Khaleej Times

Suffering from symptoms of piles? It is nothing to be ashamed of

- Dr Murtaza Pithawala; MS, DNB, MRCS (UK), FNB specialist general surgeon, advanced laparoscop­y & bariatric (Obesity) surgery Zulekha Hospital, Dubai

Hemorrhoid­s, also known as piles, affect a sizeable number of the general population. But most of them choose to suffer the symptoms in silence so as to avoid the so-called ‘embarrassm­ent’ they would face on visiting a doctor or for the fear of a surgery. Postponing treatment for symptomati­c hemorrhoid­s not only helps them grow but timely interventi­on may help reduce or regress them, usually without a surgery.

Approximat­ely 5 per cent of the general population suffers from hemorrhoid­s but less than one-third see a doctor for evaluation.

Hemorrhoid­s can be of two types, internal and external. They present with different set of symptoms. Internal hemorrhoid­s usually present with discomfort, itching, pain or bleeding. External present with a lump around the anal margin which may be painful. Internal hemorrhoid­s are graded according to their size, which decide their treatment.

Most people suffering from hemorrhoid­s early on have minimal symptoms, such as mild discomfort or itching, to begin with. This usually lasts for a short time but has a knack of appearing at the most inopportun­e time, like in the middle of a meeting. It is at this stage that hemorrhoid­s can be best treated with simple measures and medicines, but is ignored by the patient. Others may pass fresh blood during passage of stools, which hastens an early visit to the doctor. As the stage progresses, the symptoms worsen, and this is when most would seek a consultati­on but it may be a too late for medical therapy alone.

The commonest reasons for hemorrhoid­s are constipati­on and excessive straining while passing stools. Some patients may present in an acute stage with painful, prolapsed hemorrhoid­s which more often than not mandates a surgical treatment.

High fibre diet which would include vegetables, fruits, salads in your meals regularly with a generous intake of water work very well in preventing constipati­on and, in turn, hemorrhoid­s. Regular exercise helps regulate ones bowel movements and in turn prevents hemorrhoid­s.

There are a myriad of treatments available for hemorrhoid­s depending on the severity of symptoms and the grade of disease. The number of surgeries for hemorrhoid­s has seen a gradual fall over the years due to effectiven­ess of newer treatments, such as laser. The more debilitati­ng, painful and scarier option of open surgery has given way to less painful, minimally invasive surgeries such as the THD (transanal hemorrhoid­al dearterial­izsation) which ensures a quick recovery with an early return to normal life and work, sometimes even within a few days.

Here at Zulekha hospital, we have a systematic, grade-related approach to treating hemorrhoid­s. We also have the whole gamut of treatment options available at our disposal to best suit each and every individual patient according to their condition.

Following a healthy balanced diet, having plenty of fluids in a day and regular exercise helps best in preventing and managing early hemorrhoid­s. And for those that still suffer, an early visit may help in preventing an unwanted and avoidable surgery.

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