piles surgery specialist in pune

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PILES

http://www.drsanjaykolte.in/

Although hemorrhoids are thought of

as unpleasant inflammations, we all

have them. It is when the hemorrhoidal

cushions become too big (inflamed)

that problems occur - when this

happens they are called piles or

pathological hemorrhoids.

Put simply, "piles" are the swollen ones that are painful and cause problems,

hemorrhoids can refer to the swollen ones (pathological hemorrhoids) or

simply the normal structure. However, in most cases these days, the wordspiles and hemorrhoids are nearly always used interchangeably.

Piles can be of various sizes and may be internal (inside the anus) or external

ones (outside the anus). Typically, internal piles occur from 2 to 4cm above the

opening of the anus. External piles (perianal hematoma) occur on the outside

edge of the anus. The internal ones are much more common.

Piles are hemorrhoids that become inflamed. Hemorrhoids are masses,

clumps, cushions of tissue in the anal canal - they are full of blood vessels,

support tissue, muscle and elastic fibers.






TYPES OF PILES


Piles can be broadly classified into two broad kinds on the basis of their

locations.

The ones located internally.

The ones located externally.






SYMPTOMS OF PILES


Piles which tend to affect elderly people, often turns out to be a major

source of irritation.

The one located externally are more painful than the internal ones.

The external ones exist as painful inflammation or swelling.

Internally located piles can be a source of extreme irritation when they tend

to hang out through the anal passage.

The ones located internally are susceptible to take on a necrotic form,

whereby they develop into clots of blood. Necrotic ones are however quite

painful.

One of the most common clinical features of piles includes passage of bloodalong with stool.

Along with bleeding itching and irritation may also persist.






DIAGNOSES OF PILES


The piles which exist in prolapsed form can be usually diagnosed by means of an external examination of areas surrounding the anal cavity.

Proctoscpy usually serves to highlight the presence of internal piles.

By means of proctoscopy the presence of tumors or polyps and that of an

inflamed prostate are also detected as the detection is valuable in

determining the line of treatment.

Proctoscopy or anoscopy is usually performed with patients being subject to

sedation.






TREATMENT FOR PILES


The course of treatment which follows the findings of rectal examinationincludes the administration of anti inflammatory drugs of non steroidal

nature.

Traditional line of treatment is geared to the increased consumption of

dietary fibers.

If constipation happens to be the underlying cause, insistence is given on theinclusion of green and yellow vegetables apart from being well hydrated by

increasing the fluid intake.

Generally surgical removal of the inflamed vessels is resorted to as the last

possible alternative.

Means based on cauterization and cryosurgery has also been found to be

quite effective.

Decartelization using an ultra sound Doppler has also been used so as to

rectify the prolapsed structure of piles.






Dr. Sanjay Kolte


MBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICALCOLLEGE, PUNE, INDIA

FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA

(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)

DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIALHOSPITAL, PUNE, INDIA (DIPLOMATE OF NATIONAL BOARD,NEW DELHI)

MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICALSCIENCES, NEW DELHI

Contact Details

:

Laparoscopic Surgery Clinic, Parihar

Chowk,

Aundh,Pune, M maharashtra 411007

Mobile : 91+98 22 00 94 90

Email : [email protected]




piles surgery specialist in pune

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