Piles are enlarged (बढ़े हुए) and bulging blood vessels (उभरी हुई रक्त कोशिकाएं). Also termed hemorrhoids ( बवासीर), they develop (विकसित) in and around the anus(गुदा). Piles infect (संक्रमित) the lower rectal area (निचले मलाशय क्षेत्र). They can develop both inside (अंदर) and outside (बाहर) the anus. Internal hemorrhoids are piles within the anus. External hemorrhoids are piles in the lower rectum. Piles are categorized into four types based on their severity (तीव्रता):

  • First degree with only bleeding (केवल रक्तस्राव)and no prolapse
  • Second degree with prolapse (आगे को बढ़ाव) but reduced spontaneously
  • Third-degree with prolapse and need for manual reduction
  • Fourth degree with permanent prolapse.
Worried about Piles? Know Everything Here

Causes

The blood vessels around the lower rectum(निचले मलाशय) or anus become severely strained(गंभीर रूप से तनावग्रस्त). It is when piles(बवासीर) occur. Various harmless habits(हानिरहित आदतों) can result in piles. These can be an unhealthy diet (अस्वास्थ्यकर आहार)or sitting for a long time(लंबे समय तक बैठे रहना). Conditions that further increase the risk of pile formation can be:

  • Diarrhoea (दस्त)
  • Constipation(कब्ज़)
  • Heavy weightlifting(भारी भारोत्तोलन)
  • Pregnancy(गर्भावस्था)
  • Obesity(मोटापा)
  • Anal intercourse(गुदा मैथुन)
  • Sitting on lavatory for a long time(लंबे समय तक शौचालय में बैठे रहना)

Symptoms of Piles

Piles vary based on their type and occurrence. Some of the common symptoms are:

  • Tender lumps around the anus (गुदा के आसपास कोमल गांठें)
  • Anal itching (गुदा में खुजली होना)
  • Anal pain (गुदा में दर्द होना)
  • Rectal bleeding in case of internal piles (आंतरिक बवासीर के मामले में मलाशय से रक्तस्राव)
  • Piles prolapsing from the anus (बवासीर का गुदा से बाहर की ओर निकलना)

Treatment Options

Treatment for piles based on their severity(गंभीरता). Some major treatment(उपचार) options are:

  • Home-based treatments are for mild symptoms(हल्के लक्षणों). These include staying hydrated(हाइड्रेटेड रहना), fiber-rich foods(फाइबर युक्त भोजन), and avoiding strain bowels(आंतों पर तनाव).
  • Medications include over-the-counter pain relief and stool softeners(मल नरम करने वाली दवाएं शामिल हैं).
  • Consult a doctor if the pain persists(यदि दर्द बना रहता है)
  • Quick treatment options are medicines, ointments(मलहम), and suppositories (सपोसिटरी).
  • Surgery is advised for larger(बड़े) and serious hemorrhoids(गंभीर बवासीर).

Laser Hemorrhoid (बवासीर)Surgery

Laser treatment is an out-patient and less-invasive(कम आक्रामक) laparoscopic procedure. The treatment follows a fine laser beam(लेजर किरण) for removing the tissue. The surrounding healthy tissues remain unaffected(स्वस्थ ऊतक अप्रभावित). People prefer laser treatment (लेजर उपचार)for piles for various benefits. Laser piles surgery is a preferred treatment option(पसंदीदा उपचार विकल्प) for acute symptoms(तीव्र लक्षणों) . Conventional surgeries are with several disadvantages(कई नुकसान हैं). These include time to heal (ठीक होने का समय)and post-surgical pain(र्जरी के बाद का दर्द). The recovery period is longer(पुनर्प्राप्ति अवधि लंबी है). There are also post-surgical complications(सर्जरी के बाद की जटिलताएँ).

Advantages(फायदे) of Laser Piles Surgery

There are several advantages of laser piles surgery. Some of these advantages are(इनमें से कुछ फायदे):

