Hemorrhoids, also known as piles, are swellings containing enlarged blood vessels found inside or around the bottom (the rectum and anus). In many cases, hemorrhoids don't cause symptoms and some people don't even realise they have them. On the other hand an anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when one passes hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter).

Anal fissures are very common in young infants but can affect people of any age. Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths. Some people with anal fissures may need medication or, occasionally, surgery.

Symptoms of hemorrhoids may include:

• Bleeding after passing a stool – the blood is usually bright red, soreness, redness and swelling around your anus.
• Itchy bottom and a mucus discharge after passing a stool.
• A lump hanging down outside of the anus, which may need to be pushed back in after passing a stool.

Signs and symptoms of an anal fissure include:

• Bright red blood on the stool or toilet paper after a bowel movement
• Itching or irritation around the anus or a visible crack in the skin around the anus
• A small lump or skin tag on the skin near the anal fissure

Hemorrhoids aren't usually painful, unless their blood supply slows down or is interrupted. The exact cause of hemorrhoids is unclear, but they're associated with increased pressure in the blood vessels in and around the anus. This pressure can cause the blood vessels in back passage to become swollen and inflamed.

• Being overweight or obese
• Age – as one gets older, body's supporting tissues get weaker, increasing risk of hemorrhoids
• Being pregnant – this can place increased pressure on pelvic blood vessels, causing them to enlarge
• Having a family history of hemorrhoids
• Regularly lifting heavy objects

Making lifestyle changes to reduce the strain on the blood vessels in and around anus is often recommended.

• Gradually increasing the amount of fibre in diet: good sources of fibre include fruit, vegetables, wholegrain rice, wholewheat pasta and bread, pulses and beans, seeds, nuts and oats
• Drinking plenty of fluid: particularly water, but avoiding or cutting down on caffeine and alcohol
• Not delaying going to the toilet: ignoring the urge to empty bowels can make stools harder and drier, which can lead to straining
• Avoiding medication that causes constipation:
• Losing weight: if one is overweight
• Exercising regularly: this can help prevent constipation, reduce blood pressure, and help you lose weight

Pilgo Plus is a combo back with a set of Pilgo Tablets and #B 9 drops to ease symptoms of painful hemorrhoids and anal fissures, regularising bowel habits and preventing recurrence

Action of ingredient of PILGO TABLETS

Ratanhia:

Hamamelis virginica: Piles bleeding profusely with soreness of anus.