PILES Causes, Symptoms, and Treatment

What is piles?

Piles are swellings or swollen haemorrhoids that occur inside and around the anus, and along the anal canal. Haemorrhoids are masses, clumps, cushions of tissue full of blood vessels, support tissue, muscle and elastic fibers in the anal canal.
Everyone has haemorrhoids. However, when the haemorrhoids guarding the anal passage become too big due to inflammation, so that the vein walls become stretched, thin, and irritated by passing bowel movements, that is when piles develops.

In most cases, piles goes away on its own.

Piles can be broadly classified into two categories:

• Internal Piles - are located far within the rectum, and can’t be seen or felt. The only symptom is usually bleeding.
  Internal piles can be classified into 4 grades:  
• Grade1: These are tiny haemorrhoids within the lining of the anus.
• Grade 2: These haemorrhoids too lie within the anus and are slightly larger than grade 1 haemorrhoids. These haemorrhoids may get pushed out while passing stool but return to the original position on their own.
• Grade 3: These are also known as 'prolapsed haemorrhoids'. They appear outside the anus. The patient can push them back in by pressing against them with his fingers.
• Grade 4: These haemorrhoids cannot be pushed back and stay outside the anus at all times. They need to be treated by a doctor who usually suggests a surgery.
• External Piles -  are located around the anus right under the skin, where there are many pain-sensing nerves. They, therefore, hurt as well as bleed.

Anyone at any age can be affected by piles. Though it has been observed that people over 45 years of age usually get affected by piles.

About 50% of people experience this condition at some time in their life. Women who are pregnant too experience it. Though it is not clear what causes haemorrhoids, researchers think this might be an inherited condition of weak veins or varicose veins leading to haemorrhoids.

How does piles occur?

Haemorrhoids are masses, clumps, cushions of tissue full of blood vessels, support tissue, muscle and elastic fibers in the anal canal. Piles are haemorrhoids that have become inflamed.

Internal haemorrhoids form when blood vessels inside the rectum become swollen and engorged.

External haemorrhoids can occur due to increased pressure caused by obesity, pregnancy, sitting or standing for long hours at a stretch, straining on the toilet, coughing, sneezing, vomiting, and holding your breath while straining to do strenuous physical labour.

Who is prone to piles?

Some people are more prone to developing piles than others. There could be a variety of reasons for it:

• genetic predisposition to piles, meaning weak veins can be genetic leading to weak rectal vein walls or week venous valves
• less fiber in the diet can cause constipation which can lead to the formation of piles
• poor bathroom habits
• pregnancy
• excessive coughing or sneezing
• constant sitting or standing for long hours at a stretch
• excessive straining, rubbing or cleaning around the anus
• regularly holding breath while straining to perform some physical labour
• being obese

What are the causes of piles?

The primary causes of piles include:

• genetic predisposition to piles
• lack of fiber in the diet
• inadequate fluid intake
• sedentary lifestyle
• stress
• straining while passing stool
• constipation and diarrhea
• constant sitting or standing for long hours at a stretch
• sitting for long periods of time on the toilet
• anal intercourse
• pregnancy
• constant heavy lifting
• being obese
• previous surgery of bowel
• constriction of intestine following a surgery
• spinal cord injury that leads to bladder and rectal dysfunction
• dysfunction of the floor of pelvis

What are the symptoms of piles? How is piles diagnosed?

The symptoms of piles include:

• bright red bleeding from the anus. Blood may streak the bowel movement or the toilet paper.
• pain during bowel movements
• painful swelling or a lump near the anus
• anal itching
• mucous discharge from the anus
• hard lump around the anus
• area around the anus becomes red and sore

Diagnosis

If the doctor suspects you have piles, he will perform a visual examination of your anus to diagnose haemorrhoids. He may also perform a digital rectal exam to check any sign of piles within the anus.
The doctor may also prescribe an additional test called a sigmoidoscopy.

A sigmoidoscopy (a small fibre-optic camera) involves your doctor using a small camera to diagnose an internal haemorrhoid. The sigmoidoscope is fitted into a small tube and inserted into your rectum.

