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Hemorrhoids - Symptom, Treatment And Causes

What is Hemorrhoids?

Swollen veins near the lower rectum or the anus are known as hemorrhoids. More than half of all adults experience hemorrhoids or its symptoms before turning 50. They may be external or internal. External hemorrhoids form outside the anus, while internal hemorrhoids form within the rectum or anus. Hemorrhoids can also be called piles. External hemorrhoids can be the most troublesome and are the commonest kind. Hemorrhoids cause severe itches, difficulty in sitting and pain. They are thankfully treatable. Experts aren’t really sure what makes hemorrhoids appear.

Possible factors are:

  • Being strained during bowel movements.
  • Complications during chronic constipation
  • Sitting for long time periods, especially on toilets
  • A familial history for hemorrhoids

What causes Hemorrhoids?

Hemorrhoids may be genetically passed from parents to children. If either of your parents have had hemorrhoids, then you have higher chances of getting them. Constant lifting of heavy objects, having continuous body strain or being overweight can put consistent strain on the body and increase the risks of hemorrhoids. Standing for prolonged periods without taking breaks can also result in hemorrhoid formation. Diarrhea and constant anal intercourse also can increase the risks for hemorrhoids. Pregnancy also increases the chances of developing hemorrhoids. The uterus when it enlarges, presses on a vein present in the colon and makes it bulge. A visual exam of the anus suffices for diagnosing hemorrhoids. For confirming the diagnosis, the doctor might do a separate exam to look for any kind of abnormalities in the anus. This is called a digitized rectal exam. The doctor puts in a lubricated and gloved finger on to the rectum in this exam. If they experience any abnormalities, they might ask you to get an extra test done, known as a sigmoidoscopy. Your doctor will use a tiny camera to look for internal hemorrhoids in a sigmoidoscopy. This tiny fiber optic camera known as a sigmoidoscope is fitted into a narrow tube and is then inserted into the rectum. Using this test, the doctor can get a clear vision of the insides of the rectum so as to examine the hemorrhoid closely. To avoid straining the hemorrhoid, you should avoid putting pressure during bowel movements. Also, try increasing the daily water intake. Drinking sufficient water can prevent the stool from becoming too hard. Regular exercise should be done to prevent constipation. Consuming foods which have a high dietary fiber content can reduce the risks of possible hemorrhoid formation later on. You would notice better bowel movements after proper treatment. Following the doctor’s advice and being regular about certain habits can also help in the overall treatment and prevention of hemorrhoids.

Treatable by medical professional Usually self diagnosable Lab test not required Chronic: can last for years or be lifelong Non communicable
Extreme itching around the anus. Irritation and pain around the anus. Painful bowel movements. Blood leakage after having a bowel movement.

Popular Health Tips

Internal Haemorrhoids - Best Ways They Can Be Treated!

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, FAIS, Fellowship In Minimal Access Surgery
General Surgeon, Mumbai
Internal Haemorrhoids - Best Ways They Can Be Treated!

Hemorrhoids or piles are diagnosed by swelling of veins in the lower part of anus and rectum. Due to swelling, the walls of rectum and anus are stretched and thus become irritated. Hemorrhoids are of two types: Internal and External hemorrhoids.

Internal Haemorrhoids: As the name suggests, the piles are not visible from outside. These are present deep inside the rectum, located above the pectinate line and these are covered with the cells that are present through the rest of intestines. Internal hemorrhoids are normally painless. The first sign of internal hemorrhoids is rectal bleeding. However, straining can push internalhemorrhoid and it protrudes through the anus and this can be painful.

Causes of Haemorrhoids
The swelling of hemorrhoid occurs only when the pressure in the small vessels of rectum and anus is increased and is engorged with blood. The size of the hemorrhoids is also increased. The increased pressure may be due to various factors:

  • Consuming low fiber diet and pushing or straining while passing stools, thus blood vessel pressure is increased.
  • Pregnancy also is a cause of swelling as there is the increased pressure of the uterus on rectum and anus.
  • Sitting for long on toilet also increases pressure.
  • Obesity is also a cause of hemorrhoids.
  • People suffering from diarrhea, both acute and chronic.
  • A person having colon cancer might have hemorrhoids.

