemorrhoids’ symptoms if they go untreated for a long time.

Prevention of Piles in Men

Early detection is key to preventing the condition’s progression and worsening of piles in men. Below are some strategies to avoid piles:

  • Healthy Food: Eating a diet high in fiber can help regulate bowel movements and prevent constipation, which helps maintain soft stool and prevent piles.
  • Weight management: By eating a balanced diet and getting regular exercise, one can reduce the strain on the veins in the rectum and anus and minimize the chance of getting hemorrhoids.
  • Active Lifestyle: Regular physical activity lowers the risk of hemorrhoids by improving blood flow and preventing constipation.
  • Avoid straining while passing stool. This can cause hemorrhoids by putting pressure to the veins in the rectum and anus.
  • Refrain from Heavy Lifting: Hemorrhoids can result from lifting heavy objects, which can put pressure on the veins in the rectum and anus. It’s important to lift objects safely and to avoid picking up too heavy objects.
  • Stay hydrated by drinking lots of liquid and minimizing caffeinated beverages like tea and coffee.

FAQs about Piles in Men

Both men and women frequently have piles. However, males are more likely than females to develop piles, based on certain medical research.

Piles or hemorrhoids are common in people 45 to 65 years of age. However, an unhealthy diet and lifestyle can also cause piles to develop in younger boys and men.

No, piles do not cause cancer and are not carcinogenic.

Foods to avoid during piles include

  • Fast food,
  • Spicy food,
  • Processed food,
  • Red meat,
  • Caffeinated beverages, and
  • Alcohol.

The duration of piles symptoms in men is not pre-determined. However, it is advised to consult an experienced proctologist for further advice if the symptoms haven’t gone away after a few days. Get in touch with Piles To Smiles for a consultation with one of our qualified proctologists.

Typically, piles in men resemble tiny, discolored lumps. They may feel like they are hanging down from the anal canal or on the anus.

When you experience symptoms such as blood before, during, or after passing stool, pain, or discomfort in the anal area, or if over-the-counter medications are not providing relief for your piles, you should consult a doctor.

Enlarged blood vessels called piles can form inside or outside the anus and rectum in males. They are the most prevalent anorectal disorder. They may result in rectal bleeding and be uncomfortable and painful with a feeling of something coming out from the anal opening.

The following are the main reasons why men get piles:

  • Constipation;
  • Straining;
  • Inadequate consumption of fiber
  • Lifting heavy weights
  • Prolonged periods of time spent on the toilet

Some of the common symptoms of piles in males are:

  • Bleeding
  • Feeling of something coming out from the anal opening during defecation.
  • Painful swelling near the anal opening
  • Itching
  • Pain
  • Sticky discharge from the anus
  • Discomfort while sitting

Certain home remedies can help lower the chance of piles developing. These include

  • Avoid constipation,
  • Eat a diet high in fiber,
  • Drink lots of liquids,
  • Abstain from alcohol, and
  • Avoid straining and prolonged sitting on the toilet seat.

A person with piles may try a variety of natural cures or even take the prescription drugs that his doctor has recommended. These options do not provide a permanent cure for piles, they only serve to prevent them from getting worse.

One of the most common misconceptions is that piles go away on their own. Over time, these will only get worse. Therefore, it is always advisable to treat Piles as soon as possible to prevent getting worse, avoid complications, and enable convenient treatment.

Ayurvedic piles treatment is the best treatment for Piles in men. The benefits of Ayurvedic treatment are:

  • Non-surgical/ minimal surgical treatment
  • Minimal blood loss
  • No stitches
  • Quick recovery
  • Improved Quality of Life
  • Cost Effective Treatment
  • No Hospitalization
  • No Bed Rest

Myth: Only older men get piles.

Fact: It is true that piles is more common in older men, but piles is not limited to this age group. Young males and boys who are sedentary and consume more junk food and less fiber may develop piles.

Although blood on toilet paper, blood dripping in the toilet, or blood on the surface of your feces are signs that you may have piles, piles do not always cause pain or other symptoms. You may feel some swelling on your anus or something protruding from the anal canal. These are just some of the symptoms of piles.

Categories
All Fissure Fistula

Can a Fissure Turn into a Fistula?

Two prevalent disorders that affect the anal region and cause discomfort and misery to people are fissure and fistula. Despite their similar sounds, these are two different illnesses with different causes, symptoms, and modes of treatment. There is a link between the two, though, which that raises the question: Is it possible for a fissure to become a fistula? To fully understand this, we need to know more about the traits of these illnesses, how they relate to one another, and their potential causes. As the best proctologist in Delhi NCR, Dr. Ravinder Sharma can offer you a thorough diagnosis and treatment for these ailments. In addition, he may address any query you might have regarding the connection between fissure and fistula.

Understanding Anal Fissure

An anal fissure is a tiny tear or cut in the lining of the anus that is usually brought on by trauma during bowel motions. All ages are affected by this widespread ailment, although adults are more likely to have it. The most common symptom of anal fissure is pain during or after bowel motions. Consequently, bright red blood frequently appears in the stool or on toilet paper. Itching, burning, or discomfort in the anal area are possible additional symptoms.

An anal fissure may occur suddenly or gradually. When given the right care and attention, acute fissure typically heals on their own in a few weeks, but Chronic fissure lasts longer and may require medical care.

Anal Fissure Causes

Anal fissure are caused by several factors:

  • Constipation: One condition that can lead to anal fissure is constipation, which induces straining during bowel movements.
  • Diarrhea: Prolonged diarrhea can irritate the vulnerable anus tissues, increasing the risk of fissure.
  • Trauma: Anal injuries, such as those sustained during childbirth or anal sex, can result in fissure.
  • Inflammatory Bowel Disease (IBD): Because of inflammation and damage to the intestinal lining, conditions including Crohn’s disease and ulcerative colitis can cause anal fissure.