It provides a clear view of the inside of your rectum and displays the abnormalities if any within the rectum. The doctor may also prescribe other tests such as colonoscopy, anoscopy, and proctoscopy which can clearly show internal haemorrhoids if any.

What are the complications of piles?

The complications of piles include:

• bleeding during bowel movements
• anemia
• pain during bowel movements
• piles cause complications associated with hygiene, as the anal area becomes difficult to clean after defecation
• poor hygiene around the anal area can lead to several infections
• itchiness around the anal area
• gangrene, if the blood supply to an internal haemorrhoid is cut off

What is the treatment for piles?

Medical Treatment

Piles often clear up on their own but may require treatment or even surgery if the symptoms are severe.

The treatment of piles varies for internal and external piles.

Grade one, and two, of internal haemorrhoids, is usually treated with medicine and a planned diet of fibrous non-spicy food. In some cases, the doctors may also prescribe a topical cream.

Grade three of internal haemorrhoids is also treated with medicine and a change of diet but may require surgical intervention if the symptoms are severe. Treatment of grade four internal piles requires prompt surgical intervention especially if gangrenous tissue is found.

To treat external piles your doctor might suggest hemorrhoid creams, or ice packs to reduce the swelling. If the case is too severe, the doctor may suggest surgery which can include:

• removal of haemorrhoids
• using an infrared photo, laser, or electrical coagulation to burn tissue affected by piles
• sclerotherapy to eliminate varicose veins which could be the cause of piles

Exercise

Exercising can easily reduce the symptoms of piles. You can go for exercises such as :

• brisk walking
• deep breathing exercises
• stretching exercises
• aerobics
• kegel exercises 3 times everyday -  the steps for which are:
• contracting your pelvic muscles. It is akin to the action you do when you hold urination.
• squeeze and hold for three seconds then relax for another 3 seconds.
• repeat the exercise 10 times each session, until you can do as many as 15 repetitions.

Hospital patients die in sandwich listeria outbreak

It have been reported that three(3) hospital patients have died in an outbreak of listeria linked to pre-packed sandwiches.

Public Health England (PHE) said the victims were among six patients affected in England and the deaths occurred in Manchester and Liverpool.
Two of the victims were at Manchester Royal Infirmary, with the other a patient at Aintree Hospital.
Sandwiches and salads from The Good Food Chain linked to the outbreak have been withdrawn and production stopped.
PHE said the products were withdrawn from hospitals when the links to the infections were first identified.
A spokesperson for the Manchester University NHS Foundation Trust said it offered its "deepest condolences to the bereaved families" and "sincerely regret" that two of their seriously ill patients contracted listeria.
The trust, which would not say when the deaths happened, said the sandwiches were from the patient menu.
The first patient showed symptoms on 25 April while the most recent case was reported on 15 May, a PHE spokeswoman said.

Aintree Hospital said: "Public health experts advised us of this supply chain issue on Friday 24 May and we immediately removed all products from this supplier."
Dr Nick Phin, deputy director at the National Infection Service at PHE said: "To date, there have been no associated cases identified outside healthcare organisations, and any risk to the public is low."
PHE said The Good Food Chain - which supplied 43 NHS trusts across the UK - had been supplied with meat produced by North Country Cooked Meats which subsequently produced a positive test result for the outbreak strain of listeria.
This business and North Country Quality Foods, which it distributes through, have also voluntarily ceased production.
A spokesman for The Good Food Chain Ltd said the company's production facility in Stone, Staffordshire, was "cross contaminated by an ingredient from one of its approved meat suppliers".
A spokesman for North Country Cooked Meats said it was "currently co-operating fully with the environmental health and the Food Standards Agency in their investigations".

What is listeria?

Listeria is a bacterium which can cause a type of food poisoning called listeriosis.
Normally, the symptoms are mild - a high temperature, chills, feeling sick - and go away on their own after a few days.
But these cases occurred in people who were seriously ill.
Along with pregnant women, newborn babies and the elderly, they are most at risk of a more serious infection that can spread to the brain or bloodstream.
In 2017 there were 33 deaths linked to listeriosis in England and Wales.
Listeria can be found in many types of food such as soft cheeses, chilled ready-to-eat foods like pre-packed salads, sandwiches and sliced meats, and unpasteurised milk products.
To reduce the risk, the NHS advises people keep chilled food in the fridge, heat food until it is piping hot and not eat food after its use-by date.

