Piles in Men - Causes, Symptoms, Diagnosis and Treatment
One of the most common medical concerns yet least talked about is Piles in men. Piles, Haemorrhoids or Bawaseer in Hindi, are swollen blood vessels and tissues found inside or underneath the skin in the rectal region. If any individual feels discomfort in the anus while sitting or experiences pain during defecating or sees blood in poop or even if the anus is itchy sometimes, he may probably have piles.
Men in particular often avoid sharing their problems, ignore the condition, and pass off the discomfort as temporary pain. Please do not take it lightly as this could aggravate a more serious medical problem. Piles in men can be easily diagnosed and treated with care, precautions, therapy and surgery.
What is piles in men?
Piles or medically referred to as Haemorrhoids or Bawaseer in Hindi is a condition that affects the anal or rectal region i.e. from where we pass stool. Piles in men are enlarged blood vessels and tissues that are found inside the rectum or under the skin around the anus. They get irritated and bleed if left untreated.
What are the symptoms of piles in males?
Usually, piles in males are not serious and it is not necessary that the condition readily shows signs and symptoms. However, below mentioned are some of the common symptoms of piles in males that can be easily identified by the individual.
- Bleeding (Blood colour bright red like a splash in a pan) is the most common symptom
- Itchiness in the anal area
- Sticky discharge
- Feeling of constipation
- Painful mass protruding outside the anus
- Discomfort in bowel movement
Pain occurs if there is associated infection, anal spasm or in cases of prolapsed Piles.
What are the causes of piles in males?
The exact cause of piles in males is uncertain, but they are highly associated with increased pressure in the blood vessels and tissues in the anal region. However, some of the most common causes of piles in males are:
- Chronic constipation
- Low fibre diet
- Straining while passing stools
- Lifting heavyweights
- Increasing age
- Increased anal tone
Can piles be prevented in males?
Generally, there is no definitive way to prevent piles in males. However, when diagnosed early then the disease progression can be slowed. Below mentioned are some of the measures for the prevention of piles:
- Take enough fibres
- Stay active by doing regular exercises
- Avoid Heavy Lifting
- Avoid Straining
- Avoid sitting for long on the toilet
- Maintain good anal hygiene
- Maintain your adequate body weight
How can it be confirmed if you have piles?
Generally, an individual can easily identify if he/she has piles based on common symptoms such as inflammation, bleeding, pain, and discomfort in the anal region. If the symptoms aggravate, you should consult a doctor. Your doctor would be able to diagnose piles based on your medical history, family history and physical examination of the anal region. The doctor will do the following diagnostic tests to identify piles:
- Digital rectal examination: a gloved and lubricated finger will be inserted to get a feel inside the anus.
- Anoscopy: a small camera (anoscope/proctoscope) will be inserted, and the anal/rectal area will be examined to check for any abnormalities.
- Colonoscopy: The doctor may want to examine your entire colon by using a colonoscope (long, flexible, lighted tube) to check for any abnormal growths, the tissue that is red or swollen, sores (ulcers), or bleeding.
How is piles treated in males?
Usually, piles in males heal on their own without any need for medication or treatment. However, if the symptoms persist and aggravate for a longer period, your proctologist will suggest one of the following methods for treatment of piles:
- Have a fibre-rich diet (legumes, green vegetables, whole grains, cucumbers, apples, and Triphala). This helps in excreting stool comfortably without much pressure or strain.
- Drink plenty of water.
- Do not hold stools for a longer time or postpone them. You must attend your nature calls whenever you feel the urge to go to the toilet!
- Avoid sitting on the toilet seat (Asian or western) for a long time beyond necessary. Nowadays use of mobile phones or reading something while sitting is common because of which you could lose track of time and also focus on defecating, putting continuous or more excessive pressure while pooping. A step stool to elevate feet while sitting on the toilet is recommended.
- An individual can use an ice pack or warm bath to ease pain and keep the anal region clean and dry.
- Avoid low-fibre foods such as Dairy products, White flour, Fried foods, Salty foods, Red meat, Spicy foods, Caffeinated beverages, and Alcohol.
If one does not get any relief from the home remedies, then there are several medicines a doctor can prescribe,
- Local applications such as ointments or creams relieve itching and swelling.
- Laxatives to ease constipation.
- Sitz bath, a warm therapeutic bath for the delicate genitals, cleanses the anal region and fastens the healing process by increasing the blood flow.
- Take pain relief medicines like paracetamol (one should not use medicines that contain codeine as it can increase constipation). One should avoid pain relief medicines like ibuprofen if they have bleeding due to piles.
- Several ayurvedic preparations are also available for managing piles, such as Vijaya Churna or Pathyadi Kwatha.
Your doctor would recommend one of the following non-surgical treatments for piles if home remedies and prescription medicines do not work.
- Rubber band ligation
- Infrared Coagulation
- Doppler-guided Haemorrhoidal Artery Ligation
Surgical treatment is one of the best options to achieve long-term success from piles. Nowadays, surgery methods have advanced to be painless and minimally invasive for easy recovery and minimum to no pain. Your treating doctor will decide the intervention based on the severity of your condition.
- Open Haemorrhoidectomy
- Stapler Haemorrhoidectomy
- Laser Haemorrhoidectomy
Why should you not delay piles treatment?
Males generally often avoid sharing their problems and tend to ignore the condition and pass off the discomfort as temporary pain. Delaying treatment for piles may cause problems that are not severe but can create a lot of discomfort. Haemorrhoids can lead to the following problems such as,
- Anaemia (Loss of blood, leading to a decrease in oxygen-carrying capacity)
- Masses of tissue hang out on the skin
- Progression of disease from Grade I to Grade IV
- Thrombosis of piles
- Persistent pressure while passing stool may lead to prolapse of the rectum
Piles in men are one of the most common medical concerns yet are highly ignored. Piles in males can appear as a number of symptoms, including bright red colour blood like a splash when an individual goes to the toilet, itchiness in the anal area, sticky discharge as well as feeling of constipation. Intake of a low-fibre diet, heavy lifting or over-straining on the toilet could contribute to the development of piles in males, but proper treatment can help improve the quality of life.
One’s good health and bodily comfort are paramount hence we must not give attention to what others will think about it rather must consult our doctor at the earliest priority. You can simply take advice, support and guidance on How to go about it? Which doctor to go to? etc., by contacting online healthcare professionals of HexaHealth which has top doctors, top surgeons and the best hospitals empanelled in their network that provide complete care services and hassle-free surgery experience at the right hospital and at the right price. Your one simple phone call with them will ease all your worries, doubts and concerns.