Anal Fissure Treatment

The objectives of anal fissure treatment are to reduce discomfort, encourage healing, and stop recurrence. It might consist of:

  • Dietary changes: Eating more fiber and drinking enough of liquids will soften stool, facilitating easier bowel movements and lessening anorectal strain.
  • Topical medications: lidocaine-containing over-the-counter lotions or ointments/ other soothing ointments help lessen inflammation and pain. 
  • Sitz baths: The sphincter muscles can be relaxed and blood flow to the area enhanced by bathing the anal area several times a day in warm water for 10 to 15 minutes. This aids in the healing process. 
  • Medication: To aid with healing and relaxing the anal sphincter, a fissure specialist doctor may prescribe medications such as calcium channel blockers and nitroglycerin ointments. 
  • Surgical intervention: Injections to paralyse internal sphincter or a lateral internal sphincterotomy are two surgical procedures that may be explored if conservative methods are ineffective in treating persistent fissure. 
  • Kshar Karma Treatment for Fissure: When Fissure-in-Ano is in its acute stage, the recommended course of treatment is Kshar Karma and manual dilation of the sphincter muscles (preferably done by the patient; if it fails to relieve the spasm, then by an expert proctologist). Be extremely careful when performing this procedure to prevent overstretching the sphincter muscles. Kshar Karma is applying Kshar, a specific type of Ayurvedic medication, to the area of the fissure. This medication promotes healing and debrides the fissure.
  • Ksharsutra Treatment for Fissure: When the sentinel tag develops and Fissure-in-Ano has become more chronic, an Ayurvedic proctologist recommends Ksharsutra therapy. The ligation of a specialized medicated thread, called Ksharsutra, at the sentinel tag’s root is the treatment. Within a week or ten days, the sentinel tag sheds as a result of the blood supply being cut off. The patient can go home the same day following treatment since this is an OPD procedure. Typically, the patient can do his regular activities as usual during treatment without the need for hospitalization or bed rest.

Understanding Anal Fistula

An irregular tunnel or route that develops between the skin around the anus and the anal canal is called an anal fistula. It typically arises because of an anal abscess, a pus-filled mass in the tissues around the anus. A fistula may develop from a passage that does not heal properly following an abscess burst or is evacuated.

Anal Fistula Symptoms : 

Anal fistula symptoms might differ in severity and location. Typical signs and symptoms include:

  • Chronic pain in the anus
  • Bulges or swelling close to the anus
  • Blood or pus oozing from the anus aperture
  • Recurrent lesions in the anus
  • Rashes or itching near the anal orifice

Anal fistula causes

An infection in the anal glands, which are tiny glands found inside the anal canal, is usually the cause of anal fistula. These glands have the potential to develop an abscess, which may ultimately result in a fistula if they get clogged or infected. Other elements that raise the possibility of an anal fistula are as follows:

  • Crohn’s disease: People who have Crohn’s disease are more likely to develop anal fistula because of their persistent inflammation and intestinal lining damage.
  • Previous anal surgery: Anal glands or surrounding tissues may sustain unintentional injury from surgical operations like hemorrhoidectomy or fistulotomy, which can result in fistula.
  • Trauma: Anal fistula risk can also be raised by injuries to the anal region, such as those sustained during childbirth or anal intercourse.

Anal Fistula Treatment

The location, degree of complexity, and underlying etiology of anal fistula determine the course of treatment. It may involve:

  • Antibiotics: Antibiotics may be administered to treat an infection if an anal fistula is linked to an abscess or infection.
  • Surgical intervention is used to treat anal fistula. To preserve sphincter function and reduce the chance of recurrence, surgery eliminates the fistula tract along with any related infected or damaged tissue. A variety of surgical methods, including advanced flap repair, fistulotomy, fistulectomy, and seton placement, may be used.
  • Ksharsutra Treatment for Fistula: A medicated thread called Ksharsutra is inserted into the fistula tract as part of this treatment, and it is replaced every week or ten days until the fistula heals fully. This procedure is performed by the Ksharsutra expert. Since this is an OPD treatment, bed rest or hospitalization is typically not necessary for the patient. The patient can go about his everyday activities as usual while receiving treatment. 

Fistula-in-Ano complications such as recurrence or stool incontinence are not observed in the Ksharsutra treatment. 

Can a Fissure Turn into a Fistula?

After discussing the characteristics of anal fissure and fistula, we can now answer the query: Is it possible for a fissure to develop into a fistula? Although anal fissure and fistula are two different disorders, there may be a relationship between them.

Small anal fissures seldom become anal fistula in the absence of any underlying issues. However, the likelihood of complications like abscess and fistula may rise in cases of persistent or untreated fissure, particularly those linked to underlying diseases like Crohn’s disease. Anal tissue damage and chronic inflammation can delay recovery and put people at risk for fistula.

Surgical procedures like lateral internal sphincterotomy for chronic anal fissure can also enhance the chances of the development of fistula. This emphasizes how crucial it is to properly assess and treat anal fissure to avoid complications and encourage healing. 

Conclusion

There may be a relationship between anal fissure and fistula, even though they are treated and caused differently. Anal fistula risk may be raised by untreated or chronic fissure, as well as by some underlying medical disorders. Adequate diagnosis, treatment, and aftercare are critical for the proper management of both disorders and the avoidance of complications. If you have symptoms of an anal fissure or fistula, it is highly recommended that you consult the best fistula doctor in Delhi NCR for an evaluation and appropriate treatment.

Categories
All Piles

Kegel Exercises for piles

What are Hemorrhoids/ Piles: 

Hemorrhoids is a disease that affects almost 75% of people at some point in their lives. These are abnormally enlarged vascular mucosal cushions in the anal canal. These mucosal cushions help us to maintain anal continence but when they become swollen, enlarged, and start to cause symptoms, then they become hemorrhoids, more commonly known as Piles.

What Causes Piles?

Piles can occur randomly/ progressively over time, and they can happen to anyone; male or female, young or old. Factors that may increase the chances of getting hemorrhoids include:

  • Constipation is the foremost trigger for piles as the straining puts pressure on the blood vessels in this area.
  • Straining during bowel movements is another risk factor for piles. 
  • Prolonged sitting while defecating also increases the chances of developing Piles. 
  • Being over 50 – as you get older, your tissues get weaker, which increases your risk of getting piles
  • Being overweight
  • Pregnancy
  • Frequent heavy lifting
  • Prolonged diarrhoea

It is also thought that if people in your family have suffered from hemorrhoids, there are more chances of you suffering them too.

What are the Symptoms of Piles?

  • Bright-red, painless rectal bleeding while passing stool
  • Feeling of something coming out during defecation which may go inside by itself or need to be pushed back manually
  • Anal itching and irritation
  • Soiling due to mucous discharge or incontinence
  • A feeling of rectal fullness, discomfort, or incomplete emptying of bowel movements
  • Pain if a hemorrhoid prolapses and becomes strangulated

What are the Different Stages of Piles?

Piles are classified as either first-, second-, third- or fourth-degree. First- and second-degree piles are the most common and the least severe.

  • Stage One – Small swellings on the inside of the anus which are not visible from the outside. The patient complains of painless bleeding during defecation. 
  • Stage Two – These are larger swellings that may appear when one goes to the toilet but then disappear back inside again. Painless bleeding may or may not be there.
  • Stage Three – More severe small lumps that are visible from the outside of the anus and hang down, but they need to be pushed back inside. 
  • Stage Four – Most severe type of piles. Large lumps that hang down outside the anus. They cannot be pushed back inside.

