In today’s time, people have many problems related to stomach like indigestion, abdominal pain etc., due to which many types of problems are also exposed in their body, but among them the most common and painful problem is piles which is commonly used. It is seen in people of 30 to 40 years and even it happens to young people at times.

Hemorrhoids are basically muscle cushions in the anal cavity. It when these cushions get inflamed, problems start to occur. Piles or Inflamed Hemorrhoids are basically lumps found in the rectum or around the anal canal that are full of blood vessels, support tissue, muscle and elastic fibers, which have become swollen and engorged. Piles symptoms are first noticed with the appearance of blood in stools.

Piles can be of various sizes and may be found internally 2-4 cm above the opening of the anus or externally on the outside edge of the anus. Internal piles are more common as compared to external. According to research conducted by Right Diagnosis, about 40% of the Indian population is affected by piles. In the majority of the cases, piles treatment can happen via medication and diet changes. It is estimated that only 10% of the cases require a surgical treatment for piles.

Piles Symptoms

In most cases, piles get resolved on their own by making changes in diet, but it may be a bad experience till the time they last.

In most cases patients suffering from piles may face the following symptoms:

  • Feeling of a hard lump around the anus, this may be due to the presence of coagulated blood, and can be very painful
  • Constant pain while passing stools
  • Presence of mucus discharge and blood in the stools
  • Feeling of fullness even after defecating and going to the toilet
  • Bright red blood after a bowel movement
  • Itchiness around the anus
  • Area around the anus may be red and sore


There may be multiple causes for piles and these may cause blood vessels around the anus to stretch under pressure which may then swell or bulge. Inflammation of veins usually happens when there is an increased pressure in the lower rectum. This may be due to:

  • Lack of fiber in the diet
  • Consumption of highly processed food
  • Chronic constipation
  • Chronic diarrhea
  • Lifting heavy weight
  • Pregnancy
  • Straining when passing a stool

Risk factors

  • Chronic constipation and diarrhea
  • Excessive straining leads to piles
  • Obesity and being overweight
  • Lifting of heavy objects on regular basis
  • Sedentary lifestyle with long sitting hours
  • Pregnancy poses as one of the major risk factors for piles because growth of the baby puts pressure on the pelvis and may lead to enlargement of the anal and rectal blood vessels and consequent development of piles. These piles however, disappear with child-birth

Hepatitis represents the inflammation of the liver and occurs due to viral infections. The most common strains of hepatitis are type A, type B, and type C. Hepatitis C Virus (HCV), is the most widespread blood carried disease with more than 50% of patients who remain unaware of their infection. Most of the Gastroenterologists and liver specialists complain about the lack of awareness about HCV and patients not taking the right treatment at the right time.

Symptoms of Hepatitis C

Unlike other infections, most patients who are suffering from an acute Hep C infection do not experience any symptoms or show signs of the infection, since the symptoms appear two weeks to six months after being infected. Most common symptoms related to Hepatitis C are mild and flu-like and may include:

  • Fatigue and feeling very tired
  • Aches in joints and stomach
  • Joint pain
  • Fever
  • Nausea
  • Itchy skin
  • Dark urine
  • A yellow discoloration of the skin and whites of the eyes, called jaundice.
  • Weight loss
  • Confusion, drowsiness and slurred speech (hepatic encephalopathy)

In most cases, patients with acute Hepatitis C go on to develop chronic Hepatitis C and still reflect no Hep C symptoms.

Treatment Options for Hepatitis C

Antiviral Medications

Hep C infection is treated with antiviral medications that promote the removal of the HCV from the body. The therapy is usually designed to make sure no hepatitis C virus detected in your body at least 12 weeks after complete treatment.

There has been much significant advancement in treatment alternatives for Hep C including “direct-acting” anti-viral medications, sometimes in combination with existing ones. This has really helped in improving treatment outcomes, fewer side effects and shorter treatment times — some as short as eight weeks.

Based on the patient’ current health status and prior medical history, along with knowing the hepatitis C genotype, presence of existing liver damage, treatment options are decided and administered. It is always food to speak to the specialist to discuss what treatment alternative would best suit you.

Liver Transplantation

If your hepatitis C is caused severe damage to cause serious complications from chronic Hep C infection, your doctor might suggest you undergo liver transplantation. During this procedure, the surgeon removes your damaged liver with a healthy liver, which has been donated by deceased donors. Even after liver transplantation, the chances of the infection remain returning.

The patient might need treatment with newer antiviral that might be able to treat post-transplant Hep C.