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Anal disease-āĻĒাāϝ়ুāĻĒāĻĨেāϰ āϰোāĻ
āĻĒাāϝ়ুāĻĒāĻĨেāϰ āϰোāĻ āĻŽাāύেāĻ āĻĒাāĻāϞāϏ āύāϝ়। āĻĒাāϝ়ুāĻĒāĻĨে āĻĢিāϏাāϰ, āĻĢিāϏ্āĻুāϞা, āĻšেāĻŽোāϰāϝ়েāĻĄ, āĻĢোāĻĄ়া, āĻĒ্āϰোāϞাāĻĒāϏ, āϰāĻ্āϤ āĻāĻŽাāĻ, āĻĒāϞিāĻĒ āĻŦা āĻিāĻāĻŽাāϰ āĻšāϤে āĻĒাāϰে। āϏāĻŦāĻুāϞো āĻ্āώেāϤ্āϰেāĻ āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āĻ
āύ্āϝāϤāĻŽ āĻাāϰāĻŖ। āĻোāώ্āĻ āĻাāĻ িāύ্āϝেāϰ āĻাāϰāĻŖে āĻĒাāϝ়ুāĻĒāĻĨেāϰ āϏাāĻŽāύে āĻ
āĻĨāĻŦা āĻĒেāĻāύে āĻĢেāĻে āĻিāϝ়ে āĻ্āώāϤ āϤৈāϰি āĻšāϞে āϤাāĻে āĻĢিāϏাāϰ āĻŦāϞে।
Concepts about of anal disease:
Hemorrhoids (Piles)
Anal fissure
Rectal prolapse
Anal fissure
Rectal prolapse
Hemorrhoids(Piles)- Hemorrhoids (also known as piles) are swollen and inflamed veins in the rectum or anus. Typical symptoms are pain, itching and bleeding around the anal area.
āĻĒাāĻāϞāϏ āĻŦāϞāϤে āĻāĻŽāϰা āĻŦুāĻি āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻেāϤāϰে āĻĢুāϞে āĻāĻ া āϰāĻ্āϤেāϰ āĻļিāϰাāϰ āĻāĻāĻি āĻŽাংāϏāĻĒিāĻŖ্āĻĄ। āϰāĻ্āϤেāϰ āĻļিāϰাāϰ āĻŽাংāϏāĻĒিāĻŖ্āĻĄ āĻŦা 'āĻুāĻļāύ' āϏāĻŦ āĻŽাāύুāώেāϰāĻ āϰāϝ়েāĻে। āĻĒাāĻāϞāϏ āĻŦা 'āĻšেāĻŽোāϰāϝ়েāĻĄ' āĻāĻŽāϰা āϤāĻāύāĻ āĻŦāϞি āϝāĻāύ āĻāĻি āĻোāύো āĻāĻĒāϏāϰ্āĻ āϏৃāώ্āĻি āĻāϰāĻে। āϝেāĻŽāύ āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻŦাāĻāϰে āĻুāϞে āĻĒāĻĄ়া āĻŽাংāϏāĻĒিāĻŖ্āĻĄ āĻ
āĻĨāĻŦা āϰāĻ্āϤ āϝাāĻāϝ়া।
āĻĒাāĻāϞāϏ āĻুāĻŦāĻ āĻĒāϰিāĻিāϤ āĻāĻāĻি āϰোāĻ। āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻেāϤāϰে āĻŦা āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻাāϰ āĻĒাāĻļেāϰ āϤ্āĻŦāĻেāϰ āύিāĻে āĻ āϰোāĻ āĻšā§ে āĻĨাāĻে। āĻŦিāĻিāύ্āύ āĻাāϰāĻŖে āĻāĻ āϰোāĻ āĻšā§ে āĻĨাāĻে। āĻāĻ āϰোāĻ āĻĒ্āϰāϤিāϰোāϧেāϰ āĻāύ্āϝ āĻāϰ āĻাāϰāĻŖ, āϞāĻ্āώāĻŖ āĻ āĻĒ্āϰāϤীāĻাāϰ āĻাāύা āĻĒ্āϰā§োāĻāύ।
āĻĒাāĻāϞāϏ āĻĻুāĻ āϧāϰāύেāϰ āĻšā§ে āĻĨাāĻে-
- āĻ āĻ্āϝāύ্āϤāϰীāĻŖ āĻĒাāĻāϞāϏ-- āĻ āĻ্āϝāύ্āϤāϰীāĻŖ āĻĒাāĻāϞāϏ āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻেāϤāϰে āĻĨাāĻে। āĻāĻুāϞো āϏাāϧাāϰāĻŖāϤ āĻĻেāĻা āϝাā§ āύা āĻŦা āĻ āύুāĻāĻŦ āĻāϰা āϝাā§ āύা āĻāĻŦং āĻ āĻুāϞো āĻুāĻŦ āĻāĻŽāĻ āĻ āϏ্āĻŦāϏ্āϤিāϰ āĻাāϰāĻŖ āĻšā§।
- āĻŦাāĻš্āϝিāĻ āĻĒাāĻāϞāϏ-- āĻŽāϞāϤ্āϝাāĻেāϰ āϏāĻŽā§ āĻŦাāĻšিāϰে āĻāϞে āĻāϏে āĻāĻুāϞ āĻĻিā§ে āĻĸুāĻাāϤে āĻšā§। āĻ āύ্āϤ্āϰেāϰ āύā§াāĻā§াāϰ āϏāĻŽā§ āĻŦ্āϝāĻĨাāĻšীāύ āϰāĻ্āϤāĻ্āώāϰāĻŖ āĻ āĻŽāϞāĻĻ্āĻŦাāϰ āĻŦ্āϝāĻĨা āĻāĻŦং āĻ্āĻŦাāϞা āĻšā§।
āϝেāϏāĻŦ āϞāĻ্āώāĻŖে āĻŦুāĻāĻŦেāύ āĻĒাāĻāϞāϏ-- āϰāĻ্āϤāĻĒাāϤ, āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻাāϰāĻĻিāĻে āĻĢোāϞা, āĻĒাā§ুāĻĒāĻĨ āĻ
āĻ্āĻāϞে āĻুāϞāĻাāύি āĻ āĻ
āϏ্āĻŦāϏ্āϤি।
