Causes & Types

Hemorrhoids is one of the commonest disease in the western world and is also seen commonly in India. Not many people like to talk about it hence true statistics in India are not available. In the west over half the population over the age of 50 suffer from it. However they can occur at any age and can affect both women and men.

Because the presence of pile tissue is normal, it acts as a compressible lining which allows the anus to close completely. Disease should be thought of as pile tissue that causes significant symptoms. Unfortunately, piles tend to get worse over time, and disease should be treated as soon as it occurs.

An exact cause is unknown; however, the upright posture of humans, forces a great deal of pressure on the rectal veins, which sometimes causes them to bulge. Other contributing factors include:

  • Aging

  • Chronic constipation or diarrhea

  • Pregnancy

  • Heredity

  • Faulty bowel function due to overuse of laxatives or enemas; straining during bowel movements

  • Spending long periods of time (e.g., reading) in the toilet

  • Irregular life style(working in shifts)

  • Patients on blood thinners like (Aspirin, Heart patients)

  • Laser (IRC)

    Whatever the cause, the tissues supporting the veins stretch. As a result, the veins dilate; Piles may be caused by more than one factor. Piles can be either internal or external, and patients may have both types. External piles occur below the dentate line and are generally painful. When inflamed they become red and painful, and if they become clotted, they can cause severe pain and be felt as a painful mass in the anal area. Internal piles are located above the dentate line and are usually painless. Dentate line is a line seen in the anal canal that demarcates the area with pain sensation from that without it. Piles that protrude into but do not prolapse out of the anal canal they are classed as grade I; if they prolapse on defecation but spontaneously reduce they are grade II; piles that require manual reduction are grade III; and if they cannot be reduced they are grade IV. Piles that remain prolapsed may develop thrombosis and gangrene.


    Piles Details

  • Causes and Types

  • Features

  • Diagnosis and Investigations

  • Treatment Options

  • Out Patient Procedures

  • Surgery

  • Minimally Invasive

  • Conclusion

  • Our Team

    Dr. Manish Agarwal
    M.B.B.S (MAMC)
    M.S. LHMC (Surgery)

    Associate Director Max Super Speciality Hospital

    Laparoscopic, Robotics, Laser & General Surgeon

    Dr. Shehla Agarwal
    M.B.B.S (MAMC)
    M.D. (Dermatology)

    Skin Specialist

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