Signs and Symptoms of Haemorrhoids:

  • The most common symptoms of hemorrhoids are painless bleeding, itching in anal, swelling and feeling of the presence of lump at the anus.
  • All these symptoms are associated with inflamed hemorrhoid.
  • Inflamed internal hemorrhoid can cause swelling, but is painless as there are no fibers attached to veins above the pectinate line that cause pain. However, passing hard stools can scrape off the thin lining of hemorrhoid, which can cause the painless bleeding.
  • Spasms of the rectum and anal muscles caused by these swollen hemorrhoidscause pain, especially when they are protruded through the anus.
  • Internal hemorrhoids can form a clot or thrombose resulting in severe pain.
  • The presence of has inflammation, stool,and constant moisture and these can lead to itching and burning sensation in the anus among patient of internal hemorrhoid.

Treatment of Haemorrhoids

  • Diet: Haemorrhoids can be treated when individuals consume a fiber-rich diet in order to soften the stools and ease their bowel movements. Fiber-rich foods include fresh fruits, dry fruits, grains, vegetables, and cereals. About 20 to 30 grams per day of fibrous foods is recommended. Dietary fiber will help create bulk in the intestines which will help in softening of stools and ease bowel movement. Supplemental fiber available in the marketincludes psyllium husk, methylcellulose, and calcium polycarbophil. Other recommendations include increased intake of liquids and having stool softeners. Drinking enough water and liquids will prevent stool from hardening.
  • Over-the-counter topical treatment: There are various products available to treat hemorrhoids, such as gels, hydrocortisone creams, ointments, foams, pads, and suppositories.
  • Home remedies: Soaking anus in a warm sitz bath might also help in hemorrhoids for about 10 to 15 minutes per day. One should practice good hygiene and clean anus with warm water while showering. Avoid using soap and dry toilet paper. One can also use a cold compress on the anus.

Minimally Invasive Procedure for Hemorrhoids (MIPH)

Out of the various types of medical and surgical interventions available to treat Piles, Minimally Invasive Procedure for Hemorrhoids (MIPH) 0r painless stapler surgery is known to be very popular since it acts an alternative approach to surgical interventions made for piles.

MIPH is defined as a minimally invasive surgical technique in which a band of loose or prolapsed mucosa and sub mucosa in the rectum is excised, proximal to the piles and disrupted mucosa is fixed by ‘stapled end to end mucosal anastomosis.

This will ultimately occlude the blood supply to the superior hemorrhoidal artery above the hemorrhoidal tissue, resulting in the retraction of prolapsed mucosa back to its original anatomical position. A special circular stapler known as PPHO3 is used in the anastomosis and the whole maneuver will take around 30–45 minutes. In case you have a concern or query you can always consult an expert & get answers to your questions!

542 people found this helpful

Haemorrhoids - Why To Go For Surgery?

MS - General Surgery
General Surgeon, Thrissur
Haemorrhoids - Why To Go For Surgery?

The symptoms of haemorrhoids are quite painful, annoying, and uncomfortable, whether they are internal (inside the rectum) or external (outside the rectum). Most of the people having haemorrhoids recover from the symptoms with some mild treatment options such as applying some creams and ointments, drinking plenty of water or eating a fibre diet. But if the symptoms become severe, resulting in more complications that can’t be treated with mild treatment options, then surgery is recommended.

Following are some important reasons to go for haemorrhoid surgery:

  1. When haemorrhoid symptoms still persist: The most common reason why a majority of patients go for surgery is that their haemorrhoid symptoms continue even after having undergone a conservative medical treatment. The affected individuals experience pain, swelling, bleeding, and itching.
  2. When serious complications develop: Some patients may develop serious complications of haemorrhoids, which may include thrombosed haemorrhoids and prolapsed haemorrhoids. When a clot (thrombus) develops in the external haemorrhoids giving a feeling of a lump near the anus, the condition is called thrombosed haemorrhoids. When internal haemorrhoids prolapse through the rectum and bulge outward from the anus due to excessive straining, the condition is called prolapsed haemorrhoids. Both these conditions cause severe irritation and can become infected. Therefore, they require a surgical treatment.
  3. When haemorrhoid symptoms become worse: Some patients may experience symptoms of haemorrhoids even at the time of diagnosis. This may require immediate medical treatment including a surgery, if needed. These symptoms include anaemia (occurs due to excessive bleeding), strangulated haemorrhoid (develops when internal haemorrhoid becomes constricted due to loss of blood supply) and extreme pain.