āĻāĻ āϰোāĻেāϰ āĻাāϰāĻŖ-- āĻ āύ্āϤ্āϰেāϰ āύā§াāĻā§াāϰ āϏāĻŽā§ āϏ্āĻ্āϰেāĻāύ āĻāϰা, āĻā§āϞেāĻে āĻĻীāϰ্āĻ āϏāĻŽā§ āϧāϰে āĻŦāϏে āĻĨাāĻা, āĻĻীāϰ্āĻāϏ্āĻĨাā§ী āĻĄাā§āϰিā§া āĻ āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āĻšāĻā§া, āϏ্āĻĨূāϞ āĻšāĻā§া, āĻāϰ্āĻāĻŦāϤী, āĻŽāϞāĻĻ্āĻŦাāϰে āϏāĻšāĻŦাāϏ āĻāĻŦং āĻāĻŽ āĻāĻļāϝুāĻ্āϤ āĻাāĻŦাāϰ āĻাāĻā§া।
āĻĒ্āϰāϤিāϰোāϧে āĻāϰāĻŖীā§-
ā§§. āĻāĻļāϏāĻŽৃāĻĻ্āϧ āĻাāĻŦাāϰ āĻাāύ। āĻŦেāĻļি āĻĢāϞāĻŽূāϞ, āĻļাāĻāϏāĻŦāĻি āĻāĻŦং āĻļāϏ্āϝ āĻাāύ āĻ āĻĒ্āϰāĻুāϰ āϤāϰāϞ āĻĒাāύ āĻāϰুāύ। āĻŽāϞāĻে āύāϰāĻŽ āϰাāĻāϤে āĻĒ্āϰāϤিāĻĻিāύ āĻā§ āĻĨেāĻে āĻāĻ āĻ্āϞাāϏ āĻĒাāύি āĻāĻŦং āĻ
āύ্āϝাāύ্āϝ āϤāϰāϞ (āĻ
্āϝাāϞāĻোāĻšāϞ āύā§) āĻĒাāύ āĻāϰুāύ।
⧍. āĻŽāϞ āĻĒাāϏ āĻāϰাāϰ āĻেāώ্āĻা āĻāϰাāϰ āϏāĻŽā§ āĻļ্āĻŦাāϏ āϧāϰে āϰাāĻāĻŦেāύ āύা। āĻāϤে āύিāĻেāϰ āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻļিāϰাāĻুāϞোāϤে āĻāϰāĻ āĻŦেāĻļি āĻাāĻĒ āϤৈāϰি āĻāϰে।
ā§Š. āϤাāĻিāĻĻ āĻ
āύুāĻāĻŦ āĻāϰাāϰ āϏāĻ্āĻে āϏāĻ্āĻে āĻŽāϞāϤ্āϝাāĻ āĻāϰāϤে āĻšāĻŦে।
ā§Ē. āĻĻীāϰ্āĻ āϏāĻŽā§ āϧāϰে āĻā§āϞেāĻে āĻŦāϏে āĻĨাāĻা āĻā§িā§ে āĻāϞুāύ। āĻāϤে āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻļিāϰাāĻুāϞোāϤে āĻাāĻĒ āĻŦাā§িā§ে āϤুāϞāϤে āĻĒাāϰে।
ā§Ģ. āĻŦ্āϝাā§াāĻŽ āĻāϰুāύ, āϝা āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āϰোāϧ āĻāϰāĻŦে āĻ āĻļিāϰাāĻুāϞোāϤে āĻাāĻĒ āĻāĻŽাāĻŦে।
Generally Piles are of 4 types:
External piles- are present on the skin around the anus and can be seen or felt from the outside. The main symptoms of external piles include painful, swelling and hard lumps around the anus. If these hemorrhoids get irritated, they may cause itching or bleeding.
āĻŦāĻšিঃāϏ্āĻĨ āĻĒাāĻāϞāϏ: āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻŦাāĻšিāϰেāϰ āĻĒাāĻāϞāϏāĻে āĻŦāĻšিāϏ্āĻĨ āĻĒাāĻāϞāϏ āĻŦāϞে। āĻāĻāύāĻ āĻāĻāύāĻ āĻāĻāĻ āϏāĻ্āĻে āĻāĻ্āϝāύ্āϤāϰীāĻŖ āĻ āĻŦāĻšিāϏ্āĻĨ āĻĒাāĻāϞāϏ āĻĨাāĻāϤে āĻĒাāϰে।
āĻŽāϞāϤ্āϝাāĻেāϰ āϏāĻŽā§ āĻাāĻĒ āĻĻেāĻā§াāϰ āĻŦāĻĻ āĻ
āĻ্āϝাāϏ āĻ āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āĻĒাāĻāϞāϏ āĻšāĻā§াāϰ āĻŽূāϞ āĻাāϰāĻŖ। āĻাāϰāĻ āĻাāϰāĻ āĻ্āώেāϤ্āϰে āĻĒাāĻāϞāϏ āĻŦংāĻļāĻāϤ āϰোāĻāĻ āĻšā§ে āĻĨাāĻে। āĻāϰ্āĻāĻাāϞীāύ āϏāĻŽā§ে āĻāĻŦং āĻŦā§āϏ āĻŦাā§াāϰ āϏāĻ্āĻে āϏāĻ্āĻে āĻĒাāĻāϞāϏ āĻšāĻā§াāϰ āϏāĻŽ্āĻাāĻŦāύা āĻŦৃāĻĻ্āϧি āĻĒাā§। āĻāĻাā§া āϏ্āĻĨূāϞāĻাā§, āϝāĻৃāϤেāϰ āϰোāĻী, āĻŦৃāĻšāĻĻাāύ্āϤ্āϰেāϰ āĻĒ্āϰāĻĻাāĻš āĻāύিāϤ āĻাāϰāĻŖ, āĻŦৃāĻšāĻĻাāύ্āϤ্āϰ āĻ āĻŽāϞাāĻļā§ āĻ্āϝাāύ্āϏাāϰেāϰ āϰোāĻী, āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻĒূāϰ্āĻŦেāϰ āĻ
āĻĒাāϰেāĻļāύ, āĻāĻāĻŦিāĻāϏ āĻāϤ্āϝাāĻĻি āϰোāĻ āĻĨাāĻāϞে āĻĒাāĻāϞāϏ āĻšāĻā§াāϰ āĻুঁāĻি āĻŦেāĻļি āĻĨাāĻে।
