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Hemorrhoids (also known as piles) are when the veins around the anus and rectum become swollen and inflamed. There are several reasons why hemorrhoids might develop, such as pregnancy or aging, constipation, or other bowel problems. Hemorrhoids or piles treatments include over-the-counter creams and suppositories to relieve pain and itching; warm soaks to help reduce swelling; topical medications to shrink the hemorrhoid tissue; stool softeners to prevent further straining when having a bowel movement, and fiber supplements to add more bulk to the stools. In severe cases, surgery may be necessary. Before starting any hemorrhoid treatment, it is essential to discuss your condition and its causes with a doctor. A doctor will inform you about which medication best suits your condition and lifestyle and how long the medication should take to relieve painful symptoms. Let’s know about piles and what questions you must ask your doctor.
Here are several questions that you should ask your doctor before starting any hemorrhoid medication:
1. What type of hemorrhoids do I have?
There are three primary types of hemorrhoids, internal, external, and prolapsed. Internal hemorrhoids occur inside the anus, external affect just outside the opening to the anus, and prolapsed or strangulated hemorrhoids are those that stick out from your body.
2. How soon will my piles start feeling better after treatment starts?
Some people feel improvement right after starting medication, but others must wait until their condition worsens before seeing progress. It usually takes about eight weeks for the best results to be achieved.
3. What can I do at home to help my treatment work better?
Your doctor may recommend certain things you can do at home to relieve discomfort while waiting for medications to take effect or speed up the healing process. These might include using an ice pack, taking a sitz bath, or increasing fiber in your diet.
4. What are the possible side effects of this medication?
All medications can have potential side effects, and hemorrhoid medications are different. Ask your doctor what you can expect in terms of side effects and manage them if they occur.
5. When is surgery necessary for hemorrhoids?
Some people with hemorrhoids may require surgery to remove the hemorrhoidal tissue, but not everyone does. Your doctor will tell you if surgery is necessary in your case and when it would be most beneficial.
6. Are there any long-term complications associated with haemorrhoids?
There is no evidence that hemorrhoids cause any long-term health problems. Still, it is always a good idea to ask your doctor about any potential risks associated with the condition.
7. How often should I check in with my doctor for follow-up care?
Your doctor will likely want to see you for follow-up care at regular intervals, depending on the severity of your hemorrhoids and the medication you are taking.
8. Can I use over-the-counter medications if I’m also taking prescription medication for my piles?
Some over-the-counter medications may interfere with prescription medications, so it is important to check with your doctor before using them.
9. When can I stop taking this medication?
If you are experiencing relief from your symptoms, it is likely safe to reduce the amount of time you take medication or stop taking it altogether. This should only be done under doctor supervision, however.
10. Do I need any other medications or products to control my condition?
Your doctor may recommend adding specific lifestyle changes to your hemorrhoid treatment plan, such as limiting naps and sitting for long periods, changing your diet, or taking fiber supplements. These recommendations will depend on the type of hemorrhoids you have and how severe they are.
11. What natural remedies can help me manage my symptoms?
Many home remedies may help relieve pain and discomfort caused by hemorrhoids, including witch hazel, coconut oil, aloe vera, and Epsom salt baths. Ask your doctor if any of these might be helpful for you.
12. How are hemorrhoids diagnosed?
Types of hemorrhoids are mainly diagnosed through the patient history, physical exam, and lab tests. Your doctor will likely perform a digital rectal exam to see if you have external or internal hemorrhoids and check for signs of anal fissure, abscesses, or fistulae.
13. What is Hemorrhoidectomy? Is it important?
Hemorrhoidectomy is an operation used to remove hemorrhoidal tissue that cannot be treated with medication or other therapies. This surgery only removes the swollen veins in your anus and does not alter any nearby muscles. Lifestyle changes may still be necessary after this procedure to prevent future problems from developing.
14. How are external piles treated?
External piles are typically treated with topical ointments or medications used at home. Most of these products contain ingredients that shrink swollen tissues in the area to relieve pain and discomfort.
