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Dr. Harsh Kumar
|Hospital / Clinic
Tarini’s Healthcare, Chandigarh
|Watch Full Interview on Youtube
Link to Full Interview
|Listen to Interview on Podcast
|Link for podcast
Dr. Harsh Kumar – Piles is something we all have as a natural part of our bodies. They are not a disease, but an integral part of our anatomy. You are born with piles. Piles, or hemorrhoids, are essentially blood vessels located approximately six centimeters above your anal opening. They are there for all of us. So, piles are not a disease.
Dr. Harsh Kumar – Treatment is required only when they abnormally enlarge. If they grow excessively in size, then treatment becomes necessary. “Khooni bawaseer” is just a different name for the same thing, which is piles.
Dr. Harsh Kumar – Certainly! Painless bleeding is a common symptom of piles. Have you ever experienced a situation where you go to pass stool, and you’re surprised to see fresh blood? This is an early sign of piles. Initially, there’s no pain, no discomfort, just unexpected bleeding.
Dr. Harsh Kumar – I mentioned that piles are blood vessels, right? So, when these blood vessel walls become weak and swell up like balloons, they tend to bleed when you pass stool. This is common in the early stages. Typically, bleeding is the most common symptom for simple piles. However, itching can also occur in some cases. These are the common symptoms associated with piles.
Dr. Harsh Kumar – Meenakshi, the actual cause of piles is not definitively known. There is no proven theory that explains why some people develop piles. However, genetics play a significant role. Piles tend to run in families. Other factors can include excessive straining during bowel movements, constipation, or a diet high in spicy foods.
Dr. Harsh Kumar – We’ve seen that individuals involved in strenuous activities, such as marathon runners or those who have to stand for long periods, can also develop piles. But the fundamental cause of piles, the one that we can avoid to manage it, has not been conclusively identified in any research yet.
Dr. Harsh Kumar – That’s a very important point, Meenakshi. There’s often a social stigma associated with piles, and people can be hesitant or embarrassed to talk about it. But one key thing to remember is that any kind of bleeding from our body is a reason for concern.
Dr. Harsh Kumar – If bleeding persists, it’s essential to consult a doctor. Bleeding from the rectum can be caused by various conditions, including cancer. So, if bleeding persists or if you notice other alarming signs such as unexplained weight loss, loss of appetite, or changes in bowel habits, it’s crucial to seek medical attention. Early detection and diagnosis are essential.
Dr. Harsh Kumar – Certainly. The first step in treatment is to diagnose piles correctly. As piles are situated about six centimeters above the inner opening of the anus, they can’t be diagnosed through history alone. You can’t diagnose piles by just looking at the symptoms or without a proper examination.
Dr. Harsh Kumar – To diagnose piles, a doctor typically uses a proctoscope, which is like a hollow tube with a camera attached. This helps visualize the piles. Once diagnosed, the doctor can determine the grade or stage of the piles. There are various grades, and depending on the grade, there are different treatment options. Medical management can be suitable for many patients, and it aims to reduce swelling and strengthen blood vessel walls.
Dr. Harsh Kumar – For more advanced stages, surgery may be required. Medical management can help control bleeding and alleviate symptoms. It’s important to note that piles don’t naturally regress over time; they typically progress from one grade to another. Medical management can halt or control the progression. So, there’s no need to panic, and piles can be managed. However, if bleeding is profuse or if you experience any other alarming symptoms, consulting a doctor is essential.
Dr. Harsh Kumar – My pleasure, Ma’am. Thank you so much. Thanks a lot.
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