  • Less Pain(कम दर्द): Pain (दर्द)is a common aspect of surgeries(सामान्य पहलू). However, laser treatment is a painless(दर्द रहित) and easy treatment method(आसान उपचार पद्धति है). Laser cutting involves beams(बीम शामिल). When compared(तुलना करने), open surgery uses the scalpel that causes incisions(चीरा). Pain is very less when compared to conventional surgeries(दर्द बहुत कम होता). A majority of patients do not experience any pain (दर्द का अनुभव नहीं)during laser piles surgery. During surgery, anesthesia (एनेस्थीसिया)eventually wears off which results in patients feeling pain(दर्द महसूस). However, pain is significantly less(दर्द काफी कम) in laser surgery. Seek consultation (परामर्श)from qualified and experienced doctors.
  • Safer Option(सुरक्षित विकल्प): Conventional surgeries(पारंपरिक सर्जरी) are often marred with complicated procedures(जटिल प्रक्रियाओं). When compared, laser piles surgery(लेजर पाइल्स सर्जरी) is a much safer, quick, and effective surgical option(धिक सुरक्षित, त्वरित और प्रभावी सर्जिकल विकल्प) for removing piles. The procedure does not require (आवश्यकता नहीं) using any smoke, sparks, or steam (किसी भी धुएं, चिंगारी या भाप) in the treatment process. As such, this treatment option is much safer (अधिक सुरक्षित) than conventional surgeries(पारंपरिक सर्जरी).
  • Minimal bleeding(न्यूनतम रक्तस्राव): Unlike open surgeries, blood loss in laparoscopic surgery is much less(खून की कमी बहुत कम होती है). Therefore, fear of infection (उपचार के दौरान संक्रमण)or blood loss (रक्त हानि)during the treatment is unnecessary. Laser beams cut the piles (बवासीर को काटती)and partially seal the blood tissue(ऊतक को आंशिक रूप से सील). This means bare minimum blood loss(न्यूनतम रक्त हानि). The sealing further reduces any chance of infection(संक्रमण की संभावना कम हो जाती है). There is no harm to the tissue. The cut is safe (कट सुरक्षित है)and treatment is safer(उपचार सुरक्षित है).
  • Rapid treatment(त्वरित उपचार): The laser pile surgery is quickly done(सर्जरी जल्दी हो जाती है). This is why it is a desirable treatment option(वांछनीय उपचार विकल्प है). The treatment duration is extremely low(उपचार की अवधि बेहद कम है). The time taken for surgery can be as low as 30 mins. It can also take 1-2 hours if the piles are higher in number. Surgery time is very less compared to traditional surgeries. Patients can go home once the surgery is completed. Overnight stay is generally not required(रात भर रुकने की आवश्यकता नहीं). As such, laparoscopic surgery is a flexible option. One can resume normal activities soon after surgery(सर्जरी के तुरंत बाद व्यक्ति सामान्य गतिविधियां फिर से शुरू कर सकता है).
  • Quick discharge(त्वरित निर्वहन): The discharge option (डिस्चार्ज का विकल्प भी त्वरित)is also quick like the rapid treatment. Laser piles surgery is non-invasive. As such, there is no need for overnight stays(रात्रि विश्राम की कोई आवश्यकता नहीं). Patients can leave the very same day post-surgery(मरीज़ सर्जरी के बाद उसी दिन जा सकते हैं). One can resume normal activities(सामान्य गतिविधियां) afterward.
  • Quick Healing (त्वरित उपचार): The healing after laparoscopic surgery is very quick(जल्दी). The healing starts as soon as the surgery is complete (सर्जरी पूरी होते ही). Blood loss is less meaning a low chance of infection (संक्रमण की कम संभावना). The healing becomes quick. The overall recovery time reduces. Patients can return to their normal lives(सामान्य जीवन) within a few days(कुछ ही दिनों में). Compared to traditional open surgery, healing is much faster.
  • Simple Procedure (सरल प्रक्रिया): Performing laser (लेजर)piles surgery is easy(आसान). A surgeon has control (नियंत्रण होता है) when compared to open surgery. Much of the surgery is technical (तकनीकी). On the other hand, open surgeries (ओपन सर्जरी)are highly manual, increasing risks(जोखिम बढ़ जाता है). The rate of success is much higher(सफलता की दर बहुत अधिक) for laser piles surgery.
  • Follow-up(अनुवर्ती मुलाकातें): The follow-up visits post laser surgery are fewer(अनुवर्ती मुलाकातें कम). In open surgery, the risks of cuts opening or wounds are higher(कट खुलने या घाव होने का खतरा अधिक). These issues are absent(समस्याएं अनुपस्थित होती) in laser surgery. Follow-up visits are, therefore, rare.
  • Recurrence(पुनरावृत्ति): Piles recurring after laser surgery is rare(बवासीर का दोबारा होना दुर्लभ है). There are no external cuts(बाहरी कट) or infections(संक्रमण). Therefore, the risk of piles recurring is low(खतरा कम होता है).
  • Post-surgical infections(सर्जरी के बाद संक्रमण): Post-surgical infections are minimal(संक्रमण न्यूनतम). There are no cuts, external or internal wounds(आंतरिक घाव). The incision is invasive(चीरा आक्रामक होता है) and through a laser beam. As such, no post-surgical infections occur(शल्य चिकित्सा के बाद कोई संक्रमण नहीं).

