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Piles or haemorrhoids (Bawasir or Mussa in Hindi) are swollen blood vessels around the anorectal region. They occur due to increased pressure in these localized blood vessels, which develop due to prolonged constipation or straining during defecation. Piles are known to have relapses and remission dependent on multiple trigger factors, specifically diet and lifestyle. Piles are common in all age groups, affecting both sexes too.
Pregnancy, obesity, stress, the winter season and genetic factor also play a role in piles development. In addition, piles can lead to complications like fistulae and fissures. Diagnosis of piles requires clinical history as it has typical symptoms like itching, pain, discomfort, bowel movement disorder, and bleeding. Therefore, laboratory tests are usually unnecessary; sometimes, proctoscopy or sigmoidoscopy is required.
Dr Rinkesh Kumar Bansal, Additional Director, Gastroenterology and Hepato-Biliary Sciences, Fortis Memorial Research Institute, Gurugram shares four tips for dealing with piles.
We are less active during winter, and this inactivity also worsens piles. We may also feel lazy enough in the cold weather and postpone going to the washroom to empty our bowels, and this postponing puts pressure on the anorectal region, making the problem worse. Therefore, using the restroom immediately when needed will help avoid straining and sitting on the toilet for a long time.
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