A prolapsed Piles occurs when a vein in the anus or lower rectum swells and protrudes outward. There are two types of Piles based on their location: internal and external. Internal Piles develop within the rectum and can become prolapsed if they push down and bulge out from the anus. External Piles form directly on the anus and can also prolapse.

Identifying Symptoms of Prolapsed Piles

The main symptom of a prolapsed Piles is the presence of one or more lumps around the anus. This becomes noticeable when the prolapse is significant. While it is possible to gently push a prolapsed Piles back through the anus, the Piles remains present. Prolapsed Piles can cause pain, particularly when sitting or during bowel movements. They may also be accompanied by itching and bleeding.

Causes of Prolapsed Piles

The weakening of the connective tissue that holds Piles in place is the primary cause of their prolapse. Straining during bowel movements due to constipation or diarrhea can increase the pressure on Piles, leading to their prolapse. Pregnant women are at a higher risk of developing Piles, which can subsequently become prolapsed if left untreated. Other risk factors include obesity and smoking, as they can strain the rectal veins and contribute to the formation of Piles.

When to Seek Medical Help

If you experience symptoms of a prolapsed Piles, it is advisable to consult a doctor. While sometimes the Piles may retract on its own without causing further symptoms, persistent pain, itching, or bleeding should prompt a visit to a primary care physician, proctologist, or gastroenterologist. It is crucial to ensure that the lump around the anus is indeed a Piles and not a tumor or another health concern.

Diagnosis of Prolapsed Piles

Diagnosing a prolapsed Piles is usually straightforward and involves a physical examination by a doctor. They may perform a digital exam by inserting a gloved, lubricated finger into the anus and rectum to feel for Piles. Internal Piles are graded based on their degree of prolapse, with a grade 4 prolapsed Piles being the most painful.

Self-Care Measures for Prolapsed Piles

In some cases, self-care measures can alleviate symptoms and help reduce the swelling of prolapsed Piles. Over-the-counter Piles products such as topical ointments or suppositories containing hydrocortisone can provide relief. Consuming a high-fiber diet consisting of fruits, vegetables, and whole grains can soften stool and ease straining during bowel movements. Soaking in a warm bath for 10 or 15 minutes, using moist towelettes or damp wipes after bowel movements, and applying ice packs around the Piles can also help manage symptoms.

Treatment Options for Prolapsed Piles

If home care measures do not provide adequate relief, various treatment options are available depending on the type and grade of the prolapsed Piles. Less invasive treatments are usually considered first, with surgical intervention being reserved for severe cases. Rubber band ligation involves placing small rubber bands around the Piles to cut off its blood supply, causing it to shrink and fall off. Sclerotherapy, which involves injecting chemicals into the Piles to shrink the blood vessels in the affected area, is another treatment option suitable for grade 1 or 2 Piles. Coagulation, using laser, infrared light, or heat, can be used to harden the Piles, causing it to dissolve over time. These in-office treatments are generally effective with minimal discomfort and few complications.

In cases where a blood clot has formed within the external Piles, a minor surgical procedure called external Piles thrombectomy may be performed. This involves removing the Piles and draining the wound. It is important to have this procedure done within three days of clot formation to ensure optimal results.

For severe cases, such as grade 3 or 4 prolapsed Piles, a full Pilesectomy may be necessary. During this surgical procedure, a surgeon will remove all the Piles tissue. While this operation effectively treats the symptoms, the recovery process can be long and painful. It is important to discuss the potential complications, such as incontinence, with your doctor before considering this option.

Recovering from Prolapsed Piles Treatment

Recovery time varies depending on the type of treatment received. After a Pilesectomy, it may take up to four weeks or longer before you can resume your usual activities. Recovering from less invasive procedures like sclerotherapy, coagulation, and rubber band ligation typically takes just a few days. Multiple sessions of sclerotherapy or coagulation may be required for successful treatment.

It is common to experience discomfort when having a bowel movement after any Piles procedure, especially surgery. Your doctor may prescribe stool-softening medications to make bowel movements less painful. Following your doctor's post-operative instructions and maintaining good hygiene will help ensure a smooth recovery.

The Outlook for Prolapsed Piles

While prolapsed Piles can be painful, they are usually treatable. Promptly responding to symptoms is key, as treatment is generally easier and less painful when the Piles have not enlarged significantly. If you have experienced one or more Piles in the past, it is important to discuss lifestyle changes with your doctor. These changes may include dietary adjustments, weight loss strategies, and preventive measures to reduce the likelihood of future Piles problems.

In Conclusion

Prolapsed Piles can cause significant discomfort, but there are various treatment options available. Identifying the symptoms early and seeking medical help can lead to effective management and relief. Remember to consult a healthcare professional for a proper diagnosis and personalized treatment plan. By following self-care measures and considering appropriate medical interventions, you can alleviate symptoms, promote healing, and improve your overall well-being.