What is a pile?
The radial expansion of the rectal vein in the anal canal is called a pile. The medical term of the pile is hemorrhoids. Compared with arteries veins are the cause of weak thin walls, hence it is possible to bend them at any back pressure in the veins. There are three rectal veins, excellent, middle and lower rectal veins. The disturbance or increase in the pressure of these veins can be directed towards the mountain.
There are two types of piles, depending on the situation.
1) External mountains. 2) Inner mountain.
1) External mountains: -
This type of pile is seen outside the anal opening and is covered with skin. It is black or brown. This type of pile is very painful due to abundant nerve supply in this area.
2) Inner mountain: -
It is inside the anal canal and inside the anal orifice. It is covered with mucosa and is red or purple in color. These piles are painless.
Internal and external mountains of a certain time occure in the same individual.
Factors responsible for piling: -
1) This is a family disease.
2) The pile maintains an upright attitude that is seen only by animals. This is due to congestion of the rectal vein due to gravity effects.
3) It is common in individuals who have chronic constipation. People who have a habit of visiting a toilet due to frequent urges to feces may develop piles in the future.
4) The mountain is common to those who take excess of chicken, shrimp, spicy food ect. People who consume vegetables and fiber foods are hardly affected.
5) Some women get piles during pregnancy due to rectal vein compression by the uterus.
6) Cancerous lesions in the rectum can interfere with the blood flow and results of the mountain.
Signs and symptoms of piles: -
1) Pain: -
The pain is common in the worse external mountains while filtering on the seat.
2) Bleeding: -
Bleeding comes in splash while pushing for the seat. Bleeding may be rough in some cases.
3) Mass of protrusion: -
In external mountains expansion can be felt around the opening of the anus. In the case of internal piles, we can not feel it at first. When the disease progresses, the piles protrude into the stool and automatically enter inside. When the condition gets worse, the protruding piles will not return to the anus.
4) In some cases there is a drainage of mucus using a choking around the anal opening.
Pile complications: -
1 contagion: Infection can spread to deep veins after sepsis.
2 Fibrosis: Here the mountain becomes fibrosed with stiffening of the anal opening.
3 Thrombosis: Here the blood in the mountain can form clots and interfere with the flow of blood.
4 gangrene: Here the mountain and nearby skin tissue dies due to a lack of blood supply.
Supply of 5: When mountains can produce abscesses using the discharge of supplurate pus.
Pile treatment: -
At first it is treated based on symptoms. Constipation should be treated. If you have anemia, iron should be given. Homeopathic medicine can give good results. If a medicinal treatment does not give a result, the next can be tried.
1) thrombosed external mountains are subject to consumption tax under local anaesthesia.
2) Sclerosant injection therapy can reduce mountain size.
3) The rubber band ligation around the mountain neck is sometimes useful.
4) Cryosurgery is very effective.
5) Anal swelling can reduce constipation and pain.
6) Haemorrhoidectomy is surgical removal of the mountain.
How to prevent pile?
1) eat a lot of fruits and vegetables.
2) take fibrous food.
3) Avoid extra intake of meat, shrimp, crab ect.
4) keep regular timing for food.
6) Drink plenty of water.
7) keep order in bowel habits.
8) Take measures for constipation.
Health and sick nails.
Introduction:
The nail is at the end of the tip of each finger on the back. The main function of the nail is protection and also helps for a firm grip to grasp the article. It consists of a strong relatively flexible keratinous nail plate which emanates from the nail matrix. Below the nail plate there is soft tissue called nail bed. Between the skin and the nail plate, there is a crease or cuticle of the nail. Normal healthy nails are slight pink of color, the surface is convex on the side from the side. The nail of the finger grows 1 cm in three months and the nail of the toe takes 24 months for the same.
