Raj Bhutiani - Consultant General and Ambulatory Surgeon

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ADULTS

EXTERNAL PILES

Is a name given to a small, but very painful clot on the anal verge.
It is also used by people to describe skin tags in the edge of the anus.

How do I know if I have piles?

Common symptoms are:
Bleeding from back passage at the end of a bowel movement
Itching around the anus
Discomfort after opening bowels
Mucus discharge
Something protruding out of the anus

IT IS IMPORTANT NOT TO IGNORE PILES PARTICULARLY BLEEDING FROM THE BACK PASSAGE PARTICULARLY IF YOU ARE OVER 40 YEARS OF AGE, HAVE A FAMILY HISTORY OF BOWEL CANCER

It is safer to seek help from your doctor or a specialist.

Treatments:

Small internal piles can get better by regulating diet and ensuring a regular soft bowel movement.
Internal piles, which bleed, can be injected by chemical solution to shrink
If they are 1st/2nd degree piles a band can be applied (banding) to them to cut of the blood supply and allow them to drop of.
Cryotherapy uses cold to freeze the piles
Surgery (Haemorrhoidectomy) is best for 3rd and 4th degree piles.

Procedures

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