Piles

Piles Treatment: Causes, Symptoms, and Best Treatment Options

Piles, also known as hemorrhoids, are swollen veins in the lower rectum and anus. They can cause pain, discomfort, bleeding, and itching, making daily life difficult. While piles are a common condition, they often go untreated due to embarrassment or lack of awareness. However, early diagnosis and proper treatment can help prevent complications and provide lasting relief.

In this article, we will discuss the causes, symptoms, and the most effective treatment options for piles.

What Are Piles?

Piles are inflamed or swollen blood vessels in and around the anal region. They can be classified into two main types:

  1. Internal Piles – Found inside the rectum and usually painless but may cause bleeding.
  2. External Piles – Located under the skin around the anus, leading to pain, swelling, and irritation.

In severe cases, piles can become thrombosed (clotted) or prolapsed, requiring medical intervention.

Causes of Piles

Several factors can contribute to the development of piles, including:

  • Chronic constipation or diarrhea – Straining during bowel movements increases pressure on rectal veins.
  • Low-fiber diet – Lack of fiber leads to hard stools and difficulty passing bowel movements.
  • Prolonged sitting – Sitting for extended periods, especially on the toilet, can increase pressure in the anal region.
  • Obesity – Excess weight puts pressure on the rectal veins.
  • Pregnancy – Increased abdominal pressure can lead to piles in pregnant women.
  • Aging – Weakening of tissues with age makes the veins more susceptible to swelling.
  • Heavy lifting – Frequent lifting of heavy objects can strain rectal veins.

Common Symptoms of Piles

The symptoms of piles vary depending on their severity and type. Common signs include:

Rectal bleeding – Bright red blood during or after a bowel movement.
Pain or discomfort – Especially while sitting or passing stools.
Itching and irritation – In and around the anal region.
Swelling or lumps – A lump near the anus, which may be sensitive or painful.
Mucous discharge – In some cases, a slimy discharge is present.

If left untreated, piles can lead to anemia, infections, and chronic pain, making early treatment essential.

Effective Piles Treatment Options

There are several treatment options for piles, depending on the severity of the condition.

1. Lifestyle and Dietary Changes

For mild cases, simple lifestyle modifications can help:

Increase fiber intake – Eat fruits, vegetables, whole grains, and legumes.
Stay hydrated – Drink plenty of water to soften stools.
Avoid straining – Do not force bowel movements.
Exercise regularly – Helps prevent constipation and improves digestion.
Maintain good hygiene – Keep the anal area clean and dry.

2. Medications and Home Remedies

For temporary relief, doctors may recommend:

Topical creams and ointments – Reduce pain, swelling, and itching.
Oral pain relievers – NSAIDs can ease discomfort.
Warm sitz baths – Sitting in warm water helps soothe irritation.

However, these treatments only manage symptoms and do not cure piles permanently.

3. Minimally Invasive Procedures

For moderate to severe cases, doctors may recommend non-surgical procedures, such as:

🔹 Rubber Band Ligation – A rubber band is placed around the hemorrhoid to cut off blood supply, causing it to shrink.
🔹 Sclerotherapy – A chemical injection shrinks the piles.
🔹 Infrared Coagulation (IRC) – Heat is used to shrink the affected veins.

These procedures are quick, effective, and require minimal recovery time.

4. Surgical Treatments for Severe Cases

If non-surgical treatments fail, advanced surgical procedures may be necessary, including:

🔹 Hemorrhoidectomy – Complete removal of hemorrhoids, recommended for severe cases.
🔹 Stapler Hemorrhoidopexy (MIPH) – A painless surgery using a stapler to reposition internal piles.
🔹 Laser Treatment for Piles – A modern, minimally invasive procedure that ensures quick recovery with less pain.

Laser treatment is highly effective, with minimal bleeding, faster healing, and reduced chances of recurrence.

Conclusion

Piles are a common but treatable condition, and seeking medical care early can prevent complications. Whether through lifestyle changes, medications, or advanced surgical treatments, relief is possible.

At Kolekar Hospital, we specialize in piles treatment in Chembur, offering advanced laser procedures and minimally invasive treatments for quick recovery. Our team of expert proctologists provides personalized care to ensure lasting relief from piles.

