Sentinel Piles
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The swelling at the lower end of a chronic anal fissure, palpable as an anal mass, which may be thefi rst or most prominent manifestation of fissure, hence, a 'sentinel'
Sentinel piles (also called sentinel skin tags) may get better without treatment but you may need to have them surgically removed if they are large or cause you problems. Explanation Anal skin tags, or rectal skin tags, are common and usually harmless growths that hang off the skin around the outside of the anus.They may be mistaken for warts or piles (haemorrhoids). Anal skin tags may also be called hypertrophied papillae or fibro epithelial polyps.They are not contagious, but may be due to inflammation, a lesion, anal injury or skin left behind after treatment for a haemorrhoid. Although anal skin tags are not a risk to health, they may cause problems in maintaining cleanliness after using the toilet. Skin tags may also trap moisture and cause irritation. They may also become irritated through contact (rubbing) with clothing or the movement associated with sitting.
Causes
1. inflammation of the anus and rectum
2. childbirth
3. chronic constipation
4. anal injury or skin left behind after passing hard stool. Hence continues pressure on anus then skin becomes a sentinel piles.
5. After you have passed the stool, do not pressure to finish
6. Skin tags that can be felt at the anal verge and can cause difficulties with cleaning after a bowel movement, leading to secondary skin infections.
7. Sexually transmitted infection
8. Faecal incontinence
Symptoms
1. Common symptoms are swelling around the anus and a constant, throbbing pain. Pain with bowel movements may be severe
2. Other symptoms may include
3. Constipation
4. painless bleeding
5. anal itching
6. pain
7. swelling and feeling a lump at the anus are all associated with an inflamed hemorrhoid.
Treatment
1. The problem rarely goes away on its own.
2. Your doctor may prescribe pain medication and antibiotics.
3. You may need stool softeners. Practice good hygiene. Eat a soft or liquid diet.
4. Continuing pain acidity or body pain.
5. Problem keeps coming back (recurrence)
6. Discomfort and pain in the anal region
7. Bleeding, usually painless. The patient may notice red on the toilet paper or in the toilet bowl.
8. Itching or irritation in the anal area
9. Feeling that you didn't completely empty the bowels after a bowel movement.
Prevention
1. Piles or sentinel piles are caused due to increased pressure or straining while passing stools or due to weak muscles around the anus. This leads to bulging and swollen blood vessels that often protrude and lumps while passing stools and becomes sentinel piles. These may bleed or may lead to discomfort, pain and itching around the anus.
2. There are several lifestyle changes that may be adopted to reduce the symptoms of sentinel piles and reduce episodes of aggravated piles in susceptible individuals.
3. Regular physical exercise is important since this helps in weight reduction and also helps in regular bowel movements and avoids constipation.
4. Stool softeners are medications that may be used in people with constipation to correct constipation before it can predispose to piles.
5. Some medications may lead to risk of constipation. These should be avoided. These include cough syrups with codeine.
6. Other conditions that predispose to piles include chronic cough, ascitis and liver disease. These conditions need treatment.
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