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.

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. 


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.
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Yoga for Piles/ Hemorrhoids

Piles/ hemorrhoids are the engorged blood vessels in the anal region. Every persons is having Hemorrhoids which are the cushions made up of blood vessels. These cushions help in fecal continence and ensure no liquid content leaks from the anal opening. These are problematic only when there is stagnation of blood in these vessels. As per different surveys; about 50% of adults feel symptoms of Piles by the age of 50 years

Disturbed digestive system, constipation, obesity, unhealthy dietary habits and lifestyle are linked with the development of Piles. Yoga for Piles not only relieves the symptoms of Piles but also enhances over all well sense of well being. We have worked on different Yogasanas and chose the most beneficial Yoga for Piles:


Pawanmuktasana – Wind releasing PoseAs the name itself tells; this Asana helps in releasing the wind trapped in the rectum. This is an subjective as well as the objective definition i.e. this asana not only helps the wind which is already there in rectum but also helps preventing bad wind formation by improving the digestive system. This Asana can be practiced to get relief in Piles as well as prevention of Piles development. You should stay in the Asana as long as you are comfortable with normal breathing for the best results.

Malasana – Garland Pose helps prevent constipation which is main causative factor for hemorrhoids. The posture not only works on calf muscles, spine, hips and buttocks but also stretches and contracts the abdomen balancing the functioning of the entire digestive tract. Try and stay in this pose as long as you are comfortable before you relax.

Balasana – Child’s Pose: Bala means child, and this pose is so-called because this is generally how babies fall asleep. Child’s pose helps increasing the circulation towards the anus and also help alleviate constipation. Stay in child s pose at least for a minute or as long as you are comfortable.

Mulabandhasana – Root lock Pose/ Ashwini Mudra: here Mula means root, and Bandha means a lock. This yoga exercise involves repeated contraction and relaxation of the the muscles in the anal region. This asana is deemed to be the best Asanas for Piles because of the way it engages the muscles of affected areas and heals the Piles completely. In fact; the 1st stage internal Pile could be solely managed by this Asana only.

Baddha Konasana – Bound Angle Pose: This Asana involves contraction and relaxation of all the pelvic muscles as a results blood circulation of all the pelvic organs is improved and a sort of internal massage is given to these organs. Thus function of all pelvic organs which include urinary bladder, prostate, male reproductive organs, female reproductive organs and rectum is improved.

Ardha matsyendrasana – sitting half spinal twist: Twisting in Ardha matsyendrasana gives internal massage to all abdominal organs which include whole digestive system, liver, kidneys etc. This Asana improves the function of digestive system in all aspects i.e. better appetite, digestion and assimilation; and proper disposal of feces (prevention of constipation). So it is also one of the best Yoga Asana for Piles.

Adho Mukha Svanasana – Downward Facing Dog Pose: This Asana as well as the other asanas involving the inverted position of body will definitely benefit in Piles as these make the flow of blood away from the anal region. This relieves the congestion of blood in hemorrhoidal blood vessels. You should practice Adho Mukha Svanasana regularly to get relief in and prevent Piles.

Viparita Karani or legs up on the wall: This Asana helps reducing the stress in anal region resulting from excessive straining while passing stool. Thus reduces the symptoms of Piles.

Sarvangasana or shoulder stand: This asana improves blood circulation in whole body (Hence the name Sarvangasana which means the Asana of all body parts) specially the abdomen and anus. At the same time it also helps in lowering the congestion of hemorrhoidal blood vessels. It is said about this asana that even if you practice regularly this asana only you can prevent all of the diseases.

Besides these Asanas all the other Asanas which improve digestion, blood circulation to anus region and relieve congestion of blood in hemorrhoidal blood vessels will be the beneficial Yoga for Piles. It is better to practice these Asanas under supervision of a Yoga expert and obviously after consulting an Ano rectal specialist.

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Home Remedies for Hemorrhoids/ Piles

Hemorrhoids also known as Piles are the engorged blood vessels in the anus. Piles are so common that about 50% of adults have had some symptoms of Piles before the age of 50 years. Painless bleeding which later on leads to protrusion of some mass during defecation which goes inside by itself or need to push back is the main symptom of Piles. In starting stage; you may try some home remedies which are really very beneficial to manage them. Some of these are just to relieve constipation as constipation is one of the main causative factor for Piles and some are for giving relief in Piles:

  • Increase Fiber intake: Your diet should be rich in fibers like fruits, green leafy vegetables, salads etc. Fibers make the bulk of the stools and bulky stool is necessary for comfortable bowel movement. It is a fact that small quantity of stool also leads to constipation.
  • Increase liquid intake: one should take adequate quantity of liquids. It might be plain water, fruit juice, coconut water, buttermilk etc. It is only when your body is properly hydrated that there will be some water in the feces which will make it soft and easy to pass.
  • Take warm milk before going to bed: Taking warm milk added with some sugar before going to bed helps in relieving constipation.
  • Take warm water after leaving bed: Taking 1-2 glasses of warm water should be the first thing you do after leaving bed. It activates intestines and helps in easy bowel movement.
  • Use of Haritaki: Haritaki is one of the best Ayurvedic herb not only for the digestive system but for the whole body. It is said to be the mother of human being. Like a mother never does bad for her child in the same way Haritaki also never does wrong to a person who consumes it.
    • Haritaki with jaggeryTo get rid of Piles; you may take Haritaki powder with jaggery. It not corrects the digestion but also helps stop bleeding by its astringent taste. Haritaki with Jaggery should be taken before meals.
    • Haritaki/ Triphala with buttermilk: In the same way Haritaki/ Triphala powder could be taken with buttermilk also with similar efficacy in treating Piles.
  • Takra or Buttermilk: Takra is said to be nectar for a person suffering from Piles. It is said that a disease cured by intake of Takra never comes back. One analogy is given specially in context of Piles i.e. if you regularly pour Takra on grass; it will destroy the gras by roots within a short time in the same way Piles can also be completely cured by intake of Takra only within a month. During this time period you should not take anything except buttermilk.
  • Shunthi with jaggery: Similar to the Haritaki powder Shunthi powder taken with jaggery is also effective in treating Piles.
  • Isabgol/ Psyllium husk: At many times; lack of fibers in the food is the reason for constipation. In those cases taking Isabgol/ Psyllium husk should be taken with warm water.
  • Go to toilet only when you are having urge for defecation: Going to toilet without proper urge for defecation will lead to sitting on toilet seat for long time and straining for defecation both of which may lead to development of hemorrhoids. So you should go to toilet only when you have an urge for defecation.
  • Don’t delay: delaying defecation even after having an urge for defecation leads to absorption of fluid from stool which hardens the stool. So never delay/ suppress an urge of defecation.
  • Don’t sit for long on toilet sit: sitting on toilet seat for long time period facilitates accumulation of blood in hemorrhoidal blood vessels. You should leave toilet seat as soon as possible. Habits like browsing phone or reading newspaper while sitting on toilet seat should be discarded.
  • Don’t strain while defecation: Straining while defecation may result in accumulation of blood in hemorrhoidal blood vessels or their spontaneous rupture so one should not strain while defecation.
  • No heavy weight lifting: Heavy weight lifting or all other exercises which are done holding breath cause increased abdominal pressure which is further transmitted to the hemorrhoidal blood vessels. So you should avoid heavy weight lifting and do not do any exercise holding your breath.
  • Active lifestyle: sedentary lifestyle is another causative factor for constipation so you should try to be active as much possible for the whole day.
  • Physical exercise: Do regular exercise like walking, running, yoga etc. Know more about Yoga for Piles
  • Ashwini Mudra: Practicing Ashwini Mudra after bowel movement and 4-5 times daily help in lowering congestion of blood in hemorrhoidal blood vessels.
    • How to do Ashwini Mudra: you should squeeze or pull your anus upwards and hold it for up to 10 seconds. This squeezing is the same activity you do while suppressing the urge for defecation. It can be done in sitting/ standing/ lying down position. You should do it for 50-100 times in one time and should do it 4-5 times a day.

If these remedies do not work then you should consult at Piles To Smiles for management of your Piles problem.

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Pain/ Bleeding/ Pus discharge from anus – is it PILES?

It is a common practice to name all the health problems related to anus as Piles/ Hemorrhoids irrespective of the complaint of the person like pain/ bleeding/ pus discharge. Is it really so or are there other health problems also which affect the anus and its surrounding area? We will try to answer this question in this article:

Pain in anus: It is one of the main complaint for which patient seeks help from a doctor. Pain might be continuous in nature or it might be associated with the bowel movement. Some times it may be accompanied by some bleeding also etc. Accordingly the diagnosis will be different in different conditions:

  • Fissure-in-Ano: When patient experience pain while passing stool which persists for some time after defecation or whole day; most likely it is because of Fissure-in-Ano. Pain is cutting in nature. Some times pain due to Fissure-in-Ano is so severe that patient stops eating in an attempt to avoid defecation. Fissure-in-Ano is a cut injury in the anal skin mostly due to passage of hard stool and some times repeated bowel movements.
  • Perianal Abscess: When someone is experiencing continuous pain which might be aggravated by passage of stool and its severity decreases after bowel movement. Pain is throbbing in nature with some swelling near anal opening. It might be accompanied by fever. Then most likely the fellow is suffering from Perianal abscess. It is an abscess developed near anal opening due to infection in anal glands. If it is not treated in time it may progress to Fistula-in-Ano.
  • Fistula-in-Ano: When patient experiences off and on pain with intermittent swelling in the area surrounding the anus with off and on discharge from the swelling or anal opening then most likely he is suffering from Fistula-in-Ano. Fistula-in-Ano is a abnormal tunnel like structure which connects skin with the interior of anus.
  • Ulcerative colitis: When patient complains of repeated bowel movements with pain in anal region and bleeding with pain in abdomen, fatigue and weight loss; most likely he is suffering from ulcerative colitis. Ulcerative colitis is an inflammatory bowel disease which causes inflammation and ulcers in the digestive tract.
  • Fungal infection in skin surrounding anus: When patient is experience itching pain it might be because of the fungal infection in the skin around skin. It might be accompanied by small eruptions and watery discharge in that region.