āĻŽāϞāϤ্āϝাāĻেāϰ āϏāĻ্āĻে āϰāĻ্āϤ āĻĒাāĻāϞāϏেāϰ āĻĒ্āϰāϧাāύ āĻāĻĒāϏāϰ্āĻ। āĻŽāϞেāϰ āϏāĻ্āĻে āϤাāĻা āϰāĻ্āϤ āϝাā§। āϰোāĻীāϰা āĻĢিāύāĻি āĻĻিā§ে āĻিংāĻŦা āĻāĻĒ āĻāĻĒ āĻāϰে āϰāĻ্āϤ āϝাāĻā§াāϰ āĻ
āĻিāϝোāĻ āĻāϰেāύ। āĻāĻাā§া āĻŽāϞāĻĻ্āĻŦাāϰে āĻŦাā§āϤি āĻŽাংāϏ, āĻুāϞāĻাāύি, āĻেāĻা āĻেāĻা āĻাāĻŦ āĻ āĻ
āϏ্āĻŦāϏ্āϤি āĻāϤ্āϝাāĻĻি āĻāĻĒāϏāϰ্āĻ āĻĨাāĻāϤে āĻĒাāϰে।
āĻĒাāĻāϞāϏে āϏাāϧাāϰāύāϤ āĻŦ্āϝāĻĨা āĻšā§ āύা। āϤāĻŦে āĻāĻিāϞāϤা āĻšāϞে (āϰāĻ্āϤ āĻāĻŽাāĻ āĻŦাঁāϧা, āϰāĻ্āϤāύাāϞী āĻŦāύ্āϧ āĻšā§ে āϝাāĻā§া āĻāϤ্āϝাāĻĻি) āĻŦ্āϝāĻĨা āĻšāϤে āĻĒাāϰে।
Internal piles- lie deep inside the rectum and cannot be felt or seen from the outside. They are mostly painless since there are no pain receptors in the region where they tend to appear. The only symptom of internal piles is bleeding through the anus while straining during a motion of the stools.
āĻāĻ্āϝāύ্āϤāϰীāĻŖ āĻĒাāĻāϞāϏ: āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻĻুāϤিāύ āϏে.āĻŽি. āĻেāϤāϰেāϰ āĻĒাāĻāϞāϏāĻে āĻāĻ্āϝāύ্āϤāϰীāĻŖ āĻĒাāĻāϞāϏ āĻŦāϞা āĻšā§। āĻāĻ্āϝāύ্āϤāϰীāĻŖ āĻĒাāĻāϞāϏāĻে āϤাāĻĻেāϰ āĻāĻাāϰ āĻ āĻāĻāϰāĻŖ āĻ
āύুāϝাā§ী āĻĒুāύāϰাā§ āĻাāϰāĻি āĻļ্āϰেāĻŖিāϤে āĻাāĻ āĻāϰা āĻšā§েāĻে।
- āĻļ্āϰেāĻŖি ā§§- āϏāĻŽ্āĻĒূāϰ্āĻŖ āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻেāϤāϰ āĻĨাāĻে। āĻŦাāĻšিāϰ āĻĨেāĻে āĻŦোāĻা āϝাā§ āύা।
- āĻļ্āϰেāĻŖি ⧍- āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻেāϤāϰ āĻĨাāĻে। āϤāĻŦে āĻŽāϞāϤ্āϝাāĻেāϰ āϏāĻŽā§ āĻŦাāĻšিāϰে āĻŦেāϰ āĻšā§ āĻāϏে āĻāĻŦং āĻļেāώে āύিāĻে āύিāĻে āĻেāϤāϰে āĻāϞে āϝাā§।
- āĻļ্āϰেāĻŖি ā§Š- āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻেāϤāϰ āĻĨাāĻে, āĻŽāϞāϤ্āϝাāĻেāϰ āϏāĻŽā§ āĻŦাāĻšিāϰে āĻŦেāϰ āĻšā§ে āĻāϏে āĻিāύ্āϤু āĻļেāώে āύিāĻে āύিāĻে āĻেāϤāϰে āĻāϞে āϝাā§ āύা, āĻংāĻুāϞ āĻĻিā§ে āĻ েāϞা āĻĻিāϤে āĻšā§।
- āĻļ্āϰেāĻŖি ā§Ē- āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻেāϤāϰ āĻĨেāĻে āϏāĻŦāϏāĻŽā§ āĻŦাāĻšিāϰে āĻŦেāϰ āĻšā§ে āĻĨাāĻে, āĻ েāϞে āĻেāϤāϰে āĻĻেāĻā§া āϝাā§ āύা।
Protruding or prolapsed piles- are hemorrhoids that get pushed out towards the anus when a strain is applied to pass stools. They look like pink, moist pads of skin. Prolapsed or protruding hemorrhoids tend to hurt since the anus area is dense with pain-sensitive nerves. The typical symptoms of hemorrhoids are mucus discharge, itching, and pain.
Blind Piles- are those hemorrhoids that do not bleed. They feel like protruding masses, usually detectable after passing stools, at the opening of the anus.
Piles can also be classified into grades/degree , according to their severity.