15. How are internal piles treated?
Internal hemorrhoids may require more aggressive treatment since they cannot be seen, felt, or treated with over-the-counter medications. Internal hemorrhoids can be removed surgically through a procedure called “hemorrhoidectomy,” which eliminates abnormal tissue inside your anus. In other cases, lasers or electricity can shrink enlarged veins, so less invasive surgery is needed later on if symptoms return.
16. How serious are hemorrhoids?
While hemorrhoids are not life-threatening, they can be very uncomfortable and require treatment to alleviate symptoms. It is essential to seek medical attention if you are experiencing any pain, bleeding, or other problems with your hemorrhoids.
17. I am embarrassed to see my doctor about this problem. What can I do?
Many people feel embarrassed about their hemorrhoids, but it is essential to remember that your doctor is there to help you and has seen many patients with this condition. You can discuss all of your concerns with your doctor, and they will be able to provide the best treatment plan for you.
18. Can pile go away without treatment?
In some cases, hemorrhoids may resolve on their own without any treatment. If your symptoms are mild, you may want to consider avoiding treatment and letting the condition improve on its own.
19. What causes piles?
Piles are caused by increased pressure in your lower abdomen or anus due to difficult bowel movements or constipation. Here are the leading causes of piles:
1. Straining during bowel movements
2. Pregnancy
3. Chronic constipation
4. Hemorrhoids in your family
5. Sitting or standing for long periods, especially if you do not exercise regularly
20. What are the risk factors?
Hemorrhoids can affect anyone, but certain factors may put you at a higher risk of developing piles, including:
• Straining during a bowel movement due to constipation, diarrhea, or hard stools
• Chronic diseases such as heart disease, high blood pressure, and diabetes
• Obesity
• Pregnancy
• Heavy lifting or strenuous physical labor
• Prolonged sitting or standing
21. Is there anything I can do to prevent piles?
There are a few lifestyles changes you can make to prevent hemorrhoids from developing:
1. Drink plenty of water throughout the day, especially if you’re constipated
2. Exercising regularly may help decrease your risk for piles and other health conditions such as heart disease and diabetes
3. Avoiding straining during bowel movements and adjusting your diet according to any doctor’s recommendations can also help relieve constipation and prevent piles from returning
4. Avoid prolonged periods of sitting or standing as much as possible, including long drives or flights where you will be sitting for several hours at a time
5. If you have a chronic condition such as heart disease, high blood pressure, or diabetes, ask your doctor about a referral to a specialist that can help with your symptoms and provide additional advice on how to handle these conditions more effectively.
22. How is haemorrhoid treated? Here are some ways to treat your hemorrhoids:
 1. Medications - Over-the-counter topical medications may be prescribed to shrink hemorrhoids or relieve any discomfort. Your doctor can also prescribe medications to stop bleeding if you are experiencing a lot of pain and blood loss.
 2. Lifestyle changes- If your hemorrhoids keep coming back, some lifestyle changes may help. For example, eating more fiber from fruits and vegetables may help with constipation that leads to hemorrhoid flare-ups
 3. Surgery - In severe intestinal or anal piles cases, surgery may be recommended to remove the affected tissue. This is the last resort for most people, as surgery can be expensive and carries some risks.
4. Home remedies -Â Several home remedies can relieve the symptoms of hemorrhoids, including sitz baths, ice packs, and over-the-counter topical medications or ointments. Talk to your doctor before trying any home remedies to ensure they are right for you.
