the best ways to heal piles

If we take a look at the definition of piles in Wikipedia, we can learn that hemorrhoids are swelling and inflammation of rectal and/or anal veins. Linguistically "hemorrhoid" means a cushion of tissue with blood vessels at the rectoanal junction. On the other hand, piles are very similar in appearance with perianal hematoma. Yet the underlying cause for their pathogenesis is entirely different, hence their therapeutical approach is entirely different.

We should differentiate between external piles and internal hemorrhoids. External hemorrhoids show up outside of the distal end of the anal canal. Mostly they are varicosities of those veins which help draining the region of the inferior rectal arterial blood vessels. With swelling and irritation, these hemorrhoids can become very painful. A major characteristic for external piles is the fact that they tend to cause thrombosis. A ruptured vein with a developing blood clot becomes then a thrombosed hemorrhoid. A thrombosis is a generation of thrombi (blood clots), that park inside a vessel and diminish blood flow in the affected vessel. Blood clots occluding critical circulative areas of the heart, lung, and brain are life-threatening. These migrating clots are also called emboli (embolus, sing.).

Internal piles are found inside the rectum. They are varicosities of those venous blood vessels which drain the branches of the superior rectal arterial blood vessels. Other than external piles, which cause pain at times, internal hemorrhoids do not become painful, because there are no pain receptors in the affected area. For this reason most people do not even know that they are suffering from internal piles. They will only get knowlegeable about their condition when these piles get irritated and begin to bleed. Alternatively becoming aware of internal piles is when they become distended to an amount that they are pushed out of the anus. This will be also called "prolapsed hemorrhoids". The prolapsed hemorrhoid can turn into a strangulated hemorrhoid in case a spasm of the anal sphincter traps the prolapsed piles outside of the anal opening, ultimately cutting off its blood supply.

The following table determines the degree of internal piles:

Grade 1: No visible prolapse of hemorrhoids.
Grade 2: Prolapse upon defecation with spontaneous reduction.
Grade 3: Prolapse upon defecation with the need of manual reduction.
Grade 4: Prolapse without the possibility of manual reduction.

The following symptoms will occur in case of internal piles:
Bright, red blood, which covers the feces, presents on toilet paper, or in the toilet bowl, are the most common symptoms for internal piles. External piles have the tendency to be more painful and present swelling and hard lumps around the anus. Additional irritation and bleeding with some sort of itching is caused by excessive rubbing, straining, or cleaning, and this completes the vicious circle of pathophysiological events.