Doctors for Piles Treatment in Guwahati

Piles, or hemorrhoids, are enlarged blood vessels that form in the rectum or anus. They can be internal or external and range in size and severity. The exact cause of piles is often unknown, but factors such as chronic constipation, straining during bowel movements, sedentary lifestyle, pregnancy, obesity, and aging can contribute to their development. These factors can lead to increased pressure on the veins in the rectal area, resulting in swelling and the formation of piles.

Piles, or hemorrhoids, can present with varying symptoms depending on their severity and location. Common symptoms include rectal bleeding, itching, pain or discomfort, swelling, lump formation, prolapse, and mucus discharge. Internal piles may not cause noticeable symptoms, but when symptoms do occur, they can include bleeding during bowel movements, itching, discomfort, and a feeling of incomplete bowel movements. External piles may cause pain, swelling, itching, and irritation around the anus.

There are several types of treatment options available for piles (hemorrhoids), ranging from self-care measures to medical procedures. Treatment for piles depends on the severity of the condition and the symptoms present. The appropriate approach can include lifestyle modifications, medications, or medical procedures. Consulting a healthcare professional is essential to determine the most suitable treatment for your specific case. Here are some common treatment options:

• Self-Care Measures:
1. Increasing fiber intake: Consuming a high-fiber diet can help soften the stool and make bowel movements easier, reducing strain on the hemorrhoids.
2. Adequate hydration: Maintaining proper hydration: It is important to consume an adequate amount of water and fluids to prevent constipation and encourage regular bowel movements.
3. Good toilet habits: Avoiding excessive straining during bowel movements, using soft toilet paper, and taking a sitz bath (soaking the anal area in warm water) can provide relief.
4. Topical treatments: Utilizing topical treatments: Over-the-counter creams, ointments, or suppositories containing ingredients such as hydrocortisone or witch hazel can provide temporary relief from itching, pain, and swelling associated with piles.
• Medications:
1. Oral pain relievers: Non-prescription pain relievers like acetaminophen or ibuprofen can be taken to help alleviate pain and discomfort caused by piles.
2. Topical anesthetics: Some creams or ointments contain local anesthetics to numb the area temporarily and provide relief.
• Procedures:
1. Rubber band ligation: This medical procedure involves placing a small rubber band around the base of an internal hemorrhoid to restrict blood flow, which leads to its shrinkage and eventual detachment within a few days.
2. Sclerotherapy: This treatment involves injecting a chemical solution into the hemorrhoid, which induces shrinkage and eventual disappearance of the hemorrhoid.
3. Infrared coagulation: A device is used to emit infrared light, which coagulates the blood vessels, shrinking the hemorrhoid.
4. Hemorrhoidectomy: In cases of severe piles or when other treatments have proven ineffective, surgical removal of hemorrhoids may be recommended as a treatment option.This is typically done for large external hemorrhoids or internal hemorrhoids that have prolapsed (protruded) outside the anus.

Seeking guidance from a healthcare professional is crucial to obtain an accurate diagnosis and receive appropriate treatment recommendations tailored to your specific condition. They will consider the severity of your piles, your symptoms, and your overall health before determining the most suitable treatment option for you.

Surgery for piles (hemorrhoids) is usually considered when other conservative treatments have been ineffective or in cases of severe hemorrhoids. The decision to undergo surgery will depend on the individual's specific condition, symptoms, and the recommendation of a healthcare professional. Here are some situations where surgery may be considered:

• Large External Hemorrhoids: If external hemorrhoids are significantly enlarged, causing persistent pain and discomfort, surgical removal may be recommended.
• Prolapsed Hemorrhoids: When internal hemorrhoids become prolapsed, meaning they protrude from the anus, and cannot be pushed back in, surgery may be necessary to address the condition.
• Chronic Bleeding: If piles consistently cause bleeding that is difficult to control or leads to anemia, surgery may be considered to prevent further complications.
• Thrombosed Hemorrhoids: Thrombosed hemorrhoids are external hemorrhoids that have developed blood clots within them, resulting in severe pain and swelling. Surgical intervention may be necessary to remove the clot and alleviate the symptoms.
• Recurring or Persistent Symptoms: If piles continue to cause significant symptoms despite conservative treatments, surgery may be recommended to provide long-term relief.

The specific surgical procedures used for hemorrhoids include hemorrhoidectomy and hemorrhoidopexy (stapling). Hemorrhoidectomy involves surgically removing the hemorrhoid tissue, while hemorrhoidopexy involves stapling the hemorrhoid to cut off its blood supply, causing it to shrink.

The decision to undergo surgery should be made in consultation with a qualified healthcare professional who can evaluate your specific condition and provide appropriate recommendations based on your individual needs.