- 1st Degree piles : Remain in the rectum
- 2nd Degree piles: Prolapse through the anus on defecation but spontaneously reduce
- 3rd Degree piles: Prolapse through the anus on defecation but require digital reduction
- 4th Degree piles: Remain persistently prolapsed
Causes:
- Straining during bowel movements
- Sitting for long periods of time on the toilet
- Having chronic diarrhea or constipation
- Being obese
- Being pregnant
- Having anal intercourse
- Eating a low-fiber diet
- Regular heavy lifting
Signs and symptoms:
- Pain or discomfort, especially when sitting
- Pain during bowel movements
- Itching or irritation around the anal region
- Bright red blood on your stools, toilet paper or in the toilet bowl
- Swelling around the anus
- One or more lumps near the anus, which might be tender or painful.
Hemorrhoids Diagnosis
- Physical exam. Your doctor will look at your anus and rectum to check for lumps, swelling, irritation, or other problems.
- Digital rectal exam. Your doctor will put on gloves, apply lubrication, and insert a finger into your rectum to check muscle tone and feel for tenderness, lumps, or other problems. To diagnose internal hemorrhoids or rule out other conditions, you might need a more thorough test, including:
- Anoscopy. Your doctor uses a short plastic tube called an anoscope to look into your anal canal.
- Sigmoidoscopy. Your doctor looks into your lower colon with a flexible lighted tube called a sigmoidoscope. They can also use the tube to take a bit of tissue for tests.
- Colonoscopy. Your doctor looks at all of your large intestine with a long, flexible tube called a colonoscope. They can also take tissue samples or treat other problems they find.
Prevention
- Keeping your stools soft is the best way to prevent hemorrhoids from occurring.
- Eat high fibre foods
- Drink plenty of fluids
- Consider using fibre supplements
- Avoid straining when on the toilet
- Go to the toilet as soon as you feel the urge
- Get plenty of exercise
- Lose weight if you are overweight
- Avoid sitting for long periods
- Avoid taking medication that can cause constipation, eg. codeine based painkillers.
Complications
- Complications of hemorrhoids are rare but include:
- Anemia. Rarely, chronic blood loss from hemorrhoids may cause anemia, in which you don't have enough healthy red blood cells to carry oxygen to your cells.
- Strangulated hemorrhoid. If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be "strangulated," which can cause extreme pain.
- Blood clot. Occasionally, a clot can form in a hemorrhoid (thrombosed hemorrhoid). Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained.
Homeopathic Medicines for Piles