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Kidney

Kidney Dialysis: A Life-Saving Treatment for Kidney Failure

Kidney dialysis is a critical medical procedure that helps patients whose kidneys can no longer function effectively. When chronic kidney disease (CKD) or acute kidney failure progresses to an advanced stage, the body is unable to filter waste, excess fluids, and toxins. Dialysis steps in as an artificial filtration process, ensuring that patients maintain a proper balance of fluids and electrolytes.

In this article, we will explore the types of dialysis, who needs it, how it works, and what to expect from treatment

What is Kidney Dialysis?

Kidney dialysis is a treatment that performs the function of the kidneys when they fail. It removes waste, excess fluid, and toxins from the blood, helping to maintain a healthy balance of potassium, sodium, and bicarbonate levels.

Dialysis is not a cure for kidney disease, but it significantly improves quality of life and prolongs survival for patients with kidney failure.

Who Needs Dialysis?

Dialysis is required when kidneys lose about 85-90% of their function. Common conditions that lead to kidney failure include:

  • Chronic Kidney Disease (CKD) – Progressive loss of kidney function over time.
  • Diabetes – High blood sugar can damage kidney tissues.
  • High Blood Pressure (Hypertension) – Strains kidney function and leads to damage.
  • Polycystic Kidney Disease – Genetic condition causing cyst growth in kidneys.
  • Severe Acute Kidney Injury – Sudden kidney failure due to infections, trauma, or medication side effects.

Types of Kidney Dialysis

There are two primary types of kidney dialysis:

1. Hemodialysis

This is the most common type of dialysis, where a dialysis machine and artificial kidney (dialyzer) filter waste and excess fluids from the blood.

Procedure:

  • Blood is drawn from the body through a vascular access.
  • The dialyzer cleans the blood by removing toxins and excess fluid.
  • The filtered blood is returned to the body.

Frequency:

  • Typically 3 times a week, with each session lasting 3-5 hours.
  • Can be done in a hospital, dialysis center, or at home (home hemodialysis).

Pros:
✔ Effective in filtering blood.
✔ Can be done at a medical facility with supervision.

Cons:
✘ Requires frequent visits to the dialysis center.
✘ Risk of infection at the access site.

2. Peritoneal Dialysis (PD)

Peritoneal dialysis is an alternative that allows treatment at home. It uses the body’s peritoneal membrane in the abdomen to filter blood.

Procedure:

  • A special dialysis fluid is introduced into the abdomen through a catheter.
  • The fluid absorbs waste and excess fluid.
  • After a few hours, the fluid is drained and replaced with fresh solution.

Types of Peritoneal Dialysis:

  • Continuous Ambulatory Peritoneal Dialysis (CAPD) – Done manually 4-5 times daily.
  • Automated Peritoneal Dialysis (APD) – A machine cycles the fluid overnight while the patient sleeps.

Pros:
✔ Can be done at home or while traveling.
✔ No need for regular hospital visits.

Cons:
✘ Higher risk of peritoneal infections.
✘ Requires patient responsibility and discipline.

Choosing the Right Dialysis Option

The choice between hemodialysis and peritoneal dialysis depends on:

  • Medical condition and overall health
  • Lifestyle preferences (home vs. center-based treatment)
  • Doctor’s recommendation
  • Availability of support from family or caregivers

For patients with severe conditions, a kidney transplant may be considered as a long-term solution instead of lifelong dialysis.

Living with Dialysis: What to Expect

While dialysis sustains life, it does require adjustments to daily routines. Here’s what patients should be mindful of:

1. Diet and Fluid Intake

  • Limit sodium, potassium, and phosphorus intake to reduce strain on the kidneys.
  • Control fluid intake to prevent swelling and high blood pressure.
  • Eat protein-rich foods to maintain muscle strength.

2. Managing Side Effects

Some patients may experience:

  • Fatigue or weakness due to fluid and electrolyte loss.
  • Low blood pressure (hypotension) during or after hemodialysis.
  • Cramps, itching, or nausea, which can be managed with medications and diet changes.