Before undergoing piles surgery in Guwahati or any other location, a healthcare professional will typically perform a thorough evaluation and may order certain tests or examinations to determine the severity of the condition and the most appropriate treatment approach. Here are some common diagnostic procedures and tests that may be conducted:

• Medical History and Physical Examination: The doctor will review your medical history, including any previous hemorrhoid treatments or surgeries, and inquire about your symptoms and their duration. A physical examination of the anal area will be conducted to assess the presence, size, and severity of the hemorrhoids.
• Digital Rectal Examination (DRE): The DRE is a procedure where a lubricated, gloved finger is inserted into the rectum to examine the rectal area and detect internal hemorrhoids or any potential abnormalities.
• Visual Inspection: The doctor may use an anoscope, a short, lighted tube-like instrument, to visualize the inside of the anus and lower rectum. This helps to evaluate the size, location, and extent of the hemorrhoids.
• Proctoscopy or Sigmoidoscopy: These procedures involve the insertion of a flexible tube with a light and camera (proctoscope or sigmoidoscope) into the rectum to examine the rectal lining and identify any additional abnormalities or conditions.
• Colonoscopy: In cases where symptoms or risk factors suggest the possibility of other gastrointestinal conditions, a colonoscopy may be recommended. This procedure involves a comprehensive examination of the entire colon using a flexible tube equipped with a camera to detect and evaluate hemorrhoids or other abnormalities present in the colon.

Please note that the specific diagnostic tests may vary based on individual circumstances and the discretion of the healthcare professional. These tests help determine the appropriate treatment plan and surgical approach tailored to your specific needs. Your doctor will guide you through the diagnostic process and provide you with the necessary information and instructions for the surgery.

Piles operation, also called hemorrhoidectomy, is a surgical procedure conducted to remove hemorrhoids that have not improved with conservative treatments or have reached an advanced stage. Here is an overview of how a typical piles operation is done:

• Anesthesia: Before the surgery begins, anesthesia is administered to ensure that you are comfortable and pain-free during the procedure. The type of anesthesia used can vary, and your surgeon will discuss the options with you. It may be general anesthesia (where you are unconscious) or regional anesthesia (such as spinal or epidural anesthesia) that numbs the lower body.
• Positioning: You will be positioned on an operating table, usually lying on your stomach (prone position) or your back with your legs raised and supported in stirrups.
• Incision: The surgeon will begin by making incisions around the anal area to access the hemorrhoids. The specific surgical technique employed during a piles operation may vary based on the surgeon's preference and the characteristics of the hemorrhoids being treated.
• Hemorrhoid Removal: The surgeon will carefully remove the hemorrhoids by cutting or excising them from the surrounding tissue. This may involve removing both internal and external hemorrhoids if necessary.
• Control of Bleeding: During the procedure, the surgeon will take steps to control bleeding from the surgical site. They may use techniques like cauterization (burning) or sutures (stitches) to achieve hemostasis and ensure proper wound closure.
• Closure of Incisions: Following the removal of hemorrhoids, the surgeon will use absorbable sutures or surgical staples to close the incisions.
• Dressing and Recovery: The surgical area may be covered with a sterile dressing, and you will be taken to the recovery area. Depending on the type of anesthesia used, you may remain in the hospital for a few hours or overnight for observation.

Recovery after a piles operation can vary from person to person, but it generally involves a period of rest, pain management, and following post-operative care instructions provided by the healthcare team. It is essential to maintain proper hygiene, consume a high-fiber diet, stay hydrated, and avoid straining during bowel movements to promote healing and prevent complications.

Piles surgery, also known as hemorrhoidectomy, can provide several benefits for individuals suffering from severe or persistent hemorrhoids in Guwahati. Here are some potential benefits of piles surgery:

• Relief from Symptoms: Piles surgery aims to alleviate the symptoms associated with hemorrhoids, such as pain, itching, bleeding, and discomfort. Piles surgery can effectively alleviate symptoms and enhance quality of life by removing the hemorrhoids.
• Effective Treatment: Surgery is often recommended when conservative treatments have been unsuccessful or when hemorrhoids are severe. Piles surgery is considered a highly effective treatment option for removing hemorrhoids that have not responded to other methods.
• Long-Term Resolution: Piles surgery offers a long-term solution for hemorrhoids. The surgical removal of hemorrhoid tissue significantly lowers the risk of recurrence. It provides a more permanent solution compared to non-surgical treatments that may only provide temporary relief.
• Improved Bowel Movements: Hemorrhoids can cause discomfort and difficulty during bowel movements. Piles surgery can help improve bowel movements by eliminating the swollen hemorrhoidal tissue, allowing for smoother and more comfortable passage of stools.
• Reduced Risk of Complications: In some cases, untreated or severe hemorrhoids can lead to complications such as thrombosis (blood clots), prolapse, or chronic bleeding. Piles surgery can help prevent or minimize these complications by removing the problematic hemorrhoids.
• Enhanced Quality of Life: Chronic hemorrhoids can significantly impact daily life, causing pain, discomfort, and interference with regular activities. By addressing the underlying issue through surgery, individuals can experience an improved quality of life with reduced symptoms and a return to normal daily activities.