Types of haemorrhoid surgeries:
The two most common types of surgeries performed nowadays to treat haemorrhoids include:

  1. Haemorrhoidopexy: It is also called stapled haemorrhoidectomy or haemorrhoid stapling. This is used for the treatment of prolapsed haemorrhoids. During the procedure, the prolapsed haemorrhoid is surgically stapled back inside the rectum to its place and the blood supply cuts off so that the tissue shrinks.
  2. Haemorrhoidectomy: Also called haemorrhoid removal, it is used for the treatment of large external haemorrhoids and prolapsed internal haemorrhoids that don’t respond to other treatment options. During the procedure, the surgeon cuts out the large haemorrhoid.

There are various factors that a doctor considers while deciding on the right surgical treatment option for haemorrhoids. The degree of the symptoms, place, type of haemorrhoids, diagnosis and the individual patient’s conditions are determined before deciding to go for a haemorrhoid surgery. Hence, it is crucial that you discuss the treatment options with a specialist to get the best possible recovery. In case you have a concern or query you can always consult an expert & get answers to your questions!

2920 people found this helpful

Internal Haemorrhoids - Surgical Option For Treating Them!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
Internal Haemorrhoids - Surgical Option For Treating Them!

Your body starts sending signals well before a condition can assume a critical state, and hence it becomes essential to listen to your body to avoid getting into complications. Internal haemorrhoids, less painful than external haemorrhoids, can worsen over time if left untreated and can result in bleeding.

The term haemorrhoids, commonly known as piles, refer to inflamed and swollen veins in the anus and the rectum that cause bleeding and discomfort, especially during sitting and bowel movements. When the blood veins inside of the rectum become engorged and swollen, it is referred to as internal haemorrhoid.

When internal haemorrhoids take moderate to severe form, they require surgery. Here is a closer look at the surgical options available for treating internal haemorrhoids.

  1. Closed hemorrhoidectomy: Closed hemorrhoidectomy is the most common surgical procedure used for treating internal haemorrhoids. In this case, excision of the haemorrhoid bundles is performed by using sharp instruments like electrocautery or scalpel or scissors, followed by complete closure of the wound with absorbable suture. Closed hemorrhoidectomy has a success rate of around 95% for treating internal haemorrhoids completely.
  2. Open Hemorrhoidectomy: In this surgical procedure, hemorrhoidal tissues are excised in the same way as that of the closed hemorrhoidectomy. The only difference here is that the incision is not closed but left open. Open hemorrhoidectomy is usually performed at such locations where the closing of the wound is difficult or may have a high risk of postoperative infections. Depending on the requirement of the patient's internal haemorrhoid conditions, a combination of both closed and open hemorrhoidectomy may be carried out.
  3. Stapled Hemorrhoidectomy: Stapled hemorrhoidectomy, also known as hemorrhoidopexy, is another surgical procedure where a stapling device of circular shape is used for excising a circumferential ring portion of the excess tissues of internal haemorrhoid. This procedure helps to lift the haemorrhoids back in their normal position inside the anal canal. This surgical technique is comparatively a new addition to the surgical treatment options for internal haemorrhoid treatment. Stapled haemorrhoidectomy is most widely accepted technique of haemorrhoidectomy. Advantages of this technique are: 
    • There is a minimal pain after surgery. 
    • There is minimal or no bleeding after surgery. 
    • Patients can resume their routine activities after 2-3 days. 
    • There is no external wound or scar after this surgery.
  4. Rubber Band Ligation: Rubber band ligation surgery doesn’t require anaesthesia and can be performed for treating internal haemorrhoids. Here, a rubber band is used around the base area of haemorrhoid that is there inside the rectum, which helps in cutting off the blood circulation making haemorrhoid wither away within weeks. However, banding isn’t suggested for those who take blood thinners as it may increase bleeding complications.
  5. Lateral Internal Sphincterotomy: In lateral internal sphincterotomy, the muscles of the inner anal sphincter are opened. This surgical procedure is for those patients with internal haemorrhoids who have high resting pressure on the sphincters. Though rarely used, this surgical method doesn't cause much pain after the operation.