“Among these, 1st and 2nd-degree piles can be easily managed by diet and lifestyle changes along with Kegel exercise for Piles”, opines Dr. Ravinder Sharma; a leading proctologist in Delhi NCR who practices at Piles To Smiles. He further says Kegel exercises benefit a lot in 3rd and 4th degree hemorrhoids also. 

Kegel Exercise for Hemorrhoids

Gynecologist Dr. Arnold Kegel in the 1940’s developed this exercise to strengthen the pelvic floor and smooth muscle along the anal canal up to the sphincter to prevent urinary continence and prolapsed hemorrhoidal tissues.

Kegel exercises are the simple act of contracting, holding, and then relaxing the pelvic floor muscles to strengthen the muscles and improve blood circulation These muscles are also sometimes called the “Kegel muscles”. They support the bladder and rectum and help control urine flow and the process of defecation. 

Regular pelvic floor exercises can help prevent and treat hemorrhoids by improving circulation, reducing inflammation, and increasing the tone and strength of the pelvic floor muscles. 

How do Kegel Exercises Help in Piles?

Many patients with chronic anal fissures and hemorrhoids experience an over-tightening or spasm of their pelvic floor muscles that help with defecation. Specifically, the puborectalis muscle which forms a U-shaped sling around the rectum oversees relaxing for stool to pass.

  • Kegel Exercise for Piles helps to prevent hemorrhoids by increasing blood flow to the anal region and improving blood circulation. 
  • Kegels strengthen anal muscles. Strong anal muscles provide good support for internal hemorrhoids and prevent existing ones from enlarging or protruding!
  • If you are suffering from piles, Kegels can help to tighten tissues and control leaking around the hemorrhoid problem areas.

And contrary to popular belief, kegel exercises can be done by both men and women!

How to do Kegel Exercises for Hemorrhoids?

Before beginning, always remember these points on how to do Kegel exercises:

  • Make sure you start on an empty bladder.
  • Ensure you are exercising the correct muscles.
  • Squeeze for a count of 5 seconds and relax for a count of 5 seconds in the beginning which can be increased up to 10 seconds later.
  • Try for a minimum of 10 and a maximum of 15 repetitions each time.
  • Ideally, do the exercises at least thrice a day in the beginning.

How to do Pelvic floor exercises for Piles?

You can practice your Kegels sitting/ standing or lying down. But in the beginning, it will be helpful to exercise while seated in a firm chair

  • Step 1 – Lie down on the back or sit in a comfortable position.

Relax your abdomen and buttocks since you do not want to exercise those muscle groups so you should not contract these muscles.

  • Step 2 – Start contracting your anal muscles as if you are stopping yourself to pass gas or stopping a bowel movement.
  • Step 3 – Hold this contraction position for 5-10 seconds as per your comfort.

Breathe freely: Do not hold your breath, but breathe freely during the exercise.

  • Step 4 – release for 10 seconds.

It might help to think of these muscles as an elevator. As you contract (squeeze) them, the elevator slowly rises to the top. As you gently release the tension on your muscles, imagine the elevator returning to ground level.

  • Step 5 – Repeat the exercise 5 times but only use half of your strength.
  • Step 6 – squeeze the muscles and relax them repeatedly as fast as possible.
  • Step 7 – continue the exercise as long as you can.
  • Step 8 – The standard recommendation is to perform Kegels three times a day. Later you can increase it up to 10-15 times a day. 

Best Positions to do Kegel exercises for hemorrhoids:

  • Sitting in a comfortable chair.
  • Lying down on your back.
  • Standing in an empty area.
  • Kneeling, on the floor, on all fours.

When should I do the Kegel exercises for Piles?

Performing Kegel exercises has no age. One is recommended to begin practicing them as early as possible. These exercises may be performed any time during the day or night and while you are in any position- sitting, standing, or lying down. Also, since they do not require any special positioning, you may do them while working, driving, eating, or watching television.

You can do pelvic floor exercises discreetly at just about any time.

  • When you are stopped at a red light
  • In the waiting room at the midwife or doctor’s office
  • Drive-throughs such as the bank, dry cleaners, and pharmacy etc.

When can I start doing the Kegel exercises for post-pregnancy Piles?

The Kegel exercises to avoid post-pregnancy Hemorrhoids can be safely started 3 weeks after your delivery. It is a good idea if you practice the Kegels Exercise for Piles throughout your pregnancy. It will help avoid hemorrhoids during and after pregnancy. 

Where should I do pelvic floor exercises for Piles?

Until you are comfortable doing Kegel exercises, choose a quiet spot to practice, like your bathroom or your bedroom, so you can concentrate. Once you know how, you can do these exercises anywhere― at your desk, in the car, waiting in line, at the kitchen counter, etc. To help ensure that you will be consistent, make it a habit to do your Kegels Piles exercise in a particular place or during a certain activity, such as brushing your teeth, doing the dishes, or driving to work.

As your muscles get stronger, start practicing hemorrhoid Kegels Exercise while sitting and standing, too. This will put more weight on the muscles, boosting your workout and improving your control. 

How do I know if I am doing hemorrhoids Pelvic floor exercises correctly?

It is important to identify and squeeze the correct group of muscles. In the beginning, you may sit on the toilet and insert your well-lubricated finger into the rectum. Then tighten the muscles of the sphincter and feel them contracting around your finger. Do not contract your abdominal, thigh, or buttocks muscles while performing the exercise.

When should I expect improvement in my symptoms?

When you are trying to strengthen any muscles, it is important to be patient. If you have ever tried to get in shape more quickly by lifting too much weight or running too many miles, you know that trying to hurry the process can backfire.

If you are doing the exercise correctly, you should feel the pelvic floor muscles lifting. It may be difficult to contract these muscles for 10 repetitions, but as your muscle tone improves, it will become easier. If you repeat the exercise a few times daily, you should see an improvement in just a few weeks. For continued benefits, make pelvic floor exercises a permanent part of your daily routine.

How long do I have to do the Kegels exercises for Piles?

The more you do the exercises the better. Also, the longer you can hold the contraction the better. Like any type of exercise, Kegel exercises only work as long as you do them. Once you stop, the muscles will become weak again and Piles problems might return.

Make doing your Kegels a lifetime habit, and stay motivated by focusing on the improvements you experience in your Hemorrhoids.