It's important to note that the decision to undergo piles surgery should be made in consultation with a qualified healthcare professional. They will evaluate your specific condition, consider the severity of your hemorrhoids, and discuss the potential benefits, risks, and alternatives to surgery. They will offer personalized recommendations tailored to your specific needs, assisting you in making an informed decision regarding your treatment.

Like any surgical procedure, piles surgery (hemorrhoidectomy) can have potential side effects and risks.Before proceeding with the surgery, it is crucial to discuss these matters with your healthcare professional. While not everyone will experience side effects, here are some possible complications associated with piles surgery:

• Pain and Discomfort: It is common to experience pain, discomfort, or soreness in the anal area after piles surgery. This can be managed with prescribed pain medications and usually improves with time.
• Bleeding: Some bleeding during and after the surgery is expected. However, excessive bleeding or prolonged bleeding may require medical attention.
• Infection: Like any surgical procedure, there is a potential risk of infection associated with piles surgery.Following proper wound care instructions and maintaining good hygiene can help minimize the risk of infection. Symptoms of infection may include increased pain, redness, swelling, warmth, or discharge from the surgical site.
• Urinary Issues: Some individuals may experience difficulty urinating or temporary urinary retention after the surgery. This can be managed with appropriate medical intervention if necessary.
• Constipation and Straining: Post-operative constipation and straining during bowel movements are common side effects that may occur after piles surgery. It is important to follow a high-fiber diet, drink plenty of fluids, and use stool softeners as recommended by your healthcare professional to promote regular bowel movements and minimize straining.
• Scarring and Skin Tags: Surgery may result in the formation of scars or small skin tags in the anal area. These are usually harmless and do not cause significant problems.
• Recurrence: While piles surgery aims to provide long-term relief, there is a possibility of recurrence in some cases. Adopting a healthy lifestyle, which includes consuming a high-fiber diet and engaging in regular exercise, can help minimize the risk of recurrence.

It is crucial to have a discussion with your healthcare professional regarding these potential side effects and risks. They will be able to provide you with personalized information based on your individual case. They will also provide instructions on post-operative care and measures to minimize discomfort and promote a smooth recovery.

Recovery after piles treatment, whether it's a surgical procedure or non-surgical interventions, requires proper care and following your healthcare professional's instructions. Here are some general guidelines for recovery after piles treatment:

• Pain Management: Pain and discomfort are common post-treatment experiences following piles treatment.Your healthcare professional may prescribe pain medications or recommend over-the-counter pain relievers to manage the discomfort. Take the medications as directed.
• Hygiene and Wound Care:
1. Keep the surgical area clean and dry. After bowel movements, it is recommended to gently cleanse the area with warm water and then pat dry using a soft, clean towel.
2. To avoid irritation to the surgical site, it is advisable to refrain from using harsh soaps, wipes, or perfumed products in the anal area.
3. If recommended, use prescribed ointments or creams to soothe the surgical area and promote healing.
• Diet and Hydration:
1. Incorporate a high-fiber diet into your routine to prevent constipation and maintain regular bowel movements. This can be achieved by including foods such as fruits, vegetables, whole grains, and legumes in your meals.
2. Maintain adequate hydration by consuming plenty of water and fluids. This helps to keep the body hydrated and soften the stool, making bowel movements easier.
3. Limit or avoid foods that can contribute to constipation, such as processed and fried foods, as well as low-fiber items. Instead, focus on consuming a diet rich in high-fiber foods to promote regular bowel movements and prevent constipation.
• Stool Softeners: If recommended by your healthcare professional, use stool softeners or fiber supplements to prevent straining during bowel movements.
• Physical Activity: Engage in light physical activity, such as walking, as soon as you feel comfortable. Physical activity can help improve blood circulation, prevent constipation, and promote overall healing and recovery. However, it is important to listen to your body and consult with your healthcare professional before starting or increasing any exercise routine.This helps improve blood circulation and promotes bowel regularity. However, avoid strenuous activities, heavy lifting, or vigorous exercises during the initial recovery phase.
• Follow-Up Appointments :Attend all scheduled follow-up appointments with your healthcare professional to monitor your progress, discuss any concerns or complications, and receive further guidance on your recovery. These appointments are important for ensuring optimal healing, addressing any post-operative issues, and adjusting your treatment plan if necessary.

Recovery time after piles treatment varies based on the treatment type and individual healing. Follow post-treatment instructions for proper healing. Consult your doctor for a more accurate estimate of your recovery time. In general, non-surgical treatments may require a shorter recovery time, typically a few days to a couple of weeks. Surgical procedures may have a longer recovery period, ranging from two to four weeks or more, depending on the extent of the surgery and individual healing factors.

It's important to note that the above guidelines are general recommendations, and your healthcare professional may provide specific instructions based on your unique condition and the type of treatment you have undergone. It is crucial to closely follow your doctor's advice to facilitate a smooth recovery and minimize the risk of complications.