About Piles & Fissure
Piles & Fissure are inflamed and swollen collections of tissue in the anal area.They can have a range of sizes, and they may be internal or external.Internal piles & Fissure are normally located between 2 and 4 centimeters (cm) above the opening of the anus, and they are the more common type. External piles occur on the outside edge of the anus.
- Piles & Fissure are collections of tissue and vein that become inflamed and swollen.
- The size of piles & Fissure can vary, and they are found inside or outside the anus.
- Piles & Fissure occur due to chronic constipation, chronic diarrhea, lifting heavy weights, pregnancy, or straining when passing a stool.
- A doctor can usually diagnose piles & Fissure on examination.
- Hemorrhoids are graded on a scale from I to IV. At grades III or IV, surgery may be necessary.
Piles & Fissure - Ayurvedic Perspective
Differentiation between piles and fissure is utmost important while treating these anorectal diseases. Predominantly pain is pronounced symptom in fissure (crack – small lacerated wound in anal region) and bleeding is seen mostly in piles & Fissure or hemorrhoids.
Signs & Symptoms
In most cases, the symptoms of piles & Fissure are not serious. They normally resolve on their own after a few days.
An individual with piles & Fissure may experience the following symptoms:
- A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles & Fissure that contain blood are called thrombosed external hemorrhoids.
- After passing a stool, a person with piles & Fissure may experience the feeling that the bowels are still full.
- Bright red blood is visible after a bowel movement.
- The area around the anus is itchy, red, and sore.
- Pain occurs during the passing of a stool.
Piles & Fissure can escalate into a more severe condition. This can include:
- excessive anal bleeding, also possibly leading to anemia
- fecal incontinence, or an inability to control bowel movements
- anal fistula, in which a new channel is created between the surface of the skin near the anus and the inside of the anus
- a strangulated hemorrhoid, in which the blood supply to the hemorrhoid is cut off, causing complications including infection or a blood clot
Piles & Fissure is classified into four grades:
- Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.
- Grade II: Grade II piles & Fissure are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided.
- Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.
- Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.
External piles & Fissure form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops, as the blood clot can block the flow of blood. Thrombosed external piles & Fissure, or hemorrhoids that have clotted, require immediate medical treatment.
Ayurvedic Perspective - Causes
- Chronic constipation.
- Habit of straining during defecation.
- Take hot – spicy diet on regular basis.
- Eating Maida – bakery products regularly.
- Non- veg dist frequently.
- Sedentary life style.
- Too much of travelling.
- Inadequate sleep.
- Substance abuse such as alcohol, tobacco.
- Hereditary link.
- Dietary advice like consuming fibrous diet , fruits , green leafy vegetables is important.
- Must include buttermilk in meals.
- Vegetables like spinach, snake guord, beet root, tomatoes, onions, elephant’s foot are having strong anti- piles & Fissure effect.
- Sitz – Bath of potassium permanganate in warm water is very useful.
- Stool softeners are of very much use.
- Medicated retention enema called as Basti to heal wound and stop bleeding, pain, burning.
- Leech application in thrombosed piles & Fissure save need of surgery.
Surgeries in anorectal cares gives temporary relief. Apart from that risk of anal incontinence is there with any anorectal surgeries.
Ayurveda is really a boon for any kind of anorectal ailment like piles & Fissure. Fissure – Pilonidal sinus – fistula in ano etc. Up till now we at KAC could save hundreds of anorectal surgeries with our novel ayurvedic protocol.
- In KAC, thousands of patients of Piles & Fissure and Fissure are relieved with ayurvedic protocols.