INTRODUCTION
Piles and Hemorrhoids are synonymous. Dilatation and tortuation of rectal veins with support tissue, elastic fibers, and muscle are named Hemorrhoid. Piles are collections of inflamed tissue within the anal canal.
TYPES
Internal
External
INTERNAL HEMORRHOIDS
The internal hemorrhoid is a mucosa-covered plexus of superior hemorrhoidal veins.
Causation
Chronic cough
Hereditary
Benign hypertrophy of Prostate
Pregnancy
Straining with constipation
Cirrhosis of Liver
Over purgation
Position
They are arranged in three groups in position
3 O'clock - Left lateral
7 O'clock- Right posterior
11 O'clock- Right anterior
SIGN AND SYMPTOMS
Bleeding is that the earliest symptom of internal hemorrhoids. Blood is generally bright red during every defecation.
Prolapse - Bleed and don't prolapse- 1st degree
Prolapse only on defecation- 2nd degree
Prolapse aside from defecation- 3rd degree
Mucoid discharge
Pain is rare unless complications supervene.
INVESTIGATION
Proctoscopy
Sigmoidoscopy
Sentinel piles are overlying skin tags over a fissure.
COMPLICATION
Anemia
Strangulation
Ulceration
Suppuration
Gangrene
MANAGEMENT
Increased fluid intake
High fiber diet
Decrease straining at stools
Routine vital sign check-up.
EXTERNAL HEMORRHOIDS
External piles arise from the inferior hemorrhoidal veins covered by squamous epithelium.
These are external to the anal orifice and covered by skin.
Causation
It arises thanks to the bursting of an anal venule consequent upon straining at stool, coughing, or lifting an important weight. Sudden onset.
INVESTIGATION
Tender, tense, swelling looking sort of an overripe cherry with naked eyes
A sentinel pile is related to the fissure in ano.
Dilatation of the veins of the anal verge.
Skin tag of old piles
TREATMENT
High roughage diet
Rest
HOMEOPATHIC MEDICINES
AESCULUS HIP 30 Internal twice daily for any sorts of piles. it's going to be used externally as an ointment on external piles.
HAMAMELIS 6 it's utilized in bleeding piles with black blood.
PIONIA 6 it's utilized in piles where itching is supervened.
ALOE SOC 30 it's used where showing mucous around the piles and grapes.
BELLADONNA 30 it's used where much pain and inflammation.
RATANHIA 200 it's used where there's stick-like sensation and far pain, bleed or might not bleed.
SULPHUR 200 it's utilized in every sort of pile.
NUX VOMICA 200 it's used where the patient has a debauchery life and chronic constipation.
NB: Physician's consultation is usually got priority.
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