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The veins draining the anal region usually lie just under the mucous membrane lining of the lowest part of the rectum and the anus. Persistent straining during the act of defecation usually raises the pressure in the veins as a result of which they swell and protrude through the anal opening.
The exact cause of piles is not known. However, they are mainly seen in those who suffer from chronic constipation, either due to low fiber diet or due to constant straining at passing stools. A positive family history is often obtained and is related to congenital weakness of vein walls.
Any condition which causes excessive straining such as chronic cough and bronchitis, obesity, lifting heavy weights, raises the intra abdominal pressure and the incidence of piles. Physiological hemorrhoids (piles) are also seen during pregnancy when the pressure of the growing baby and the uterus gives rise to piles. It should be noted that this is a reversible condition and should not be operated. Other causes could be abdominal tumors, liver disorders and high blood pressure.
Chronic constipation invariably is the major cause of piles as the need to strain usually arises because waste product of low fiber foods creates small hard stools. These injure the mucous lining of the arms as they pass through. They do not pass easily and nearly every act of defecation can put a damaging strain on the anus. By and large pain or bleeding associated with passing stools is thought to be piles but it is not always so. The other two important causes could be a fissure or cancer of the rectum/colon. Ulcerative colitis is also another cause.
Usually the bleeding from piles is a squirt or drip with passage of stools like a "splash in the pan". It could also be like a smear of bright blood on the paper at the end of defecation. Dark blood, clots, profuse bleeding and blood mi@e Aith stools usually suggest that the bleeding is coming from higher up and not from piles. To prevent piles :-
    1. Ensure that there is adequate roughage (bran, whole grains, green vegetable, and fruits) in your diet. Avoid alcohol, tea, coffee and very spicy foodDrink at least 8 glasses of water daily preferably non-refrigerated. If your life style is sedentary include some exercises in your daily routine. Get yourself treated for any condition that is causing you to strain such as chronic cough Attend to nature's call daily and do not postpone the urge to defecate, but do not sit for too long in the toilet. Maintain god hygiene and keep the anal area dry learn to relax mentally and regularize your life style
    2. Isabol can be taken as a bulk forming laxative.
Iqbal Clinic , as a natural system of medicine, offers a painless solution to piles in their early stages. In most cases Iqbal herbal remedies not only help to reduce the bleeding, discomfort and itching, but also restore elasticity, remove venous congestion and help to get rid of piles permanently without any side effects.