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What is Piles ?

1) External Piles 2) Internal Piles

All that you need to know about piles

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Basically piles are also known as the Hemorrhoids. Piles are very common disease, during attacking of piles there are many unwanted complications. We are here to help you with best doctors along with advanced medical advices.

What are piles?

Hemorrhoids also called piles, are swollen veins in your anus and lower rectum, similar to varicose veins. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Nearly three out of four adults will have hemorrhoids from time to time. Piles are common in both males and females.

How do piles from?

Piles can occur due to straining during bowel movements. Piles develop when the veins in your anal canal become swollen, which may happen for a number of reasons, including straining when you go to the toilet, getting older, a persistent cough and lifting heavy objects. They are also common during pregnancy. See 'Causes of piles' for more information.

Types of piles

Piles are mainly of two types

- Internal piles or hemorrhoids – which develops inside the rectum

- External piles or hemorrhoids – forms under the skin around anus


- Heavy chronic diarrhea

- Constipation

- Lifting heavy weights

- Obesity

- Pregnancy


Ø  Itching or irritation in your anal region.

Ø  Pain or discomfort.

Ø  Swelling around your anus.

Ø  Bleeding.


Doctors might be able to see external hemorrhoids. Diagnosing internal hemorrhoids might include examination of your anal canal and rectum.


  • - Digital examination. Your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths.
  • - Visual inspection. Because internal hemorrhoids are often too soft to be felt during a rectal exam, your doctor might examine the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope.


- Feeling discomfort

- Itching of anus

- Paining around anus

- moist, pink bumps around the edge of anus

- Bulging out from your anus

- Color change in stool

Diagnosis by doctor

In most cases, the condition of piles can be diagnosed and managed by a general physician. But, if the symptoms are severe, you may need to consult with a proctologist, a colorectal surgeon, or a gastroenterologist.

Severity of piles

Grade: 1 - Grade 1: Slightly enlarged hemorrhoids that can't be seen from outside the anus.

Grade: 2 - Larger hemorrhoids that sometimes come out of the anus, for example while passing stool or – less commonly – during other physical activities

Grade 3 and 4 hemorrhoid treatments can also be completed with a laser procedure. A small laser fiber is inserted directly into the hemorrhoid. The light energy from the laser works to close off the blood supply to the tissue. This coagulation causes the hemorrhoid to shrink up and disappear.

Risks and complications

Based on age, risk of hemorrhoids increases. That's because the tissues that support the veins in your rectum and anus can weaken and stretch. This can also happen when you're pregnant, because the baby's weight puts pressure on the anal region.


Complications of hemorrhoids are rare but include:

  • Anemia. Rarely, chronic blood loss from hemorrhoids may cause anemia, in which you don't have enough healthy red blood cells to carry oxygen to your cells.
  • Strangulated hemorrhoid. If the blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be "strangulated," which can cause extreme pain.
  • Blood clot. Occasionally, a clot can form in a hemorrhoid (thrombosed hemorrhoid). Although not dangerous, it can be extremely painful and sometimes needs to be lanced and drained


If left untreated

Piles if left untreated can lead to anemia and strangulated hemorrhoids may occur — when blood supply to an internal hemorrhoid is cut off and the hemorrhoid becomes strangulated, causing extreme pain and leading to gangrene.

Preventing of piles

Home remedies:

  • - Eat high-fiber foods. Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids. Add fiber to your diet slowly to avoid problems with gas.
  • - Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent.
  • - Soak regularly in a warm bath or sitz bath. Soak your anal area in plain warm water for 10 to 15 minutes two to three times a day. A sitz bath fits over the toilet.
  • - Take oral pain relievers. You can use acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort.

How to recover after piles surgery?

- Eating a Fiber-Rich Diet.

- Avoiding Sitting for Long Periods.

- Drinking Plenty of Water.

- Taking a Sitz Bath.

- Not Straining During a Bowel Movement.

- Avoiding Regular, Heavy Lifting.

- Avoiding long periods of sitting

When to consult a doctor?

- If you see bright red blood in the toilet paper. If over-the-counter medications fail to provide any relief to the symptoms. If your stool appears tar-like in color. If you feel dizzy every time while passing a bowel movement.

- Discomfort in rectal and anal area

- Feeling dizzy and weak due to continuous blood loss along with your stool.

Treatment options and cost

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Non-surgical treatment for piles

  • - Rubber band ligation. Your doctor places one or two tiny rubber bands around the base of an internal hemorrhoid to cut off its circulation. The hemorrhoid withers and falls off within a week.

Hemorrhoid banding can be uncomfortable and causes bleeding, which might begin two to four days after the procedure but is rarely severe. Occasionally, more-serious complications can occur.

  • - Injection (Sclerotherapy). Your doctor injects a chemical solution into the hemorrhoid tissue to shrink it. While the injection causes little or no pain, it might be less effective than rubber band ligation.
  • - Coagulation (infrared, laser or bipolar). Coagulation techniques use laser or infrared light or heat. They cause small, bleeding internal hemorrhoids to harden and shrivel. Coagulation has few side effects and usually causes little discomfort.

Home remedies to manage for piles

- Warm bath with Epsom salt. Warm baths can help soothe irritation from hemorrhoids.

