How to Treat Piles

Piles are swellings that may occur in the anus and lower rectum area of the body and if you have them you will want to know how to treat piles. The swelling happens in a series of blood vessels that are located in the lining of the anus and lower rectum. The blood vessels may get wider and engorged with blood the engorged veins and the overlying tissue forms into small grape like lumps that are called piles or hemorrhoids, then you will have to know how to treat piles.

What causes piles? The exact reason why people get piles and need to know how to treat piles is sometimes not very clear. Some kinds of piles even come on for no known reasons. A major cause of piles is the extended pressure in and around the anus due to things like obesity; sitting too long, standing too long, and being in the late stages of pregnancy, etc.

About half the people in the UK and in the US tend to develop one or more cases of piles after the age of 45. There are some situations that can increase the odds of someone needing to know how to treat piles.

These may include constipation, passing extra large stools, straining too much when you have a bowel movement, weak anus or rectum tissues, and a genetic tendency towards piles.

What are the symptoms of piles?

In order to help alleviate the symptoms caused by piles, you need to know how to treat piles. Some of the symptoms of the types of piles are:

Grade 1 – This type of piles manifest as small swellings on the inside lining of the rectum which can’t be seen or felt from the outside. These are the most common type of piles.

Grade 2 piles are larger than grade one piles. They sometimes partly stick out of the anus when a person goes to the toilet, but then go back inside when they are done.

Grade 3 piles always hang out of the anus. The victim can feel them as small, grape like lumps under the skin. They can be pushed back inside the anus with your fingers.

Grade 4 piles permanently hang down from inside the anus, and cannot be pushed back inside. They can sometimes get very big.

Symptoms of any type of piles disease can vary as well as how to treat piles. Small piles are normally painless, with the most common symptom being bleeding after you go to the toilet. Large piles may manifest with a mucous or pus discharge, pain, irritation, and itchiness. The discharge irritates the skin around the anus and it may feel as if there is still stool stuck inside the anus. If you have all these issues you will want to know how to treat piles.

External and Internal Piles

There are two kinds of piles, internal and external. The internal ones can’t be seen from the outside and usually don’t cause as many issues as the external types. Internal ones are more common and may not even be known to the patient because they don’t usually cause pain or other irritating problems like the external ones do.

When it comes to the external piles, you do need to know how to treat piles because they are the ones that cause pain and other problems. One type of external piles is very serious because it can cause a blood clot which in some cases could even cause a stroke due to the cutoff of the blood supply to the body.

Unfortunately, some people can get both internal and external piles at the same time. If so, then you need to know how to treat piles so you can get relief.

How do you treat piles?

Some of the easy ways to knowhow to treat piles that you can do on your own include:

Eating fiber filled foods likefruit, vegetables, whole grain cereals, wholemeal bread, etc. You can also add a fiber supplement like bran, ispaghula, methylcellulose, or sterculia.

Stay hydrated by drinking at least two 10-12 cups of water per day.

Don’t delay going to thetoilet. This can cause your stools to get too large and then it will have trouble passing through the bowels and can form piles.

Soak in a warm bath for 15 to 20 minutes several times a day. This can take down the swellings and can be alternated with cold compresses or ice packs.

Using various creams, ointments and suppositories you can buy over the counter at drug stores such as zinc ointment, Preparation H, petroleum jelly, etc. The pharmacist can assist you in knowing how to treat piles using these products. These shouldn’t, however, be used long term for more than a week or so at a time without a doctor’s advice. Sometimes other more invasive methods are needed in knowing how to treat piles. Some of these treatments are:

Banding treatment

Banding is a treatment done by a surgeon in an outpatient clinic. The piles tissue is grasped with forceps or a suction device and then a rubber band is placed at the base of the piles to cut off the blood supply so it will die and drop off.

Injection sclerotherapy

Another treatment is Phenol in oil being injected into the piles tissues. This causes scarring in the blood vessels and that causes the piles tissue to dry up and fall off. This is similar to banding but is used less often.

Heat Methods of how to treat piles

Infrared coagulation; photocoagulation; diathermy; and electrotherapy are all heat related methods of how to treat piles. However, these are not as less widely used because they don’t work very well, according to most doctors.


This method cuts away the piles and is done under general anesthetic. It usually is highly successful as a way of how to treat piles, but it is also very painful and takes a long time to heal.

Stapled hemorrhoidectomy

A circular stapling gun cuts out a circular section of the anus lining above the piles. This allows the piles to go back up inside the anal canal and also causes the blood supply to be reduced so the piles shrink up and become smaller.

Hemorrhoidal artery ligation

In this method of how to treat piles the small arteries that supply blood to the piles are tied off, which makes the piles shrink and die.