Thursday, September 16, 2010


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What is the hemorrhoid?

Hemorrhoids or piles are ano-rectal varicose dilatation involving the hemorrhoids plexus of veins, there are lax pelvic veins and venous stasis Inadequate peri-vascular support and may be the absence of valves permit reversed venous flow in the hemorrhoids plexus.

Figure 1: Anatomy of venous drainage of the rectum and anus showing the superior or internal and the inferior or external hemorrhoid plexuses; these called as "anal cushions."

Figure 2: Prolapsed or protruded piles stage 3 or stage 4.

In the West, it has been estimated that at least 50 percent of individuals over the age of 50 years have at some time experienced piles complaints. A part of women have hemorrhoids, which often develop during pregnancy or delivery, sedentary habits, erect posture, and venous congestion and dilatation accentuate this varicose. Hemorrhoids can occur at any age and affect both sexes female and male.Hereditary factors may predispose to piles.

What types or varieties of piles?

There are external, internal and mixed piles.

External piles are those of the inferior hemorrhoids plexus, are covered by anal skin and arise below the ano-rectal line.

Internal piles implicate the superior hemorrhoids plexus of veins, are covered by mucous membrane and have their origin above the ano-rectal line.

Mixed piles are partly within and partly outside the ano-rectal canal and both are covered by mucosa and skin.

Fig. 3: Cross section of prolapsed internal and external hemorrhoids or mixed hemorrhoids or piles.

Source: Ibid.

There are a few questions about piles or hemorrhoids:

What are the causes, symptoms and signs of hemorrhoids?
How about the examination and diagnose of hemorrhoids or piles?
What are the option of treatments?
What are about the prognosis of the treatments?
What are the potential complication of treatments?

The answers for these questions are as the follows : [continued]

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