Precautions for doing Kegel Exercise for Hemorrhoids:

  • When performing Kegel exercises, do not hold your breath or strain.
  • Always keep the other muscles relaxed – especially the abdomen and thigh muscles.
  • Some amount of soreness in the pelvic area is possible. But if it is more than usual, that could be because it is overdone. Consult your proctologist.
  • Sometimes it is difficult to locate the right set of muscles. Check with your proctologist to help you understand the correct set of muscles.
  • Kegel exercises are not meant to show off like bicep muscles. Do not constantly keep straining the muscles to make them stronger. Relaxation of the muscles is equally important with the squeezing movement. Do not skimp the relaxation part.

Other benefits of practicing Kegels exercise:

  • During pregnancy Kegels exercise helps support the increasing weight of the growing baby
  • Pregnant women who perform Kegels exercises often find they have an easier birth. Strengthening the pelvic floor muscles during pregnancy can help develop the ability to control muscles during labor and delivery. Kegels exercises also minimize the chances of requiring an episiotomy – a cut (incision) through the area between the vaginal opening and the anus. This procedure is done to make the vaginal opening larger for childbirth.
  • Practicing pelvic floor exercises during pregnancy will also minimize instances of urinary incontinence or leakage when laughing, sneezing, coughing, or carrying something heavy.
  • Post-delivery bladder control: After a cesarean section or even a normal delivery, many women experience issues with bladder control. Kegel exercises after delivery will help with better control and quicker recovery.
  • Better healing: The pelvic muscles are strained and often damaged during delivery. These muscles heal better with Kegel exercise after delivery.
  • Pelvic organ prolapses: Kegel exercises help with pelvic organ prolapse. This happens especially in the case of vaginal delivery that has lasted for long hours.
  • Although Kegel exercises are most familiar to women experiencing urinary leakage after childbirth, these exercises are an equally effective tool to help men improve bladder control. 
  • The exercises help treat prostate pain and swelling resulting from prostatitis in men
  • Kegels exercises help men to achieve strong erections and control premature ejaculation and women to have a stronger orgasm.
  • Experience better intercourse sensation: There is always some amount of laxity in the vaginal canal post-delivery. Kegel exercises after delivery can improve the vaginal tone. This directly translates to better sensations for your partner during intercourse.
  • Kegels may increase your sexual satisfaction by increasing the blood flow to genitals. 

Kegels exercise for Piles – Not the Silver Bullet: 

Contrary to popular belief, Kegel exercises are not the be-all and end-all solution for hemorrhoids. If these methods do not provide any relief and the condition and symptoms keep on prevailing, you should consult with a proctologist for proper diagnosis and treatment.

At Piles to Smiles, You can book an appointment for top proctologist in Delhi NCR. 

 
Categories
Piles

Hemorrhoids/ Piles during/after pregnancy – Causes, Symptoms, Diagnosis & Treatment

Piles in Pregnant Women – Hemorrhoids During Pregnancy

Hemorrhoids, commonly known as piles, are swollen hemorrhoidal cushions inside the anal canal or in the skin surrounding the anus. They develop when the hemorrhoidal cushions (which are normal structures in every human being) inside the anal passage become swollen and inflamed resulting in bleeding during defecation and/ or protrusion of pile mass during defecation. There might be some painful swelling near the anal opening. Piles after delivery are very common in pregnant women, especially during the third trimester and 1st month after delivery. This is due to the excess pressure on the hemorrhoidal cushions placed by the enlarged uterus. 
 
Hemorrhoids/ Piles during/ after pregnancy can be very problematic and disturbing. Contact Piles To Smiles to get optimal care for piles during pregnancy. 

Causes of Hemorrhoids/ Piles During Pregnancy

Some of the most common causes of hemorrhoids during pregnancy are explained below- 
  • Increased Pressure on the Hemorrhoidal cushions: The pressure on the pelvic area and the lower abdomen increases significantly due to the added weight of the fetus. The pressure makes it difficult for the veins to circulate blood properly, due to which the blood starts to pool and causes swelling in these hemorrhoidal cushions. The blood volume also increases during the pregnancy to support the fetus’s growth. The added volume further increases the amount of blood pooling in the veins. 
  • Hormonal Changes: Progesterone levels increase during pregnancy which causes the veins to relax. Relaxation of blood vessels, halts the blood circulation in the hemorrhoids, leading to bleeding/ swelling/ protrusion of Pile mass during defecation. 
  • Too much straining during defecation: Straining during defecation is another factor that increases pressure in the lower abdomen and the anal region which may lead to the development of Hemorrhoids/ Piles during pregnancy.
  • Constipation: Around 16% to 39% of women get constipated during pregnancy due to the increase in progesterone levels, fetus size, iron supplements, and/or lifestyle habits. Due to constipation, the patient is more likely to strain or push hard to pass stools which can cause bleeding/ swelling/ protrusion of Pile mass during defecation.
  • Poor Dietary Habits: Eating foods that are low in fiber content increases the risk of constipation, which ultimately leads to hemorrhoids/worsens the existing condition. 
  • Inactive Lifestyle: during pregnancy, movements are restricted, as many women are advised to take rest. Which results in constipation which later leads to piles during pregnancy. 
All these factors can directly contribute to the development of hemorrhoids/ piles during pregnancy. 

Causes of Hemorrhoids/ Piles after Pregnancy or Causes of Postpartum Hemorrhoids/ Piles:

  • Straining and pushing during childbirth:  During pushing to deliver the baby, blood is forced into the veins around the anus. This causes the veins to become filled with blood that may clot and cause a thrombosed hemorrhoid. The longer the straining—particularly if it is for more than 20 minutes, the greater the chances of developing hemorrhoids.
  • An instrumental delivery (where an instrument, such as forceps, is used to assist delivery): can also increase the chances of developing postpartum hemorrhoids.

While those who have a vaginal or instrumental delivery, are more likely to develop postpartum hemorrhoids, hemorrhoids after c-section delivery can also develop; the delivery does not need to be complicated for a hemorrhoid to result.

  • Baby’s size can be another factor: Giving birth to a newborn weighing 8.4 pounds or more may increase the chances of getting postpartum hemorrhoids.
  • Constipation is also common after giving birth. In many women, this could be caused by a combination of changing hormones, pain medication, dehydration, or a fear of pain from their hemorrhoids or episiotomy site (a surgical cut made between the vagina and anus as a woman gives birth).

Symptoms of Postpartum Hemorrhoids

How will I know I have hemorrhoids after pregnancy? 
 
Hemorrhoids can be located internally or externally and sometimes switch between protruding out of or going back inside the anal passage. Symptoms of hemorrhoids after pregnancy include:
  •  Bright red bleeding from the anus during defecation
  • Feeling of something coming out from the anus which may go inside by itself or need to be pushed back manually
  • Pain/ irritation/ discomfort might be there as long as the pile mass remains outside.
  • There might be mucous discharge when the Pile mass is outside. 
  • Sitting/ standing/ movement may be very difficult because of the protruding Pile masses.
  • Painful swelling near the anus 

If any of these symptoms arise during pregnancy, it’s crucial to get in touch with an experienced proctologist to take the necessary measures to manage the condition.