Bleeding from Anal Region: Bleeding might be accompanied by pain or it might be without pain. It might be accompanied by constipation/ diarrhoea or some times there may only bleeding no feces.

  • Piles/ Hemorrhoids: When patient experiences painless bleeding during defecation most likely he is suffering from Piles. Some time patient is not aware about the bleeding and comes to know about it only when he looks in toilet sheet without flushing the feces. Piles are the engorged hemorrhoidal blood vessels which usually results from constipation, sitting for long in toilet and too much straining during defecation.
  • Fissure-in-Ano: When patient complaints of little bit bleeding while passing stool along with pain most likely it is Fissure-in-Ano. As said above Fissure-in-Ano is a cut injury in the anal region resulting from different reasons.
  • Ulcerative colitis: bleeding from anal region accompanied by diarrhoea, fatigue, weight loss etc. is most likely because of Ulcerative colitis. As said above it is an inflammatory condition of digestive tract with ulcers in it.
  • Anal Cancer: when a person feel constant desire for defecation i.e. all the times he feels that there is something inside rectum. There are chances that when he tries to pass stool only blood comes without any fecal matter; most likely he is suffering from Anal Cancer.

Mass protruding out per rectum: mass protruding out is another complaint for which patients seek help from a doctor. This mass may be there all the times or it might appear at the time of defecation and go back inside by itself or needed to be pushed back by hand.

  • Piles: When patients complains of the mass protruding out from anal opening which goes inside by itself or patient pushes it back inside along with history of painless bleeding during defecation; most likely he is suffering from Piles. Piles are the engorged hemorrhoidal blood vessels which bleed during defecation. If not treated in this stage; pile masses develop which come out during defecation. Patient may feel discomfort in anal region as long as the pile mass remains outside.
  • External Hemorrhoids: When patient complains of mass protruding out at the mouth of anus which remains out and it is painful. Usually there is history of too much straining during defecation or long travelling. External hemorrhoids are the swellings near anal opening which result from collection of blood which happens due to rupture of some blood vessels near anal opening which in turn results from straining or long sitting. 
  • Rectal prolapse: When a patient complains of mass coming out from the anus which does not go inside by itself. Patient is usually an old age person. Instead of; from some parts as in piles; this mass is coming from all around the anus. Rectal prolapse is a condition in which rectum loses its normal attachments inside the body allowing it to come out through anus thus turning it “inside out.”
  • Fissure-in-Ano with Sentinel tag: when Fissure-in-Ano is not treated in time; skin starts growing from the lower end of the fissure which is termed as Sentinel tag. This growth always remains outside. When fissure is active; there might be swelling in the tag and patient feels that the size of tag has increased which again reduces when there is healing in fissure.
  • Rectal polyp: When patient complains of something coming out of anus during defecation which may or may not go inside by itself and patient is a child; most likely it is a case of Anal Polyp. Anal Polyps are abnormal growths rising from the lining of the rectum.

Discharge from anus or in near by region: Discharge from anus or from a swelling in near by area is another health problem for which patient seeks for help from a doctor. Discharge varies in consistency from watery to pus. There might be some blood also along with.

  • Fistula-in-Ano: A patient complaining of intermittent discharge from a nodular swelling or an opening in area around the anus is most likely a case of Fistula-in-Ano. As said earlier; Fistula-in-Ano is an abnormal tunnel like structure connecting skin to interior of the rectum.
  • Perianal Abscess: Patient complaining of swelling near anal opening with pain which bursts spontaneously with pus discharge might be a case of Peri anal abscess. It is an abscess developed near anal opening due to infection in anal glands.
  • Piles/Hemorrhoids: when Pile mass is not reduced inside and it remains outside; it might give feeling of discharge. Usually this discharge is watery in consistency and patient complains of discharge on his undergarments.
  • Inflammatory bowel conditions like IBS/ Crohn’s disease: inflammatory bowel conditions might be accompanied by discharge.

In this article we tried to give some idea about different health condition which might affect a person. Usually all these are termed as Piles but actually it is not so as we saw above.

The sole purpose of this article is knowledge sharing and it is in no way a substitute for doctor’s advice. We recommend readers to seek medical help in case you are suffering from any of the symptoms listed above.

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