Doctors for Piles Treatment in Hyderabad

Piles also known as Haemorrhoids is a very serious disease. In this disease, swelling occurs in the inner and outer veins of the anus and the lower rectum. It is internal as well as external and also varies in size and severity. The affected person faces a lot of difficulties in sitting and getting up because of it. People under the effect of haemorrhoids feel extreme unbearable pain. The main cause of this disease is almost unknown but the main factors that cause this problem are chronic constipation, straining during bowel movements, and a sedentary lifestyle, which can lead to increased pressure on the veins in the rectal area, and finally results in haemorrhoids. Its main symptoms depend on its severity and location. But the common symptoms include:

• Feeling of a hard lump around the anus.
• Feeling of constipation even after defecation.
• Passing of bright red blood with burning sensation during defecation.
• Extreme pain during defecation.
• Regular itching, redness, and swelling around the anus.
• Mucus coming out from anus during defecation.

The gastroenterologist or proctologist treats the patients of haemorrhoids following a proper diagnosis and treatment plan. During the initial stage normal medications are followed to cure it but when the swelling in the veins increases and creates a lot of pain and bleeding during defecation then there is a need for surgical care. So it is good to consult the doctor at the right time.

Surgery is the last option for piles treatment. But before it, a variety of treatment options are available for piles (haemorrhoids), including self-care measures, normal medications and some other methods depending on the severity of the condition and the symptoms present. Consulting a gastroenterologist is essential to determine the most appropriate treatment for it. Some common treatment options are:

• Self-care measures:
1. Consume high fibre diet : Consuming a high-fibre diet is best for the digestive system. It keeps the digestion problems away and reduces stress on haemorrhoids.
2. Maintain body hydration: Maintaining proper hydration: Consuming an adequate amount of water and fluids helps a lot in prevention of constipation and encourages regular bowel movements.
3. Use of topical treatments: Application of creams, ointments, or suppositories that contain ingredients such as hydrocortisone or witch hazel can provide a temporary relief from the pain, swelling, and itching of haemorrhoids.
• Normal Medications:
1. Use of Oral Pain Relievers : Non Prescribed pain relievers can be taken to reduce the pain and discomfort caused by haemorrhoids.
2. Topical anaesthesia: Some creams or ointments that contain local anaesthetics provide temporary relief around the specific area.
• Other methods:
1. Rubber band ligation : In this method a small rubber band is placed around the base of an internal hemorrhoid to restrict blood flow in the infected veins causing it to shrink and rupture within a few days.
2. Sclerotherapy : This treatment involves injecting a chemical solution into the infected veins, which makes the piles shrink and eventually disappear.
3. Coagulation using Infrared: A device is used to emit infrared light, which coagulates the infected blood vessels in the hemorrhoid, shrinking it.
4. Hemorrhagic resection : In cases of severe piles or when other treatments have proved ineffective, surgical removal of the piles may be recommended as the last treatment option. This is usually done for large external haemorrhoids or internal haemorrhoids that are outside the anus (prolapsed).

It is important to seek guidance from a gastroenterologist professional in order to get accurate and appropriate treatment recommendations tailored to your specific condition. They will consider the severity of the patient’s haemorrhoids, its symptoms, and your overall health before deciding the most appropriate treatment option.

Surgery for piles (haemorrhoids) is usually considered as the last option. When other pre-operative treatments are not able to cure the disease. The decision of undergoing surgery depends on the patient’s specific condition, and other symptoms. Here are some situations explained when surgery becomes necessary:

• Large external haemorrhoids : If an external hemorrhoid has grown large enough to cause persistent pain and discomfort, surgical removal is recommended.
• Prolapsed piles : When internal haemorrhoids get prolapsed, meaning they protrude out of the anus, and cannot be pushed back in, surgery may be necessary to address the condition.
• Chronic bleeding : If haemorrhoids cause persistent bleeding or leads to anaemia, surgery may be considered to prevent further complications.
• Thrombosed hemorrhoid : These are the external haemorrhoids in which blood clots have developed, resulting in severe pain and swelling. Surgical intervention is necessary to remove the clot and ease symptoms.
• Recurring or persistent symptoms : If the pile continues to cause significant symptoms despite conservative treatment, surgery may be recommended to provide long-term relief.

