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Piles (Hemorrhoids) – FAQ

Frequently Asked Questions about Piles (Hemorrhoids)

Get clear answers about causes, prevention, and treatment.

To a layman, any trouble around the anus is called piles. But scientifically, only painless, frank bleeding while passing motion is true piles (hemorrhoids).

The rectum, the last part of the intestine, ends in the anus. Its wall contains tissues with a network of small veins — one on the left and two on the right. When these veins enlarge, they form internal piles. Enlargement of veins beneath the anal skin forms external piles, which can often be felt around the anus.

Piles are caused when pressure builds up in and around the anus, stretching the blood vessels. Common causes include straining during bowel movements, chronic coughing, heavy lifting, pregnancy, being overweight, and childbirth.

Yes. Avoiding constipation is key to improving symptoms. Eat a fiber-rich diet with plenty of fresh fruits, vegetables, and whole grains. Drink lots of water, stay active, and manage stress — all these support proper bowel function and reduce straining.

No, this is a myth. Sitting on hard or cold surfaces may worsen discomfort for existing piles but will not cause them. However, ignoring the urge to pass stool, inactivity, or poor eating habits can lead to constipation, which increases the risk of piles.

Apply ice packs to reduce swelling and take warm baths for 10 minutes several times a day to ease discomfort. Avoid over-cleaning, which can irritate the area, and don’t sit for long periods. Your pharmacist can suggest pain-relief creams or stool softeners to help reduce strain during bowel movements.

If piles persist despite these measures, your doctor may recommend laser treatment. Laser therapy is safe, effective, and usually requires no repetitive procedures.

Eat a fiber-rich diet, drink plenty of fluids, and stay physically active. These habits prevent constipation — one of the main causes of piles. A healthy lifestyle is the best long-term prevention.

The most effective and permanent solution for recurrent piles is laser treatment, as it eliminates the root cause and prevents recurrence.

Sitting for long hours does increase the risk of piles. Take regular breaks — stand, stretch, and walk around. During lunch, take a short walk, and after work, engage in physical activities to boost blood circulation and digestive health.
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