PILES :

- In Latin Piles- A Ball

- In Greek –Haima- Blood

Rhoos = Flowing

- So Piles are dilated veins occurring in relation to the anus

Varity : Internal Haemorrhoids| External Haemorrhoids | Internal & External Haemorrhoids

Symptoms: Bleeding | Pain |Prolapse | Mucus Discharge | Prurits( Itching )

Precipitating Factors : Stress | Inherited Anal Weakness | Constipation | Diarrhoea | Low Fiber

Diaet | Low water Intac | Straining at Defecations | Fast Food | Standing for Long Time | Sitting

for Long Time | Pregnancy | Old Age | Sedentary Life Style | Heavy Weight | Weight Lifting |

Alchohole | Abdominal Tumour | Hernia | Difficulty Passing Urine

Complication : Profuse Haemorrhage | Strangulation | Thrombosis | Ulceration | Gangrene |

Fibrosis | Suppuration | Portal Pyemia

Treatments : Diet Regulations | High Fiber Diet | Hot Sitz Bath | Laxatives | Isabgol Powder |

Pain killer ( Anti Inflamatory Treatments ) | Injection Therapy | Band Ligation | Cryo Sugery |

Photo Coagulation ( Infrared Coagulation ) | Redio Frequency | Doppler Guided Haemorrhoidal

Artray Ligations | Stapler Haemorraldectomy | Open Surgical Technique | Close Surgical

Technique

Post Operative Complication : Pain | Retetion of Urine | Reactonary Haemorrhage | Secondary

Haemoorrhage | Anal Stricturie | Anal Fissure