Specific surgical procedures used for haemorrhoids include hemorrhoidectomy and hemorrhoidectomy (stapling). Hemorrhoidectomy involves surgically removing the hemorrhoid tissue, while hemorrhoidopexy involves stapling it to cut off the blood supply to the hemorrhoid, causing it to shrink. It is important to note that surgery is generally considered a last option and is usually reserved for cases where symptoms are severe or complications arise. The decision to have surgery should be made in consultation with a qualified and experienced gastroenterology professional who can evaluate your specific situation and provide appropriate recommendations based on the condition of the patient.

Before undergoing the piles surgery a gastroenterology professional will usually conduct a thorough evaluation and may order some tests to examine the severity of the condition and get the most appropriate treatment approach. Some of the common diagnostic tests are:

• Medical History and Physical Examination: The doctor will review the complete medical history, including any previous hemorrhoid treatments or surgeries, and ask about your symptoms and their duration. A physical examination of the anal area will be done by the doctor to assess the accurate condition of the haemorrhoids.
• Digital rectal examination (DRE) : DRE is a procedure in which a lubricated, gloved finger is inserted into the rectum to examine the rectal area and detect the internal haemorrhoids.
• Visual inspection: The doctor uses an anoscope (a small, lighted tube-like instrument) to inspect visually the inside of the anus and lower rectum. It helps in evaluating the size, location and extent of piles.
• Proctoscopy or sigmoidoscopy : These procedures involve the insertion of a flexible tube with a light and camera (proctoscope or sigmoidoscope) into the rectum to examine the rectal lining and additional abnormalities or conditions.
• Colonoscopy : In a case when symptoms suggest the possibility of other gastrointestinal conditions, the colonoscopy procedure is used. This procedure involves a comprehensive examination of the entire colon using a flexible tube equipped with a camera to locate and evaluate haemorrhoids or other abnormalities present in the colon.

Please note that all these diagnostic tests vary for each individual depending on circumstances and at the discretion of the surgeon. These tests help to determine the appropriate treatment plan and surgical approach tailored as per the needs.

Piles operation, also known as hemorrhoidectomy, is a surgical procedure performed to remove haemorrhoids that have not improved with conservative treatments or have reached an advanced stage. Here's how a typical piles operation is performed:

• Anaesthesia : Anaesthesia is given before the surgery begins, to ensure that the patient is comfortable and will not feel the pain during the procedure. The type of anaesthesia used may vary, and your surgeon will discuss the options with you. This may be general anaesthesia (where a patient becomes unconscious) or regional anaesthesia (such as spinal or epidural anaesthesia) which numbs the lower body.
• Positioning : Patient is placed on an operation table, usually on his stomach (prone position) or your back with your legs raised and supported in stirrups.
• Incision : To access the haemorrhoids, the surgeon will start by making an incision around the anal area. The specific surgical technique used during a piles operation can vary depending on the surgeon's preference and the characteristics of the piles being treated.
• Piles Removal: The surgeon will carefully remove the hemorrhoid by cutting it from the surrounding tissue. This includes removal of both internal and external haemorrhoids. Laser surgery method is used for it.
• Bleeding Control: During the procedure, the surgeon will take steps to control bleeding from the surgical site. They may use techniques such as cauterization (burning) or stitches to achieve hemostasis and ensure proper closing of the wound.
• Incision closure : After removing the haemorrhoids, the surgeons will use absorbable stitches or surgical staples to close all incisions.
• Dressing and Recovery: The surgical area may be covered with a sterile dressing, and the patient will be moved to the recovery area. Depending on the suggestion of the surgeon you may stay in the hospital for a few hours or overnight for observation.

Piles surgery, also known as hemorrhoidectomy, can provide a number of benefits for individuals suffering from severe or persistent piles. Some of the potential benefits of piles surgery are as follows:

• Relieving Symptoms: Piles surgery aims to reduce all the symptoms associated with piles such as pain, itching, bleeding and discomfort. Piles surgery effectively reduces the symptoms and enhances the quality of life by removing it.
• Effective treatment : Surgery is often recommended when conservative treatments do not give proper results. Piles surgery is considered as a highly effective treatment option for the elimination of piles that have not been cured by other methods.
• Long Term Resolution : The surgery provides a long term solution for piles. Complete surgical removal of the hemorrhoidal tissues greatly reduces the risk of recurrence. It offers a more permanent solution than non-surgical treatments that provide just a temporary relief.
• Better bowel movements: Haemorrhoids cause discomfort and difficulty during bowel movements. But its surgery helps to improve bowel movements by eliminating the swollen hemorrhoidal tissues, allowing for a smoother and more comfortable passage of stool.
• Low risk of complications: In some cases, untreated or severe haemorrhoids can lead to complications such as thrombosis (blood clots), prolapse, or chronic bleeding. So surgery prevents these complications.
• Enhanced Quality of Life: Chronic haemorrhoids can significantly affect daily life by causing pain, discomfort, and interference in daily routine. By addressing the underlying issue through surgery, individuals can experience a better quality of life with fewer symptoms and a return to daily activities.

