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Last Updated: Sep 03, 2019
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Piles Treatment - Procedure, Cost And Side Effects

What are Piles? What are the symptoms of piles? What causes piles? How to treat piles? What are the side effects of piles surgery? What is the price of the treatment in India? How long do piles last? What are the alternatives to the treatment?
Piles Treatment - Procedure, Cost And Side Effects

What are Piles?

People who are afflicted with chronic constipation can develop piles due to the exertion of pressure while passing stools. This exertion of pressure causes swelling in the anus and the anal canal which are known as hemorrhoids. It occurs when there is an inflammation in the hemorrhoids. The factors that increase one’s risk of developing the condition include old age, genetics, pregnancy and chronic constipation.

The condition may occur either inside or outside the anus. Depending upon the place it is classified into two types:

  • Internal piles: Which are located 2 cm to 4 cm inside the anus opening.
  • External piles: Which occur just around the edge of the anus.

Internal piles occur more commonly than external piles. This condition is more common in males and generally affects men who are 25 years and above. In India, more men in cities are affected by this medical problem than in villages.

What are the symptoms of piles?

The symptoms of piles include:

  • Development of coagulated blood, resulting in a lump near the anus. It can cause severe pain.
  • The appearance of blood during a bowel movement.
  • Pain and itching near the anus.
  • Soreness and redness near the anus.

What causes piles?

Piles generally occur because of the following reasons:

  • Excessive spicy food intake.
  • Chronic constipation and diarrhoea.
  • Women generally suffer from piles during pregnancy.
  • This problem can also be hereditary and with age the risk of developing this problem increases.

How to treat piles?

Once piles have been diagnosed and it is determined that a range of treatments and procedures are available to treat the condition. Piles treatments are divided mainly into two types; surgical and non-surgical. Patients can be afflicted by this condition at different degrees. Therefore, they can opt for any treatment as per the doctors prescription.

Surgical procedures for the treatment of piles:

The two main piles surgeries are hemorrhoidectomy and hemorrhoid stapling.

  • Hemorrhoidectomy: The procedure of the hemorrhoidectomy for the treatment of piles begins with an administration of general or even spinal anaesthesia. This means that the patient will be unconscious during the procedure and will not experience any pain. The surgeon gently opens the anus and then removes the hemorrhoids or the excess tissue that is causing the bleeding. This surgery helps to successfully eliminate the condition of piles. But it is possible certain complications, such as a urinary tract infection or constipation, to arise post-surgery.
  • Hemorrhoids: While this procedure is less painful than a hemorrhoidectomy, it has a higher risk of complications. The patient is administered with either local or general anaesthesia before the hemorrhoid-stapling surgery. The procedure involves the removal of the excess hemorrhoid tissue as well as repositioning the internal hemorrhoids using surgical staples. In this procedure, a disposable surgical stapler is used to staple the hemorrhoids within the anal canal. This decreases the supply of blood to the hemorrhoids, causing them to shrink and pass out of the body.

Non- Surgical procedures for the treatment of piles:

Non-surgical piles treatment includes the use of over the counter medicine as well as certain advanced out-patient procedures which effectively help deal with the problem.

  • A proper diet plan and lots of fluid intakes help to cure piles at home to a great extent.
  • Intake of fruits and vegetables is generally increased and body fluid levels need to be maintained.
  • Regular exercises and controlling the consumption of caffeine are two of the major principles of the treatment process.
  • Painkillers, laxatives, ointments and creams are prescribed to relieve discomfort and reduce swelling. The medicine is generally prescribed for a week.
  • In the case of 2nd and 3rd-grade piles, one can opt for sclerotherapy. In this case, an injection is given to help reduce hemorrhoid inflammation.
  • A laser treatment, which involves the removal or shrinking hemorrhoid through a laser machine, can also be opted for.
  • Infrared coagulation is another treatment option, which uses a device that emits infrared rays to burn the piles' tissue.
  • Radiofrequency coagulation works in the same manner and degree.

Non-surgical piles treatment generally helps treat the condition effectively. But if it occurs even after such treatments are undergone, surgery should be considered.

Who needs piles treatment?

Both the hemorrhoidectomy as well as the hemorrhoid-stapling surgery are highly efficient in treating piles. Surgery to remove hemorrhoids would be recommended in the following cases:

  • For those who have both internal as well as external hemorrhoids.
  • There are four degrees of intensity in the condition of piles. But a general physician or surgeon may recommend either of these surgeries to people who suffer from third and fourth-degree hemorrhoids.
  • If you have any such severe symptoms then you should seek out treatment.

Who is not eligible for the piles treatment?

People who are not eligible for this treatment are:

  • Patients who have first and second-degree hemorrhoids are less severe and can be treated without surgery.
  • Pregnant women.
  • People who suffer from other conditions that are severe which might lead to complications.
  • People whose hemorrhoids are small and can be treated with dietary or lifestyle changes instead.

What are the post-treatment guidelines?

The post-treatment guidelines that you should follow after hemorrhoid removal surgeries are:

  • Apply an ice pack to the affected area to get relief from the pain.
  • Eat food that is simple and bland just after surgery. Then gradually include food that is rich in fibre into your diet.
  • Your doctor may prescribe pain relief medications along with antibiotics to prevent infection.
  • Doctors recommend a follow-up examination to monitor the side effects as well as the improvements.

How long does it take to recover?

The recovery depends on the success of the treatment procedure. In most cases, recovery from a hemorrhoid removal surgery can take up to two to three weeks. Most of the patients are fit to leave the hospital on the day of the surgery itself. But some of them may be asked to remain under observation for a few days.

What are the side effects of piles surgery?

