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Haemorrhoids, often known as piles, are bloated and enlarged vascular cushions in the anal canal that happen when the pressure in the veins rises. Based on where they are in relation to the dentate line, they are either internal or exterior. There are four levels of internal haemorrhoids (I–IV) based on how far they have prolapsed. Chronic constipation, continuous straining, pregnancy, obesity, a sedentary lifestyle, and a low-fibre diet are all things that can make the problem worse.
Patients usually have painless rectal bleeding when they go to the toilet, anal pain, itching, a mucous discharge, or a mass that is falling out. When external haemorrhoids are thrombosed, they can hurt a lot. This kind of condition is called a thrombosed haemorrhoid. Severe cases can result in anaemia due to persistent blood loss.
Diagnosis is largely clinical, augmented by digital rectal examination and anoscopy. It is important to rule out dangerous illnesses like colorectal cancer in patients who are bleeding all the time.
How bad it is will determine how to handle it. Dietary fibre supplements, drinking enough water, stool softeners, and topical medicine are all part of conservative treatment. For moderate cases, doctors use minimally invasive techniques such as rubber band ligation, sclerotherapy, or infrared coagulation.
Advanced or recurrent haemorrhoids may necessitate surgical haemorrhoidectomy. Early treatment makes symptoms better and stops complications from happening.