Often piles is not a serious condition, and the painful or irritating symptoms disappear in

one to two weeks. When dealing with Grade 2-4 piles, however, more aggressive
treatments may be necessary.

About Piles About PPH

Grade 1 Piles
There are aare
1. What variety of ways to alleviate the discomfort caused by Grade 1 piles, including
piles?
over-the-counter
2. What causes piles? painkillers, or suppositories.
creams,
3. What are the symptoms?
To learn more about treating mild cases of piles, visit www.pilesadvice.co.uk
4. What other conditions are similar to piles?
5. How do I know if I have piles?
Piles
6. How and Pregnancy
can piles be prevented?
7. How are piles treated?
Pregnant women often experience piles during or after pregnancy. The symptoms may
clear up soon after labour.
1. What are piles?
To learn more about dealing with piles while pregnant, visit http://www.babycentre.co.uk
Piles, also called haemorrhoids, are swollen and enlarged blood
vessels in the back passage. These swollen blood vessels can
Grade
"prolapse"2-4 Piles
in more serious cases, and protrude outside of the anus.
When symptoms have progressed past Grade 1 and haven’t cleared up within several
Back
weeks,to Questions
many people turn to a surgical procedure. There are several surgical options
available, depending upon the severity of the piles and the advice of your GP.
2. What causes piles?
Procedure for Prolapse & Haemorrhoids (PPH)
Piles are caused by extra pressure on the back passage, usually as a
For people with seriousto(Grade 2-4) piles, PPH movement.
is an alternativeConstipation
to the traditional
About
result PPH
of straining
haemorrhoidectomy.
produce a bowel
PPH is a NICE-recommended procedure. NICE has found that
diarrhoea are common causes of piles. Pregnancy, being overweight,
and
patients had less post-operative pain and were able to return to work faster with PPH than
and heavy lifting may all contribute to strain on the blood vessels of
with an open haemorrhoidectomy .2
Procedure
the for Prolapse
back passage & Haemorrhoids
to produce piles. (PPH) is a minimally invasive
surgical
Learn moretreatment,
About PPH typically used to treat Grade 3 or 4 haemorrhoids (piles). It
may also
Back be called stapled haemorrhoidopexy, stapled haemorrhoidectomy or
to Questions
stapled anopexy.
Sclerotherapy
3. What are the symptoms?
Thousands of people in the UK have had their haemorrhoids treated using
Sclerotherapy is a procedure that involves injecting a chemical into the site of the1 piles.
PPH, and itofhas
The purposesymptoms
been proven
the injection
to beoffastheeffective as conventional surgery.
Common of ispiles
to cutmay blood supply
include to the
itching, vessel. Like
swelling, banding,
pain,
people who have this procedure may require more than one treatment.
bleeding, and a feeling of urgency to empty the bowels, even if one
Learn
does more
not need about
to go.1 PPH: of a case of piles can be measured
The severity
in grades 1-4.
Rubber Band Ligation (also called “banding”)
Is PPH Right For You?
With banding, a surgeon places a small rubber band around the base of the swollen blood
Back
vessel,to
Learn Questions
more
cuttingabout
off its the differences
blood between
supply. This PPH
may cause the and
bloodconventional
vessel to shrink and
haemorrhoidectomy.
gradually disappear, and may lead to some scar tissue taking its place. This procedure is
4. Whattoother
considered conditions
be simple, aremore
although often similar to piles?
than one treatment may be necessary.
The Procedure
Get details on
Conditions howas
such PPH is performed.
constipation and diarrhoea can contribute to a
Haemorrhoidal Artery Ligation Operation (HALO)
diagnosis
After Care of piles, as well as conditions like Crohn’s Disease, Irritable
In this procedure,
Bowel Syndrome, an ultrasound devise Disease.
and Coeliac is placed in Skin
the rectum,
tags which helps the
and warts maysurgeon
Find
locate out
the what to
feeding do and
artery what
that givesto avoid
blood to right
the after
pile. Thethe procedure.
feeding
produce similar symptoms to piles, as well 1as anal fissures and artery is then ligated
(stitched),
colorectal which cuts off the blood supply to the pile.
cancer.2,3
Testimonials
This procedure is less invasive than other surgical procedures, but may be less effective.
See
Fewer
Back what others
surgeons
to have HALO
provide
Questions experienced with PPH.
than surgical haemorrhoidectomy and PPH.
Talk to Your Doctor
5. How do I know if I have piles?
Haemorrhoidectomy
Get tips on how to speak to your GP about PPH.
Surgical
If you are(Open) Haemorrhoidectomy
passing bright red bloodis reserved
when foryou
people
gowith verytoilet,
to the seriousfrequently
cases of
piles. A surgeon uses a scalpel to cut away up to three of the enlarged or swollen
experience
haemorrhoidal itching
cushions,orwhile
discomfort
the patientaround
is under the back
general passage,
anaesthetic. Thisorprocedure
have
noticed
usually provides permanent relief. People who undergo this procedure usually after
a lump or swelling protruding from your back passage feel post-
You
using can
operative gettoilet,
the
pain,quick answers
you
and will maytoto
have commonly
have
stay inpiles. asked
the hospital forquestions
at least fourabout
to fiveboth
daysPPH
after the
and piles.isThe
procedure questions
performed. Theyandmayanswers
not feel are
ableincluded
to resumein thenormal,
their tabs below.
day-to-day
activities for two weeks or more.
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