1. For External Piles-- Aloe Socotrina
āĻ
্āϝাāϞো āϏোāϏোāĻ্āϰিāύা āĻāĻŽāύ āĻāώুāϧ āϝা āĻŦāĻšিāϰাāĻāϤ āĻĒাāĻāϞāĻুāϞিāϰ āĻāύ্āϝ āĻŦ্āϝāĻŦāĻšাāϰ āĻāϰা āĻšāϝ় āϝা āĻা āĻāĻŦং āĻোāĻŽāϞ āĻšāϝ়। āĻŽāϞāĻĻ্āĻŦাāϰে āϤীāĻŦ্āϰ āĻŦা āĻ্āĻŦāϞāύ্āϤ āĻŦ্āϝāĻĨা āĻāĻŦং āĻŽāϞāĻĻ্āĻŦাāϰে āĻ
āĻŦāύāĻŽিāϤ āĻšāĻāϝ়াāϰ āĻāĻāĻাāύা āĻ
āύুāĻূāϤি āĻ
āύুāĻূāϤ āĻšāϤে āĻĒাāϰে। āĻ াāύ্āĻĄা āϏংāĻোāĻāύেāϰ āĻŦ্āϝāĻŦāĻšাāϰ āĻŦ্āϝāĻĨা āĻŦা āĻ্āĻŦāϞāύ āϏংāĻŦেāĻĻāύ āĻĨেāĻে āĻŽুāĻ্āϤি āĻĻিāϤে āĻĒাāϰে। āĻāĻ āĻāώুāϧāĻিāĻ āĻĒাāϝ়ুāϏংāĻ্āϰাāύ্āϤ āĻĢিāϏ্āĻুāϞাāϏেāϰ āĻিāĻিā§āϏাāϰ āĻāύ্āϝ āĻŦ্āϝāĻŦāĻšৃāϤ āĻšāϝ়।
2. For Painful/Protruding Piles-- Muriatic Acid
3. For Piles with Burning Sensation- Ratanhia Peruviana
4. For Piles with blackish Bleeding-- Hamamelis Virginiana
5. For Piles with Constipation and bright red bleeding-- Collinsonia Canadensis
6. For Piles with Shooting Pain-- Aesculus Hippocastanum
7. For Blind Piles-- Nux Vomica
8. For Piles and Anal Fistula-- Silicea
āϏিāϞিāϏিāϝ়া āĻšāϞ āĻĒাāĻāϞāϏ āĻāĻŦং āĻŽāϞāĻĻ্āĻŦাāϰ āĻĢিāϏ্āĻুāϞাāϰ āĻিāĻিā§āϏাāϰ āĻāύ্āϝ āĻŦ্āϝāĻŦāĻšৃāϤ āĻšāϝ়। āĻŽāϞāĻুāϞি āĻĒাāϏেāϰ āϏāĻŽāϝ় āĻĒাāĻāϞāĻুāϞি āĻĒ্āϰāϏাāϰিāϤ āĻšāϝ়। āĻŽāϞ āĻļāĻ্āϤ āĻšāϝ় āĻāĻŦং āĻŽāϞāϤ্āϝাāĻেāϰ āϏāĻŽāϝ় āĻŦেāĻļ āĻāϝ়েāĻāĻŦাāϰ āĻŽāϞāĻĻ্āĻŦাāϰে āĻĢেāĻে āϝাāϝ়। āĻļāĻ্āϤ āĻŽāϞ āĻĒাāϏ āĻāϰাāϰ āĻĒāϰে āĻŽāϞāĻĻ্āĻŦাāϰ āĻŽāϧ্āϝে āĻĒোāĻĄ়া, āĻāĻŦং āĻŽāϞāĻĻ্āĻŦাāϰ āĻĢিāϏ্āĻুāϞা āĻĨেāĻে āĻĒুঁāĻ āĻŦা āϏিāϰাāĻŽেāϰ āĻāĻāĻি āĻāύ্āϧāϝুāĻ্āϤ āĻāύ্āϧāϝুāĻ্āϤ āĻāĻĒāϏ্āĻĨিāϤ āĻšāϤে āĻĒাāϰে।
9. For piles with Chronic Diarrhea-- Merc Sol
āĻŽাāϰ্āĻ āϏāϞ āĻĄাāϝ়āϰিāϝ়াāϝ় āĻāĻ্āϰাāύ্āϤ āĻŦ্āϝāĻ্āϤিāĻĻেāϰ āĻĒাāĻāϞāϏেāϰ āĻিāĻিā§āϏাāϰ āĻāύ্āϝ āĻŦ্āϝāĻŦāĻšৃāϤ āĻāώুāϧ। āϰাāϤেāϰ āϏāĻŽāϝ় āĻāϰāĻ āĻāύ āĻāύ āĻŽāϞ āϤ্āϝাāĻ āĻāϰাāϰ āϤাāĻিāĻĻ āϰāϝ়েāĻে। āĻŽāϞāĻুāϞি āĻŦেāĻļিāϰāĻাāĻ āĻ্āώেāϤ্āϰে āĻāĻāϝুāĻ্āϤ āĻāύ্āϧāϝুāĻ্āϤ āĻāĻŦং āĻাāĻŦাāϰেāϰ āĻš্āϰাāϏāĻĒ্āϰাāĻĒ্āϤ āĻŦিāĻ āĻšāϝ়। āĻŽāϞ āĻŽāϞāĻĻ্āĻŦাāϰে āϝাāĻāϝ়াāϰ āϏāĻŽāϝ় āĻŽāϞāĻĻ্āĻŦাāϰে āĻ্āĻŦāϞāύ, āĻŽāϞāϤ্āϝাāĻেāϰ āϏāĻŽāϝ় āĻĒাāĻāϞāϏেāϰ āĻĒ্āϰāϏাāϰ, āĻ্āϞাāύ্āϤি āĻāĻŦং āĻাঁāĻĒুāύি āĻĻিāϝ়ে āĻŽāϰিāĻ āĻāĻŦং āĻŦāĻŽি āĻŦāĻŽি āĻাāĻŦāĻ āĻāĻĒāϏ্āĻĨিāϤ āĻĨাāĻে।
10. For Piles and Anal Fissure-- Nitricum Acidum
āĻŽāϞ āĻĒাāϏ āĻāϰাāϰ āϏāĻŽāϝ় āĻŽāϞāĻĻ্āĻŦাāϰে āϝāĻāύ āĻিঁāĻĄ়ে āϝাāĻāϝ়াāϰ āĻŽāϤো āĻŦ্āϝāĻĨা āĻĨাāĻে āϤāĻāύ āύাāĻāϞিāĻাāĻŽ āĻāϏিāĻĄাāĻŽ āĻšāϞ āĻĒাāĻāϞāϏ āĻāĻŦং āĻĒাāϝ়ূ āĻĢিāĻļাāϰেāϰ āĻিāĻিā§āϏাāϰ āĻāύ্āϝ āĻŦ্āϝāĻŦāĻšৃāϤ āĻāώুāϧ। āĻŽāϞ āĻļāĻ্āϤ āĻŦা āύāϰāĻŽ āĻšāϤে āĻĒাāϰে āϤāĻŦে āĻ
āϏুāĻŦিāϧা āϏāĻšāĻাāϰে āĻĒাāϏ āĻšāϝ় āĻāĻŦং āϰāĻ্āϤāĻĒাāϤāĻ āĻšāϤে āĻĒাāϰে। āĻŽāϞāĻĻ্āĻŦাāϰে āϏ্āĻĒ্āϞিāύ্āĻাāϰেāϰ āĻŽāϤো āĻŦ্āϝāĻĨা āĻšāϤে āĻĒাāϰে।
11. For Itching Piles-- Sulphur
