Piles or Anal Fissure - Treatment For Piles
Swollen and protruding veins in and around the anus are known as piles. The veins that drain the blood from the tissues in the anal area lie at the junction of the rectum and the anus. The rectum is the last part of the large intestine or colon, and the anus is the external aperture at the end of the gastrointestinal canal, through which the waste products are finally expelled as faeces or stools. The venous drainage of this area is just inside the anal opening.
Causes and Symptoms for Piles(Anal Fissure).
When there is straining during defecation, the muscles of this area contract and put pressure on the veins. If the valves in the wall of the veins are weak, there is engorgement of blood in the veins, causing them to protrude. This engorgement of veins is also called varicose veins. The engorged protruding veins that lie external to the anal orifice are called external piles, and these can be felt. The veins that lie internal to the orifice cannot be seen or felt normally. Constipation is one of the main causes of piles, but any systematic disorder involving the liver, e.g., cirrhosis, or back pressure in the circulation due to any cause, a prostate enlargement, pregnancy, chronic coughing, etc., can all cause pressure in the venous drainage in this area.
People only become aware of piles when they bleed or there is pain. Initially, piles do not hurt. That only happens when infection sets in. So do not neglect any bleeding from the anus, however slight it may be. Bleeding may be the first sign of cancer of the colon. Sometimes, because of the engorgement, there may be a little mucus discharge. This causes itching, which is when a person should visit the doctor to find out the cause.
Sometimes there are no symptoms of piles (if the veins in the area are normal), and there is no systematic cause for pressure in the area. However, the passage of hard, constipated stools cause trauma to the anal orifice, and a linear ulcer occurs. Trauma due to any causeanal intercourse, a particularly traumatic childbirth, or post-operative lesions can result in a linear cut, forming an ulcer. This is called an anal fissure. Anal fissures cause a sharp agonising pain during defecation, and they set up a vicious cycle of constipation. If constipation is the cause of the fissure, and the fissure is painful, a person avoids passing motions, which then results in him or her not responding to the call of nature and getting more constipated. All in all, most gastrointestinal de-arrangements are only the result of the bowels not being cleared regularly. This may be a hereditary disorder, where there is a congenital weakness of the veins in this area, in which case, more than one person in the family will present with piles, and at an earlier age.
All remedies for constipation will ease the problem. But diarrhea, when it is the result of overuse of laxatives, will result in a fissure becoming inflamed and painful.
Home Remedy for the Treatment of Piles(Anal Fissure).
Neem and holy basil head the list of remedies for piles in folk medicine.
For local application on painful piles or fissures-in-ano.
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