Get the App
For Doctors
Login/Sign-up
Last Updated: Oct 23, 2019
BookMark
Report
10 Things To Know Before Piles Surgery
Dr. Anup PatkiGeneral Surgeon • 17 Years Exp.M.B.B.S, DNB - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES), FMAS.Laparoscopy, Fellowship in Bariatric & Metabolic Surgery ( International)
10 things to know before piles surgery
The advice below is offered to help you think ahead about what you will need before, during and after your procedure
- Do you have bleeding while passing stool ?
- It is most common presenting complains of people suffering from piles
- Other reasons can be fissure /inflammatory bowel disease / cancer
- Do not assume your disease. Consult a general surgeon
- Do you have pain while passing stool ?
- Most of patient will not have pain.
- If you have pain there may be underlying fissure which needs to be treated as well
- Do you have constipation ?
- Constipation is one of precipitating factors to develop piles
- Do all piles need treatment ?
- No. Grade 1 , asymtopatic piles can be managed with medical treatment
- Grade 2 / 3 / 4 piles need surgical treatment
- What happens if piles remains untreated ?
- It can lead to chronic undiagnosed anemia and weakness requiring blood transfusion
- It can cause complications like thrombosis and portal pyemia
- Medical treatment of piles ?
- Only indicated for grade 1 , asymptomatic patient
- Surgical treatment of piles ?
- Stappler v/s laser v/s open surgery ?
- Open surgery : Less costly but takes longer time to recover and return to work
- MIPH / Stappler: Costly but faster recovery and early return to work
- Laser : Only indicated in selected patients
- Recovery after surgery ?
- Depends on type of surgery
- For open surgery minimum 15 days
- For miph surgery only 2-4 days
- Preventive care ?
- Prevent straining while defecation
- Consult doctor at early symptoms