Types of Hemorrhoids during/ after Pregnancy:

Depending upon the location of blood in hemorrhoidal cushions hemorrhoids during/ after pregnancy can be of the following types:
  • External hemorrhoids: These develop under the skin around the anus and are visible as they are located outside the anus. External postpartum hemorrhoids are the most common.
  • Internal hemorrhoids: These develop inside the anus and therefore are not visible. They can cause bleeding and later protrusion of Pile mass.
  • Prolapsed hemorrhoids: These form internally but protrude outside and remain outside until one tries to push them inside. Initially, these can be pushed back inside but if they remain outside for a longer period, it will become difficult to push them back. 
  • Thrombosed hemorrhoids: These occur when a blood clot forms within a hemorrhoidal cushion, obstructing the blood flow and leading to painful swelling. Thrombosed hemorrhoids can exist internally or externally.

How are hemorrhoids during pregnancy diagnosed?

Hemorrhoids during pregnancy are common enough that an experienced proctologist will likely know if someone is having hemorrhoids by the symptoms she tells. To be sure, a proctologist may:
  • Take a closer look at the anal region. An experienced proctologist can easily spot external hemorrhoids.
  • Do a digital rectal examination. He may insert a gloved finger inside the anus to feel for any internal hemorrhoids.
  • Do an anoscopy or sigmoidoscopy. They allow a proctologist to see inside the patient’s anal passage.

How to prevent Hemorrhoids/ Piles during/ after Pregnancy:

Here is something that can be done to prevent hemorrhoids/ Piles during/ after Pregnancy:
  • Take the pressure off your hemorrhoids: There is nothing one can do about the added pressure from the fetus that is putting strain on the body, but you can change your habits so that you are reducing the strain that you can control. Here are some tips:
    • Do not remain standing or sitting for too long. Instead, lay on your side to take pressure off your pelvic area and bowel.
    • When you do sit, use a donut pillow.
    • Do not strain or linger too long on the toilet while defecating. Instead, focus on relieving your constipation.
  • Avoiding constipation: Constipation often involves more straining to pass a bowel movement, increasing the risk of hemorrhoids during/ after pregnancy. To avoid constipation, ensure your diet is full of fiber-rich foods—such as vegetables, whole grains, and magnesium—and fluids. You may take a stool softener if needed after consulting your obstetrician.
  • Eat a high-fiber diet: Try to soften your stools by eating foods that are high in fiber. High-fiber foods include vegetables like broccoli and green peas, fruits like pears, legumes like lentils and black beans, as well as whole grain cereals and breads.
  • Increase liquid intake: liquid intake in any form should be encouraged. Liquid content in feces makes it soft and easy to move in the intestine.
  • Get some exercise: Try to move around more, even if it is just a short walk. Exercise helps prevent constipation. Check with your doctor before you start any exercise program during pregnancy or after giving birth. 
  • Avoid straining during bowel movements, and do not resist the urge to pass stools. Consider using a footstool to elevate the feet while sitting on the toilet. 
  • Do not delay: delaying defecation even after having an urge for defecation leads to the absorption of fluid from stool which makes it hard. So never delay/ suppress an urge to defecate to prevent pregnancy Piles. 
  • Add Kegel exercises into your daily routine to encourage healthy circulation in your anus and rectum.
  • Keep the anal region clean and dry to prevent irritation and itching. Use soft wipes to clean the area instead of soaps or cloth. 
By following these tips and instructions, women can reduce the risk of developing or progression of piles during/ after pregnancy. 

How Long Do Postpartum Hemorrhoids Last?

According to Dr. Ravinder Sharma, a leading proctologist in Delhi NCR, postpartum hemorrhoids can look very “large and alarming” right after birth but should shrink quite a bit over the next few days. They are typically most problematic for 5-7 days after childbirth but improve noticeably by two weeks postpartum. 

Proctologists agree that, while some postpartum hemorrhoids may last longer and require treatment. However, some women may experience skin tags afterward. This happens when the blood within the hemorrhoid is reabsorbed by the body, but the skin remains stretched.

When should I consult an experienced Proctologist?

You should consult a nearby proctologist if:
  • You notice any bleeding during a bowel movement. 
  • You are experiencing pain in your anal area that does not get better with at-home treatments.
  • You are experiencing painful swelling near the anus.
  • You are feeling that something is coming out during defecation which needs to be pushed back manually. 
  • You are thinking of trying over-the-counter laxatives, stool softeners, creams, oils, or supplements. Your doctor should approve any medications you take when you are pregnant.

Treatment Options for Piles During Pregnancy

There are several treatment options for women who develop piles during pregnancy. The general methods used for treatment are explained below – 
  • Lifestyle modifications, including eating habits and exercising, to alleviate the symptoms. These changes include improving dietary habits and engaging in physical activities. The diet should include fiber-rich foods, such as wheat bran, prunes, apples, pears, lentils, whole wheat bread, broccoli, tomato, citrus fruits, beans, etc. These foods improve water retention in the colon and make the stool soft to ensure they do not rub against the hemorrhoidal cushions and cause inflammation.
  • Avoid the intake of processed foods that have higher fat, sugar, and refined carbohydrates, as they increase the risk of constipation. 
  • Along with diet, the woman should also exercise regularly to improve blood circulation throughout the body and prevent blood from pooling in the rectal area. 
  • Kegel exercises are known to be helpful in pregnant women to prevent and manage piles after delivery. 
  • Use warm soaks/ Sitz Bath: A sitz bath is a small plastic tub filled with warm water that you soak in to soothe your anal region for about 10-15 minutes. It will help ease the pain and discomfort from hemorrhoids and childbirth.
  • Hemorrhoid cushions or donut pillows comfort while sitting. 
  • Non-surgical procedures, such as rubber band ligation or Kshar Karma for women. 
The most suitable treatment method is recommended by the proctologist after a thorough diagnosis of the patient’s condition. 

Is Surgery Recommended for Pregnancy Piles?

Surgery is generally not recommended for hemorrhoids during pregnancy unless the condition is very severe and other treatments have not been effective. 

The risks of piles surgery during pregnancy are very high. It can cause excessive bleeding, infection, and even premature labor. Due to this, proctologists suggest watchful waiting and lifestyle modifications to manage the condition until childbirth. Once the woman delivers the baby, surgical treatment will be considered if the piles are still problematic after delivery. 

