Grade 1 Piles Treatment – Causes, Symptoms, and Surgery

Piles also known as hemorrhoids cause a lot of pain and can greatly affect the physical and mental health of an individual. It is characterized by uncomfortable signs that may affect the movements and actions of a person in completing their normal activities.

Here in this blog, we will delve into Garde-1 piles and how it can be managed. But before we delve into it let’s get a better understanding on what it is.

What is Piles?

Hemorrhoids or piles are inflamed and enlarged clusters of tissue situated in the anal region. They can vary in size and may be classified as either internal or external.

Internal hemorrhoids are typically found between 2 and 4 centimeters (cm) above the anal opening and are the more prevalent type. In contrast, external hemorrhoids are located on the outer rim of the anus.

Piles Are Classified Into Four Grades:

1. Grade I: It has minor inflammations, most often within the mucosa, specifically the rectum. They are not visible.
2. Grade II: Like the grade I piles, the grade II piles are also bigger in size, but they do not protrude outside the anus. They may prolapse during passage of stools but they will retract back without any assistance.
3. Grade III: These are also referred to as strangulated hemorrhoids, and occur outside the rectum. They may be felt hanging from the rectum but if removed, they can be easily re-inserted.
4. Grade IV: These cannot be postponed and require some form of treatment. These are relatively big and are situated outside the anus.

Let us now delve into Grade-1 Piles, exploring their management as well as understanding their causes and symptoms.

What are Grade 1 Piles?

There are four stages of piles, and Grade 1 piles are also known as hemorrhoids. This situation encompasses hemorrhoids that hang at least partially into the anal canal but do not extend beyond the anal opening. In most cases, they cannot be directly observed having a size or form that cannot be easily felt from the anus. These hemorrhoids are noticed as polyps in the lumen during the colonoscopy examination depending on the degree of prolapse. This is a mild form of piles but will worsen and become grade 2 piles if treatment is not sought.

First-degree piles can be managed with non-surgical measures and with alterations in lifestyle. However, it is better to consult with a proctologist in time to avoid further aggravation of this disorder.

Symptoms of Garde-1 Piles

In general, the symptoms associated with hemorrhoids are not severe and typically subside independently within a few days. A person suffering from hemorrhoids may encounter the following signs:

• A firm and potentially painful lump may be detected near the anal region, which could contain clotted blood. Hemorrhoids that are accompanied by blood are referred to as thrombosed external hemorrhoids.
• Following a bowel movement, an individual may have the sensation that their bowels remain full.
• Bright red blood may be observed after a bowel movement.
• The area surrounding the anus may exhibit itchiness, redness, and tenderness.
• Discomfort may arise during the act of defecation.

Causes

The precise reasons for the occurrence of hemorrhoids remain unclear to healthcare professionals; however, several factors may contribute to their development:

• Pregnancy: The growing weight of the fetus and uterus during pregnancy exerts pressure on the pelvic region, leading to hemorrhoids in as many as 35% of pregnant individuals.
• Aging: Hemorrhoids are predominantly observed in adults aged 45 to 65 years, although they can also affect younger individuals and children.
• Diarrhea: Instances of chronic diarrhea may result in the formation of hemorrhoids.
• Chronic constipation: The act of straining during bowel movements increases pressure on the blood vessel walls, potentially causing hemorrhoids.
• Prolonged sitting: Extended periods of sitting, particularly on the toilet, can contribute to the development of hemorrhoids.
• Diet: A diet low in fiber may play a role in the onset of hemorrhoids.
• Heavy lifting: Frequent lifting of heavy items can lead to the formation of hemorrhoids.
• Anal intercourse: This practice may either create new hemorrhoids or exacerbate existing ones.
• Weight: Studies indicate a correlation between being overweight and an elevated risk of hemorrhoids, likely due to increased abdominal pressure.

Diagnosis

The diagnostic process for grade 1 hemorrhoids is relatively straightforward. Typically, the physician begins with a physical examination. During this evaluation, the physician may inquire about various aspects, including the symptoms you are experiencing, your medical history, and your lifestyle choices.