Importance of nails in disease diagnosis:
The color, appearance, shape and nature of the nails gives some information on the general health and hygiene of the person. Inspection of nails Have basic disease that gives clues to know every doctor on a daily basis. Just look at the nails that we can make and get rid of people's hygiene. An abnormal nail may be a disease or a cause. The cause of the change in nails extends to life-threatening diseases for simple reasons. Therefore, doctor examination is essential for diagnosis. For some of the anomalies results and some of the factors raised awareness of the discussion here.
1) Hygiene: -
We can make unsanitary nails extremely easily. Soil settling under the distal end of the nail plate can make a chance for ingestion of pathogens while eating. If the cutting of the nail is not done properly it can be caused by troubles of the worm of the child. When a worm crawls with a child in the opening of the anus we store the worm's egg under the nail and have a scar to be taken while eating. Outstanding nails can also complicate skin diseases due to habitual injuries. The sharp nail of a small child causes small scratches when you kick your feet or waving your hands.
2) Color of nail: -
a) Anemia makes the nail thin.
b) Opaque white discoloration (Leuconia) is seen in chronic renal failure and nephrotic syndrome.
c) Whitening can also be seen with hypoalbuminaemia like cirrhosis of the liver and kidney disorder.
d) Drugs like sulpha group, anti malaria, antibiotic ect can produce discoloration of nails.
e) Fungal infection causes black discoloration.
f) In Pseudomonas infection, the nail becomes black or green.
g) Infarction of the nail bed occurs in vasculitis, especially in SLE and polyarteritis.
h) Red spots are seen with subacute bacterial endometrium carditis, rheumatoid arthritis, trauma, nails due to thorn bleeding of vascular disease of collagen.
I) Blunt injury causes bleeding and causes discoloration of blue / black.
j) Nails become brown in reduction of kidney disease and adrenal activity.
k) In Wilson's disease, a semicircular blue color appears on the nail.
l) When the blood supply decreases, the nail turns yellow. Nails that become yellow in jaundice and psoriasis.
m) In yellow claw syndrome, all nails turn yellow in pleural effusion.
3) Shape of nail: -
a) Claving: Here the tissue at the base of the nail thickens and the angle between the base of the nail and the skin disappears. The nail becomes more convex, the tip of the finger becomes bulbous, it looks like the end of the drum stick. Nails become like a parrot's beak when conditions get bad.
Cause of clubbing: -
Congenital damage
Severe chronic cyanosis
Pulmonary diseases like empyema, bronchiactesis, bronchial carcinoma and lung tuberculosis.
Abdominal illness prefers colon's Crohn's disease, polyposis, ulcerative colitis, liver cirrhosis ect. .
Heart disease prefers tetrazolone of Fallow, subacute bacterial endocarditis and ect. .
b) Koilonychia: -
Here the nail becomes concave like a spoon. This condition is seen in iron deficiency anemia. In this state, the nail is thin, soft and brittle. Conventional protrusions are replaced with concave parts.
c) Raynaud's disease shows a longitudinal run.
d) Cuticle becomes irregular in dermatomyositis.
e) Nail folding telangiectasia is a symptom of dermatomyositis, systemic sclerosis and SLE.
4) Structure and consistancy: -
a) Nail fungal infection causes discoloration, deformation, hypertrophy and abnormal fragility.
b) Nail thimble pitting is a sign of psoriasis, acute eczema and alopecia.
c) Inflamation of cuticle or nail fold is called paronychia.
d) Onycholysis is a seperation of nails bed seen in psoriasis, infection and after taking tetracycline.
e) Nail breakdown is seen in lichen planus, epidermolysis bullosa.
f) You can see the missing nails in the syndrome at the top of the nail cup. It is a genetic disease.
g) The nail becomes brittle with Raynaud's disease and gangrene.
h) Falling of nails is seen in fungal infection, psoriasis and thyroid disease.
5) Growth: -
Reduction in blood supply affects the growth of nails. Nail growth is also affected by severe ilness. When the disease disappears, growth begins again and a transverse bulge is formed. These lines are called rows of Bo, healpful on the day of onset of illness.
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