The decision to undergo surgery during pregnancy is made by the doctor after considering the potential benefits and risks of the procedure to the woman and her child. The different types of surgical/para-surgical treatments that can be performed to treat Postpartum piles include:
  • Rubber Band Ligation: This is a para surgical treatment which involves ligation of rubber ring at the root of Pile mass. Generally, it is considered a very safe treatment option for Piles after giving birth. 
  • Ksharsutra Treatment: In this treatment; Ksharsutra – a medicated thread is ligated at the root of Pile mass. It is also another safe treatment option for hemorrhoids after delivery.  
  • Hemorrhoidectomy: This is a surgical procedure in which the hemorrhoidal tissues are removed using a scalpel. It is an invasive procedure with considerable risks and post-op complications. 
Book an Appointment to consult with the best Proctologist in Delhi NCR to manage Piles/ Hemorrhoids during pregnancy or Postpartum Hemorrhoids.
 
Categories
All Fissure Fistula General Piles Pilonidal Sinus

What is Proctology & Who is a Proctologist ?

What is Proctology? 

Similarly, to most medical notions, the word proctology is derived from the Greek, and contains the words proktos, which means “anus” or “hind parts”, and logia, which is known as “science”. 

Dr. Ravinder Sharma, a leading proctologist explains “Proctology is a highly specialized area of general surgery dealing with the prevention, diagnosis, and treatment of rectum, colon, and anus disorders. Hemorrhoids, fistula, fissures, polyps, and pilonidal sinus are a few diseases that are included in this domain. It involves treating anorectal diseases via medicines or various procedures.”

Who is a Proctologist?

A proctologist is a medical doctor specializing in diagnosing and treating disorders of the colon, rectum, and anus. 

What does a Proctologist do?

Proctologists treat many conditions of the lower digestive system which includes the colon, rectum, anal canal, and perianal area. These conditions are:

  • Hemorrhoids – Swollen veins that can occur internally and externally around the anus
  • Fistula-in-ano – infected tunnel between the skin and anus
  • Peri-Anal Abscesses – Formation and accumulation of pus in the area surrounding the anus
  • Fissure-in-ano – small tear in the lining of the anus
  • Pilonidal Cysts/ Sinus – Swelling with a collection of pus at the tailbone that contains hair
  • Anal skin tags – non-cancerous skin growths.
  • Rectal Prolapse – a condition when the rectum slips out through the anal opening
  • Bowel Incontinence – inability to hold stool resulting in slippage of feces unconsciously.
  • Inflammatory Bowel Disease – Crohn’s and Ulcerative Colitis
  • Irritable bowel syndrome (IBS) –  A chronic condition that causes bloating, pain, constipation, and diarrhea.
  • Colon polyps – Small, benign clumps of growths in the colon that have the potential to turn cancerous.
  • Colon, rectal, and anal cancers – Cancers that originate in these regions.
  • Sexually transmitted infections (STIs) – Infections in the genital and anal area include:
  • Chlamydia
  • Syphilis
  • Gonorrhea
  • Genital herpes
  • Condyloma (warts)

When should you consult with a proctologist?

Often people search for the Best Proctologist near me online as they are too embarrassed to tell anyone, even their doctor, about their issues with the anus. Here are the main health conditions that require consulting an expert proctologist:

  • Bowel difficulty
  • Uncomfortable sensations/ itching/ burning or pain around the anus or rectum
  • Bleeding or other discharge from the anus/ near anus
  • Warts or bumps in the anal region
  • Change in bowel habits or changes in the stool
  • Difficulty controlling bowel movements, like fecal incontinence
  • Existence of warts, bumps, or foreign bodies near the anal area
  • Persistent constipation
  • Screening for a colonoscopy (Starts at age 45 or younger if any bleeding, family history of polyps or colorectal cancer)
  • Any other changes to the anus and rectal area that are concerning. 

People with excessive weight, as well as people with prolonged sitting, or systematic lifting of weights, should periodically consult a specialist proctologist for preventive purposes.

People who have undergone proctologic surgeries are also advised to visit a medical examination. 

Proctologists perform different procedures to correct the colon, rectum, or anus. Anyone with these diseases and symptoms can see the best proctologist in Delhi NCR for estimation, diagnosis, and treatment.

Diagnostic and treatment procedures performed by Proctologists

An experienced Proctologist uses diagnostic procedures and treatment options for patient’s health and quality of life. 

Diagnostic Procedures

Diagnostic procedures are to identify conditions affecting the rectum and anus. These broadly refer to a variety of rectum and colon examinations:

  • External examination
  • Digital Rectal examination
  • Anoscopy
  • Proctoscopy
  • Sigmoidoscopy
  • Colonoscopy
  • Ultrasound of abdominal cavity
  • X-ray and endoscopic examination
Treatment Options

The treatment option varies depending on the specific condition and its severity. Non-surgical options include medications, lifestyle changes, and physical therapy. Minimal Surgical options include Kshar Karma, Ksharsutra Treatment, Rubber Band Ligation, Sclerotherapy, Open Hemorrhoidectomy, Closed Hemorrhoidectomy, Closed Lateral Internal Sphincterotomy, Incision and Drainage, etc. Here Kshar Karma and Ksharsutra are specialized ayurvedic treatments that are designed by our best ayurvedic proctologist according to the disease condition of the fellow. 

We at Piles To Smiles, have the best proctologist in Delhi, who can help you with prevention, diagnosis, and ayurvedic treatment of Anorectal health problems.

How to find the best proctologist near me in Delhi NCR?

Here are some important things to consider when looking for an experienced proctologist:

  • Is the proctologist Govt.-certified?
  • Is he licensed to practice?
  • Can you have a consultation to get to know your nearby proctologist prior to having any procedures done?
  • What are their locations and hours?
  • If you’re having particular symptoms or procedures, what’s the doctor’s previous experience with disease and conditions?
  • Does your experienced proctologist make you feel safe and secure?
  • Does he answer your questions honestly, and 
  • Is he subtle in addressing your concerns?

If the answers to the above question come to be “satisfactory” then he is the best proctologist for you. 

How our Best Proctologist for hemorrhoids treats at Piles To smiles: 

The relationship between patient and proctologist is cardinal. Due to the nature of proctological examination and treatment, establishing trust and ensuring patient comfort is vital. Dr. Ravinder notes, “Our approach always prioritizes patient dignity and comfort.”

Proctological exams can cause anxiety for many patients. Our top-rated Proctologists are trained to manage these anxieties, ensuring patients are informed and comfortable throughout their treatment. “Clear communication and empathy are key in alleviating patient fears,” says Dr. Ravinder.