Disadvantages(नुकसान) of Laser Piles Surgery

No surgery is free from drawbacks. Laser pile surgery has some drawbacks(कमियां). These are:

  • Expensive equipment (महंगे उपकरण): Laser piles surgery requires high-quality (उच्च गुणवत्ता) and advanced equipment (उन्नत उपकरणों). Only a few hospitals have this facility. Finding reliable(विश्वसनीय) and affordable(किफायती) laser surgery options is often difficult(मुश्किल).
  • Machine catching fire(मशीन में आग लगना): There are rare incidents where the equipment catches fire(उपकरण में आग लग जाती है). It is due to defects and malfunctioning (दोषों एवं खराबी). Improper equipment handling also results in malfunction. Inexperienced surgeons may not handle the equipment well, causing problems (अनुभवहीन सर्जन उपकरण को अच्छी तरह से संभाल नहीं पाते हैं). Prior information on hospital quality and credibility is critical.
  • Training(प्रशिक्षण): Surgeons performing the surgery must have required training(आवश्यक प्रशिक्षण प्राप्त होना चाहिए). Untrained surgeons can cause complications(जटिलताएँ पैदा). Patients must check the credibility(विश्वसनीयता) and experience(अनुभव) of the surgeon.
  • Spare Laser(लेजर): Laser beams for treating diseases are difficult(कठिन). The laser fiber (लेज़र फ़ाइबर)is only available for limited cases. As such, extra laser fiber(सीमित मामलों) is essential during surgery.
  • Treatment costs(इलाज की लागत): The treatment costs are higher (उपचार की लागत अधिक)when compared to open surgery. However, hospitals provide insurance and other financial facilities(बीमा और अन्य वित्तीय सुविधाएँ).
  • Uncontrollable bleeding(अनियंत्रित रक्तस्राव): Laser surgery can cause uncontrolled bleeding(अनियंत्रित रक्तस्राव) in rare cases. Healthy tissues can get affected(स्वस्थ ऊतक प्रभावित). It can cause significant damage(काफी नुकसान).
  • Fibrosis(फाइब्रोसिस): Laser beams (लेजर किरणें)can cause tissue fibrosis. It can result in tissue fissures (ऊतकों में दरारें)in the future. It is a secondary complication(जटिलता) in laser piles surgery.
  • Anesthesia(एनेस्थीसिया): The effect of anesthesia reduces during surgery. It can create complications once the patient wakes while in surgery.

When To See a Doctor(डॉक्टर से कब मिलना है)

Consult a doctor if you are bleeding (रक्तस्राव)while passing stool(मल त्यागते समय). If home remedies(घरेलू उपचार) fail even after a week, seek immediate medical attention(तुरंत चिकित्सा सहायता). Rectal bleeding (मलाशय से रक्तस्राव)might occur due to various reasons(विभिन्न कारणों). Therefore, it is essential to have proper screening and diagnosis(उचित जांच और निदान). Look for signs such as changes in consistency or color(स्थिरता या रंग में परिवर्तन). Seek immediate care in case (तत्काल देखभाल लें)of significant rectal bleeding(मलाशय से अत्यधिक रक्तस्राव). Other emergency symptoms include fainting or dizziness(बेहोशी या चक्कर).

Prevention

Preventing piles is extremely easy(बवासीर को रोकना). However, we ignore (नज़रअंदाज)these habits resulting in piles. We need to keep our stools soft for easy passing(मल को आसानी से त्यागने). Prevention strategies(रोकथाम रणनीतियाँ) for keeping them away are:

  • Eat high-fiber foods such as whole grains(साबुत अनाज), vegetables(सब्जियाँ), and fruits(फल)
  • Drink fluids, water, and juices(तरल पदार्थ, पानी और जूस पियें)
  • Considering fiber supplements
  • Avoid straining when passing stool(मल त्यागते समय जोर लगाने से बचें)
  • Do not avoid the urge
  • Exercise and stay active(व्यायाम करें और सक्रिय रहें)
  • Avoid long sitting periods(लंबे समय तक बैठने से बचें)

Conclusion(निष्कर्ष)

Consult a proctologist in case of severe piles issues(बवासीर की गंभीर समस्या होने). Notice symptoms like burning sensation(जलन), itching(खुजली), or strains(खिंचाव) in bowel movements. Do not ignore (नजरअंदाज न करें)chronic constipation symptoms(कब्ज के लक्षणों). In case of any of the above symptoms, visit the hospital immediately(तुरंत अस्पताल जाएँ). Remember that not every issue needs laser piles surgery(हर समस्या के लिए लेजर पाइल्स सर्जरी की आवश्यकता नहीं होती है). Talk(बात करें) to a proctologist or general physician now.