Piles or Hemmorhoids

Swelling of blood vessels in Anal Canal & Lower Rectum.
Most common cause of bleeding while passing stools.
They are of 2 types 


All above factors obstructs blood flow in perianal area leading to formation of Hemmorhoids.


As far as 70 to 80 percent of population suffer from piles at any point of their life.

Can be Painless ( Internal ) or Painful ( External / Thrombosed / Gangrenous / Grade 4 ) 


Visit to Proctologist or General surgeon or Colorectal doctor.

Assessment of patient as per following

Diet in Piles
Hemmorhoids Diet
No 1 Doctor contacts
Piles Doctor in Surat
Piles Picture
Grade 4 Hemmorhoids
Proctoscopy - Anoscopy


Often hemmorhoids or Piles can be treated without operation ( Grade 1 & Grade 2 Piles )

Medicines, Stool softeners, Natural Home remedies is quite helpful in early cases.

Adequate water intake

Boiled Vegetables

Raw Vegetables – Carrots, Cucumber, Coriander, Palak

Fruits – Apple, Kiwi, Citrus fruits, Papaya, Water Melon, Musk Melon

Avoid Chillies, Spices.

No Smoking

No Coffee / Tea

Mobile Use in Bathroom

Straining in Toilet



Persistent Severe bleeding / Large Grade 3 / Prolapsing / Thrombosed Piles Hemmorrhoids may need Operation. 

They may not have responded to medicines or Lifestyle changes.

Your Surgeon will discuss advantages, recovery time, side effects & severity of pain as per Findings during examination & will help you select the best procedure suited for you


Latest options for Best treatment of Hemmorhoids / Piles are as follows

Excision Hemmorhoidectomy – Open or Closed

Hemorrhoidal Laser procedure (HeLP) & Hemorrrrhoidal Laser procedure + mucopexy (HeLPexx)

Injection Sclerotherapy

Rubber Band Ligation

DHAL – Doppler Guided Hemmorhoidal Artery Ligation

Coagulation ( Laser / Cryo / RFA / Infrared / Bipolar )

1 to 0 Days
Hospital Stay
1 to 3 Days
Office Work
7 to 8 Days
10 to 0 Days

Very less Chances but Yes.  Depends on various factors like Grade of Hemmorhoids & Technique of surgery.

But in hands of experienced surgeon & proper instructions, recurrence rates are quite low.

In hands of experienced surgeon, recurrence rate are between 2 to 6 %.

Excision Hemmorhoidectomy have the lowest recurrence rates as compared to other surgical options. 

Early Diagnosis & Surgical Intervention means less side effects after operation.

In Hands of experienced surgeon, Overall complication rates are low but still one cannot assure zero percent.

1. Immediate

  • Urinary retention
  • Infection
  • Bleeding
  • Pain

2. Late

  • Anal Stricture / Anal Stenosis
  • Recurrence
  • Chronic pain / irritation

Laxative & stool Softeners

Take High Fibre Fruits & Vegetables

Drink more Water

Topical ointments & medicines for 3 to 10 days for pain relief

Generally no dressing requires in most of the operations.

Yes. It is Absolutely Necessary to have proper check up by General Surgeon for Confirmation of Diagnosis.

Rectal Polyps, Anal fissure, fistula in ano, Ulcerative Colitis, Rectal varices, Condyloma, Anal cancer, etc are misdiagnosed as “ Piles or hemorrhoids ” by the common population.

  • Cirrhosis of Liver & Portal Hypertension
  • Cardiac Patients on Blood thinners
  • Kidney patients on Dialysis
  • HIV 
  • Pregnancy
  • Children

Above conditions are subject to individual risk assessment & outcomes after thorough discussion & response to conservative approach.

Mainly purpose for any patient contemplating Piles or Hemmorhoids Treatment are

  1. Stop Bleeding
  2. No Swelling
  3. Painless recovery


I always thought that piles and fissure surgery is severely painful. But after coming to Kiran Hospital and Dr Chintan B Patel, I realized that my surgery was painless and fast recovery. Best piles and fissure surgeon.

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Book OPD appointment with Dr. Chintan B Patel at Kiran Hospital, Surat, Gujarat, India

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