Dr.Ravi Prakash

Dr.Ravi Prakash DR.RAVI PRAKASH, MBBS, MS(gen surgery), FAGE, SURGEON AND COLO-PROCTOLOGIST HEMORRHOIDS
What are piles (hemorrhoids) ? What causes piles( hemorrhoids)? No.

SPECIALIZED IN TREATING-

GASTRIC PROBLEMS
PILES , FISSURES AND FISTULAS
INTESTINAL DISEASES AND IBS(IRRITABLE BOWEL SYNDROME)
COLON CANCER SCREENING

CONSULTATION :
· Consultation with our colo-proctologist
· Video endoscopy—as a screening procedure
· Day care procedures – for many ano-re**al problems
· Lady doctor available for female patients with prior appointment



Treatment : We customize treatment plan to each patient keeping in mind the type of disease, age ,duration of the illness , nature of work, intensity of the problem, etc , to get best results and for the convenience of the patient

We are specialized in treating irritable bowel disease by integrating Ayurveda and Allopathic system which has given excellent results. Piles(hemorrhoids) are enlarged, bulging blood vessels around the a**l ca**l and lower re**um. There are two types of piles;
external and internal, which refer to their location. EXTERNAL(outside) piles develop near the a**s and are covered by very sensitive skin. If a blood clot develops in one of them, a painful swelling may occur. Generally they do not produce any symptoms other than a clot in them. Very rarely an external pile may rupture and bleed profusely. Some times a fissure sitting over an external pile can also bleed profusely. INTERNAL PILES
Internal (inside) piles develop about an inch within the a**s beneath the lining of the re**al mucous. Painless bleeding while passing stools and protrusion are the most common symptoms. However, an internal pile can cause severe pain if it - protrudes from the a**l opening and cannot be pushed back inside. Internal piles are graded according to their severity into four grades. The upright posture of humans alone forces a great deal of pressure on the re**al blood vessels, which sometimes causes them to bulge. Other contributing factors include

genetic predisposition
constipation or diarrhea. Pregnancy
aging
Overuse of laxatives or enemas; straining at stools. Straining at stools regularly
Whatever the cause, the tissues supporting the blood vessels becomes weak. As a result, the blood - vessels dilate; their walls become thin and bleed. If the stretching and pressure continue, the weakened veins protrude. What are the symptoms? . If you notice any of the following, you may have piles( hemorrhoids):. Bleeding while passing stools. Protrusion while passing stools. Itching in the a**l area. Pain - only in advanced stages. Sensitive lump(s). Do piles leads to cancer ? There is no relationship between piles and cancer. However, the symptoms of piles, particularly bleeding, are similar to those of colo re**al cancer and other diseases of the digestive system. Therefore, it is important that all symptom are investigated by a specialist doctor trained in treating diseases of the colon and re**um. Do not rely on quacks(unauthorized and unqualified practitioners) or other self-treatments. How are piles(hemorrhoids) treated? Early grades of piles - do well if Straining at stools and constipation are relieved. Sitting in hot water bath or applying cold packs helps in reducing congestion . In cases of severe, persistent pain, due to a clot in the pile, your doctor may suggest to remove the clot with a small procedure. Performed under local anesthesia as an outpatient, this procedure provide immediate relief. Hemorrhoids require treatment depending on their severity and intensity of symptoms .Single important symptom which require attention is bleeding. sometimes they bleed so profusely, that it causes anemia. there are two types of treatment available.

1.NON OPERATIVE- i.e WITH OUT OPERATION

sclerotheraphy- injecting a medicine to the pile which blocks the blood vessels and stops bleeding
cryosurgery--an intense cold probe is applied to the pile which cause cold burn. Pile in seven days melts off
BANDING- A TIGHT BAND IS APPLIED TO THE HEMORRHOID WHICH FALLS OF IN 3- 7 DAYS TIME
IRC-CONCENTRATED INFRARED LIGHT IS APPLIED TO THE BLOOD VESSEL SUPPLYING THE PILE. IT BURNS THE VESSELS AND SHRINKS THE PILE
IN OUR CENTER IRC AND BANDING METHODS ARE USED TO TREAT PILES . THESE METHODS ARE EMPLOYED ACCORDING TO THE SEVERITY OF THE PILES TO GET THE BEST RESULTS.
2. OPERATIVE METHODS(Hemorrhoid);

>> Stapled- ALSO CALLED MIPH (minimally invasive procedure for hemorrhoids)
>> Classical hemorrhoid

Stapled hemorrhoidectomy: A disposable instrument is used to surgically remove internal hemorrhoids. Relatively painless procedure. Expensive because the instrument is disposable. Classical - surgery to remove the piles - is the best method for the permanent removal of piles. It is necessary when (1) clots repeatedly form in external hemorrhoids; (2) non operative methods fails to treat internal piles; (3) the protruding piles cannot be reduced; or (4) there is persistent bleeding. Hemorrhoidectomy removes both external and internal piles causing bleeding and protrusion. It is done under anesthesia , require hospitalization and a period of inactivity due to pain. Laser hemorrhoidectomies do not offer any advantage over standard operative techniques. They are also quite expensive, and contrary to popular belief, are no less painful.

Address

No. 997, 2nd Main, Near New Shanthi Sagar Hotel, Next To Minister Somanna's Office, Vijayanagar
Bangalore
560040

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