about piles?

Question

my dad had piles and he operated it around 35 years ago. he then never had any trouble but now for few days he is agian having blood when he goes to the toilet. could u please suggest me what should he do now>? does he need to do the operation again?

Answer 1

The treatment of piles depends on the severity of symptoms. Firstly, it's important to take steps to avoid aggravating factors such as constipation or being overweight. Keeping your bowel motions soft and regular will also help to avoid straining.

Make sure you eat plenty of fibre to provide bulk in your diet by including lots of bread, vegetables, cereal and nuts.
Consider fibre supplements.
Avoid dehydration by drinking plenty of water and fruit juice.
Keep to a regular bowel habit and go to the toilet when you feel the need to - don't try to hold it in.
Get plenty of exercise - this helps keeps the bowels regular.
Avoid causes of constipation, such as painkillers that contain codeine.


These measures may be all that's needed to allow small haemorrhoids to settle. More persistent piles may need specific treatments.

Pain-relieving creams and ointments, which may contain an anaesthetic, can help soothe the discomfort of piles and allow you to open your bowels more easily. If piles become thrombosed this can be acutely painful. Cold packs and strong pain relief may be needed.

Surgical options

Surgery may be necessary to treat persistent or very painful piles. Many different techniques are used including injecting the piles with a chemical to make them scar and shrink, putting a tight band around the pile until it scars and drops off (ligation), or freezing or cutting them off.

Another operation which is often done to help piles is to gently stretch the anus (while the person is under anaesthetic) as there may be overactivity of the internal anal sphincter (a muscly control valve).

Recent research has looked at injections of botulinum toxin or creams containing nitroglycerine ointment to relax the muscle sphincter.

Haemorrhoidectomy, or surgical removal of the piles, is necessary when clots repeatedly form, ligation fails to work or there is persistent bleeding. Haemorrhoidectomy is usually done under general anaesthetic in hospital. There is a small risk of anal stricture (a scarred narrowing of the anal canal) and injury to the sphincter.

Answer 2

As an immediate palliative I can suggest to take a bibba(Indian name .It is the seed of a wild tree and is very hot)rub it on a stone with ordinry soap water and apply a little to the offshoot(fistula). It will immediately shrink and give some relief.However, some people are allergic to 'bibba'So ensure that it is not so.This is a village remedy and has been quite effective.But as I said its removal by operation only gives abiding relief. Drink lot of water. I know its very painful may god give him good health and cure soon.

Answer 3

Hemorrhoids can recur after a time. However, there are other, much more serious causes of rectal bleeding. Your dad needs to see a doctor this week or next at the latest.

Answer 4

Hemorrhoids are associated with constipation and straining at bowel movements. How to get rid of hemorrhoids https://tr.im/pveh4
Pregnancy is also associated with hemorrhoids. These conditions lead to increased pressure within the hemorrhoidal veins that causes them to swell. Other conditions, for example chronic liver disease, may also cause increased venous pressure and may be associated with hemorrhoids. Hemorrhoids are very common and are estimated to occur in up to one-half of the population by age 50.