WORLD PILES DAY (20 NOVEMBER): FROM PILES TO SMILES

Dr. Imlikumba Piles are one of the most common ailments of the rectum, affecting as much as half the population. Suffering from piles is not only painful but embarrassing as well. They may be classified as either internal or external. Many not only want to know how to heal piles but also know how to heal piles fast and naturally. Even famous rulers like Napoleon suffered from this disease. Since time immemorial efforts have been made all over the world to combat the condition through different modalities of treatment, but not all of them have been uniformly successful. Only 10% of piles cases require surgery rest 90% are cureable by medicine.   CAUSES:  The exact causes of symptomatic Piles are unknown. A number of factors are believed to play important role including: Irregular bowel habits( constipation or diarrhea), Lack of exercise, Nutritional factor( a low-fiber diet), Increased intra-abdominal pressure (prolonged straining, an intra-abdominal mass, or pregnancy), genetics, absence of valves within the hemorrhoidal veins, Aging, Other factors that are believed to increase the risk include  Obesity  Prolonged sitting  Chronic cough  Pelvic floor dysfunction. Evidence for these associations, however, is poor. During pregnancy, pressure from the foetus on the abdomen and hormonal changes cause the hemorrhoidal vessels to enlarge.   CLASSIFICATION: A) On the basis of position-    1. Internal, 2. External, 3. Interno-external   B) On the basis of symptoms-   Grade I: No Prolapse. Just prominent blood vessels.   Grade II: Prolapse upon bearing down but spontaneously reduce.   Grade III: Prolepses upon bearing down and require manual reduction.   Grade IV: Prolapsed and cannot be manually reduced.   SIGN & SYMPTOMS:  The symptoms of Piles depend on the type present:-    Internal Piles usually present with painless rectal bleeding. Internal hemorrhoids usually present with painless, bright red, rectal bleeding during or following a bowel movement. The blood typically covers the stool, a condition known as hematochezia, is on the toilet paper, or drips into the toilet bowl.    External Piles may produce significant pain and swelling in the area of the anus. The swelling may take a few weeks to disappear, and after healing a skin tag may remain. If they are large and causing issues with hygiene, they may produce irritation of the surrounding skin and thus causes itching around the anus. Other symptoms may include mucous discharge, a perianal mass if they prolapse through the anus, itching, and fecal incontinence.   Pathya( Benificial in Piles): Cow milk, Butter, Buttermilk, Wheat, Ghee, Rice, Green vegetable, Regular sleep, Exercise, Regular diet, Non suppression of natural urges etc.   Apathya (What to avoid in Piles):  Chilies, Fried Foods, Maida product, Non-Veg, Paneer, Constipating foods, Constant sitting, Excessive Pressure in defeacation.etc.  

Dr Imlikumba is a registered ayurveda practioner working as a Medical Officer(Ayur) in Bokajan Civil Hospital and the Chief Consultant of Health Naturally Clinic, Kevijau Colony. Dimapur

 



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