Proctologists often face the challenge of discussing sensitive and potentially embarrassing issues especially when a female patient requests to be treated by the best female proctologist in Delhi. “It requires tact and sensitivity to discuss such personal health matters with female patients. Our gender comes later first we are Proctologists and you will find we are handling you as gently as if taken care of by the best female proctologist only” explains Dr. Ravinder.

Children and Adolescents frequently suffer from anorectal symptoms. Pediatricians commonly treat these with medications. Evaluation by a pediatric proctologist is recommended when the symptoms are severe or become chronic. Our best proctologists in Delhi are equally trained in pediatric proctology.

At Piles To Smiles, with our best proctologist in Delhi, we aim to provide non-surgical or Minimal surgical treatment for anorectal health issues, allowing you to concentrate on your recovery while we handle the rest.

Prevention and Management of Proctological Conditions

There are a few ways to prevent and manage proctological conditions. Making lifestyle changes is often the first step in managing these conditions. For example, losing weight can help reduce the risk of developing hemorrhoids if the fellow is overweight. Other changes include eating a high-fiber diet, exercising regularly, and avoiding constipation. If lifestyle changes alone cannot manage the condition, our experienced proctologist may recommend medical management. Minimal Surgery is sometimes necessary to treat proctological conditions. These include Kshar Karma, Ksharsutra Treatment, Rubber Band Ligation, Sclerotherapy, Open Hemorrhoidectomy, Closed Hemorrhoidectomy, Closed Lateral Internal Sphincterotomy, Incision and Drainage etc.

These treatments are usually minimally invasive and with less pain. Recovery is quick, letting the patient get back to his daily routine soon. For the best care, look for the best proctology center in Delhi with experienced proctologists.

Book an appointment at Piles To Smiles for the best proctology treatment in India. 

 
Categories
All Fistula

Why Ksharsutra for Fistula-in-Ano

Ksharsutra Treatment is more convenient and more effective than surgery in patients suffering from Anal Fistula*

*Indian Council of Medical Research (ICMR)

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |

क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||
i.e.
An intelligent surgeon prefers Ksharsutra treatment over any surgical intervention to treat a patient suffering from Fistula/ sinus or other similar problem who is emaciated/ weak/ fearful/ timid/ whose fistula or sinus is in vulnerable area.
सुश्रुत संहिता चि. स्था . 17/29 (Sushruta Samhita Chi. Stha. 17/29)

Till date many treatment modalities have been tried to treat Fistula-in-Ano with varying rate of success. So for a patient suffering from Fistula-in-Ano; it becomes very difficult to decide which treat to adopt.

Here we are listing few advantages with Ksharsutra treatment for Fistula-in-Ano over other treatments:

  • Predictably ZERO recurrence: Fistula-in-Ano is notorious enough to recur again and again even after being treated by the bestest of surgeon. Because of its high recurrence rate there is an idiom “If you want to defame a surgeon refer him a patient suffering from Fistula-in-Ano. Even the latest treatments like Laser/ VAAFT etc. have pretty high recurrence rate of 25-30% after treatment.

Whereas Ksharsutra treatment assures complete recovery from Fistula-in-Ano and usually recurrence of Fistula-in-Ano is not reported after Ksharsutra treatment. Ksharsutra treatment is found successful in complicated Fistula-in-Ano where multiple surgeries have failed.

  • Ayurved is the best to correct diet and lifestyle: unhealthy dietary habits and lifestyle is one of the main causative factor for Fistula-in-Ano and everybody is aware about the fact that Ayurved is the best health science when it comes about correcting unhealthy dietary habits and lifestyle.
  • No Complications: Due to damage to sphincter muscles partial or complete stool incontinence (difficulty or inability to hold stool) is observed after surgery for Fistula-in-Ano whereas sphincter muscles remain intact in Ksharsutra treatment for Fistula-in-Ano and complication of stool incontinence is not reported.
  • Done under local Anesthesia: Ksharsutra treatment is done under local anesthesia which is the safest route of anesthesia so complications associated to spinal/ general anesthesia like back ache/headache/ affected brain activities/ urine retention etc. are not seen in Ksharsutra treatment for Fistula-in-Ano.
  • No Hospitalization/ Bed rest: Ksharsutra treatment is an OPD treatment and done under local Anesthesia so usually hospitalization or bed rest is not required in Ksharsutra treatment for Fistula-in-Ano.
  • Minimal pain and other complications: Ksharsutra treatment for Fistula-in-Ano does not involve any cutting of tissue so complications like pain/ bleeding/ frequent infection etc. are not seen in Ksharsutra treatment for Fistula-in-Ano. A little bit of burning sensation or irritation is felt by some of the patients when ksharsutra is changed which is manageable by sitz bath (warm water tub bath)/ application of some anesthetic gel or taking painkiller medicines etc.
  • No frequent hospital visit: Surgery for fistula-in-Ano may require daily packing and dressing of the wound which requires frequent hospital visit. Whereas Ksharsutra treatment for Fistula-in-Ano involves replacing of older Ksharsutra by a new one at a week or 10 days interval. Patient is not expected to visit hospital in-between this time period.
  • Daily routine not affected: a patient can continue his normal routine activities as usual during Ksharsutra treatment for Fistula-in-Ano which is not possible in surgery for fistula-in-Ano.
  • Cost Effective: cost incurred in Ksharsutra Treatment for Fistula-in-Ano is always less than surgery for Fistula-in-Ano. One more thing; Ksharsutra treatment involves payment of small amount at intervals whereas surgery involves payment of big amount in single installment.

Keeping all above said points we can conclude that Ksharsutra treatment is the best treatment for Fistula-in-Ano available till date. So a patient suffering from Fistula-in-Ano should opt for Ksharsutra Treatment for complete recovery..

Categories
All General

Why Prefer Piles To Smiles?

मातरं पितरं पुत्रान् बांधवानपि चातुरः |
अप्येतानभिशंकेत वैद्ये विश्वासमेती च ||
विसृजत्यात्मना आत्मानं न चैनं परिशंकते |
तस्मात् पुत्रवदेवैनं पालयेदातुरं भिषक् ||

The patient doubts even his parents, offspring and relatives but has faith in his doctor. He surrenders his body in the doctor’s hand and does not doubt him. It is, therefore doctor’s duty to treat and look after him as his own son.

– सुश्रुत संहिता (Sushruta Samhita)

Piles to Smiles Clinic has been established with a vision to provide affordable treatment without compromising the quality of treatment.

