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Expertised In Kshar Sutra Treatment & Panchakarma Treatment.
Medical Officer Amdanga Rural Hospital.

Piles are mainly 2 types .

Internal and external

Types of internal piles/ hemarrhoids

1) Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.

2) Grade II: Grade II piles 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.

3) 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.

4) Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.

Best Treatment for Piles :

Ksharsutra treatment is so far the best remedy for treatment of piles.

What are the Types of Hemorrhoids?

Hemorrhoids can be of two types and are classified as external or internal.

External Hemorrhoids occur on the outside edge of the anus. They are often painful. They are dilated veins forming swellings at the outer side of the external sphincter are known as external piles or perianal hematoma.

Internal hemorrhoids - are much more common that external hemorrhoids. Internal are dilated veins beneath the mucous membrane and occur 2 to 4 cm above the opening of the anus within the anal sphincter. They are above a line called the dentate line in the anus.

They are usually painless because there are few pain-sensing nerves in the rectum.  Bleeding may be the only sign of internal piles.

Internal hemorrhoids are classified into four grades :

Grade 1 - Hemorrhoids are small swellings inside the lining of the anus. They are not visible externally. They may bleed but do not protrude through the anus.

Grade 2 - Hemorrhoids are larger than Grade 1 hemorrhoids. They extend inside the anus and may get pushed out when passing a stool, but soon return back inside the anus.

Grade 3 - Hemorrhoids are often called 'prolapsed hemorrhoids’. They appear outside the anus and can be pushed back on pressing with the finger.

Grade 4 - Hemorrhoids cannot be pushed back and remain outside the anus all the time. They are large and generally require a surgical treatment for their correction.

What are the Causes of Hemorrhoids?

Several factors are responsible for the development of hemorrhoids.

Hemorrhoids commonly occur due to weakness of the tissues that support the blood vessels in the anal region and are commonly associated with the following :

  • Heredity - They can be hereditary due to congenital weakness of the vein walls.
  • Sitting posture - Sitting for long hours can predispose to piles.
  • Lifting heavy weights regularly.
  • Chronic constipation or diarrhea - Straining by constipation and over purgation can cause hemorrhoid. Dysentery may aggravate latent hemorrhoids.
  • Pregnancy - Hemorrhoids are common among pregnant women. The pressure of the fetus in the abdomen, as well as hormonal changes causes the hemorrhoidal vessels to enlarge.
  • Diseases like liver cirrhosis.
  • Obesity.
  • Improper diet - Eating junk food and a diet lacking in fiber contribute towards Hemorrhoids.
  • Age - generally seen in the age group from 30 to 50 years.
  • Persistent cough and sneeze.
  • An obstruction or abnormal growth on the way to the anal canal.
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