Prolapsed hemorrhoids are inflamed tissue that protrudes from the anus, causing itching, swelling, and pain. They can be prevented by a high-fiber diet and treated with creams, ointments, or surgery depending on severity. Dietary changes can relieve symptoms, but some prolapsed hemorrhoids require surgery.
Prolapsed piles are inflamed tissue that protrudes from the anus. Hemorrhoids are also known as haemorrhoids. The swollen tissue may automatically retract into the rectal cavity after a bowel movement, or it may just be physically pushed into the rectal cavity. Dietary changes can relieve hemorrhoid symptoms, but some prolapsed hemorrhoids require surgery.
Symptoms of prolapsed hemorrhoids usually start with itching around the anal area. There may be swelling of the anal tissue which is evident when cleaning the anus after having a bowel movement. The swollen area can become painful to sit on and can disrupt daily activities. Blood may also be visible on undergarments or toilet paper after a bowel movement.
The soft tissue that forms prolapsed piles is called anal cushions. People who eat a low-fiber diet and often strain to pass bowel movements are more likely to develop hemorrhoids. Pregnant women can develop hemorrhoids due to the extra pressure the fetus puts on the pelvic area. Older people develop hemorrhoids as they age because the muscle tone of the rectal cavity weakens and it takes more effort to pass bowel movements.
Prolapsed hemorrhoids can be prevented by eating a high-fiber diet and drinking plenty of water. The fiber promotes healthy peristaltic action in the intestines, and the water will help stool stay soft for easier passage through the anus. A mild exercise program can also encourage the movement of fecal matter through the intestinal passage.
Treatment for hemorrhoids depends on the severity of the symptoms. The pain and itching of mild hemorrhoids can be relieved by warm sitz baths and by keeping the area clean of fecal matter. There are also many creams and ointments available that can soothe inflamed tissue, and some contain a local anesthetic to numb the area.
Surgical treatment of prolapsed poles may be necessary if the condition interferes with daily activities. A doctor can perform a procedure called a bandage, which is an elastic band placed over the prolapsed tissue in the rectal cavity. The band cuts off the blood supply to the hemorrhoid, causing the tissue to suffocate and fall off a few days after the procedure.
Another procedure called sclerotherapy is helpful for some patients with prolapsed hemorrhoids. The inflamed tissue is injected with an oily substance that causes the posts to shrink. For patients who are unable to get any relief with bandaging or sclerotherapy, a doctor may recommend cryosurgery. During this method, the piles are frozen until the tissue dies and falls off.
Infrared laser or coagulation therapy is used for some patients to seal the distended veins above the hemorrhoids. Treated piles will shrink and eventually fall off. A different process called direct current electrotherapy is used to burn the pile, causing the tissue to shrivel and die.
Conventional surgical removal of posts is an invasive procedure. The operation is performed under anesthesia and is usually an outpatient procedure. A surgeon will cut the stack away from the rectus muscle and the incision will be stitched together. Some doctors prefer a basic process, which is thought to shorten healing time and promote a less painful recovery.
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