Piles

Piles or haemorrhoids are abnormally inflamed or engorged blood vessels in the anus. It can at times cause great Pain discomfort to the sufferer mnjaegi
Causes
Bad Life style habits are the most common causes of piles.
Other causes include stress bad habits pregnancy and childbirth.
When one does not attend to piles it can lead to bleeding and prolapse of the engorged veins.
When piles are retracted bleeding can be a dangerous situation leading to shock
Sometimes, strangulation of piles can also occurs. This is associated with severe pain  Other notable complications include thrombosis ( blood clot ) ulceration and uncommonly gangeren or tissue death or necrosis. There may be fibrosis ( excess tissue) as well as discharge of pus.
Symptoms and Diagnosis
Pain is common in external piles this can get worse while straining to pass stools.Bleeding may also come in splashes while pressing for stools.Bleeding may be profuse in some external piles, the sweeling can be felt around the anal opening. In case of internal piles it can not be felt initially. When the disorder progresses the piles protrude. There may be also discharge of mucous with itching around the anal orfice. There is more to piles than pain and discomfort.
Chronic constipation When one is constipated one ends to exert pressure to empty the bowels. Slowly the pressure affects the blood vessels in and around the anus. This may lead to piles.
Bleeding fresh blood from the anus is one of the earliest symptoms of piles. Bleeding can occur during,before  or after passing stools.Individuals who have piles often feel that they have not been able to evacuate their bowels completely.
There are grades or tyes of piles
First grade piles develops inside the anal canal or the rectum.
Second grade piles are protrusions from the anus they return inwards on their own.
Third grade piles is similar to second grade piles but the protrusion needs to be back manually.
Fourth grade piles is protrusion that hangs outside of anal canal.
Your dr will evaluate your case, inquiring into your lifestyle habits and streeses .
He/ she will conduct physical examination and ask you to cough.
Second degree piles can protrude on coughing and then return,  third degree piles will remain and protrude. These are often easily visible.
Your physician may do a digital exams. They may also use a proctoscope to examine the extent and type of the problem.
Sometimes sigmoidoscopy is done to analyse and intitiate appropriate treatment..
Homoeopathic treatment
Type
With bleeding.  Hamamelis
Without bleeding.  Paeonia
Associated with
Backache.  Belladonna
Constipation.  Nux vom
Diarrhoea.  Merc sol
Fissure.   Nit acid
Headache.  Collinsonia
Itching.  Sulphur
Pain.  Kali chloratum
In women
Delivery.    Kali carb
Menopause.  Lachesis
Menses after   Cocclus
Menses before. Phosphorus
Menses during. Ignatia
Better/ worse
Better warmth. Ars alb
Better cold.  Aloe soc
Better sitting.  Calc carb
Worse sitting.  Thuja
Worse standing. Aesculus
General
Children. Acid mur
Mental exertion. Causticum
Without constipation. Aesculus