A gastroenterology surgeon can determine the suitable surgery option only after a thorough analysis of one's physical health, and the condition and complications of the internal haemorrhoids. While sometimes, laparoscopic surgeries do help, for some a more traditional open kind of internal haemorrhoid surgery may become necessary. In case you have a concern or query you can always consult an expert & get answers to your questions!


2486 people found this helpful

Haemorrhoids - How Surgery Can Help Manage Them?

MBBS, MS- General Surgery
General Surgeon, Ambala
Haemorrhoids - How Surgery Can Help Manage Them?

The anus is a highly vascular area, and these blood vessels dilate, leading to a condition called hemorrhoids, which are external and protrude into the anus (external) or into the rectum (internal). While most hemorrhoids are self-limiting and can be managed with conservative care, about 10% to 20% of the hemorrhoids may require surgical removal.

When is surgery needed?

  1. Thrombosed hemorrhoid
  2. Prolapsed hemorrhoids
  3. Relentless bleeding (maybe painless also)
  4. Recurrent hemorrhoids

Types of surgery required
The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Read on to know some of the common techniques are used to treat hemorrhoids.

  1. MIPH (minimal invasive surgery for haemorrhoids): Also known as hemorrhoidopexy, it involves the use of surgical staples to keep a recurrently prolapsing hemorrhoid in place. These staples ensure they do not prolapsed again. It also cuts of blood supply, so the growth is curtailed. This is done as a same-day procedure under local or general anesthesia. This is the procedure of choice for grade 2 and grade 3 bleeding piles. It is a totally painless procedure and is widely accepted by patients.
  2. Hemorrhoidectomy: It is done under general anaesthesia or spinal anaesthesia in people where conservative and in-office procedures have failed. The hemorrhoids are often large, prolapsed, and cause bleeding. This requires hospitalization and may need about a week to recover completely. This was the standard procedure earlier. It is still very useful for prolapsed large piles.

Post surgery, there could be rectal pain and discomfort. In addition, the patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent recurrence. In case you have a concern or query you can always consult an expert & get answers to your questions!

3422 people found this helpful

Suffering From Piles - Diet You Must Follow!

MBBS, MS- General Surgery
General Surgeon, Ambala
Suffering From Piles - Diet You Must Follow!

Hemorrhoids are commonly known as piles. They are swollen blood vessels or blood clots in or around the anus and rectum. The veins are located in the lowest part of the rectum and the anus and in some instances they can swell which makes the vein walls to stretch. This, in turn, can restrict or irritate the passing of the bowel movements. Piles can be broadly classified into two general categories internal and external.

While there are many treatment plans of curing piles, nothing can come near the age-old treatments in curing piles. The treatment focuses on curing the symptoms from within and concentrates on the root cause of the problem. This makes it more efficient as far as the treatment is considered and it drastically reduces the chances of haemorrhoids from occurring again. While there are some medications as a part of treatments, it is also mandatory that one must follow a strict diet regime for the treatment to be a success. The diet rule is also very much needed for the treatment to be a success.

Let us look at the diet plan that is needed for a treatment against piles/Fistula. You can consult with your doctor to get to know more about this.

  1. Breakfast: Dalia (sweet or salty depending on individual’s choice), Milk without fat, Tea, Toast, Chapati, Mix veg., Brown bread, Sprouts, Fruits like apple etc.
  2. Lunch: Chapatis, Cooked mixed vegetables, Daal (cooked pulses), Boiled rice, Takra (Buttermilk), Salad prepared from onion, tomato, radish, turnip, carrots, papaya etc.
  3. Evening Tea/snacks: Tea or coffee, Toasts, Dry fruits, Biscuits, roasted popcorns or any other light food item can be taken.
  4. Dinner: Chapatis, cooked vegetables, Daal (cooked pulse), salad