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Best Home Remedies for Toothache

Uhhhh! Toothache? Tolerating toothache is impossible for most of us. Toothache or tooth pain can often be caused when the nerve to a tooth is irritated, but there are numerous other causes for tooth pain. Dental infection, gum disease, plaque, dental decay, injury, cracked teeth, poorly placed fillings or crowns, failing or leaking fillings or crowns, or loss of a tooth (including tooth extractions), temporomandibular joint (TMJ) disorders, and obstructive sleep apnea are all common causes of dental pain. One can prevent the majority of dental problems by flossing, brushing, and using many different products, such as xylitol- and fluoride-containing rinses and toothpaste, and having teeth professionally cleaned on a regular schedule. There are several home remedies that can help to overcome toothache.

Clove oil

Cloves are a traditional remedy for numbing nerves; the primary chemical compound of this spice is eugenol, a natural anesthetic. But clove oil needs to be used carefully. Pouring the oil on the aching area can actually worsen the pain if you get it on sensitive gum tissue or on your tongue. Instead, put two drops of clove oil on a cotton ball and place it against the tooth itself until the pain recedes. In a pinch, use a bit of powdered clove or place a whole clove on the tooth. Chew the whole clove a little to release its oil and keep it in place up to half an hour or until the pain subsides.

Ginger-cayenne paste

Mix equal parts of these two heat-packing spices with enough water to make a paste. Roll a small ball of cotton into enough paste to saturate it, then place it on your tooth while avoiding your gums and tongue. Leave it until the pain fades—or as long as you can stand it.

Salt water

A teaspoon of salt dissolved in a cup of boiling water makes a pain-killing mouthwash, which will clean away irritating debris and help reduce swelling. Swish it around for about 30 seconds before spitting it out. Salt water cleanses the area around the tooth and draws out some of the fluid that causes swelling.

Peppermint tea

Peppermint tea has a nice flavor and some numbing power. Put 1 teaspoon dried peppermint leaves in 1 cup boiling water and steep for 20 minutes. After the tea cools, swish it around in your mouth, then spit it out or swallow.

Hydrogen peroxide

To help kill bacteria and relieve some discomfort, swish with a mouthful of 3% hydrogen peroxide solution. This can provide temporary relief if the toothache is accompanied by fever and a foul taste in the mouth (both are signs of infection), but like other toothache remedies, it’s only a stopgap measure until you see your dentist.

Wash it with myrrh

You can also rinse with a tincture of myrrh. The astringent effects help with inflammation, and myrrh offers the added benefit of killing bacteria. Simmer 1 teaspoon of powdered myrrh in 2 cups water for 30 minutes. Strain and let cool. Rinse with 1 teaspoon of the solution in a half-cup water five to six times a day.

Acupressure

The most effective way to control toothache is to apply pressure on points that are located around your thumb nail. You will have to find which acupressure point is corresponding to your aching tooth. If the aching tooth is located in the lower jaw, then its corresponding acupressure point will be located near the end of the nail (i.e. edge of the finger). If on the other hand, the ache located on the upper jaw, then the fitting acupressure point will be located near the root of the nail, i.e. where it starts to grow.

References: http://www.rd.com/
Image sources (Laurel-Hardy) : http://www.mypostpartumvoice.com/wp-content/uploads/2010/07/laurel-hardy-toothache.jpg
Acupressure: http://alternativefelix.com/

★★★ *PROBLEMS ASSOCIATED WITH EATING BANANA AND GROUNDNUTS*

Eating Banana And Groundnut/Peanut Together Because It Is A Wrong Food Combination

Those Who Hate My Post Because I Ask People To Avoid Meat, Milk And Eggs, Should Keep Prejudice Aside And Read These Valuable Posts. 

