A sentinel pile is a skin tag or lump those forms near the anus, typically in response to an internal haemorrhoid or anal fissure.
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How is Sentinel Piles Diagnosed?
Physical examination:
Your doctor will perform a thorough visual inspection of the anal area to check for lumps, skin tags, or any signs of haemorrhoids or anal fissures.
Digital Rectal Exam:
In some cases, your doctor may perform a digital rectal exam to check for internal haemorrhoids or other conditions that may be contributing to the sentinel pile.
Anoscopy:
If necessary, a small instrument called an anoscope may be used to examine the inside of the rectum and confirm whether there are any underlying issues like internal haemorrhoids or fissures.
Treatment - Minimally Invasive Procedures
- Banding or Sclerotherapy: For internal haemorrhoids that are contributing to the formation of a sentinel pile, these techniques can be used to reduce the haemorrhoids and help the sentinel pile heal.
- Laser or Infrared Coagulation: These methods can be used to shrink or eliminate the internal haemorrhoid, which may, in turn, reduce the sentinel pile.
Post-Surgery Care and Recovery
Once the surgery is complete, you’ll need some time to recover. Here’s what you can expect during recovery:
- Pain and Discomfort: You may experience some pain, especially when sitting or having a bowel movement. The doctor may prescribe pain medications to help manage this.
- Swelling and Bruising: Swelling around the surgery site is common, and bruising may also occur. These symptoms should go away within a few days to a week.
- Stitches: If the surgeon used stitches, they may dissolve on their own over time, or you may need to go back for a follow-up visit to have them removed.
- Rest: You will need to rest and avoid activities that could strain the area, such as heavy lifting or sitting for long periods. It’s important to follow your doctor’s advice on activity restrictions.
- Sitz Baths: Taking sitz baths (soaking in warm water) a few times a day can help with healing, reduce pain, and keep the area clean.
