Piles – Effective Steps to Prevent

Piles - Effective Steps to Prevent
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Piles – Learn about the effective steps to prevent piles and stay healthy. Find out the causes, symptoms, and treatments for piles.

Piles – Effective Steps to Prevent

Nowadays, numerous people suffer from piles. But why does this condition occur? Let’s find out why piles happen, how to prevent them, and what the treatment options are.

The human anus is 2 to 3 inches long. The upper part of this 2-3 inches is called the rectum. Around the lower part of the rectum, there are some blood vessels called rectal veins. If these rectal veins become swollen or inflamed for any reason, bleeding can occur during bowel movements. This condition is known as piles or hemorrhoids.

Types of Piles:

Piles or hemorrhoids are generally of two types:

  • External Hemorrhoids: In this case, inflammation occurs in the external blood vessels around the anus, causing pain and blood during bowel movements. There may be itching around the anus, and the area can become swollen.
  • Internal Hemorrhoids: In this case, inflammation occurs in the internal blood vessels of the rectum, causing swelling. Fresh blood can be seen with stool. Sometimes, even if the stool is normal, blood may be seen on toilet paper. There can be pain during bowel movements, and something like a flesh lump can protrude from the anus, causing itching.

There are four stages of internal hemorrhoids:

  1. First Degree: Only blood will be present with the stool.
  2. Second Degree: Along with blood, a lump of flesh will come out during bowel movements but will go back inside on its own.
  3. Third Degree: Along with blood, a lump of flesh will come out during bowel movements but won’t go back inside without external pressure. It can be pushed back in with a finger.
  4. Fourth Degree: A permanent lump of flesh will protrude from the anus and cannot be pushed back in with a finger.

Causes of Piles:

  • Constipation or irregular bowel movements
  • Diarrhea
  • Pregnancy
  • Obesity
  • Chronic coughing

Symptoms of Piles:

  1. Blood during bowel movements
  2. Itching around the anus
  3. Pain during bowel movements
  4. Protrusion of a flesh lump from the anus
  5. Irregular bowel movements


Often, piles can be diagnosed based on the patient’s description. However, in children, further tests may be needed, such as:

  • Digital Rectal Examination: A doctor examines the rectum with a finger.
  • Proctoscopy: A doctor uses an instrument to view the inside of the anus and rectum.
  • Colonoscopy: Used to examine the entire colon.
  • Sigmoidoscopy: Used to examine the sigmoid colon and rectum.

Steps to Prevent Piles:

Research shows that about 70% of piles cases are due to constipation. Thus, avoiding constipation can help prevent piles. The main causes of constipation are consuming excessive beef and fried foods. People who consume fewer fiber-rich foods like fruits and vegetables are more prone to constipation, leading to piles. To prevent piles:

  • Eat vegetables regularly.
  • Drink 2 to 3 liters of water daily.
  • Reduce consumption of beef.
  • Avoid fried and fatty foods.

Treatment for Piles:

For those with early-stage piles, such as mild pain during bowel movements or minor bleeding, and itching around the anus, the following guidelines can help:

  1. Consume 4 teaspoons of psyllium husk in water twice daily for 2 months.
  2. Eat 2-3 apples daily for one month.
  3. Drink 2-3 liters of water daily.
  4. Avoid fried foods and beef.
  5. Avoid foods that cause hard stools.


In addition to other treatments, you can manage symptoms through symptomatic treatment and stay permanently healthy.

Keywords: piles, prevention, symptoms, treatment, hemorrhoids, constipation

Author: Chairman and Chief Consultant, German Health Medical Center, Mohakhali, Dhaka. Phone: 01752117161

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