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About Piles
Piles, also known as hemorrhoids, are swollen veins in the anus and lower rectum. They are commonly caused by straining during bowel movements, obesity, pregnancy, poor diet, sedentary lifestyle, and irregular bowel habits.
Piles are a very common condition, especially in India, and are often linked to unhealthy eating habits, lack of physical activity, and poor lifestyle choices.
Say goodbye to piles in 30 minutes with our painless laser piles treatment.
What Are Piles?
Piles, also known as hemorrhoids, are swollen veins in the anus and lower rectum. They commonly develop due to straining during bowel movements, chronic constipation, obesity, pregnancy, or prolonged sitting.
Piles are a very common condition, affecting many adults at some point in their lives. Poor dietary habits, inadequate fiber intake, lack of exercise, and unhealthy lifestyle practices can increase the risk of developing piles.
How Do Piles Form?
Piles develop when there is increased pressure on the veins in the lower rectum and anus. This pressure may result from chronic constipation, straining during bowel movements, prolonged sitting, obesity, pregnancy, or lifting heavy weights.
Over time, the affected veins become swollen and enlarged, leading to the formation of one or more hemorrhoids (piles).
Causes of Piles
Symptoms of Piles
Piles (hemorrhoids) develop when increased pressure causes the veins around the anus and rectum to swell and enlarge. Common causes include:
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Straining during bowel movements
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Chronic constipation or diarrhea
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Sedentary lifestyle
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Excessive alcohol consumption
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Being overweight or obese
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Pregnancy
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Low-fiber or unhealthy diet
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Regular heavy weight lifting
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Bleeding during or after bowel movements
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Prolapse (hemorrhoid protruding outside the anus)
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Pruritus (itching around the anal area)
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Soiling or staining of undergarments
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Anal pain or discomfort
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Anal incontinence (in some severe cases)
DIAGNOSIS
Physical Examination :
Your doctor will examine the anal region and may gently assess for swelling, tenderness, or other abnormalities.
Digital Rectal Examination :
For suspected internal piles, a lubricated, gloved finger may be inserted into the rectum to check for abnormalities. External piles can often be diagnosed through a visual examination.
Anoscopy or Proctoscopy :
If needed, your doctor may use instruments such as an anoscope, proctoscope, or sigmoidoscope to examine the anal canal and lower rectum in greater detail.
Video Proctoscopy :
Video proctoscopy is an advanced diagnostic technique that provides a clear view of the anal canal and rectum, helping in the accurate diagnosis and assessment of piles and other anorectal conditions.
Risks & Complications of Piles Surgery
Piles surgery is generally safe, and serious complications are uncommon. However, as with any surgical procedure, certain risks may exist depending on the patient's condition and the type of treatment performed.
Possible complications include:
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Bleeding: Mild bleeding may occur during or after surgery, particularly with more extensive procedures.
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Infection: Although uncommon, infection can develop at the surgical site and may require medical treatment.
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Reaction to Anesthesia: Some patients may experience temporary side effects such as drowsiness, nausea, or vomiting after anesthesia.
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Rectal Prolapse (Rare): In very rare cases, rectal prolapse may occur due to underlying conditions or other contributing factors and should be evaluated by a specialist.
Risks & Complications if Left Untreated
If left untreated, piles may worsen over time and lead to complications, including:
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Thrombosed or Strangulated Hemorrhoids: In some cases, the blood supply to the hemorrhoid may become compromised or a blood clot may form, causing severe pain, swelling, and discomfort that often requires prompt medical attention.
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Persistent Bleeding and Anemia: Ongoing bleeding during bowel movements can lead to iron-deficiency anemia over time, resulting in fatigue, weakness, and other health problems.
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Early diagnosis and appropriate treatment can help prevent these complications and improve quality of life.
How to Prevent Piles?
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Eat a High-Fiber Diet :
Include fiber-rich foods such as whole grains, oats, legumes, beans, fruits (apples, bananas, pears), and vegetables (broccoli, cauliflower, cabbage) to promote regular bowel movements and reduce straining.
Stay Hydrated :
Drink at least 6–8 glasses of water daily. Adequate hydration, combined with a high-fiber diet, helps prevent constipation.
Limit Certain Foods :
Reduce the intake of fried foods, highly processed foods, excessive red meat, and high-fat dairy products, as they may contribute to digestive problems in some individuals.
Don’t Ignore the Urge to Pass Stool :
Go to the toilet when you feel the urge. Delaying bowel movements can lead to constipation and increase the risk of piles.
Avoid Prolonged Sitting on the Toilet :
Spending too much time on the toilet can increase pressure on the veins around the anus. Avoid reading or using mobile phones while seated.
Stay Physically Active :
Regular activities such as walking, jogging, yoga, or swimming can help maintain healthy bowel function. Avoid prolonged sitting and excessive straining or heavy weightlifting if advised by your doctor.
PILES SPECIALISTS DOCTORS
Dr. ABCD
MBBS,
10 yrs of experience
Dr. ABCD
MBBS,
10 yrs of experience
Dr. ABCD
MBBS,
10 yrs of experience
Piles Surgery
The choice of treatment depends on the type and severity of piles. Your doctor may recommend one of the following procedures:
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Rubber Band Ligation (Banding):Commonly used for treating internal hemorrhoids by cutting off their blood supply.
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Sclerotherapy: A minimally invasive procedure in which a special solution is injected to shrink small internal hemorrhoids.
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Hemorrhoidal Artery Ligation (HAL): A technique that reduces blood flow to hemorrhoids, helping them shrink with less postoperative pain.
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Hemorrhoidectomy: Surgical removal of large external hemorrhoids or severely prolapsed internal hemorrhoids.
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Laser Hemorrhoidoplasty: An advanced laser procedure that treats hemorrhoids with minimal pain, reduced bleeding, and faster recovery while preserving surrounding tissues.
Laser Treatment for Piles
Laser treatment is an advanced and minimally invasive option for managing piles (hemorrhoids). It is designed to reduce pain, minimize bleeding, and promote faster recovery compared with many conventional surgical techniques.
If conservative treatments such as dietary changes, medications, or lifestyle modifications do not provide adequate relief, your doctor may recommend laser surgery based on the severity of your condition.
Stapled Hemorrhoidopexy (Stapler Surgery)
Stapled hemorrhoidopexy is a surgical technique used primarily for prolapsed internal hemorrhoids. During the procedure, a specialized stapling device repositions the hemorrhoidal tissue and reduces its blood supply, helping the hemorrhoids shrink while preserving normal tissue. This approach may reduce postoperative pain and support quicker recovery in appropriately selected patients.
Severity of Piles Condition:
The severity of piles plays an important role in determining the most appropriate treatment approach. Mild cases may be managed with medications or minimally invasive procedures, while advanced cases may require surgery. In general, the complexity of treatment can increase with the grade of the condition.
The different grades of piles are explained below:
Grade I
Small swollen hemorrhoids are present inside the anal canal and are not visible externally
Grade II
The hemorrhoids are larger and may protrude during bowel movements but return inside on their own.
Grade III
Also known as prolapsed hemorrhoids, they protrude during straining and need to be manually pushed back inside.
Grade IV
Large hemorrhoids remain outside the anus and cannot be pushed back. These often require surgical treatment.