### Understanding and Managing Hemorrhoids: Insights from Dr. Karan R. Rawat
Hemorrhoids, often known as piles, are swollen veins located in the lowest part of the rectum and anus. Interestingly, everyone has hemorrhoidal tissue, but not everyone experiences the symptoms associated with hemorrhoids, such as bleeding, itching, and discomfort. Hemorrhoids can be classified into two main types: internal and external. Understanding the differences between these types, their symptoms, and treatment options is crucial for effective management and relief. Dr. Karan R. Rawat, renowned for his expertise in managing such conditions, offers valuable insights into both.
#### Internal Hemorrhoids
Internal hemorrhoids lie inside the rectum and are not visible or palpable during an external examination. They are classified into four grades based on their severity and the extent of prolapse:
- **Grade I:** Hemorrhoids that bleed but do not prolapse.
- **Grade II:** Hemorrhoids that prolapse upon exertion or straining but retract spontaneously.
- **Grade III:** Hemorrhoids that prolapse upon exertion or straining and require manual repositioning.
- **Grade IV:** Hemorrhoids that are always prolapsed.
Symptoms of internal hemorrhoids can include painless bleeding during bowel movements, itching, and irritation. In some cases, when there is a prolapse, there can be discomfort and pain.
#### External Hemorrhoids
External hemorrhoids are under the skin around the anus. When irritated, external hemorrhoids can itch or bleed. They can cause significant discomfort, especially when sitting. Thrombosis of an external hemorrhoid causes an anal lump that is very painful and often requires medical attention.
#### Treatment Insights by Dr. Karan R. Rawat
Dr. Karan R. Rawat emphasizes the importance of a tailored treatment approach based on the type and severity of hemorrhoids. For many patients, lifestyle changes such as increased fiber intake, hydration, and regular exercise can significantly reduce symptoms.
For more advanced or persistent cases, Dr. Rawat may recommend one of several minimally invasive procedures:
- **Rubber band ligation** is effective for internal hemorrhoids. It involves placing a rubber band around the base of the hemorrhoid inside the rectum to cut off its circulation, causing it to wither and fall off.
- **Sclerotherapy** involves injecting a chemical solution into the hemorrhoid tissue to shrink it.
- **Infrared coagulation** uses infrared light to cause scar tissue, which cuts off the blood supply to the hemorrhoid, causing it to shrink.
In severe cases, particularly for Grade III and IV internal hemorrhoids or when conservative measures and minimally invasive procedures fail, surgical options such as hemorrhoidectomy or hemorrhoidopexy might be considered. Dr. Rawat’s expertise in advanced surgical techniques ensures that patients receive the most appropriate and effective treatment for their condition.
#### Preventative Measures and Lifestyle Modifications
Dr. Rawat advocates for preventative measures and lifestyle modifications to avoid the development or exacerbation of hemorrhoids. These include maintaining a healthy diet rich in fiber, staying hydrated, exercising regularly, avoiding straining during bowel movements, and responding promptly to the urge to defecate.
#### Conclusion
Dr. Karan R. Rawat's approach to treating hemorrhoids highlights the importance of individualized care plans. By distinguishing between internal and external hemorrhoids and understanding their specific treatment needs, Dr. Rawat ensures that patients receive the most effective interventions. His commitment to both minimally invasive techniques and preventative care provides those suffering from hemorrhoids with a comprehensive strategy for relief and recovery..0
| Tags: | #bawaseer ka ilaaj , #piles doctor, #piles surgeon , #proctologist |
