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piles surgeon

# Emerging Problem of Piles in India: An Insight by Dr. Karan R Rawat

Piles, also known as hemorrhoids, are becoming an increasingly common health issue in India. With changes in lifestyle, diet, and work habits, more people are experiencing this uncomfortable and often painful condition. Dr. Karan R Rawat, a renowned Gastroenterologist and Piles Specialist in Agra, sheds light on this growing concern and offers insights into effective treatment options.

## Understanding Piles

Piles are swollen blood vessels in the rectum and anus that can cause bleeding, itching, and discomfort. They are classified into two types:
- **Internal Piles:** Located inside the rectum, these usually do not cause pain but can lead to bleeding.
- **External Piles:** Found under the skin around the anus, these can be very painful and may bleed.

## Causes of Piles in India

Several factors contribute to the rising incidence of piles in India:

### 1. **Dietary Habits**
The traditional Indian diet, rich in spices and low in fiber, can lead to constipation, a major cause of piles. Increasing consumption of processed foods and low water intake further exacerbate the problem.

### 2. **Sedentary Lifestyle**
With more people working desk jobs and spending long hours sitting, the lack of physical activity is a significant risk factor for developing piles.

### 3. **Straining During Bowel Movements**
Chronic constipation and straining during bowel movements put pressure on the rectal veins, leading to the formation of piles.

### 4. **Obesity**
The prevalence of obesity in India is rising, and excess body weight increases the pressure on the pelvic veins, contributing to piles.

### 5. **Pregnancy**
Pregnant women are at higher risk due to the increased pressure on the rectal veins from the growing uterus and hormonal changes.

## Symptoms of Piles

The symptoms of piles can vary depending on the severity and type of hemorrhoid. Common symptoms include:
- Pain or discomfort in the anal region
- Itching or irritation around the anus
- Swelling or a lump near the anus
- Bleeding during bowel movements
- Leakage of feces

## Diagnosis and Treatment

Dr. Karan R Rawat emphasizes the importance of early diagnosis and treatment to prevent complications. Diagnosis typically involves a physical examination and may include procedures like a digital rectal exam or an anoscopy.

### Non-Surgical Treatments

For mild cases, lifestyle changes and non-surgical treatments can be effective:
- **High-Fiber Diet:** Incorporating fruits, vegetables, and whole grains to prevent constipation.
- **Hydration:** Drinking plenty of water to keep stools soft.
- **Exercise:** Regular physical activity to improve bowel function.
- **Topical Treatments:** Over-the-counter creams and ointments to reduce symptoms.

### Surgical Treatments

In severe cases, surgical intervention may be necessary. Dr. Karan R Rawat specializes in advanced surgical techniques for treating piles:
- **Rubber Band Ligation:** A rubber band is placed around the base of the pile to cut off blood supply, causing it to shrink.
- **Sclerotherapy:** A chemical solution is injected into the piles to shrink them.
- **Hemorrhoidectomy:** Surgical removal of large external or prolapsed internal piles.
- **Stapled Hemorrhoidopexy:** A procedure that uses a special device to remove a ring of tissue and lift prolapsed piles back into place.
- **Laser Surgery:** Minimally invasive laser treatment that reduces pain and recovery time.

## Prevention

Preventing piles involves adopting healthy lifestyle habits:
- **Eat a balanced diet rich in fiber.**
- **Stay hydrated by drinking plenty of water.**
- **Avoid prolonged sitting or standing.**
- **Exercise regularly.**
- **Avoid straining during bowel movements.**

## Conclusion

Piles are a growing problem in India, but with the right knowledge and timely intervention, they can be effectively managed. Dr. Karan R Rawat, with his expertise and advanced treatment options, offers hope and relief to those suffering from this condition. By raising awareness and promoting healthy habits, we can combat the rising incidence of piles and improve the quality of life for many.

For more information and consultation, visit Dr. Karan R Rawat at Safe Gastro and Surgery Center in Agra.

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