Its been nearly four years that Clintech India was founded and twenty thousand patients later, I still find that this anorectal centre gets a bewildering array of patients of piles, most of them self-diagnosed. Why bewildering…? Read on. Definition - Literally, the term piles means something that has or shall pop out and is usually piled around the anal opening.
Medically, we tend to define true piles to the patient as the haemorrhoids which are either Grade 2,3 or 4 when internal or the perpetually external ones. Since, Grade 1 internal haemorrhoids seldom pop out, so they tend to be anoscopically diagnosed as internal piles. Occasionally, the prolapsed internal haemorrhoids or thrombosed external ones are also explained as acute piles. Then comes the dilemma of a sentinel pile or a false pile seen as a sequelae and guarding a fissure; hanging as a squamous epithelium lined skin tag,…