 5. Exercise - Regular exercise such as walking or swimming can keep your body healthy and improve circulation throughout your body, which may help reduce the risk of developing piles
 6. Diet – Eating a healthy diet rich in fiber, fruits and vegetables can help promote regular bowel movements and reduce constipation and straining during bowel movements
 7. Sitz bath – Regularly soaking your anal area in warm water for 15-20 minutes after bowel movements can provide relief from pain and itching
 8. Creams – Applying a topical cream or ointment to the affected area can help reduce inflammation and pain
 9. Witch hazel – Soaking a cotton ball in witch hazel and applying it to the anal area can help soothe irritation
 10. Hydrocortisone cream – Applying a hydrocortisone cream to the affected area can reduce inflammation and swelling.
No single treatment is best for everyone with piles. Your doctor will help you choose the best treatment plan based on your situation and symptoms. If you are not happy with your current treatment plan, be sure to talk to your doctor about other options.
23. What are the long-term effects of haemorrhoids?
In most cases, hemorrhoids will improve over time without any long-term effects. However, suppose you are not treating the condition or severe. In that case, it may lead to other problems such as anal fissures (tears in the skin around the anus) or fistulas (abnormal passages that connect one organ to another). In sporadic cases, hemorrhoids may also lead to cancer of the rectum. It is essential to seek treatment for hemorrhoids if they are causing you pain or bleeding to avoid these more serious complications.
24. Is it possible for my piles to go away without treatment?
Internal hemorrhoids cannot improve without treatment because they do not have a direct blood supply and rely on surrounding tissues for nutrients and support. Without treatment, the hemorrhoids may prolapse (fall out of the rectum) or thrombose (a blood clot forms). External haemorrhoids may improve independently but often cause symptoms such as pain, itching, and bleeding. If you are not experiencing any symptoms, it is possible to wait and see if they go away on their own, but be sure to consult with your doctor if they do not improve within a few weeks.
25. What are some risks associated with piles surgery?
Any surgery carries risks, including infection, excessive bleeding, and scarring. There is also a minimal chance that the piles may recur after surgery. Talk to your doctor about the risks and benefits of surgery before making a final decision.
26. Can I take homeopathic treatment for piles?
Yes, you can consider taking homeopathic treatment for piles. However, it is important to consult with a homeopath before starting any treatment to ensure it is right for you. Homeopathic remedies are typically very safe and may help reduce the symptoms of haemorrhoids.
27. What are the benefits of using the homeopathic treatment for piles?
Homeopathic treatment for piles can provide relief from the symptoms of haemorrhoids, including pain, itching, and bleeding. It may also help reduce inflammation and swelling. Homeopathic remedies are typically very safe and may be helpful for people who do not respond to other treatments.
28. Can I avoid surgery by using the homeopathic treatment for piles?
Since homeopathic remedies do not contain any active ingredients and only contain natural substances that stimulate the body to heal itself, there is no reason why they cannot be used as an alternative to surgery. However, if you do not experience any relief from your symptoms after using a homeopathy remedy for several weeks, you should consult your doctor about other treatment options.
29. How soon will I feel better when taking homeopathic treatment for piles?
Homeopathy doctor works differently for everyone. Some people may feel better after taking a homeopathic remedy for a few days, while others may take longer to see results. It is important to continue taking the treatment until you feel better and then stop taking it so that the body does not become accustomed to it. If your symptoms do not improve after using a homeopathic remedy, consult your doctor about other treatment options.
When to visit the doctor for piles?
Enlarged or bleeding haemorrhoids may require additional treatment to control symptoms. If you are experiencing any of these problems, it is important to see your doctor to recommend the best course of action. You should schedule an appointment with your doctor if:Â
1. You have bleeding during or after bowel movements.
2. You have prolapsed haemorrhoids – haemorrhoids that protrude from the anus.
3. Your symptoms are not improving after using over-the-counter medications or lifestyle changes.
4. You experience pain, itchiness, or burning sensations around your anus.
5. You develop a fever.
6. You have trouble passing stool even after increasing your fiber intake and drinking plenty of fluids.
7. You have other associated medical problems like Crohn’s disease or colitis.
So, you must visit your homeopathy doctor for piles and get proper treatment. You can book an appointment with a homeopathy doctor through OHO homeopathy and consult them if you are not satisfied with the treatment.