Subsequently, the physician may conduct a visual examination of the anal area, which is often sufficient for diagnosing hemorrhoids. Following this visual assessment, additional tests may be performed, such as:

• Digital rectal examination: This procedure involves the insertion of a gloved and lubricated finger into the rectum to identify any abnormal growths.
• Anoscopy, sigmoidoscopy, and colonoscopy: In these examinations, the physician utilizes small instruments equipped with cameras to inspect the anorectal area, including the anus, rectum, and colon. The device, which contains a fiber optic camera, is inserted into the rectum, providing the physician with a detailed view of the internal region and allowing for close examination of the hemorrhoidal growth.

Grade 1 Piles Treatment

Grade 1 piles (hemorrhoids) are the least severe form and are usually easy to manage using various simple treatments that do not require surgery. Here are the common treatments:

1. Lifestyle and Dietary Changes:

• Increase Fiber Intake: A high-fiber diet where one takes fruits, vegetables, and whole grains helps in easing bowel movement thus eliminating any strain.
• Stay Hydrated: Staying hydrated also helps maintain the hardness of the stool hence the frequency of consuming water is important.
• Regular Exercise: Physical activities involve a routine that helps in facilitate bowel movement and hence decrease the probability of constipation.
• Avoid Straining: Avoid passing hard stools as this may worsen piles it is therefore recommended that one takes lots of fiber rich foods.

2. Topical Treatments:

• Over-the-Counter Creams and Ointments: They may have some ingredients to soothe the skin such as hydrocortisone or witch hazel used to minimize itching or inflammation respectively.
• Suppositories: These can be used to alleviate internal hemorrhoids, and lessen the effects.

3. Warm Sitz Baths:

• Soaking in Warm Water: Taking a warm bath for the 10-15 minutes few time a day can reduce symptoms including itchiness, burning sensation and discomfort.

4. Medications:

• Stool Softeners: Some of these can assist in easing the passage of stools and thus less pressure is exerted on the hemorrhoids.
• Pain Relievers: Any discomfort that you may feel can be eased with the help of ordinary painkillers such as acetaminophen or ibuprofen that are available without prescription.

5. Good Toilet Habits:

• Avoid Prolonged Sitting: Do not delay for long hours on the toilet seat because this will exert pressure on the hemorrhoidal veins.
• Use the Toilet When Needed: Do not hold in your bowel movements because this will only result into contracting harder Bowman’s and hence straining is inevitable.

6. Hygiene:

• Keep the Area Clean: Avoid using soap on the anal region or any harsh remedies on the skin as they might cause irritation of the skin. Do not scratch or irritate it with rough toilet paper, or blot it with scented wipes.

7. Non-Surgical Procedures:

If the above methods are ineffective, the physician may suggest such operations are rubber band ligation or sclerotherapy but the listed operations are more characteristic of higher-grade hemorrhoids.

Non-surgical measures can sometimes be used to treat Grade 1 piles and include the following. But in the event that the symptoms do not subside or become aggravated, then it is important to pay a visit to the health care provider so that further tests and lower treatment may required.

Also Read: Top 10 Urologists In India

How to Prevent Pile (Hemorrhoids)?

Modifications to one’s lifestyle can significantly reduce the likelihood of developing hemorrhoids. Key strategies include:

Adopting a nutritious diet: Consuming a variety of fiber-rich foods, such as fruits, vegetables, and whole grains, can facilitate softer stools. Additionally, utilizing over-the-counter fiber supplements and ensuring adequate hydration can alleviate constipation.

Avoiding excessive straining: Individuals should refrain from straining during bowel movements, as this exerts pressure on the veins in the lower rectal area.

Responding promptly to the urge to defecate: It is advisable to use the restroom as soon as the need arises. Prolonged delays can lead to drier stools.

Engaging in regular physical activity: Exercise promotes the movement of stool through the intestines, contributing to more consistent bowel habits.

Maintaining a healthy body weight: Excess weight can elevate the risk of hemorrhoid formation.

Also Read: Top 10 Urology Hospitals in India