Haemorrhoids are actually vascular structures in your body which get inflamed and are known as piles. The name of the disease is piles, wherein the vascular structures in the anal canal become swollen on inflamed and cause discomfort or bleeding. These vascular structures or veins in the anal canal usually help in the smooth movement of the bowel.


It is important to know that these veins are very thin and extremely sensitive. That is why when they swell up, they can cause a lot of discomfort and pain during defecation. There are two types of Haemorrhoids – internal and external.


*Internal Haemorrhoids are usually not visible and do not cause any major discomfort. The only sign is bleeding without discomfort.


*External Haemorrhoids are usually present in the anus. They tend to hurt and bleed a lot, especially during defecation.


Cause of Haemorrhoids The digestive system begins with the mouth and is followed by the pharynx, the oesophagus, and the intestine, which is divided into two major sections: the small intestine and the large intestine. In the small intestine, there is an enormous number of tiny projections called villi, which absorb the end products of digestion. The large intestine is mostly used to store faeces or waste, undigested food or to be expelled material from our body. This is then eliminated through the anus through our faeces. Healthy large intestines are designed to hold our faecal material and expel them quickly and efficiently. Many times, there are infections or subclinical infections because of undigested food in large intestines, causing it to swell. This swelling stays forever because the reasons for the swelling continue, intentionally or unintentionally. This swelling inside and around the back passage (anus) and the anal canal is known as Piles (Haemorrhoids). There are a number of small veins which are blood vessels within the lining of the anal canal. With the swelling, they may rupture and cause bleeding while passing stool. Modern medicine associate with prolonged conditions increases pressure on the anal canal.


These conditions are listed as:


·        Constipation

·        Diarrhoea

·        Inconsistent bowel movements

·        Straining during defecation


Chronic cough Common Symptoms found in patients with piles:


·        Irregular defecation patterns

·        Irregular sleeping patterns

·        Late food timings

·        Unhealthy diet

·        Incomplete sleep

·        Stress


·  Skipping meals Due to irregular food habits and defecation timings, there is stress in the colonic area which tends to accumulate over a period of time. Irregular to incomplete defecation tends to cause damage to the vascular structures in the anus. This causes an increase in pressure in the region due to which there is inflammation. Because the veins in the region are so sensitive, they burst often and cause bleeding. Thus it was observed that piles were a lifestyle disease.


How Piles Develops Overtime An increased pressure due to swelling in and around the back passage (anus) and anal canal (end of large intestines) is the main reason for Piles. Certain situations increase the chance of piles developing:


·  Constipation or unable to clear bowel movements in an easy and quick manner and straining at the toilet. These increase the pressure in and around the veins in the anus and seem to be a common reason for piles to develop. This is the result of weakened intestines as a weak intestine cannot evacuate itself fully and sufficiently. So, prolonged constipation causes further stress on an already weak intestinal system, thus inviting Piles or such other problem.


· Sedimentary lifestyle Modern lifestyle with lack of physical work or exercise, not eating on time, not sleeping on time or lack of adequate sleep can cause the problem.


· Fast foods, lack of fibre Fast foods, reheated foods, Sugary foods are harmful and are devoid of adequate fibre, fruits, thus weaken the health of the intestines.


Hereditary factors Some people may inherit a weakness of the wall of the veins in the anal region. Possibly a weak intestinal system is handed over as a hereditary factor or living & eating habits are passed on from generation to generation thus making it look like hereditary.


· Pregnancy Piles are common during pregnancy. This is due to pressure effects of the baby lying above the rectum and anus, and the effect that the change in hormones during pregnancy can have on the veins. But this is temporary and goes away after delivery. During this process, ensure that constipation does not take place, same logic as above applies here also.


·  Ageing The tissues in the lining of the anus may become less supportive as we get older. This is another sign of a weak intestinal system.


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