Piles
About Piles
What Are Piles?
Piles, also known as hemorrhoids, are swollen blood vessels that develop in the lower part of the rectum or anus. These blood vessels can become inflamed and enlarged due to increased pressure, leading to discomfort, pain, and various symptoms. Piles are a very common condition and affect a large portion of the adult population at some point in their lives.
There are two main types of piles:
1.Internal Piles: These are located inside the rectum and typically don’t cause pain. However, they can lead to rectal bleeding (often seen as blood in the stool or on toilet paper) when irritated or strained during bowel movements.
2.External Piles: These are found under the skin around the anus. They can cause significant pain, itching, swelling, and sometimes bleeding if they are irritated, especially during bowel movements.
The causes
What are the causes of Piles ?
Piles occur when there is excessive pressure on the veins in the rectal and anal area.
Chronic Constipation or Diarrhea
Straining during bowel movements puts pressure on the blood vessels, leading to the formation of hemorrhoids..
Pregnancy
The growing uterus can exert pressure on the veins in the lower rectum and anus, increasing the risk of developing piles.
Obesity
Excess body weight can put additional pressure on the pelvic veins, contributing to the development of hemorrhoids.
Sitting for Long Periods
Prolonged sitting, especially on the toilet, can increase pressure in the rectal area.
Low-Fiber Diet
A diet lacking in fiber can lead to constipation, which in turn causes straining during bowel movements and increases the likelihood of developing piles.
Heavy Lifting
Lifting heavy objects or engaging in activities that require straining can also contribute to the development of hemorrhoids.
What are the symptoms of Piles ?
Piles can cause a variety of symptoms depending on their type and severity. Some of the most common symptoms include:
● Bleeding: Piles, especially internal ones, may cause blood to appear in the stool or on toilet paper. This is one of the most common symptoms of hemorrhoids and is often associated with straining during bowel movements.
● Pain and Discomfort: External piles can be painful, especially if a blood clot forms in the hemorrhoid (a condition known as thrombosed piles). The pain may increase when sitting, walking, or passing stool.
● Itching and Irritation: The skin around the anus can become itchy or irritated due to the swelling and inflammation of external hemorrhoids.
● Swelling or Lumps Around the Anus: External hemorrhoids can form lumps that are visible or palpable around the anus. These lumps may be tender and can cause discomfort.
● Mucus Discharge: In some cases, piles, particularly internal ones, may lead to a discharge of mucus, which can cause an uncomfortable sensation.
Hemorrhoids
Types of Piles (Hemorrhoids)
Piles are classified into several types based on their location, severity, and whether or not they protrude outside the anus. Understanding the different types of piles helps in determining the most effective piles treatment options.
Internal Piles
● Location: Internal hemorrhoids develop inside the rectum and are typically not visible or felt from the outside.
● Symptoms: These piles may not cause pain but can result in rectal bleeding, especially during bowel movements. The blood is usually bright red and may appear on the toilet paper or in the stool.
● Complications: In more severe cases, internal hemorrhoids can prolapse, meaning they can push through the anal canal and become visible outside the anus.
● Grades of Internal Piles:
○ Grade 1: Small internal hemorrhoids that do not prolapse. They may cause bleeding but are typically painless.
○ Grade 2: Larger internal hemorrhoids that prolapse outside the anus during bowel movements but return on their own.
○ Grade 3: Internal hemorrhoids that prolapse outside the anus and require manual pushing back into the rectum.
○ Grade 4: Severe internal hemorrhoids that remain prolapsed and cannot be pushed back in. These can cause significant pain, discomfort, and risk of complications like strangulation or thrombosis.
External Piles
● Location: External hemorrhoids develop under the skin around the anus. These are visible and can often be felt as lumps or swollen areas.
● Symptoms: External hemorrhoids are typically painful and can cause itching, irritation, and discomfort. They are often aggravated by sitting or passing stool.
● Complications: External hemorrhoids can become thrombosed, meaning a blood clot forms inside the swollen vein, resulting in intense pain and swelling.
Prolapsed Hemorrhoids
● Location: Prolapsed hemorrhoids are a specific type of internal hemorrhoid that has fallen out (prolapsed) of the anus. This condition usually occurs with grade 3 or grade 4 internal hemorrhoids.
● Symptoms: Prolapsed hemorrhoids are often visible outside the anus and can cause pain, swelling, and discomfort. They may also lead to mucus discharge and become painful when not manually replaced.
