...... External Piles ......

There are number of conditions which are included in this group like :

1. External plexus haemangioma (thrombosed external pile)

External plexus lies outside the margin of the skin and the anus. There is increase in size or the collection of blood i.e. congestion of the external plexus and that will lead to external piles. When the patient strains, while passing stool, it forms a rounded cushion like swelling around. When he passes stool, it causes the blood to come out, it will collect and cause the swelling. The blood will be bluish in colour. This can occur
• -singularly i.e.external piles only or
• -both internal and external piles

2. Acute external plexus - Haematoma

During straining, lifting of weight or passing of hard stool, one of the veins bursts, blood comes out and it forms a small pocket like blackish nodule plus the pain and tenderness over the region. This is acute attack of the external piles, and is usually a self curing condition in 5-6 days time; blood is absorbed and thus the disease is gone.

...... Investigations ......

1. Digital Examinations

2. Proctoscopy

3. Sigmoidoscopy

...... General Measures ......

1. regulation of bowels

2. frequent hot baths

3. bed rest in severe cases v

4. take plenty of water and eat vegetables to avoid hard stool

5. avoid sedentary habits like smoking, alcohol, tobacco etc.

6. avoid excess tea, coffee and cold drinks

7. try to remain stress free

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