3. Emotional and Mental Health

Dialysis can be physically and emotionally challenging. Joining support groups, practicing stress management, and maintaining an active lifestyle can help improve mental well-being.

Conclusion

Kidney dialysis is a life-saving treatment that helps patients with kidney failure maintain a healthy and active life. Whether through hemodialysis or peritoneal dialysis, the right treatment plan ensures effective waste removal and improves overall well-being.

At Kolekar Hospital, we provide advanced kidney dialysis in Chembur, ensuring expert care, state-of-the-art facilities, and a compassionate approach. Our specialized nephrologists and dialysis team offer personalized treatment plans to help patients lead a healthier life.

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General surgery

Pilonidal Sinus Surgery: Causes, Symptoms, and Treatment Options

A pilonidal sinus (PNS) is a small tunnel or cyst that forms near the tailbone at the top of the buttocks. This condition often develops due to ingrown hairs, friction, or prolonged sitting, leading to infection and discomfort. If left untreated, a pilonidal sinus can become painful, swollen, and filled with pus, requiring medical intervention. In severe cases, pilonidal sinus surgery is the most effective treatment to prevent recurrence and complications.

Pilonidal Sinus Surgery hospital in Chembur

What Causes a Pilonidal Sinus?

A pilonidal sinus is primarily caused by hair penetration into the skin, leading to inflammation and infection. Several factors contribute to its development, including:

  • Excessive hair growth in the buttock area
  • Prolonged sitting or sedentary lifestyle
  • Obesity or poor hygiene
  • Repeated friction and sweating
  • Family history of pilonidal disease

Symptoms of Pilonidal Sinus

The symptoms of a pilonidal sinus vary depending on the severity of the infection. Some common signs include:

  • Pain and swelling near the tailbone
  • Redness and warmth around the affected area
  • Pus or blood drainage from an opening in the skin
  • Foul-smelling discharge
  • Fever and fatigue (in severe cases)

If these symptoms persist, seeking medical attention is crucial to prevent further infection and complications.

Diagnosis of Pilonidal Sinus

A pilonidal sinus is diagnosed through a physical examination by a specialist. In cases of deep infection, imaging tests like ultrasound or MRI may be recommended to assess the extent of the condition.

Treatment Options for Pilonidal Sinus

The treatment approach for a pilonidal sinus depends on the severity of the condition.

1. Conservative Treatment (For Mild Cases)

  • Antibiotics to control infection
  • Warm compresses to reduce swelling
  • Regular hair removal in the affected area to prevent recurrence

2. Drainage and Incision

For an infected pilonidal cyst, doctors may perform a small incision to drain pus and relieve pain. However, this is a temporary solution, and recurrence is common.

3. Pilonidal Sinus Surgery (Definitive Treatment)

For recurrent or severe pilonidal sinuses, surgical removal is the most effective treatment. There are different types of surgeries:

A. Excision and Open Healing

  • The sinus is completely removed, and the wound is left open to heal naturally.
  • Healing takes longer but reduces recurrence risk.

B. Excision with Primary Closure

  • The sinus is removed, and the wound is stitched closed.
  • Healing is faster, but the recurrence rate may be higher.

C. Laser Surgery

  • A minimally invasive approach using laser technology.
  • Faster recovery and lower recurrence risk.

D. Flap Surgery (For Complex Cases)

  • Involves reconstructive techniques to cover the surgical site.
  • Recommended for patients with multiple or chronic sinuses.

Post-Surgery Recovery and Care

After pilonidal sinus surgery, proper wound care and hygiene are essential for smooth healing and to prevent recurrence. Key post-surgery care tips include:

  • Keep the surgical area clean and dry
  • Avoid prolonged sitting for extended periods
  • Regular hair removal (shaving or laser hair removal)
  • Follow up with your doctor for wound inspection

Conclusion

A pilonidal sinus can cause significant pain and discomfort, affecting your daily activities. If conservative treatments fail to provide relief, pilonidal sinus surgery is the best option for permanent resolution.

At Pilonidal Sinus Surgery Hospital in Chembur, we offer advanced surgical treatments, including laser and minimally invasive procedures, to ensure faster recovery and minimal recurrence. Our expert surgeons provide personalized care to help you regain comfort and confidence.

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