Understanding Piles: Insights from Dr. Karan R. Rawat, Piles Specialist and Surgeon
Piles, also known as hemorrhoids, are a common ailment that can affect anyone, but they are often shrouded in embarrassment and misunderstanding. As a specialized surgeon in the field, I, Dr. Karan R. Rawat, aim to shed light on this condition, its causes, treatment options, and preventive measures.
What are Piles?
Piles are swollen veins in the lower rectum or anus, similar to varicose veins. They can be classified into two main types: internal and external.
- Internal Piles: These occur inside the rectum and are usually painless but can cause bleeding during bowel movements.
- External Piles: These develop under the skin around the anus and can be painful, particularly when irritated.
Causes of Piles
Piles can result from various factors, including:
- Chronic Constipation or Diarrhea: Straining during bowel movements can lead to the development of piles.
- Pregnancy: The increased pressure from the growing uterus can lead to swollen veins in the anal area.
- Obesity: Excess weight can place strain on the pelvic veins.
- Sedentary Lifestyle: Extended periods of sitting can contribute to poor circulation and hemorrhoid formation.
Symptoms to Watch For
It's essential to recognize the symptoms of piles, which may include:
- Bleeding during bowel movements
- Pain or discomfort in the anal area
- Itching or irritation around the anus
- A lump near the anus, which could be sensitive or painful
Diagnosis
If you experience any of these symptoms, it’s crucial to consult a healthcare professional. During the consultation, I perform a thorough examination and may recommend additional tests, such as an endoscopy, to determine the extent of the issue.
Treatment Options
Several treatment options are available, depending on the severity of the condition:
- Lifestyle Changes: Increasing fiber intake, staying hydrated, and exercising can significantly help manage and prevent piles.
- Medications: Over-the-counter creams and ointments can alleviate symptoms, while oral painkillers can provide relief.
- Minimally Invasive Procedures: Techniques like rubber band ligation, sclerotherapy, or infrared coagulation are effective for treating smaller piles.
- Surgery: In more severe cases, surgical options such as hemorrhoidectomy may be necessary to remove the affected tissue.
Prevention
Preventing piles involves several lifestyle adaptations:
- Diet: Incorporate more fiber-rich foods, such as fruits, vegetables, and whole grains.
- Hydration: Drink plenty of fluids to help soften stool and reduce straining.
- Regular Exercise: Engage in physical activity to improve circulation and maintain a healthy weight.
- Bowel Habits: Avoid prolonged sitting on the toilet and respond promptly to urges.
Conclusion
Piles are a common yet manageable condition. If you find yourself experiencing symptoms, don’t hesitate to reach out for professional help. Early intervention can lead to significant relief and prevent complications. As a dedicated piles doctor and surgeon, I am here to provide personalized care and support for your health journey.
Remember, taking the first step towards discussing your concerns can lead to effective treatment options and a better quality of life.