The complications and side effects that can arise after a hemorrhoidectomy or a hemorrhoid-stapling surgery are as follows:

  • Some side effects can occur just after the anesthesia wears off, like problems with urinating and pelvic spasms and swelling.
  • Bleeding especially after the first bowel movement.
  • Incontinence or weak bladder control.
  • Hemorrhoids may recur at a later stage.
  • A protruding rectum, due to rectal prolapse is possible after a while.

What is the price of the treatment in India?

The price of a hemorrhoidectomy or hemorrhoid stapling surgery in India ranges from around Rs 15,000 to up to Rs 50,000.

How long do piles last?

In some cases the results of the treatment for piles is permanent. But in certain cases, there is a recurrence of the condition. Studies show that in 5 out of 100 cases the hemorrhoids and piles recurred.

What are the alternatives to the treatment?

Some alternative methods of treatment that are recommended before resorting to surgery include:

  • Corticosteroids
  • Laxatives
  • Change in diet and lifestyle alterations
  • Non-surgical procedures to remove hemorrhoids such as infrared coagulation, banding or sclerotherapy.

Key Highlights

Safety: High

Effectiveness: High

Timeliness: Medium

Relative Risk: Medium

Side Effects: Low

Recovery Time: Low

Price Range: Rs. 15000 - Rs. 50000

Popular Questions & Answers

I noticed a lump on my anal edge in september 2019 and I thought it's normal pimple and I ignored that it'll go away own but it didn't almost 2 months and then I used coconut oil on it. It reduced in size but again. But appeared again and I used coconut oil again its just reducing in size not going away later in lockdown physical activities stopped then I felt itching there and used coconut oil again it helped me to get rid of itching but not that lump. After sometime I used glycerin to get rid iff it but didn't work. Then I went to a doctor she examined and she said this is fungal infection. And she gave me ofloxacin 200 tablets and dermikem oc max ointment to apply there. I used it for 15-20 days but didn't work but that lump was getting bigger that ofloaxin 200 tablets caused me (extreme headache, dizziness, constipation and body pain ). Then I consulted another doctor and she examined and said it's external piles and she gave me anovate ointment to apply and pilon and metrogyl 400 tablets. And asked me to come after 5 days. When I went she gave me cefixime tablets. Twice a day also have sits bath twice a day. And after two days my piles got worst I consulted her again and she said may be I eat some hot thing like garlic onion or ginger but I eat it usually it never got this worst and painful. Before having medicines I never experienced pain there and then she prescribed me pile tablets of himalaya for 30 days and a cream name smuth to apply thereafter having sits bath and a pain killer if I feel pain it's been 5 days that worst blood clot swelling isn't going away. Please help me to know about it better and what to do further. A ointmentton.

General Physician, Ooty
You definitely have a hemorrhoid. It will hurt even more if you are constipated and when you strain while defecating. Hence try to increase the fiber in your diet and you can also use isabgol powder if you have constipation. Avoid breads and maida...
1 person found this helpful

Hi doc. I just want to know about pilon ointment cream can we use this cream internally / externally? How long to keep this cream on? Mean is it ok to apply at bedtime to till morning?

MS (Gen. Surgery), MBBS, DIP (Lap.Surg), FIAGES(Fellowship in minimal access surgery), MHSC DIABETOLOGY
General Surgeon, Chennai
Hello Lybrate user, pilon is an ayurvedic medicine which we usually don't prescribe. First of all if you have piles, may it be internal or external, we usually apply proctosidyl ointment 3 times a day after sitz bath 3 times a day and definitely b...
3 people found this helpful

Sir mere maldwar ke extranl area me ek masse kism ka ubhar ho gya hai. Mai jab doctor ke pass gya to unhone mujhe silicia 30ch homyo medicine diya hai but kuchh sahi nhi lag rha help me sir.

MBBS, MS - General Surgery, Fellowship in Minimal Access Surgery
General Surgeon, Jaipur
Aapke koi aur takleef hoti hai kya jaise maldwar se khoon aana ya dard hona. Agar nahi toh ye bas ek chamri ka tukda hai agar zyada problem hai toh choti si surgery se nikal jayega. Dawai se kuch nahi hoga. Agar bleeding hai maldwar pe toh ye pile...

Sir mujhe lgta h mujhe piles means bwasir ki samsya ho gyi h.souch k time jalan hoti h .or ek massa b bahr aata h such k time. Suru m bhut hard suach aati h but itne m hi bhut dard ho jata h.iski vjh se masse b ban gye h.bus blood nhi aya h sir kyuki jab dard hota h to m jyada pressure nhi lgata hu .kyuki massa bilkul bahr aa jata h.plzvsir koi ilaz btayie jisse meri gas, kabz,or bwasir sab khatam ho jaay.

MBBS, MS - General Surgery, Fellowship in Minimal Access Surgery
General Surgeon, Jaipur
Aapko piles ki dikkat zyada hai agar bahar aa rhe hain toh zyada acha hoga ki koi paas mein surgeon doctor ko dikha do aur operation karwa lo jab tak operation nahi karwa rhe tab tak bas halka khana khao bina mirch masale ka aur dahi aur salad kho...

Hy Dr. me govt exam ki preparation krrha hu so me ek jagah continue baith kr study krta hu jis se kuch din baad Mujhe" fissure piles" ki problem ho gai hai ye humesha hota hai jb bhi me continue baith kar study karta hu. I am 24 year old male.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Delhi
Aapko din mein 2-4 baar sitz bath (hot water tub bath) lena chahiye. Iske baad guda marg merg mein sushruta ointment aur lekhan powder apply karein. Sone se pahale 5 ml sushruta oil guda marg mein dalein. Kabj se bachane ke liye raat ko 1 tea spoo...
3 people found this helpful

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