Piles or Hemorrhoids

The most common symptom of internal hemorrhoids is painless bright red blood covering the stool, on toilet paper, or in the toilet bowl. However, an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful. This is known as a protruding hemorrhoid.

Symptoms of external piles may include painful swelling or a hard lump around the anus that results when a blood clot forms. This condition is known as a thrombosed external hemorrhoid.

In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms.

Cause of Piles

• Constipation and Prolonged straining at stool
• Low fibre diet causing small caliber stool and straining during defecation.
•  Sitting for prolonged period at closet.
• Hypertension mainly in portal vein.
• Obesity.
• Sedentary life style.
• Pregnancy causes hypertension and increases strain during bowel movements.
• Increased use of alcohol and caffeine.
• Lack of erect posture.
• Familial tendency.
•  Ageing – weakened support structures.

Types of Hemorrhoids:

External hemorrhoids – occur outside of anal verge (distal end of anal canal)

Internal hemorrhoids – occur inside the rectum.

Prolapsed hemorrhoids – Internal hemorrhoids that are much distended and pushed outside anus.

Strangulated hemorrhoids – If anal sphincter muscle goes into spasm and traps a prolapsed hemorrhoid outside the anal opening and supply of blood is cut.                          

Gradation of hemorrhoids

1) hemorrhoids project into the anal canal and often bleed but do not prolapse.

2) hemorrhoids may protrude beyond the anal verge with straining or defecating but reduce spontaneously when straining ceases.

4) hemorrhoids protrude spontaneously or with straining and require manual reduction.

5) hemorrhoids chronically prolapsed and cannot be reduced. They usually contain both internal and external components and may present malignancy.

Painful, blind or protruding piles of purplish color which is very sore with aching, burning and itching and a sensation of sticks or splinters in the rectum, rarely bleeding. Hard dry stool passed with difficulty and followed by a feeling of prolapse of rectum. Bleeding gives relief.indicating symptoms are aching in the lumbar region, Dryness, burning and itching are good indications.

When he blood passes like water from hydrant, piles protrude like bunch of grapes. Better by cold water,Violent itching and burning in anus. Constantly putting finger in anus. Constant bearing down in anus; bleeding, soreness which gets relieved by cold water.Lumpy, watery, jelly like stool. hemorrhoids protruding, very sore and tender.  burning in the anus the bowels feel as if scraped. There is a tendency to diarrhea, with the well-known uncertain feeling in the lower bowel.

Burning pain and restlessness relieved by hot application. hemorrhoids burn like fire and skin around the anus gets excoriated. Painful spasmodic protrusion of rectum with severe tenesmus.Great exhaustion from least exertion with burning pains. Night aggravation of complains with restlessness and fear and fright.

Protrusion of piles after stools with long lasting pains cannot walk. Piles also protrude independent of stool. Burning and itching in anus which prevents sleep. Piles worse at the times of menses.

piles, blue, even suppurating, offensive, swelling, burning in the rectum, oozing of fluid from rectum, flatulence; Itching, gnawing and burning in rectum.Soreness, moisture around anus at night. Discharge of blood with stool. White hemorrhoids with excoriation of anus.Bluish burning piles and paining after stool.

 hemorrhoids with backache and obstinate constipation. Prolapse of rectum. Piles bleeding or blind and protruding. There may be obstinate constipation and diarrhea. It is of special use in females with inertia of the rectum and a congestive tendency to the pelvic organs. It suits pregnant women who suffer from piles, and pruritus may be a marked symptom

Hemorrhage and hemorrhoids. Bloody hemorrhoids with bright red blood and pain, soreness, burning, itching and aching in rectum.

Painless bleeding followed by prostration which is out of all proportion to the blood lost. The blood is of dark color. There is anemia, breathlessness and weakness notwithstanding good appetite.Bruised soreness of affected parts. Passive hemorrhage from any part as piles.

piles painful, burning like fire and bleed copiously. Great distension and swelling inside. Fistula of the anus. Burning temporarily relieved by sitting in cold water or by cold application.

Hemorrhage from bowels. Bleeding hemorrhoids and stool as well as urine is bloody. Blood is bright red in color.

Piles like bunch of grapes which look purple and burn when touched. Piles in children; protruding; reddish blue. Tendency to involuntary evacuation while urinating .hemorrhoids most sensitive to all touches, even sheet of toilet paper is painful. Anal itching and prolapsus ani while urinating. hemorrhoids during pregnancy, bluish, hot, with violent stitches.

remedy for bleeding or non- bleeding piles to be given when there is burning pain and constipation with ineffectual desire. If the hemorrhoids be large and blind, with a burning, stinging and constricted feeling in the rectum and a bruised pain in the small of the back, and especially if excited by sedentary habits or abuse of stimulants, then Nux may be prescribed with confidence. Itching hemorrhoids keeping the sufferer awake at night, relieved by cold water, or bleeding piles with constant urging to stool, and a feeling as if the bowel would not empty itself are further indications. Great sensitiveness of the anus cannot make use of the softest toilet paper; the piles are so sore and sensitive that the slightest touch is unbreakable.

hemorrhoids that have ceased to bleed, but very painful and hanging down loosely with sharp pricking pains in rectum. Great straining while passing stool and hemorrhoids that bleed easily. Haemorrhages from bowels and violent cutting pains after stools lasting for an hour after stool. Severe burning and stinging. Rectum feels torn and severe fissures in rectum. Severe exhaustion and irritability after stools.

haemorrhoids with ulceration, the anus and surrounding parts are purple and covered with crusts, ulcers within the anus are very painful. The whole mucus membrane studded with ulcers and cracks. Biting, itching in anus that provokes scratching. Anal orifice swollen and burning in anus after stool then internal chilliness. Purple haemorrhoids covered with crusts and severe atrocious pains with and after each stool.

ching in rectum as if full of broken glass.Anus burns for hours after stool and feels constricted. Dry heat at anus with sudden knife like stitches. Stools must be forced with great effort and thus hemorrhoids too protrude out. Burning like fire. hemorrhoids too burn and get relieved by cold water.

Piles swollen and painful while sitting with burning pains in anus. Anus is fissured and painful to touch with many painful warts. Constipation with violent rectal pains causing stool to recede. Distended, indurations in abdomen and chronic diarrhea.