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Hemorrhoids (Piles)

Diagram of Hemorrhoids

Hemorrhoids, or piles, are very common. This uncomfortable situation happens frequently in pregnancy and they may not go away until several weeks postpartum. Straining on the toilet also causes piles. Internal piles appear around the beginning of the anal canal while external piles occur at the opening and may protrude outside the anus.


Symptoms may include constipation, straining during bowel movements, a little bleeding on stool, a feeling of incomplete evacuation, pruritus, prominent bleeding, a mass, thrombosis with severe acute pain, an inability to clean after a bowel movement, ulceration and possible strangulation of the hemorrhoid. They may feel itchy or painful with burning. Sitting becomes very uncomfortable.


Piles occur when there is too much pressure on the rectum, forcing the blood to stretch the walls of the veins, causing bulging. Sometimes the vessels rupture. They are also are caused by heavy lifting, severe coughing, diarrhea, constipation, sitting on the toilet for extended periods of time, straining with bowel movements, constant sitting and pregnancy. Diet plays an important part in keeping piles at bay - eating enough roughage and drinking enough water to keep stools from getting too hard is very important, not only for this ailment but also for your overall general good health.


Seek treatment when they become uncomfortable. Severe cases may need medical treatment or possible excision.

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