● Complications: Prolapsed hemorrhoids may become strangulated if the blood supply is cut off, leading to severe pain and the potential need for surgical intervention.
Thrombosed Hemorrhoids
● Location: Thrombosed hemorrhoids are typically external hemorrhoids that develop a blood clot inside them.
● Symptoms: These hemorrhoids are characterized by severe pain, swelling, and inflammation. The clot in the hemorrhoid causes a hard lump near the anus that is very tender to the touch.
● Complications: While thrombosed hemorrhoids can resolve on their own over time, treatment may be needed to alleviate pain and prevent further complications. In some cases, a small incision may be made to drain the clot, providing relief.
Surgical Treatment Options for Piles
When conservative piles treatments (such as medications, dietary changes, and topical creams) fail to provide relief from piles, surgery may become necessary, especially in cases of severe, recurrent, or prolapsed hemorrhoids. Piles surgery is designed to remove or shrink hemorrhoids, providing long-term relief from pain, bleeding, and other associated symptoms.
Traditional Surgical Methods for Piles :
Hemorrhoidectomy (Conventional Surgery)
It is the most common and traditional surgery for treating large or severely symptomatic hemorrhoids. It involves the complete removal of hemorrhoidal tissue either through excision or by using specialized instruments.
Minimally Invasive Surgical Options for Piles :
Minimally invasive procedures are increasingly being used to treat piles. These techniques involve less pain, faster recovery times, and fewer complications compared to traditional hemorrhoidectomy.
Stapled Hemorrhoidopexy
It is a popular minimally invasive alternative to conventional hemorrhoidectomy. This method involves the use of a special stapling device to remove excess tissue and reposition prolapsed hemorrhoids. The general surgeon uses a circular stapling device to remove a ring of tissue from around the hemorrhoid and then staples the remaining tissue back in place.
Laser Hemorrhoidectomy
It uses high-intensity light to remove or shrink hemorrhoidal tissue. It’s a relatively new option for piles surgery and offers a less invasive approach compared to traditional methods. A laser fiber is inserted into the rectum to burn and shrink the hemorrhoidal tissue. The procedure is done under local anesthesia or sedation.
Rubber Band Ligation
It is a simple, non-surgical technique used to treat grade 1 and grade 2 internal hemorrhoids. It involves placing a rubber band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and eventually fall off. A rubber band is applied around the base of the hemorrhoid using a special device. This cuts off the blood flow to the hemorrhoid, causing it to dry up and fall off within a week or two.
Doppler-Guided Hemorrhoidal Artery Ligation (DG-HAL)
It is a minimally invasive technique that targets the blood vessels supplying the hemorrhoids. This method is often used for treating internal hemorrhoids, particularly those that are prolapsed or large. A Doppler ultrasound is used to locate the arteries supplying blood to the hemorrhoidal tissue. These arteries are then tied off, effectively reducing the blood flow to the hemorrhoids and causing them to shrink.
Recovery After Piles Surgery
Recovery after piles surgery can vary depending on the type of procedure performed, the severity of the hemorrhoids, and the individual’s overall health. Whether you have had traditional hemorrhoid surgery like hemorrhoidectomy, or a minimally invasive procedure such as stapled hemorrhoidopexy or laser hemorrhoidectomy, the recovery steps are similar but may differ in intensity.
What to Expect Immediately After Piles Surgery
Post-Operative Monitoring
After piles surgery, you will typically be monitored in a recovery room for a short period. Once you are stable, you can go home the same day, particularly with minimally invasive procedures. If you had a hemorrhoidectomy (traditional surgery), you might need a longer hospital stay.
● Pain and Discomfort: Immediately following surgery, some discomfort is expected. This is more common with traditional surgeries like hemorrhoidectomy, where the incision sites are more extensive. Pain after surgery is usually manageable with prescribed medications and typically peaks in the first 24 to 48 hours.
● Swelling and Bruising: Swelling or bruising around the surgical area is common, especially after hemorrhoidectomy. For minimally invasive procedures, swelling is usually less pronounced, and recovery tends to be quicker.
● Bleeding: Some minor bleeding is normal immediately after surgery, especially with hemorrhoidectomy, as the site heals. However, it should not be excessive. If bleeding is heavy or persistent, contact your doctor.