In November 2017 I Was In Jos Plateau State Giving Health Lectures During A Health Seminar. 

The Major Topic Was Wrong Food Combination And Damage It Has Caused In Our Health And Death. 

During My Lectures I Taught About The Danger Of Eating Together Banana And Groundnut Also Called Peanut How It Has Caused Ulcer, Pile, Tumors, Kidney And Liver Damage And Host Of Other Related Diseases. 

It Was Discovered Through Diagnosis That Many Who Attended The Seminar Had Serious Liver Diseases. 

Subsequently I Held Big Seminar In Jos Again In April 2018, Just Last Year. Many Who Attended My Seminar In Jos In November 2017 Also Attended In April When They Heard I Was Around. 

Amazingly, Nearly All The Liver Problems Cleared. What Did They Do To Achieve This?

They From My Lectures Avoided Eating Together Banana And Roasted Groundnut/Peanut and Other Wrong Food Combinations. 

Here Comes The Important Question What Is Wrong With This Combination That Millions Enjoy Every Day, Everywhere Especially While Traveling Etc?

Roasted Peanut Is One Of The Hardest Foods To Digest. Because It Has To Pass Through So Many Metabolic Processes Which Ripe Banana Does Not Pass Through. 

Roasted Peanut Contains A Mixture Of All The Chiefnutrient Molecules. Known As Carbohydrates, Protein And Fat In Large Quantities. In Biochemistry, We Have What Is Known As Emulsifying Agents Also Known As Bile Salts. Bile Salt Or Bile Acid Is The Only Thing Capable Of Digesting Emulsifying Fats In The Body. Stored And Secreted By The Gallbladder. 

All This Happens When Peanut Enters The Stomach Where It Stays For Few Hours For Digestion. 

However, Banana As A Fruit Does Not Need All These. Beside, Banana Does Not Digest In The Stomach, (Those Who Read My Post On Ripe Plantains And Beans)

Banana Has No Business With The Stomach, Immediately Banana Arrives The Stomach, It Proceeds To The Ileum, Where God Designed It Should Digest. 

Another Serious Reason Why Banana And Peanut Should Never Be Eaten Together Is. 

A Handful Of Peanut Takes Between 4 To 5hrs To Digest And Leave The Stomach. While Banana Requires Less Than 2½hrs. Again Banana Does Not Need to Come in Contact With Bile Acid. Is Harmful to Banana Metabolism. 

This Wrong Combination Makes It Difficult For Peanut To Digest And Also Difficult For Banana To Travel To Ileum. 

Thus, When This Struggle Continues, The End Metabolism Is Serious Fermentation Which Produces Large Amount Of Acid Which Harms The Liver, The Kidney, The Intestines, And Other Vital Organs In The Body. 

This Is The Reason Why Pile, Kidney Disorders, Liver Problems Etc Are So Rampant In Our World Today. If This Post Makes Meaning, Remember to Like. For More Posts On Wrong Combinations, Stay Connected.

Health Tips-Eight Tips for healthy eating

These eight practical tips cover the basics of healthy eating, and can help you make healthier choices.

The key to a healthy diet is to:

• Eat the right amount of calories for how active you are, so that you balance the energy you consume with the energy you use. If you eat or drink too much, you'll put on weight. If you eat and drink too little, you'll lose weight. 
• Eat a wide range of foods to ensure that you're getting a balanced diet and that your body is receiving all the nutrients it needs.

It is recommended that men have around 2,500 calories a day (10,500 kilojoules). Women should have around 2,000 calories a day (8,400 kilojoules). Most adults are eating more calories than they need, and should eat fewer calories.

Base your meals on starchy carbohydrates

Starchy carbohydrates should make up just over one third of the food you eat. They include potatoes, bread, rice, pasta and cereals.

Choose wholegrain varieties (or eat potatoes with their skins on) when you can: they contain more fibre, and can help you feel full for longer.

Most of us should eat more starchy foods: try to include at least one starchy food with each main meal. Some people think starchy foods are fattening, but gram for gram the carbohydrate they contain provides fewer than half the calories of fat.

