Piling on the agony?
Haemorrhoids and Piles.
Sitting on the loo doing a no 2 is all in a days life of any normal adult! However, if in the process you’ve noticed blood in the toilet pan, an itchiness and burning sensation around your anus or grape like skin tags hanging down below, you may have a case of haemorrhoids also known as piles. So what do you do?! First of all don’t panic. Piles are a very common affliction – uncomfortable, distressing and yes a pain in the **** but they are curable! But you need to do something about them; so get to your GP as soon as possible or visit a consultant specialist in this field (usually a Colorectal General Surgeon)
If you’ve caught them at an early stage they might naturally go away with time but you’ll need to change some things in your lifestyle such as increasing your fibre in your diet (such as fruit, vegetables, rice, seeds and nuts). Also you should drink water and stay hydrated and lay off alcohol and caffeine which are all quite dehydrating. Don’t delay going to do a poo – bluntly, go when they are soft and moist rather than dry and hard which can make you strain too much on the loo (a common cause of piles). Lose weight and exercise more (but not on a bicycle if you have piles – for obvious reasons!)
There a variety of measures that you can take to treat piles beginning with ointments bought at your chemist or prescribed by your GP. However, if your haemorrhoids are more severe there are a number of treatment options available to you.
One of these is an injection or haemorrhoid banding. The injection involves the surgeon injecting a small amount of a chemical called phenol just above the haemorrhoid which causes the blood vessels supplying the haemorrhoids to block and in turn it should shrink away. Banding is where using a special telescope the surgeon places a silicone band again to starve the area of blood causing the haemorrhoid to shrink.
A haemorrhoidectomy is a surgical procedure that removes the haemorrhoids. It is generally performed under general anaesthetic and either involves the surgeon cutting them or stapling them out (a relatively new procedure). A haemorrhoidectomy is probably the most effective procedure but it can be the most painful afterwards with the post op pain lasting anything up to two to three weeks.
Another relatively new technique becoming increasingly popular is a transanal haemorrhoidal de-arterialisation (THD) where using a special device the surgeon precisely locates all of the haemorrhoidal blood vessels and ties them off.
Your consultant specialist would discuss which options are best for you. For further information or to book a consultation with our colorectal specialist Mr Toby Hammond simply call one of our friendly and helpful team on 01245 474070 or e-mail firstname.lastname@example.org