āϏাāϞāĻĢাāϰ āĻš'āϞ āĻĒাāĻāϞāϏেāϰ āĻিāĻিā§āϏাāϰ āĻāύ্āϝ āĻŦ্āϝāĻŦāĻšৃāϤ āĻāĻāĻি āĻāώুāϧ āϝা āϝāĻāύ āĻŽāϞāĻĻ্āĻŦাāϰে āĻļāĻ্āϤ, āύāĻ āϏ্āĻুāϞেāϰ āϏাāĻĨে āĻŦ্āϝāĻĨা āĻāĻŦং āĻোāĻŽāϞāϤা āĻĨাāĻে। āĻŽāϞ āĻŦেāϰিāϝ়ে āϝাāĻāϝ়াāϰ āĻĒāϰে āĻĻুāϰ্āĻŦāϞāϤা, āĻ
āϤিāϰিāĻ্āϤ āĻŽāϞāĻĻ্āĻŦাāϰ āĻŦ্āϝāĻĨা āĻāĻŦং āĻŽāϞāĻĻ্āĻŦাāϰে āĻাāĻŽāĻĄ়াāύোāϰ āϏংāĻŦেāĻĻāύ āϝা āĻļুāϝ়ে āĻĒāĻĄ়āϞে āĻāϰāĻ āĻাāϞ āĻšāϝ় āĻিāĻু āĻ
āύ্āϝাāύ্āϝ āϞāĻ্āώāĻŖ āϝা āĻāĻ āĻāώāϧেāϰ āĻĒ্āϰāϝ়োāĻāύীāϝ়āϤা āύিāϰ্āĻĻেāĻļ āĻāϰে।
Anal fissure:
āĻāĻāĻি āĻŽāϞāĻĻ্āĻŦাāϰে āĻŦিāĻ্āĻিāύ্āύāϤা āĻāĻāĻি āĻুāĻŦ āĻŦেāĻĻāύাāĻĻাāϝ়āĻ, āĻŦেāĻļিāϰāĻাāĻ āĻ্āώেāϤ্āϰে āĻŽāϞāĻĻ্āĻŦাāϰে āĻĻীāϰ্āĻāϏ্āĻĨাāϝ়ী āĻিāϝ়াāϰ āĻļ্āϞৈāώ্āĻŽিāĻ āĻিāϞ্āϞী। āĻŦেāĻļিāϰāĻাāĻ āĻ্āώেāϤ্āϰে āϞāĻ্āώāĻŖāĻুāϞি āĻš'āϞ āĻŦ্āϝāĻĨা āϏāĻŽāϝ় āĻ
āύ্āϤ্āϰ āĻāύ্āĻĻোāϞāύ, āĻুāϞāĻাāύি āĻāĻŦং āĻāĻāύāĻ āĻāĻāύāĻ āϰāĻ্āϤ āĻŽāϞ āĻāĻŽা। āϝেāĻোāύ āĻŦāϝ়āϏেāϰ āϰোāĻীāĻĻেāϰ āĻ্āώেāϤ্āϰে āĻŽāϞāĻĻ্āĻŦাāϰ āĻŦিāĻ্āĻিāύ্āύāϤা āĻĻেāĻা āĻĻিāϤে āĻĒাāϰে।
āĻŽāϞāĻĻ্āĻŦাāϰ āĻĢিāĻļাāϰ āĻš'āϞ āĻŽāϞāĻĻ্āĻŦাāϰেāϰ āĻāϏ্āϤāϰāĻŖে āĻāĻāĻি āĻোāĻ āĻাāĻা āĻŦা āĻিāϝ়াāϰ। āϤ্āĻŦāĻেāϰ āĻ্āϰ্āϝাāĻāĻি āϤীāĻŦ্āϰ āĻŦ্āϝāĻĨা āĻāĻŦং āĻ
āύ্āϤ্āϰেāϰ āύāĻĄ়াāĻāĻĄ়াāϰ āϏāĻŽāϝ় āĻāĻŦং āĻĒāϰে āĻিāĻু āĻāĻ্āĻ্āĻŦāϞ āϞাāϞ āϰāĻ্āϤāĻĒাāϤেāϰ āĻাāϰāĻŖ āĻšāϝ়। āĻāĻāύāĻ āĻāĻāύāĻ, āĻĢিāĻļাāϰ āύীāĻে āĻĒেāĻļী āĻিāϏ্āϝু āĻĒ্āϰāĻাāĻļ āĻāϰāϤে āϝāĻĨেāώ্āĻ āĻāĻীāϰ āĻšāϤে āĻĒাāϰে।
Causes Of Fissure In Ano:
Factors that may lead to trauma or tear in anal mucosa are listed below.
Constipation: āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āĻš'āϞ āĻĢিāĻļাāϰ-āĻāύ-āĻāϰ āĻ
āύ্āϝāϤāĻŽ āϏাāϧাāϰāĻŖ āĻাāϰāĻŖ। āĻĻীāϰ্āĻāϏ্āĻĨাāϝ়ী āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āϝেāĻŽāύ āĻ
āĻ্āϝাāϏāĻāϤ āĻোāώ্āĻ āĻাāĻ িāύ্āϝ, āĻĄ্āϰাāĻ-āĻĒ্āϰāϰোāĻিāϤ āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āĻŦা āĻāϰ্āĻাāĻŦāϏ্āĻĨাāϰ āĻাāϰāĻŖে āĻোāώ্āĻ āĻাāĻ িāύ্āϝ āĻŽāϞāĻĻ্āĻŦাāϰ āĻļ্āϞেāώ্āĻŽা āĻāώāϤে āĻŦা āĻোāϰ āĻāϰে āĻāώāϤে āĻŦাāĻĄ়ে āϝা āĻŦিāĻ্āĻিāύ্āύ āĻšāϝ়ে āϝাāϝ়। āϏিāĻĄেāύ্āĻাāϰি āϞাāĻāĻĢāϏ্āĻাāĻāϞ, āϤ্āϰুāĻিāϝুāĻ্āϤ āĻĄাāϝ়েāĻ āĻ
āĻ্āϝাāϏ, āϤ্āϰুāĻিāϝুāĻ্āϤ āĻাāĻĻ্āϝাāĻ্āϝাāϏ, āϏ্āĻ্āϰেāϏ āĻāϤ্āϝাāĻĻিāϰ āĻŽāϤো āĻāĻĒাāĻĻাāύāĻুāϞিāĻ āĻোāώ্āĻ āĻাāĻ িāύ্āϝেāϰ āĻাāϰāĻŖ āĻšāϤে āĻĒাāϰে।
Diarrhea: āĻোāϰাāϞ āĻĄাāϝ়āϰিāϝ়াāϝ় āĻāĻ্āϰাāύ্āϤ āĻšāĻāϝ়াāϰ āĻĢāϞে āĻুāĻŦ āϤাāĻĄ়াāϤাāĻĄ়ি āĻŦāĻĄ় āĻŽāϞāĻুāϞি āĻ
āϤিāĻŦাāĻšিāϤ āĻšāϝ়, āĻŦিāĻļেāώāϤ āĻŦাāĻ্āĻাāĻĻেāϰ āĻ্āώেāϤ্āϰে āĻŽāϞāĻĻ্āĻŦাāϰ āĻļ্āϞেāώ্āĻŽাāĻāύিāϤ āĻ্āώāϤ āϏৃāώ্āĻি āĻšāϤে āĻĒাāϰে, āĻĢāϞে āĻŦিāϏ্āĻĢোāϰāĻŖ āĻāĻে।
Multiple pregnancies: During pregnancy or childbirth women may develop anal fissures due to recurrent straining during labor
Chronic use of laxatives: Laxatives or purgatives are habit-forming. Using laxatives for a long time and then stopping their use may cause more constipation. Constipation may further lead to fissure.