Keep an eye on the fats you add when you're cooking or serving these types of foods because that's what increases the calorie content, for example oil on chips, butter on bread and creamy sauces on pasta.

Eat lots of fruit and veg

It's recommended that we eat at least five portions of a variety of fruit and veg every day. It's easier than it sounds.

Why not chop a banana over your breakfast cereal, or swap your usual mid-morning snack for a piece of fresh fruit?

Unsweetened 100% fruit juice, vegetable juice and smoothies can only ever count as a maximum of one portion of your 5 A DAY. For example, if you have two glasses of fruit juice and a smoothie in one day, that still only counts as one portion.

Eat more fish – including a portion of oily fish

Fish is a good source of protein and contains many vitamins and minerals. Aim to eat at least two portions of fish a week, including at least one portion of oily fish. Oily fish contains omega-3 fats, which may help to prevent heart disease. 

Oily fish include:

• salmon
• mackerel
• trout
• herring
• sardines
• pilchards.

Non-oily fish include:

• haddock
• plaice
• coley
• cod
• tuna
• skate
• hake

If you regularly eat a lot of fish, try to choose as wide a variety as possible.

You can choose from fresh, frozen and canned: but remember that canned and smoked fish can be high in salt.

Cut down on saturated fat and sugar

Saturated fat in our diet

We all need some fat in our diet, but it's important to pay attention to the amount and type of fat we're eating. There are two main types of fat: saturated and unsaturated. Too much saturated fat can increase the amount of cholesterol in the blood, which increases your risk of developing heart disease.

The average man should have no more than 30g saturated fat a day. The average woman should have no more than 20g saturated fat a day, and children should have less than adults.

Saturated fat is found in many foods, such as:

• hard cheese
• cakes
• biscuits
• sausages
• cream
• butter
• lard
• pies.

Try to cut down on your saturated fat intake, and choose foods that contain unsaturated fats instead, such as vegetable oils, oily fish and avocados.

For a healthier choice, use just a small amount of vegetable oil or reduced-fat spread instead of butter, lard or ghee. When you're having meat, choose lean cuts and cut off any visible fat. 

Sugar in our diet

Regularly consuming foods and drinks high in sugar increases your risk of obesity and tooth decay.

Sugary foods and drinks, including alcoholic drinks, are often high in energy (measured in kilojoules or calories), and if eaten too often, can contribute to weight gain. They can also cause tooth decay, especially if eaten between meals.

Many packaged foods and drinks contain surprisingly high amounts of free sugars. Free sugars are any sugars added to foods or drinks, or found naturally in honey, syrups and unsweetened fruit juices.

Cut down on:

• sugary fizzy drinks
• alcoholic drinks
• sugary breakfast cereals
• cakes
• biscuits
• pastries

These foods contain added sugars: this is the kind of sugar we should be cutting down on, rather than sugars that are found in things such as fruit and milk.

Food labels can help: use them to check how much sugar foods contain. More than 22.5g of total sugars per 100g means that the food is high in sugar, while 5g of total sugars or less per 100g means that the food is low in sugar.

Get tips on cutting down sugar in your diet.

Eat less salt – no more than 6g a day for adults

Eating too much salt can raise your blood pressure. People with high blood pressure are more likely to develop heart disease or have a stroke.

Even if you don’t add salt to your food, you may still be eating too much. About three-quarters of the salt we eat is already in the food we buy, such as breakfast cereals, soups, breads and sauces.

Use food labels to help you cut down. More than 1.5g of salt per 100g means the food is high in salt. Adults and children over 11 should eat no more than 6g of salt (about a teaspoonful) a day. Younger children should have even less.

Get tips on cutting down on salt in your diet.

Get active and be a healthy weight

Eating a healthy, balanced diet plays an essential role in maintaining a healthy weight, which is an important part of overall good health.

Being overweight or obese can lead to health conditions such as type 2 diabetes, certain cancers, heart disease and stroke. Being underweight could also affect your health.

Check whether you're a healthy weight by using our Healthy weight calculator.

