What do we know about Haemorrhoids?
Haemorrhoids are commonly known as piles. It is defined as swollen enlargement of veinsorthat develop inside and around the anus and lower rectum.

Haemorrhoids are caused due to what reasons?
Prolonged constipation
Diarrhoea
Low-fibre diet
Overweight
Pregnancy
Anal intercourse
Family history
Lifting of heavy objects (Daily)
Persistent cough
Poor posture
Vomiting (more often)
Spinal cord injury
Long sitting hours
Old age people

What are the types of Haemorrhoids?

External haemorrhoids
These lie under the anal skin, blood can clog inside and form a clot, which creates severe pain, swelling or inflammation.

Internal haemorrhoids
Internal haemorrhoids are present inside rectum, which can’t be touch or see. Straining or Irritation can cause pain or irritation.

Classification of Haemorrhoids on the bases of size?
Haemorrhoids are classified on their size bases:

First degree haemorrhoids
It remains in rectum, associated with less pain and bleeding while passing stool.

Second degree haemorrhoids
By passing stool it bleeds and prolapse down through anus but retain back to the same position after stool.

Third degree haemorrhoids
It needs to push back into anus manually after stool. They are painful.

Fourth degree haemorrhoids
They prolapse out through anus permanently and can not retain back after stool. It consist of clotted blood and large lumps which are very painful.

What are the symptoms of Haemorrhoids?
Anal Itching
Pain during and after stool
Anal irritation
Discomfort
Bleeding
Painful lumps around anus
Anal area Swelling

How to diagnose Haemorrhoids?
Digital rectal examination
Proctoscopy

What are the Self-management to avoid Haemorrhoids?
Drink plenty of water
Regular exercise
Avoid constipation
Fresh fruit and vegetables
Wholegrain breads and cereals
Nuts and seeds
Pulses
Maintaining a healthy weight
Avoid straining at the toilet
Avoid caffeine or alcohol
Avoid painkillers
Give warm water application
Using stool softeners
Clean anal area by bathing daily
Using moist or wet toilet paper
Avoid applying ice packs or cold compresses
Go to toilet as soon as feel the urge
lose excess weight
Avoid long sitting hours