Underlying other diseases: Fissure may be a manifestation of an underlying disease, such as
- Crohn's disease,
- ulcerative colitis,
- irritable bowel syndrome,
- sexually transmitted disease,
- tuberculosis,
- cancer,
- anal sex etc.
Symptoms
- Pain, sometimes severe, during bowel movements
- Pain after bowel movements that can last up to several hours
- Bright red blood on the stool or toilet paper after a bowel movement
- A visible crack in the skin around the anus
- A small lump or skin tag on the skin near the anal fissure
Complications
- Failure to heal. An anal fissure that fails to heal within eight weeks is considered chronic and may need further treatment.
- Recurrence. Once you've experienced an anal fissure, you are prone to having another one.
- A tear that extends to surrounding muscles. An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter), making it more difficult for your anal fissure to heal. An unhealed fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or remove the fissure.
Prevention
- You may be able to prevent an anal fissure by taking measures to prevent constipation or diarrhea.
- Eat high-fiber foods,
- drink fluids
- and exercise regularly
Diagnosis:
- The diagnosis of a fissure in ano is done by the evaluation of medical history and clinical examination.
- The doctor may advise sigmoidoscopy or colonoscopy in some cases to rule out other disease conditions affecting the rectum and anal canal.
Anoscopy. An anoscope is a tubular device inserted into the anus to help your doctor visualize the rectum and anus.
Flexible sigmoidoscopy. Your doctor will insert a thin, flexible tube with a tiny video into the bottom portion of your colon. This test may be done if you're younger than 50 and have no risk factors for intestinal diseases or colon cancer.
Colonoscopy. Your doctor will insert a flexible tube into your rectum to inspect the entire colon. This test may be done if you are older than age 50 or you have risk factors for colon cancer, signs of other conditions, or other symptoms such as abdominal pain or diarrhea.
Commonly indicated Homeopathic remedies:
Graphites:
Nitric Acid:
Ratanhia:
Paeonia:
Sulphur
Rectal prolapse
āĻāĻĒāύাāϰ āĻŽāϞāĻĻ্āĻŦাāϰāĻি āĻāĻĒāύাāϰ āĻোāϞāύেāϰ āύীāĻেāϰ āĻ
ংāĻļ āϝেāĻাāύে āĻŽāϞ āĻāĻ āύ। āĻŽāϞāĻĻ্āĻŦাāϰāĻি āϝāĻĻি āĻĻেāĻšেāϰ āĻ
āĻ্āϝāύ্āϤāϰে āϤাāϰ āϏ্āĻŦাāĻাāĻŦিāĻ āĻাāϝ়āĻা āĻĨেāĻে āĻŦাāĻāϰে āϝাāϝ় āĻāĻŦং āĻŽāϞāĻĻ্āĻŦাāϰ āĻোāϞাāϰ āĻŦাāĻāϰে āϧাāĻ্āĻা āĻĻেāϝ় āϤāĻŦে āĻāĻ āĻ
āĻŦāϏ্āĻĨাāĻে āϰেāĻāĻাāϞ āĻĒ্āϰোāϞ্āϝাāĻĒāϏ āĻŦāϞা āĻšāϝ়। āĻĒ্āϰাāĻĨāĻŽিāĻ āĻĒāϰ্āϝাāϝ়ে, āĻ
āύ্āϤ্āϰেāϰ āĻāϤিāĻŦিāϧিāϰ āĻĒāϰে āĻেāĻŦāϞ āĻāĻāĻি āĻĒ্āϰāϞাāĻĒ āĻšāϤে āĻĒাāϰে। āĻĒ্āϰāϏাāϰিāϤ āĻŽāϞāĻĻ্āĻŦাāϰāĻি āϤাāϰāĻĒāϰে āĻĒাāϝ়ুāĻĒāĻĨ āĻাāϞেāϰ āĻŽāϧ্āϝ āĻĻিāϝ়ে āĻĒিāĻāύে āĻĒিāĻāϞে āϝেāϤে āĻĒাāϰে। āϏāĻŽāϝ়েāϰ āϏাāĻĨে āϏাāĻĨে, āĻĒ্āϰāϞাāĻĒāĻি āĻāϰāĻ āϤীāĻŦ্āϰ āĻšāϝ়ে āĻāĻ āϤে āĻĒাāϰে āĻāĻŦং āϤাāϰ āĻāύ্āϝ āĻ
āϏ্āϤ্āϰোāĻĒāĻাāϰেāϰ āĻĒ্āϰāϝ়োāĻāύ āĻšāϤে āĻĒাāϰে।
Types of Rectal Prolapse
There are three types of prolapse:
External prolapse: The entire rectum sticks out of your anus.
Partial prolapse - the lining of the rectum slides out of place and usually sticks out of the anus. This can happen when straining to have a bowel movement. Partial prolapse is most common in children younger than 2 years.
Internal prolapse: The rectum has started to drop but is not yet sticking out of your anus.
Causes of rectal prolapse
- Chronic (long-term) constipation or chronic diarrhea
- Long-term history of straining during bowel movements
- Older age: Muscles and ligaments in the rectum and anus naturally weaken with age. Other nearby structures in the pelvis area also loosen with age, which adds to the general weakness in that area of the body.
- Weakening of the anal sphincter: This is the specific muscle that controls the release of stool from the rectum.
Earlier injury to the anal or pelvic areas
Damage to nerves: If the nerves that control the ability of the rectum and anus muscles to contract (shrink) are damaged, rectal prolapse can result. Nerve damage can be caused by pregnancy, difficult vaginal childbirth, anal sphincter paralysis, spinal injury, back injury/back surgery and/or other surgeries of the pelvic area.
Other diseases, conditions and infections: Rectal prolapse can be a consequence of
- diabetes,
- cystic fibrosis,
- chronic obstructive pulmonary disease,
- hysterectomy,
and infections in the intestines caused by parasites – such as pinworms and whipworms – and diseases resulting from poor nutrition or from difficulty digesting foods.
