Piles Treatment in Bangladesh (Haemorrhoids)
Piles or haemorrhoids are one of the most common diseases in Bangladesh. They are blood-filled anal
cushions.
Everyone is born with piles, which help maintain continence and prevent leakage of stool from the
anal canal.
Who Gets Piles?
Piles can occur at any age but are most common in young adults. They are rare in infants and
children.
Who Is At Risk?
- People who are overweight
- During pregnancy
- People who eat a low-fibre diet
- People with long-term constipation or diarrhoea
- People who lift heavy objects
- People who sit on the toilet for long periods
- People who strain during defecation
Types of Haemorrhoids
- External: Swelled skin around the anal canal. Usually does not bleed but may
become painful (thrombosed haemorrhoids). Usually no treatment is required.
- Internal: Swellings coming out of the anal canal. Usually bleeds. Requires
treatment.
Symptoms of Internal Haemorrhoids
- Fresh painless bleeding, usually drop by drop
- An external swelling may be felt, which may or may not reduce
- Sometimes itching or discomfort
Investigations
- Digital rectal examination
- Proctoscopy
- Colonoscopy
Treatment
- Lifestyle Modifications:
- Drink more water
- Ispagula husk
- Increase fibre intake – fruits and vegetables
- Lose weight
- Regular exercise
- Do not sit on the toilet for long periods
- Medications:
- Diosmin + Hesperidin
- Topical ointments
- Stool softeners
- Surgery: when conservative treatment fails
- Open haemorrhoidectomy
- Rubber ring ligations
- Longo operations
- Laser operations