It is important to note that the decision to have hemorrhoid surgery should be made in consultation with a qualified gastroenterology professional. They'll evaluate your specific situation, consider the severity of your haemorrhoids, and discuss the potential benefits, risks, and options for surgery. They will provide personalised recommendations tailored to some specific needs, helping to make an informed decision regarding the treatment.

Like any surgical procedure, piles surgery (hemorrhoidectomy) has some side effects and risks. Before proceeding with surgery, it is important to discuss these matters with the surgeon. While everyone will not experience the side effects. Some possible complications associated with piles surgery are:

• Pain and discomfort: It is very common to experience pain, discomfort or soreness in the anal area after this surgery. It is managed with prescribed pain medications and usually improves with time.
• Bleeding : Some bleeding is expected during and after surgery. However, excessive bleeding or prolonged bleeding may require medical attention.
• Infection : Like any surgical procedure, there is a potential risk of any infection associated with piles surgery. But it can be reduced by following instructions for proper wound care and maintaining good hygiene. Signs of infection may include increased pain, redness, swelling, warmth, or discharge from the surgical site.
• Urinary issues : Some individuals may experience difficulty in urinal discharge after surgery. But it is completely temporary.
• Constipation and Stress: A post-operative constipation and straining during bowel movements are common side effects that occur after piles surgery. It is important to follow a high-fibre diet, drink plenty of fluids, and use stool softeners as recommended by the surgeon to promote regular bowel movements and reduce straining.
• Scars and Skin Tags : Surgery may result in the formation of a scar or small skin tag in the anal area. These are completely temporary and do not cause significant problems.
• Repetition : While piles surgery aims to provide long-term relief and it also has a very high success rate but there is a possibility of recurrence in some cases. Adopting a healthy lifestyle, which includes eating a high-fibre diet and getting regular exercise, can help in reducing the risk of recurrence.

It is important to discuss these potential side effects and risks with the surgeon. They will be able to provide best guidance based on the patient's condition. They will also provide instruction on post-operative care and measures to reduce discomfort and promote an easier recovery.

Recovery after piles surgery requires proper care and following the instructions of the surgeon. Here are some general guidelines for recovery after haemorrhoids treatment:

• Pain Management: Pain and discomfort after haemorrhoids treatment are common post-treatment experiences. The surgeon will prescribe proper medications or recommend some effective pain relievers to manage the discomfort. So take the medicines as directed.
• Hygiene and wound care:
1. Keep the surgical area clean and dry. It is recommended that after a bowel movement gently clean the area with warm water and then pat it dry with a soft, clean towel.
2. To avoid the irritation in the surgical part, it is advised to avoid use of harsh soaps, wipes or scented products in the anal area.
3. If recommended to use prescribed ointments or creams to soothe the surgical area and promote healing.
• Diet and hydration:
1. A high fibre diet should be added in daily routine to prevent constipation and maintain regular bowel movements. This can be achieved by including foods like fruits, vegetables, whole grains and legumes in your diet.
2. Maintain good hydration by drinking plenty of water and fluids. It keeps the body hydrated and softens the stool, making it easier to pass.
3. Limit or avoid foods that may contribute to constipation, such as processed and fried foods, as well as those low in fibre. Instead, focus on eating a diet rich in high-fibre foods to promote regular bowel movements and prevent constipation.
• Stool Softener: If recommended by your health care professional, use a stool softener or fibre supplement to prevent straining during bowel movements.
• Physical Activity : Avoid heavy physical activities, such as gym workouts, heavy lifting, etc. Simple physical activities like walking will help in improving blood circulation, prevention of constipation, and will also help in overall healing. However, it is important to listen to the doctor before starting or increasing any type of body workout.
• Follow up appointments : Attend all scheduled follow-up appointments with the surgeon to monitor the daily progress. Also discuss all concerns or complications to receive right guidance about recovery.

Recovery time after piles surgery varies depending on the type of treatment and the individual's treatment. Follow the post-treatment instructions for proper healing. Consult your doctor for a more accurate estimate of your recovery time. In general, the non-surgical treatments require less recovery time, usually from a few days to a few weeks. But the surgical procedures can have a long recovery period, ranging from two to four weeks or more, depending on the extent of the surgery and other treatment factors.