Piles in Females

Piles or hemorrhoids, are a typical condition when veins around the rectum and anus grow swollen. Both genders may get piles, but females are more vulnerable to them.

You should understand what causes it, recognize the symptoms, and research how to treat it for the best results.

Causes

Some special factors make it more common for females to develop piles.

• Pregnancy: It is likely the biggest cause of varicose veins. As the uterus enlarges during pregnancy, the veins in the pelvis become squeezed and swollen. Increased blood volume and hormonal changes (like elevated progesterone, which can relax blood vessel walls) further contribute to vein swelling. Having a baby can increase the severity of existing haemorrhoids or create new ones.

• Childbirth: During labour, strong contractions put great pressure on the rectum, usually leading to piles or making them worse.

• Constipation: Many cases of piles start with constipation, yet women may find it more bothersome because of their changing hormones or eating habits. Trying to push stool out strains the anal veins and causes them to protrude.

• Pelvic Floor Dysfunction: If the muscles that control the pelvic floor are weak, piles can form as blood return from the rectal area decreases.

• Obesity: Haemorrhoids are more likely to develop when a person’s weight puts additional burden on the abdominal and pelvic veins.

• Prolonged Sitting or Standing: A job or way of living that means you sit or stand for hours may lead to poor circulation and the development of piles.

• Diet Low in Fiber: A lack of fibre in your diet may cause constipation which has been linked to many problems.

Symptoms

Bleeding: Seeing bright red blood on toilet paper. It usually happens because the walls of the swollen veins are weak.

Pain or Discomfort: External haemorrhoids can make sitting or having a bowel movement hurt. Less pain tends to occur with haemorrhoids inside the rectum, unless they grow outside the body.

• Itching or Irritation: Sometimes, the area around the anus may feel uncomfortable like it’s itchy or irritated.

• Swelling or Lumps: A lump or swelling might develop somewhere near the anus, especially with external haemorrhoids.

• Mucus Discharge: Mucus leaking from the anus can be part of the condition.

Treatment

The Treatment of females is similar to that of males, but it is depends on some factors like pregnancy, hormonal influences, menstruation, age, etc.

Dietary and Lifestyle Modifications:

• Increase Fiber Intake: Consuming a diet rich in fiber (fruits, vegetables, whole grains) helps soften stools and prevent constipation.
• Make sure you get enough water to improve how your stools come out.

• Avoid Straining: Don’t strain during bowel movements.

• Regular Exercise:  Moving your body can help keep your bowels functioning properly.

• Avoid Prolonged Sitting: Don’t Stay Sitting in One Place for Too Long: Move and take some time away from your workstation if your job requires you to sit a lot.

Topical Treatments: You can get over-the-counter topical products with witch hazel or hydrocortisone to soothe pain, itching and swelling.

Warm sitz baths: several times a day may reduce the pain you feel in the anal area.

Pain relievers: Discomfort can be controlled with OTC pain relievers including ibuprofen or acetaminophen.

Medical Procedures for persistent or severe cases.

Conclusion

Haemorrhoids are a typical problem and they are more likely for females, mostly during pregnancy and childbirth. Early detection and using prevention strategies play a big role in dealing with this problem.

Dr. Kailash Mishra
Director & Gastroenterologist Consultant
Prime Gastro Liver Clinic