People suffering from discomfort and pain due to piles often suffer in silence thinking that the condition will disappear on its own. But this is just a misconception as the symptoms may last very long. Some people think of it as an embarrassment and therefore shy away from going to doctors.
In most of the cases, piles can be treated self-treated at home but the piles do not respond to the treatments at home and the condition gets worse in that case doctors help is needed. Before going to the doctor, a person should clean the affected area and should not apply any ointment or cream.
To know the extent of piles, doctors for physical examination. The patient lies down, and the doctor examines the outside area of the anus to check the presence of any external piles and infection.
If the piles are not externally visible, doctors go for a rectal exam. During this process, the doctor inserts a gloved, lubricated finger in the anus to check for any extra masses and piles. A doctor may also use a proctoscopy or sigmoidoscopy to observe the lower part of the colon. The bleeding symptoms are also checked in this procedure. In some cases, the rectal exam may be uncomfortable or painful.
Medication: In case of mild conditions, doctors may prescribe anesthetic creams, painkillers, stool softeners or over-the-counter pads. Products containing witch hazel, lidocaine or hydrocortisone may also be given to the patient for relief from pain, discomfort, and itching. Doctors are likely to ask for follow-ups.
Surgery: If any cases of extra masses are observed during examination doctor may refer you to a general surgeon for the removal of piles by the operation.
Thrombectomy: It is done in case of clot formation beside pile in the rectum. Doctors drain the clot by making an incision. It usually provides instant relief.
Rubberband procedure: This technique is also known as banding in which a rubber band is placed at the base of piles that automatically cuts off within seven to ten days due to blood circulation. This technique involves the risk of bleeding for a few days after treatment and may leave a scar at a place from where it falls off.
Sclerotherapy: In this procedure, a chemical solution is injected in the blood vessel to shrink the size of piles. This process may cause inflammation. This is a simple procedure that can be done at home, and a person can perform regular daily activities.The only adverse effect of this process is that it works temporarily and the piles may appear again