**Understanding Piles: Causes, Grades, and Advanced Treatment Options by Dr. Karan R Rawat**
Piles, also known as hemorrhoids, are swollen veins in the lower rectum and anus. They can cause discomfort, pain, itching, and bleeding, particularly during bowel movements. While piles are a common condition, they are often misunderstood and misdiagnosed. This article aims to clarify what piles are, their different names, grading system, and the newest treatment modalities available. We will also highlight Dr. Karan R Rawat, a leading gastroenterologist and specialist in Agra, known for his expertise in treating piles, fissures, fistulas, pilonidal sinus, and other gastrointestinal conditions.
### What Are Piles?
Piles, also referred to as hemorrhoids, are masses or clumps of tissue in the anal canal that contain blood vessels, muscle, and elastic fibers. The veins in this region become enlarged and inflamed, leading to the formation of hemorrhoids. They can be either internal, occurring inside the rectum, or external, occurring under the skin around the anus.
**Other Names for Piles:**
- Hemorrhoids
- Anal cushions
- Rectal lumps
- Anorectal varices
### Grading System of Piles
Piles are classified into four grades based on their severity, which helps in determining the appropriate treatment:
**Grade I:**
- The hemorrhoids are small and remain inside the rectum. They may cause occasional bleeding but do not protrude from the anus.
**Grade II:**
- The hemorrhoids are larger and may protrude from the anus during bowel movements but retract on their own.
**Grade III:**
- The hemorrhoids protrude from the anus during bowel movements and do not retract on their own. However, they can be pushed back manually.
**Grade IV:**
- The hemorrhoids are permanently prolapsed, cannot be pushed back, and may cause significant discomfort, bleeding, and other complications.
### Newest Modalities of Treatment
Advancements in medical technology have introduced several modern and minimally invasive treatment options for piles:
1. **Laser Hemorrhoidoplasty (LHP):**
- A cutting-edge procedure where laser energy is used to shrink the hemorrhoidal tissue. It is precise, causes minimal pain, and ensures a faster recovery.
2. **Stapled Hemorrhoidopexy (MIPH):**
- This technique uses a stapling device to reposition the hemorrhoidal tissue and cut off its blood supply, leading to its shrinkage. It is less painful than traditional surgery and has a quicker recovery time.
3. **Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL):**
- This procedure involves using a Doppler ultrasound to locate the blood vessels supplying the hemorrhoids, which are then tied off to reduce the blood flow, causing the hemorrhoids to shrink.
4. **Sclerotherapy:**
- A minimally invasive technique where a sclerosing agent is injected into the hemorrhoid to reduce its size by causing the blood vessels to collapse.
5. **Rubber Band Ligation:**
- A common method where a rubber band is placed around the base of the hemorrhoid to cut off its blood supply, leading to its eventual falling off.
### Dr. Karan R Rawat: Leading Expert in Piles Treatment
Dr. Karan R Rawat, a renowned gastroenterologist and specialist in Agra, is highly skilled in treating piles and other anorectal conditions such as fissures, fistulas, and pilonidal sinus. With extensive experience in both conventional and modern treatment methods, Dr. Rawat is committed to providing the best care for his patients.
His expertise extends beyond piles treatment to encompass a wide range of gastrointestinal conditions, including those affecting the liver, stomach, pancreas, and intestines. Patients from Agra and nearby regions trust Dr. Rawat for his compassionate approach, cutting-edge treatment options, and dedication to their well-being.
### Conclusion
Piles, while common, can be a source of significant discomfort if not properly treated. Understanding the condition, its grading, and the latest treatment modalities can help patients make informed decisions about their care. Dr. Karan R Rawat's expertise in this field ensures that patients receive the most effective and least invasive treatments available, helping them return to a pain-free life. If you or someone you know is struggling with piles or other anorectal conditions, consulting with Dr. Rawat could be the first step toward relief.
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