Impartant food items you must note

  1. Avoid taking curd or buttermilk in dinner.
  2. At bedtime, lukewarm milk with a few drops of honey can be taken.
  3. Flour with Mixed grains flour like wheat, barley, gram, soybeans etc. However, wheat flour with husk (without refining) can also be used.
  4. Pulses, such as moong, masoor, gram, soybean etc. can be eaten
  5. Vegetables like bottle gourd, radish, turnip, cabbage, cauliflower, raw green papaya, carrot, fenugreek leaves, chenopodium leaves, spinach leaves, tomato, potato and other green leafy vegetables.
  6. Fruits such as papaya, coconut, apple, litchi, figs, watermelon, orange, guava etc. are good.
  7. Liquids and juices for example coconut water, bottle gourd juice, apple juice, mixed fruit juice, aloe vera juice, trifala ras, wheat grass juice etc. can be taken
  8. Dry fruits like almonds, pistachio, dried grapes etc.
  9. Spices that can be consumed turmeric, coriander powder, fenugreek, cummin seeds, ajwain, saunf etc.
  10. Ghee and cooking oils like Cow’s ghee, mustard oil, olive oil, groundnuts’ oil, soybean’s oil etc. can be used
  11. Have plenty of fluids including water.
  12. Avoid the intake of Tea and Coffee.
  13. Avoid non-veg. and junk/spicy food items.
  14. Avoid smoking and alcohol and also do not indulge in chewing of tobacco products.
  15. Always ensure to follow the instructions of your physician strictly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3232 people found this helpful

Popular Questions & Answers

Hello, I was having piles but it got treated. Now I am 9th month pregnant, so in this month I am suffering with pain, can piles pain effect my normal delivery.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate Course In Ksharasutra Therapy
Ayurveda, Mumbai
No, it will not affect. Just relax and try for hot sitz bath twice daily. Normal warm water.
1 person found this helpful

I am 18 y/o male. Found one projection coming out of my anal opening three days ago. It is a hemorrhoid. I am taking Daflon 500 mg tablets twice a day (as consulted by my doctor). My constipation is gone now. But the size of the pile isn't shrinking. Will it go away if continue eating the tablets?

MBBS, DNB (General Surgery), Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Faridabad
From your symptoms it seems that you had constipation / or straining in stools, which resulted in a small bleed in the skin region of anal opening (called thrombosed piles). Continue your medication for the period as advised (1- 2 weeks usually). Also take SITZ bath (that is sit in a tub of warm water) twice daily for 10 min each for about 2 -3 weeks Avoid constipation in future - you can take laxatives (ISabgol preferable for long periods) regularly for a period of 1 to 1.5 months. FOR THE PILE MASS TO SHRINK SHOULD REQUIRE A MINIMUL PERIOD OF 4 TO 6 WEEKS. So you do not need to worry, if you avoid constipation.

I have hemorrhoids problem since last two years. It doesn't continue all the time but comes while weather change or during heat. Can you suggest permanent solution? I took Himalayan Pilex tab every day since two weeks.

MBBS, DNB (General Surgery), Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Faridabad
Avoiding constipation is the only permanent solution. You do not need to take it everyday if you are not regularly constipated. But in case you have any out of routine food, take a simple laxative powder at night. Thst is more preferable.

Table of Content

What is Hemorrhoids?

Possible factors are:

What causes Hemorrhoids?

Play video
Piles are collections of tissue and vein that become inflamed and swollen.Piles occur due to chronic constipation, chronic diarrhea, lifting heavy weights, pregnancy, or straining when passing a stool.A doctor can usually diagnose piles on examination.
Play video
Many people have piles, but the symptoms are not always obvious. These collections of tissue and vein that become inflamed and swollen.A doctor can usually diagnose piles on examination.
Play video
Major Causes Of Piles In Daily Lifestyle
Hello Everyone,

I am Dr. Avaneesh Hasiza. I am a Consultant General and Endoscopic Surgeon at Utkarsh Speciality Clinic in Gurgaon.

