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Hemorrhoids Treatment in Jalandhar

Hemorrhoids Treatment in Jalandhar

Hemorrhoids Treatment in Jalandhar

Nov 17, 2023

Hemorrhoids (Piles): Grading, Treatment, and Lifestyle Modifications

Hemorrhoids, commonly known as piles, are a widespread condition affecting people across the globe. They can cause discomfort, pain, and sometimes bleeding, and itching.

World Piles Day: Raising Awareness

Every year, on November 20th, World Piles Day is observed to raise awareness about hemorrhoids and promote better understanding and management of this condition. It's an opportunity to educate people about the causes, symptoms, and available treatments. The key is early detection and prevention.

Grading of Hemorrhoids

Hemorrhoids are classified into four grades based on their severity:

  1. Grade I: Hemorrhoids that bleed but do not prolapse (protrude) beyond the anal canal.
  2. Grade II: Hemorrhoids that prolapse during a bowel movement and retract spontaneously.
  3. Grade III: Hemorrhoids that prolapse during a bowel movement and require manual repositioning.
  4. Grade IV: Hemorrhoids that are always prolapsed, often irreducible.

Understanding the grade of hemorrhoids is crucial in determining the most appropriate treatment approach.

Prevalence of Hemorrhoids

Hemorrhoids are a common condition, and the likelihood of developing them varies among individuals. While statistics may change over time, it's estimated that approximately 50% of individuals will experience hemorrhoids at some point in their lives. Several factors contribute to their development, including genetics, lifestyle, and dietary habits.

Do All Hemorrhoids Require Treatment?

Not all hemorrhoids require treatment, especially if they are mild and don't cause significant discomfort or bleeding. In such cases, simple lifestyle modifications can often alleviate symptoms. These modifications include:

  1. Dietary Changes: Consuming a high-fibre diet can soften the stool and make bowel movements more comfortable. This reduces straining during defecation, which is a common cause of hemorrhoids.
  2. Hydration: Staying well-hydrated can help prevent constipation, which is another factor in hemorrhoid development.
  3. Good Toilet Habits: Avoid straining during bowel movements. Take your time, and do not sit on the toilet for extended periods.
  4. Regular Exercise: Physical activity helps in maintaining regular bowel movements and prevents constipation.
  5. Over-the-Counter (OTC) Medications: Some OTC creams and ointments can provide relief from itching and discomfort.
  6. Sitz Baths: Warm baths can alleviate pain and reduce swelling.

If lifestyle modifications and OTC treatments do not provide relief or if hemorrhoids worsen, it's advisable to consult a surgeon for further evaluation and treatment.

Surgical Modalities for Hemorrhoids

Treatment depends on the grade of the hemorrhoids which is assessed by the surgical specialist in the out patient department (opd). 

Grade 1 and grade 2 hemorrhoids, usually may not require a procedure. Incase they do, they benefit from procedures like infrared coagulation or sclerotherapy or rubber band ligation. When haemorrhoids become severe or do not respond to conservative treatment, intervention may be necessary. Several surgical modalities are available:

  1. Hemorrhoidectomy: This surgical procedure involves the removal of hemorrhoidal tissue. It is typically recommended for severe cases or when other treatments have failed.
  2. Stapler Hemorrhoidopexy: Used for grade 2 to grade 4 haemorrhoids. A circular device is used to reduce the prolapsed haemorrhoidal mass and the basic principle involves excision the rectal mucosa as a ring above the haemorrhoidal cushions followed by reanastomosis of the mucosa. This procedure involves stapling to block blood flow and reduce prolapse. It is less painful than traditional surgery and has a shorter recovery time.
  3. Trans anal haemorrhoidopexy: In this procedure the vessels are blocked at two sites , 2cms and 4cms proximal to the dentate line  and this prevents formation of collaterals and subsequent recurrence.
  4. Laser Hemorrhoidoplasty(Laser Hemorrhoidectomy): Laser technology can be used to remove or shrink hemorrhoids. It is associated with less pain and a faster recovery period.

These surgical options are typically recommended for patients with higher-grade hemorrhoids or when other treatments have proven ineffective.

Hemorrhoids (piles) are a common condition that can affect a significant portion of the population. Early detection and appropriate management are crucial. While not all hemorrhoids require treatment, lifestyle modifications and over-the-counter remedies can often provide relief. For more severe cases, surgical modalities, are available to address the condition. For additional information you can contact Chawla nursing home and maternity hospital Jalandhar Punjab at +91 7307103001, 9023703001.


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