Here we wish to share some distinctive features of Piles to Smiles Clinic:

  • Expertise to treat Ano Rectal Problems: At Piles to Smiles Clinic; we are providing treatment exclusively for Ano Rectal health problems and we are capable of handling complicated Ano rectal problems like 4th stage internal hemorrhoids/ infected hemorrhoids/ high anal fistulas/ fistula with multiple branches/ recurrent anal fistula etc.
  • Integrative approach: At Piles to Smiles Clinic; we have clubbed age-old Ayurved principles of healing with modern technology to make treatment more effective and convenient.
  • Ready to adopt new treatment modalities: we are continuously in process of improving the outcome of treatment offered by us. For this; we keep on organizing and attending different training programs to enhance our skills. To improve the outcome of treatment; we are always ready to adopt new treatment modalities in the larger interest of patients.
  • 24-hour support: you can approach our doctors at any time. We assure you to provide the best possible solution for your concern so that your hospital visits can be minimized.
  • Proper guidance to patients: At Piles to Smiles Clinic; patients are being properly guided regarding diet and lifestyle to be adopted for fast recovery from piles/ fistula/ fissure etc. as well as for preventive purposes.

Besides this; we also train patient’s attendant regarding how to take care of minor concerns regarding patient problem so as to minimize hospitals visits and associated inconvenience.

  • Affordable treatment: We are of strong belief that it is meaningless how much effective treatment is if it is not affordable by patient. So we are always adopting newer measurements to make our treatment more and more affordable with out compromising the quality of the treatment.
  • Providing Free consultation and treatment to economically weaker section of society, associating with different NGOs, taking necessary steps to minimize hospital visits of patients etc. are part of these measurements.
Salient features of treatment at Piles To Smiles are:
  • Non-Surgical/ Minimal Surgical Treatment
  • No Hospitalization
  • No Bed Rest
  • No complications
  • Predictable ZERO recurrence
  • Minimal pain and other complications
  • Daily routine not affected
  • No frequent hospital visit
  • Local Anesthesia used
  • Specialized & Experienced Doctor
  • Personalized Care
  • Faster Recovery
  • Improved Quality of Life
  • Ayurved is best to correct Diet and lifestyle

Because of all these unique features and our sincere efforts towards fulfilling our social responsibilities; it is not a wonder that we are getting maximum number of patients through word of mouth.

Piles To Smiles
Piles To Smiles
5.0
Based on 75 reviews
powered by Google
review us on
Ravi LaggaRavi Lagga
08:27 12 Oct 24
There is no better ayurvedic doctor than Dr Ravindra Sharma in Delhi. He gives good advice like a friend. He treats your illness very well. You will not get Ayurvedic treatment doctor anywhere in Delhi like him.
Lalita BhandariLalita Bhandari
13:27 07 Oct 24
My husband was suffering fistula problem from last 2 month then we visited piles to smiles clinic in vasant kunj and met with Dr. Ravinder sir he listen carefully our problem and give his best treatment .He is very kind,polite and geniune Doctor in Delhi ncr Dr Ravinder treated my husband's fistula in just 2weeks without any pain ,discomfort and with less medication .He treated very well with nominal expense.He is very cooperative and much understanding about the patient problem and circumtances. He is very knowledgeable and best proctologist.Now my husband is completely fine with in one month. Really thankfull to you Doctor Ravinder sir 🙏I must say those who are suffering from fistula, fissure and piles related problem atleast consult once piles to smile clinic. Thankyou😊😊🙏I will give him five star for this treatment.
mahipal kathayatmahipal kathayat
13:40 27 Sep 24
PILES TO SMILES IS the best according it's name .And Dr Ravinder Sharma is best for piles treatment. I am very happy with Dr Ravinder Sharma treatment..Thank you so much sir
Who YogisinglaWho Yogisingla
01:14 25 Sep 24
Dr. Ravinder was so helpful and professional in his job. Due to infection, my wife wasn’t even able sit properly. He supported emotionally and guided that how to tackle from this disease. During the treatment, he always guided diet and gave proper medicines and did some surgical treatment which was obviously nothing but magic.I’ll highly recommend.
Rameshwari SinghRameshwari Singh
01:59 20 Sep 24
Good experience,best docter for painless ayurvedic treatment for piles....
RUDRAMURTHE GNANASOUNDRAMURTHIRUDRAMURTHE GNANASOUNDRAMURTHI
13:54 13 Sep 24
Nice experience,best docter and best ayurvedic treatment for pilonidal sinus.....
Shashi DeviShashi Devi
12:08 09 Sep 24
Sir did very good treatment, took care of my son, now he is completely fine, Dhanavyad sir😊🙏
Priya VatsPriya Vats
18:01 28 Jul 24
A must-visit place for non-surgical treatment of fissures.... One of my friend has taken treatment for her Fissure problem from Dr. Ravinder. He managed it with medicines only. She was feeling improvement in pain from the very first day of treatment. Thanks a lot...
Amarjeet CagtenAmarjeet Cagten
03:57 25 Jul 24
"I recently visited the piles to smiles clinic, and I must say, I had a fantastic experience. The clinic staff were incredibly friendly and professional. They made me feel comfortable right from the moment I walked in. Dr. Ravinder is very knowledgeable and took the time to explain everything to me in detail. I was experiencing symptoms like rectal bleeding, pain, and itching, but after receiving treatment at the clinic, I noticed a significant improvement. I highly recommend this clinic to anyone dealing with piles-related issues. Thank you, piles to smiles clinic, for your exceptional care and expertise!"
Nidhi BhardwajNidhi Bhardwaj
07:02 19 Jul 24
I would definitelyrecommend this hospital tofamily and friends!One of my friend had taken treatment for fistula and he’s satisfied and happy with the treatment now!All reward goes to Dr.Ravinder & It's abeautiful environment, verynice and clean. Thecommunity needs thisservice.Thank you for all you do!
Yogeeta KadianYogeeta Kadian
06:37 30 Jun 24
Dr. Ravinder is an experienced doctor. He understands the problem well and provides right solutions to cure people's suffering from intense pain. His expertise has been very helpful for my mother. I have referred him to my relatives and friends and all of them were also treated well. Apart from his expertise as doctor he is very soft spoken and kind person.
creative songscreative songs
05:23 29 May 24
I got my previous treatment done somewhere,but was not having good experience. Then I decided to visit piles to smiles,Dr Ravinder is very incredible,He explains everything in clear manner,he treated me well,best experience, will recommend to visit here for best ayurvedaic treatment for fissures...
js_loader

Expert care for piles, fissure, fistula, and pilonidal sinus treatment. Compassionate solutions for your comfort and health in Delhi.

Facebook Twitter Youtube Instagram Quora

Quick Links

Treatments

Get In Touch

#004 N-8, Narmada, Sector D6, Vasant Kunj, New Delhi

8586854224, 7988807936,
011-42484712

pilestosmilesdelhi@gmail.com

©All Rights reserved | Developed and Managed by Wand Weaver

Book Appointment