The Waterbury Democrat., 1946-12-12
Your Health
By WILLIAM BRADY, Nj. D.

1 do not remember the exact wording, but 1 think 1t is it is Silly to Suffer from Piles," writes c reader.
 Name of the pamphlet is Tt Is stupid to Suffer from Piles" - on written request (no clipping, please) any reader may have copy if he incloses q stamped envelope bearing his address.
 one reader purporting to be 6 doctors wife went all out to tell me of for my insufreable irlsolerlce in calling people with piles stupid" but I suspect she was nears doctors wife, for doubt that e real doctors wife would use such language even under great provoca. tion, and moreover don't believe person of normal intelligence will take offence at the term when he or she has read the pamphlet.
 Anyway If you have piles and elect to continue to have them, this is ( tolerably free country.
 There are two kinds of piles external and internal. The external kind of pile is pretty darn painful, they tell me. Aside from various soothing applications and such measures as rest, heat and the like Gall described in the pamphlet the most satisfactory remedy or treat- ment for external piles is, in my judgment, surgery. This is usually an office operation, injection of local anesthetic and then a small incision of the swelling to let out the clot. This brings immediate re- lief, and there is comparatively little discomfort during the few days required for healing, II the clot is not thus evacuated the pa- tient is bound to suffer for several days.
 internal piles causa frequent bleeding or unnoticed internal bleeding which is a common cause of anemia, and in the second stage (after months or years) the piles become large masses which pro- trude with defeation and either retracts afterward or must be re- placed by manipulation and the aid of gravity. There may be little or no bleeding in this second stage, but if the condition is neglected much longer serious hemorrhages may follow, Assures develop and cause severe pain.
 In some cases of piles pruritus (itching) is the chief complaint, but in most instance of prurtus no piles are. present-so 1t is pret- ty childish to employ remedies for "itching piles" when there are no piles, don't you think? For that matter--oh, well, I'll settle for this The sensible course for any one who even suspects he has piles is to consult a real doctor and find out precisely what the trouble is, be- fore using any.remedy or taking any treatment. A real doctor is one who examines the patient in this in- stance with the aid of speculum and headlight-before he gives an opinion or makes a diagnosis--aI1d real doctor never accepts the patients statement that some other doctor has already diagnosed the trouble.
 A phony doctor, on the other hand, readily prescribes this or that nostrum for what the gullible patient calls "piles"-why should the quack care as long as the vice tim likes to gamble that way?
 The treatment of internal piles even if they are external" or pro- truding part or all of the time-is surgical. There are two methods in current use. The older, and cruder, method is so-called clamp and coutery treatment-hospitali2a- ton, general anesthesia, dilation of outlet, application of clamp to pile tumor, cutting of the tumor. and cauterization of the ray stump with heated iron.
 The newer and simpler method is ambulant (injectionl treatment. Ambulant means the patient con- tinues walking about or playing as usual while under treatment. Through the speculum, with the aid of local anesthetic in some instances, the surgeon skilled in this modern technique injects a few drops of suitable sclerosing (astri- gent, coagulating) solution directly into the base of the pile. and that's all. There is practically no pain. Subsequently the pile tumor or mass shrinks or Shrivels away. Sometimes only two or three such koffice treatments. at intervals of q week or so, are necessary to give permanent relief. Tn some cases .