Symptoms of rectal prolapse:
- The symptoms of a prolapsed rectum are similar to those of hemorrhoids.
- Feeling of a bulge or the appearance of reddish-colored mass that extends outside the anus.
Other signs are:
- Anal pain, itching, irritation, and bleeding.
- Bright red tissue that protrudes from the anus.
- Feeling off full bowels and urgent need to have a bowel movement.
- Feeling of not being able to empty the bowels completely.
- Inability to control bowel movements that becomes worse over time.
- Passage of many very small stools.
Diagnosis:
Anal electromyography (EMG): This test determines if nerve damage is the reason why the anal sphincters are not working properly. It also examines the coordination between the rectum and anal muscles.
Anal manometry: This test studies the strength of the anal sphincter muscles. A short, thin tube, inserted up into the anus and rectum, is used to measure the sphincter tightness.
Anal ultrasound: This test helps evaluate the shape and structure of the anal sphincter muscles and surrounding tissue. In this test, a small probe is inserted up into the anus and rectum to take images of the sphincters.
Colonoscopy: This is an exam of the colon or large bowel. A flexible tube with a camera is passed through the anus upwards to where the large intestine joins the small intestine. This helps provide visual clues as to the source of the problem.
Rectal Prolapse Prevention
- To prevent rectal prolapse, try not to strain when you poop. Try these tips to ease or prevent constipation that leads to straining:
- Get more fiber in your diet. Aim for at least five servings of fruits and veggies each day.
- Drink 6 to 8 glasses of water a day.
- Get regular exercise.
- Keep your weight at a healthy level or lose weight if you need to.
- If you have constipation often, talk to your doctor. They may direct you to take a stool softener or laxative.
- Avoid heavy lifting, as this could put pressure on your bowel muscles.
Rectal Prolapse Complications
- Rectal damage like ulceration or bleeding
- Your rectum can’t be manually pushed back up inside you
- Strangulation, or the blood supply in your rectum is reduced
- Gangrene, or the strangulated rectal tissue decays and dies
āύিāĻেāϰ āĻŦৈāĻļিāώ্āĻ্āϝāĻুāϞো āϰেāĻāĻাāϞ āϏ্āĻĨাāύāĻ্āϝুāϤি āϰোāĻেāϰ āύিāϰ্āĻĻেāĻļāĻ:
- āϏ্āĻিāϞ āϞিāĻ
- āĻোāώ্āĻ āĻাāĻ িāύ্āϝ
- āĻুāϞāĻাāύি
- āĻĒাāϝ়ূ āϏ্āϰাāĻŦ
- āĻŽāϞāĻĻ্āĻŦাāϰে āϰāĻ্āϤāĻ্āώāϰāĻŖ
- āĻĢিāĻাāϞ āĻ āϏāύ্āϤোāώ
āϰেāĻāĻাāϞ āϏ্āĻĨাāύāĻ্āϝুāϤি āϰোāĻেāϰ āϏāĻŦāĻেā§ে āĻĒ্āϰāĻāϞিāϤ āĻাāϰāĻŖāĻুāϞো āύিāĻŽ্āύāϰূāĻĒ:
- āĻĒেāϞেāĻিāĻ āĻŽেāĻে āϤ্āϰুāĻি
- āĻĒাāϝ়ূ sphincter āĻāϞāĻা āĻĒেāĻļী
- āĻ āϏ্āĻŦাāĻাāĻŦিāĻ āĻĻীāϰ্āĻ āĻāϞোāύ
- āĻোāώ্āĻ āĻাāĻ িāύ্āϝ
- āĻ āϤিāϏাāϰ
- āĻĻীāϰ্āĻāϏ্āĻĨাāϝ়ী āĻাāĻļি
- āĻšাঁāĻি
- āϏিāϏ্āĻিāĻ āĻĢাāĻāĻŦ্āϰোāϏিāϏ
- āĻ āύ্āϤ্āϰেāϰ āĻীāĻ āϏংāĻ্āϰāĻŽāĻŖ
āύিāĻেāϰ āĻĒāĻĻāĻ্āώেāĻĒāĻুāϞো āύিā§ে āĻāĻ āϰোāĻ āĻĒ্āϰāϤিāϰোāϧ āĻāϰা āϝেāϤে āĻĒাāϰে:
- āϏāĻ িāĻ āĻ āĻ্āĻāĻāĻ্āĻি āĻŦ্āϝāĻŦāĻšাāϰ āĻāϰে
- āϤāϰāϞ āĻĒ্āϰāĻুāϰ āĻĒাāύ
- āĻāĻ্āĻ āĻĢাāĻāĻŦাāϰ āĻাāĻŦাāϰ āĻাāύ
- āϏ্āĻāϞ softeners āĻŦ্āϝāĻŦāĻšাāϰ āĻāϰুāύ
āύিāĻŽ্āύোāĻ্āϤ āύিāϰ্āĻŖাā§āĻāĻুāϞো āϰেāĻāĻাāϞ āϏ্āĻĨাāύāĻ্āϝুāϤি āϰোāĻ āĻšāĻā§াāϰ āϏāĻŽ্āĻাāĻŦāύা āĻŦাā§িā§ে āĻĻেā§:
- āĻ্āϰāύিāĻ āĻŽাāύāϏিāĻ āϰোāĻ
- āĻোāώ্āĻ āĻাāĻ িāύ্āϝ
- āĻĒূāϰ্āĻŦāĻŦāϰ্āϤী āĻĒেāϞেāĻিāĻ āϏাāϰ্āĻাāϰি
Top Homeopathic Remedies for Rectal Prolapse:
1. Podophyllum: When Rectum Prolapse Occurs while Passing Stool
2. Ignatia: When Rectum Prolapse Occurs Even with Soft Stool
3. Ruta Graveolens: Prolapse occurs After Straining or after Delivery
4. Aesculus: When Rectal Prolapse is Due to Chronic Piles
5. Hydrastis: For Rectal Prolapse in Children