Cost of Piles Surgery in India
The cost of piles surgery in Gurgaon is significantly lower compared to other metro cities. The overall cost of piles surgery will depend on factors such as the type of surgery, the location of the hospital, the surgeon’s expertise, and the complexity of the procedure.
Below is a detailed breakdown of the cost of various piles surgery options in India:
Breakdown of Costs for Different Surgical Options in India :
● Stapled Hemorrhoidopexy: – Cost Range: ₹40,000 to ₹90,000 ● Laser Hemorrhoidectomy: Cost Range: ₹35,000 to ₹75,000 ● Rubber Band Ligation: Cost Range: ₹5,000 to ₹15,000 ● Doppler-Guided Hemorrhoidal Artery Ligation (DG-HAL): Cost Range: ₹35,000 to ₹80,000 
Why Choose Healing Gloves Clinic?
Why Choose Healing Gloves for Piles Treatment in Gurgaon?
When it comes to piles treatment in Gurgaon, Healing Gloves stands out as a premier destination for both medical expertise and patient care. Our surgeons are experts in diagnosing and treating all types of hemorrhoids, from simple internal hemorrhoids to more complex external and thrombosed hemorrhoids. With years of experience and specialized training, they have successfully treated thousands of patients with piles, ensuring positive outcomes and improved quality of life.
If you are considering piles treatment in Gurgaon, here are several reasons why Healing Gloves should be your top choice:
Expertise of Experienced Surgeons
At Healing Gloves, you’ll receive care from highly qualified and experienced colorectal surgeons who specialize in treating piles (hemorrhoids). The team is proficient in all forms of hemorrhoid treatment, including minimally invasive techniques like laser therapy, rubber band ligation, stapled hemorrhoidopexy, and Doppler-guided hemorrhoidal artery ligation (DG-HAL).
Minimally Invasive Treatment Options
Healing Gloves is renowned for offering a variety of minimally invasive treatment options for piles that are designed to reduce pain, speed up recovery, and minimize complications.
Personalized Treatment Plans
At Healing Gloves, every patient is unique, and so is their treatment plan. The doctors take the time to listen to your concerns, evaluate your specific condition, and recommend the most appropriate treatment tailored to your needs.
High Success Rate with Minimal Complications
Patient-Centered Approach and Comfort
At Healing Gloves, patient care is a top priority. The clinic prides itself on offering compassionate and empathetic care to every patient. The surgeons and staff ensure that you are well-informed at every stage of your treatment and are always available to answer your questions.
Affordable and Transparent Pricing
One of the standout features of Healing Gloves is its affordable pricing structure. In a city like Gurgaon, where healthcare can sometimes be costly, Healing Gloves provides high-quality care at reasonable prices.
FAQ
Frequently Asked Questions
When is piles surgery necessary?
Surgery is recommended if hemorrhoids cause persistent pain, bleeding, or discomfort and do not improve with medications, lifestyle changes, or minimally invasive treatments.
Is piles surgery painful?
Modern minimally invasive procedures like laser hemorrhoidectomy cause less pain compared to traditional methods. Some discomfort is expected post-surgery but can be managed with medications.
How long is the recovery after piles surgery?
Recovery time varies by procedure, For Minimally invasive surgeries: 2-5 days & Traditional hemorrhoidectomy: 2-4 weeks.
Will piles come back after surgery?
With proper treatment, the risk of recurrence is minimal, especially with modern techniques. However, lifestyle factors (diet, avoiding constipation) are crucial for preventing future issues.
Can I return to work after piles surgery?
For minimally invasive procedures, most patients can return to work within 2-5 days. For traditional surgery, recovery may take 1-2 weeks, depending on the extent of the procedure.
Is piles surgery safe?
Yes, piles surgery is generally safe when performed by an experienced surgeon. Risks include infection, bleeding, and complications related to anesthesia, but these are rare.
How much does piles surgery cost?
The cost depends on the type of surgery and hospital. In India, the price typically ranges from ₹15,000 to ₹50,000, with laser treatments being on the higher end.
Can I eat normally after piles surgery?
You should follow a fiber-rich diet post-surgery to prevent constipation and ensure smooth healing. Avoid spicy or irritating foods, especially in the first few days.
How soon can I resume physical activities after piles surgery?
For minimally invasive surgeries, light activities can be resumed after a few days, while more strenuous activities should be avoided for 2-4 weeks after traditional surgery.
