where does piles occur - #23024
I am dealing with this really uncomfortable situation that's been going on for a while. I keep hearing different things from people about where does piles occur but I'm still confused. Like, about a month ago, I started feeling this nagging pain when I sit, and there’s also some bleeding during bowel movements — which I thought was just from maybe straining too much. My diet has been all over the place lately, not to mention, I've not been drinking enough water. I even looked up info online, and I came across terms like external and internal piles, but that just adds to my frustration. Can someone please explain to me where does piles occur? Is it only around the anus or could it be something else? Sometimes I fear it could be something worse, but then I think maybe I just really need to change my bathroom habits and eat better. Just last week, I went to a pharmacy, and the guy there mentioned something about how piles can be caused by long periods of sitting — which made me think about my work situation, since I’m at my desk for hours on end. Like, am I doomed to suffer from this if I don’t fix my lifestyle? Can anyone shed light on this? Where does piles occur, really? How do I know if I can get away with just lifestyle changes or if I should be super worried and see a doc?
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Doctors' responses
Piles, also known as hemorrhoids, typically occur in the anal area. They are swollen veins in the lower rectum and anus, and they can be classified as either internal or external. Internal hemorrhoids are located inside the rectum, and are usually not visible, while external hemorrhoids develop under the skin around the anus. The symptoms you described, like pain when sitting and bleeding during bowel movements, are common with hemorrhoids. Given your current situation, it could be that you if you adopt some lifestyle changes, you might find significant relief. Eating a high fiber diet, staying hydrated, and avoiding prolonged sitting can help reduce symptoms. Fiber helps to soften stools and prevent straining during bowel movements. Consider incorporating plenty of fruits, vegetables, and whole grains in your meals. Hydration is key too, aim to drink plenty of water throughout the day. Avoiding sitting for long periods can be challenging, especially if your work involves desk tasks, but try taking regular breaks to stand or walk can help mitigate the pressure on your anal veins, potentially reducing your symptoms. Over-the-counter treatments, like topical creams or suppositories, are available and may provide some relief, but they are usually a temporary fix. You should consider seeing a healthcare professional if your symptoms persist or worsen, as they can rule out other potential causes, such as anal fissures or more serious conditions such as colorectal cancer. They might also suggest other treatment options like rubber band ligation or, in severe cases, surgery. While lifestyle changes might help manage the condition, consulting with a doctor is always recommended to confirm the diagnosis and ensure you’re getting appropriate care.
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