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.

The greater part of the occasions, patients feel humiliated to look for clinical treatment for heaps. It is prescribed t...
17/10/2021

The greater part of the occasions, patients feel humiliated to look for clinical treatment for heaps. It is prescribed to counsel specialists when side effects of heaps are noted.
Following complexities might happen because of untreated heaps:
• Contamination
• Butt-centric fistula
• Gangrene
• Incontinence in uncommon cases
• Pallor because of extreme blood misfortune






Heaps can be made less extreme during pregnancy by making some dietary and way of life changes. These progressions can a...
16/10/2021

Heaps can be made less extreme during pregnancy by making some dietary and way of life changes. These progressions can assist with facilitating the heaps agony and disturbances. Given underneath are the progressions to be made to ease heaps.
• Devouring high-fiber diet
• Drinking a lot of water
• Stay away from significant stretch in standing position
• Improvement of flow with customary exercise
• Utilization of ice water plunged fabric to facilitate the heaps torment
• Use of greases for delicate pushing of heaps inside the butt
• Abstaining from stressing while at the same time crapping however much as could reasonably be expected
• Utilizing damp bathroom tissue for cleaning the butt, rather than dry one
• Utilizing damp bathroom tissue for cleaning the butt, rather than a dry one y and way of life changes. These progressions can assist with facilitating the heap's agony and disturbances. Given underneath are the progressions to be made to ease heaps.






Sorts of Piles or hemorrhoids are given beneath. • Grade I or First-degree hemorrhoids – these heaps don't prolapse. • G...
15/10/2021

Sorts of Piles or hemorrhoids are given beneath.
• Grade I or First-degree hemorrhoids – these heaps don't prolapse.
• Grade I or First-degree hemorrhoids – these heaps don't prolapse.
• Grade II or Second-degree hemorrhoids – these heaps prolapse on stressing.
• Grade III or Third-degree hemorrhoids – these heaps prolapse on stressing.
• Grade IV or Fourth-degree hemorrhoids – these sort of heaps get for all time pr*****ed.






Heaps get framed inside or outside the butt. Interior Piles or hemorrhoids are those which begin over the dentate line w...
14/10/2021

Heaps get framed inside or outside the butt. Interior Piles or hemorrhoids are those which begin over the dentate line while outer hemorrhoids are the ones which start underneath the dentate line.






It doesn't eliminate the actual hemorrhoids; rather, it eliminates the remiss tissue encompassing hemorrhoids that has p...
13/10/2021

It doesn't eliminate the actual hemorrhoids; rather, it eliminates the remiss tissue encompassing hemorrhoids that has permitted it to distend.
It doesn't eliminate the actual hemorrhoids; rather, it eliminates the remiss tissue encompassing hemorrhoid that has permitted it to distend.






Pregnancy, being overweight, and looseness of the bowels would all be able to add to the development of hemorrhoids. Dif...
12/10/2021

Pregnancy, being overweight, and looseness of the bowels would all be able to add to the development of hemorrhoids.
Different reasons for hemorrhoids incorporate insufficient fiber consumption, stoppage, constant stressing while having solid discharges, drawn out sitting (particularly on the latrine), growths, age, and certain ailments.






Thrombosis is the clinical term for blood cluster. At the point when a blood coagulation structures in a hemorrhoid, thi...
11/10/2021

Thrombosis is the clinical term for blood cluster.
At the point when a blood coagulation structures in a hemorrhoid, this can cause a purple or blue irregularity that might drain, and cause agony and tingling. When the coagulation breaks up and mends, there might be some tissue that remaining parts (skin tag) that can become disturbed.






Different side effects of hemorrhoids can include: - Re**al dying (radiant red blood on toilet paper, stool, or in the l...
10/10/2021

Different side effects of hemorrhoids can include:
- Re**al dying (radiant red blood on toilet paper, stool, or in the latrine bowl)
- A**l hurt, torment, or distress, especially while situated
- Painful solid discharges
- Hard, difficult bumps close to the butt







Hemorrhoids happen in the two men at ladies at a similar rate, and they happen frequently in grown-ups somewhere in the ...
09/10/2021

Hemorrhoids happen in the two men at ladies at a similar rate, and they happen frequently in grown-ups somewhere in the range of 45 and 65 years old. However many individuals have hemorrhoids, just about 4% of the populace has issues because of amplified hemorrhoids.






From a specialized perspective, we as a whole have hemorrhoids, which basically alludes to cushion like groups of veins ...
08/10/2021

From a specialized perspective, we as a whole have hemorrhoids, which basically alludes to cushion like groups of veins found just beneath the outer layer of the mucous layers of the butt and re**um. What we regularly call hemorrhoids (likewise called heaps) is the thing that happens when these veins become enlarged, as varicose veins.






The grade of the hemorrhoid, alongside side effect seriousness, assumes a part in clinical dynamic. Dietary and way of l...
07/10/2021

The grade of the hemorrhoid, alongside side effect seriousness, assumes a part in clinical dynamic. Dietary and way of life changes ought to be presented for all patients and can be useful in overseeing manifestations for patients with grade one hemorrhoids.
Various medications, suppositories, creams and wipes are accessible as well. Pain relieving (torment calming) skin creams would be a sensible choice to oversee torment related with hemorrhoids. In any case, there is an absence of solid proof to help an advantage for skin treatment in suggestive hemorrhoids.

Flavonoids, an enormous class of plant shades, have been displayed to further develop side effects of dying, release and tingle. They are taken in tablet structure.
In situations where indications persevere and for those with grade two hemorrhoids, a gastroenterologist or specialist can utilize elastic band ligation, which is by all accounts the best treatment. This is the place where an elastic band is applied to the foundation of a hemorrhoid by means of a proctoscope or colonoscopy. The band slices off the blood supply to the hemorrhoid making it swamp off in around one to about fourteen days.

In the event that this fizzles, or for grade three to four hemorrhoids, the best treatment has all the earmarks of being careful extraction or hemorrhoidectomy. There are varieties in careful methods and it would merit counseling a colore**al specialist for exhortation on the best methodology for a specific patient.






Hemorrhoids can be inner or outside. Many individuals think blockage is the primary justification hemorrhoids. Obstructi...
06/10/2021

Hemorrhoids can be inner or outside.
Many individuals think blockage is the primary justification hemorrhoids. Obstruction implies hard stools and more stressing on the latrine, which can debilitate the steady tissue in the butt-centric waterway and push the hemorrhoids downwards.
Blockage adds to the danger of getting hemorrhoids, albeit one investigation taking a gander at veterans in the US discovered loose bowels, as opposed to obstruction, was related with hemorrhoids. This could likewise be because of stressing and delayed sitting in the restroom.
Different factors, for example, s*x and nationality influence hazard. One US study discovered they were more normal among those matured between 45-65 and diminished after the age of 65. Caucasians were observed to be influenced more regularly than African-Americans.

Individuals on higher earnings are additionally bound to experience the ill effects of hemorrhoids. An idea for why this may be the case comes from an investigation where a larger part of patients with hemorrhoids were noted to be in occupations that include delayed sitting instead of physical work.
Hemorrhoids regularly happen during pregnancy and are generally normal in the second and third trimesters. It's idea hormonal changes, pressure from the developing uterus, adjustments in blood stream and obstruction add to their turn of events.

For most of ladies, hemorrhoids and their indications will step by step resolve in the wake of conceiving an offspring.






Address

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

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