So today I am going to discuss about piles or hemorrhoids what we call in medical terms. Piles are inflamed or abnormal veins, dilated veins in the anal canal. In piles, usually the main cause is chronic constipation or there can be many causes. They can be hereditary also. The main cause is constipation. So constipation occurs because whenever there is lack of fibres in the dietary intake, there is inadequate water intake in the body or inadequate what you say lack of fibres in the diet or inadequate water intake so constipation, it causes. It is the cause of piles. So piles can be of various degrees.

There are 4 degrees of piles and the frequency of piles, in the initial degrees we can treat it with medications and the dietary lifestyle modifications but in the higher degrees or when the initial degrees when the medical treatment fails, we have to undergo for the surgical treatment. Surgical treatment of piles, there are various methods for surgical treatment of piles. The conventional surgery as we all know we used to cut the piles dilated veins and remove the piles by the piles mask but that used to leave a large wound in the anal region.

You know that it used to take a long time to heal, so before the treatment one should also mention about the symptoms of piles. Usually patients suffer and complain of bleeding through the rectal region, pain while passing stools. There is mask coming out of the anal region which sometimes regresses itself sometimes it has to be reduced with the fingers and the treatment as I told earlier in the conventional treatment removal of files mask it is a conventional hemorrhoidectomy that used to leave the wounds large phone that takes around a month to heal and it is a concern for the patient that is used to bleed as well as it causes pain and the latest advent of technique of treatment of Piles is stapled hemorrhoidectomy. Indus technique there are many advantages of this dectomy.

We use a circular stapler specialised instrument pph which we used to treat the piles. With this technique there is no wound outside we use the circular stapler Bee removal circumferential strip of main kosa which Cuts of the blood supply of the piles and the piles they shape back to its normal Anatomical position and if any external competitor of piles it means it will regret over a period of 3 to 6 months. The advantages of this technique there is minimal or no pain after the surgery there is minimal sometimes there is no bleeding after the surgery and the patient is very comfortable and then go back to his normal routine activities in a few days and the hospital stay for this surgery usually one day the patient can be discharged on the same day itself.

And after the surgery there is not a long-term medication required and the patient is very comfortable and can go back to the normal work and there is no difficulty in passing stool after the surgery itself.

In case you feel any difficulty are you want to clarify things you can connect with me. I am Dr. Avaneesh Hasiza you can connect with me at Utkarsh speciality clinic which is located in Sector 46, Gurugram, behind Guda market.

Play video
Briefing On Piles
Hi everyone,

I am doctor Vaibhav Kapoor. I am a consultant laparoscopic and laser surgeon at Max hospital, Gurgaon.

Today I will be discussing about new modalities in the treatment of various Anorectal conditions like piles, fissure, fistula these are one of the most common problems and with the large population you know suffering from these conditions. People generally who suffer from these conditions of Piles and fissures fistula complain of either bleeding in the rectal area which is generally fresh before or after they pass stool or they have severe pain while they pass stools and the pain generally lasts for few hours after they pass stools or they complain of some pus discharge in that region and also swelling in the anal region. So we mainly discussing the new modalities in the treatment of Piles but before that, I just give u small note on what actually these conditions are. Anorectal conditions can be classified as piles, fissure, fistula these are one of the most common things, so, what are piles? Piles are basically inflamed veins or tissues in the lower rectum and anal canal, there are various causes but the most common cause of it is chronic constipation, why does it happen lack of fibers in the food, eating junk food you know not taking a lot of water they are one of the primary causes. Then in women especially during pregnancy they can have piles, symptoms are like I told earlier are mixed these condition either patient can have fresh bleeding when they pass stools or they can have pain or some sort of the swelling in the anal region. So diagnosis is very simple the surgeon just needs to examine your lower rectum and he can come on to the diagnose it. So how do we treat it, the conventional treatment as everybody knows was open surgery for piles so it led to heavy wounds, dressing for at least a month, people not used to go out fearing that wounds will discharge. Now with the help of new technologies and with the help of laser what we are doing is the laser ablation of ambroid and fissures, it s the diode laser and there are great advantages up over conventional surgery. It's a simple 15 to 20 minutes surgery almost painless and there were no dressings to be done in the postoperative period and patients are generally discharge on daycare. So I will be now discussing about how with the help of lasers we treat piles, so laser energy is basically delivered to the pile base marks and you know it causes instant shrinkage of the piles and then over the period of 10 to 15 days the entire pile marks should end. The advantages of using laser is it's a simple 10 to 15 minute surgery, done under either general anaesthesia or initial anaesthesia, patients are generally discharged during a daycare or they kept for maximum 24 hours, post surgery you will just your antibiotic and pain Killers that s it, it's relatively painless surgery as compared to open, there are no wounds in the area, there no dressing to be required and even start as early as you know from next day your all routine work. Post surgery you generally gave some sort of diet chart which will help you by constipation and some pelvic floor exercises will be taught to you which will help you prevent constipation in long run. Another question which happens is that after the surgery piles generally reoccur, later with conventional surgery the chances of reoccurrence was there with the advent of laser surgery and the minimal tissue damage the chances of reoccurrence have gone down, that is one of the most advantageous things if you are with a laser.