Most adults need to lose weight, and need to eat fewer calories to do this. If you're trying to lose weight, aim to eat less and be more active. Eating a healthy, balanced diet will help: aim to cut down on foods that are high in saturated fat and sugar, and eat plenty of fruit and vegetables.

Don't forget that alcohol is also high in calories, so cutting down can help you to control your weight. 

Physical activity can help you to maintain weight loss or be a healthy weight. Being active doesn't have to mean hours at the gym: you can find ways to fit more activity into your daily life. For example, try getting off the bus one stop early on the way home from work, and walking.

Being physically active may help reduce the risk of heart disease, stroke and type 2 diabetes. For more ideas, see Get active your way.

After getting active, remember not to reward yourself with a treat that is high in energy. If you feel hungry after activity, choose foods or drinks that are lower in calories, but still filling.

If you're underweight, see our page on underweight adults. If you're worried about your weight, ask your GP or a dietitian for advice.

Don't get thirsty

We need to drink plenty of fluids to stop us getting dehydrated – the government recommends 6-8 glasses every day. 

This is in addition to the fluid we get from the food we eat. All non-alcoholic drinks count, but water and lower-fat milk are healthier choices. 

Try to avoid sugary soft and fizzy drinks that are high in added sugars and calories, and are also bad for teeth. 

Even unsweetened fruit juice and smoothies are high in free sugar. Your combined total of drinks from fruit juice, vegetable juice and smoothies should not be more than 150ml a day – which is a small glass.

For example, if you have 150ml of orange juice and 150ml smoothie in one day, you'll have exceeded the recommendation by 150ml.

When the weather is warm, or when we get active, we may need more fluids.

Don't skip breakfast

Some people skip breakfast because they think it will help them lose weight. In fact, research shows that people who regularly eat breakfast are less likely to be overweight.

Breakfast has also been shown to have positive effects on children’s mental performance and increase their concentration throughout the morning.

A healthy breakfast is an important part of a balanced diet, and provides some of the vitamins and minerals we need for good health.

A wholegrain, lower-sugar cereal with fruit sliced over the top is a tasty and nutritious breakfast.

More information

• To help you get the right balance of the five main food groups, take a look at the Eatwell Guide. To maintain a healthy diet, the Eatwell Guide shows you how much of what you eat should come from each food group. It's important to have only small amounts of foods high in fat and/or sugar.
• Learn how to have a balanced diet, and read about the energy contained in food in our page on understanding calories.
• Start the NHS weight loss plan, a 12-week weight loss guide that combines advice on healthier eating and physical activity.

5 Important Tips to Keep Your Health on Track during Winters!

It may be cold outside, but winter needn't be the unhealthiest time of year for you and your family.

Here are five ways to make sure that, even when your body is telling you to hibernate, you can keep healthy and fit, no matter what the weather's like.

1.  Morning Workout

If you’re a morning person but avoid going outdoors in the harsh cold mornings, you could download an app for indoor workouts or download YouTube videos to find a workout of your choice and just get on with it, indoors. Maintain a comfortable room temperature as it’ll be easier for you to get out of bed and wake yourself up in a warm and cozy room.

2. Before Gymming

Before you head outside for a jog or gym, make sure that you warm up inside the house so as to avoid any injuries to cold and stiff muscles. Also, find a friend who could accompany you to the gym or workout or hire a trainer so that the motivation levels are mutually kept high.

3. Bask in the Sun

Sunlight during winters is a boon. It not only keeps you warm but also increases your energy levels and provides your body with the requisite Vitamin D that in turn helps in regulating your immunity. However, do not forget to put on sunscreen before heading out in the sunlight as the UV rays are present even without harsh sunrays. 

4. Clothing
In winters, we love being in our warm PJs and furry layers for as long as we can, however, these clothes don’t paint the true picture for you, you wouldn’t realize when you’ve been taking in too many calories and gain a few extra kilos. Avoid baggy clothing and keep a tab on your size.

5. Food Journal

Keep a food journal or download an app that can gauge what you are eating. Weigh yourself each day to keep up with your healthy weight goals. After all, you wouldn’t like to see yourself flabby when spring arrives and it’s time to wear your favourites.