And secondly post-surgery care which we generally don't do so that will be given to you which will help you in avoiding constipation in long run and hence these things don t reoccur and to get any further information you can contact me through Lybrate. You will be having entire details about how the laser surgery works and you can read about piles and fissures on that.
Play video
Piles or Hemorrhoids
Here are cause,symptoms and treatment of Piles or Hemorrhoids

"Hi friends! Nice to be with you through this wonderful medium called Lybrate . Today I am here to discuss with you one of the most common, irritating and nagging problem which we in common language call as Piles or in medical terminology we call them as Hemorrhoids .

Bleeding Piles or Hemorrhoids is one of the most common problem in our society. It has evolved, the presentation has changed and the number of patients getting effected by this problem continues to be very high. It effects males as well as females in equal number. Early age group and late age group, both are included in this irritating problem. The main issue with this particular disease is that a lot of people in our country still feel a little bit inhabited and ashamed to discuss this problem.

Now what are basically Hemorrhoids or Piles? They are basically nothing but Venus or small veins which are there in our rectum and anal canal, which over a period of time for some reasons, known and unknown, become prominent, dilated thin walled and then with every episode of passage of stools there is bleeding. One of the most important symptom, bleeding, whenever it occurs more than once or twice is never to be ignored because we could be dealing with what we call as Hemorrhoids. Classically, Hemorrhoids never cause pain, it will be a painless bleeding and if it is associated with pain then we must keep an option of fissure in association with Hemorrhoids.

Fissure is nothing but a cut onto the tracheal wall or the anal canal wall, which at every time of passage of motion will produce pain, bleeding and after that some variable amount of burning sensation. This problem does not need high funda stuffs like CT scans and MRI, we can do away with a diagnosis of Hemorrhoids and fissure with a good clinical examination. In some patients with extreme age groups we do recommend Sigmoidoscopy or a Colonoscopy which are basically an outpatient endoscopic tests. No higher level of investigations are required in these particular patients.

Well, the treatment of Hemorrhoids varies. It comprises of some medical treatment in terms of medication tablets, syrups, other things, and surgery. Small Hemorrhoids what we medically call them as Grade-1 Hemorrhoids, rarely require treatment. Grade-1 and Grade-2 Hemorrhoids, they may settle down with medical treatment in terms of some syrups which reduce constipation, antibiotics and some analgesics. The remaining patients of Grade-3 and Grade-4 definitely need operation.

Surgery can be done in various methods. There are newer techniques, one of the popular newer technique is what we call as a stapled Hemorrodectomy and then there are conventional techniques. In our mammoth experience of last ten to fifteen years, irrespective of technique if the surgery is performed safely in experienced hands, it rarely produces symptoms again, recurrences are less and complications are fewer. I recommend all the patients who are in regular working hassles not to delay these symptoms. Try and see at which level your hemorrhoids are and choose an appropriate treatment from a good competent doctor. As I have said earlier and in many instances, simple diseases become complicated when they are ignored or they are wrongly treated.

My sincere request to all of you is, do not ignore bleeding per rectum, have a quick correct diagnosis through a good doctor and don t get unnecessary jitters by listening to the word surgery. Hemorrhoid surgery has become safe and is very very complication free in safe and experienced hands. Thank you. "
Having issues? Consult a doctor for medical advice