- Cold compresses. Apply ice packs or cold compresses to the anus to relieve swelling for 15 minutes at a time.

- Witch hazel.

- Aloe Vera.

- Soothing wipes.

- Loose cotton clothing.

- Tea tree oil.

- Coconut oil

Medicines for piles treatment

- Zinc oxide: Creams containing zinc oxide may help with irritation.

- Witch hazel: Experts say that astringents, such as witch hazel, may provide temporary relief.

- Steroid cream: Corticosteroids such as hydrocortisone are commonly used to treat hemorrhoids.

- Lidocaine: Lidocaine acts as a local anesthetic.


Surgeries for treatment of piles

  1. Hemorrhoidectomy – Hemorrhoidectomy is done to remove the protruded anal tissues that cause bleeding. This procedure is mostly used to treat piles of severe grades. The surgery can be performed under general or local anesthesia. In this procedure, the surgeon makes a few incisions around the hemorrhoidal tissue. The swollen veins inside the haemorrhoids are tied off to prevent bleeding and then the haemorrhoids is removed. 
  1. Hemorrhoid stapling – Hemorrhoid stapling procedure disrupts the blood flow to the inflamed tissues. This procedure is mostly used for internal piles. During the procedure, the arterial blood vessels within the piles are cut off which does not allow any further blood flow to the piles vessels. Due to this, with time, the size of the piles reduces and finally shrinks off. The surgery does not inflict much pain and ensures quick recovery of the patient. Complications include chances of recurrence, rectal prolapse.
  1. Laser surgery – Laser surgery is considered to be the most advanced and effective treatment for piles. During this procedure, a laser beam is used to burn and shrink the haemorrhoids. The surgeon focuses a narrow beam of light on the anal tissues. The procedure is less invasive, causes no bleeding, and very minimal pain.

Preparation for piles surgery

Piles surgery is not a very complicated treatment and as such requires no thorough preparation. But like any other surgery, you need to follow the doctor’s instructions to ensure that your surgery goes well and you recover with no complications. Before your surgery for piles:

  • - Do not eat or drink anything heavy. Take a very light meal, preferably only breakfast.
  • - Do not drink any form of carbonated or caffeinated drinks, just consume clear liquids at least for 5 hours before the surgery.
  • - If you are on any anti-inflammatory, allergy medicines or any blood thinners, the doctor will recommend you to stop it as soon as possible before the treatment.
  • - Stop smoking and drinking alcohol. It will help you heal faster after the surgery.

Cost of piles surgical treatment in India

Type of Piles Surgery

Approximate Cost of Specific Piles Surgery in India

Laser piles treatment

Rs. 45,000 - Rs. 1,15,000

Open piles surgery

Rs. 40,000 - Rs. 1,05,000


Rs. 35,500 - Rs. 85,500


Rs. 25,000 - Rs. 80,000

Rubber band ligation

Rs. 25,750 - Rs. 57,850

Stapled Hemorrhoidectomy

Rs. 19,500 - Rs. 48,000


Recovery rate

The recovery rate after any surgery depends from individual to individual. The healing capacity of every person is different and hence the timeline of recovery after piles surgery varies for all. In most cases, recovery after open surgery or any form of invasive surgery for piles takes around 2-3 months and complete recovery after laser surgery takes 1 month to 45 days.

Recovery after 1 month

After piles surgery, for at least 1 month, the patient needs to follow the recovery tips and recommendations by the doctor. It is advisable that the patient refrains from doing anything that puts strain on the surgical site. The patient should not eat anything too oily and spicy and consume only fiber-rich food. The patient should keep the surgical area free of any infection and take regular sitz baths.

Recovery after 2 months

After 2 months, the patient would experience much relief from the pain at the surgery site. But there might be scars. The scars would take a few more days to heal and disappear completely. The patient might get back to normal work life without any major complications and also resume normal dietary habits.

Recovery after 3 months

After 3 months, the patient would be free from all post-surgery discomfort. There would be no scars at the surgical site and the wound would be healed completely too. 

The medical coordinator understand the patient's problem on your first meet and advice's the best treatment for your problem. And starts scheduling your OPD and helps to connect the doctor based on your problem

DOKTORS only perform the advance scheduled surgeries, it doesn't provide any kind of emergency surgeries or treatments.

DOKTORS is not any hospital owner, it collaborates with other hospitals to perform surgeries which are done by doctors/surgeons using the medical infrastructure of the affiliated hospitals.

DOKTORS always provide online consultations, patients can select a doctor based on their specialization from anywhere based on the available slots. Patients can talk to the doctor through online call or chat to share their health problem. The doctor identify the problem and suggest the tests and medications as they require.

DOKTORS doesn't provide any insurance. Insurance is based on the type of conditions given by insurance provider. Our insurance team gets maximum help to get benefits.

There is an option to get second medical check up by highly reputated doctors for all kinds of problems. The consulted doctor can check all the previous medications and reports and can guides the new treatment.

While in the case of surgery the caretaker should be mentioned to patient who takes care in every moment in the whole surgery.

What happens if you delay the treatment/surgery?

Delayed treatment may aggravate piles and may lead to complications. Surgery is advised in case of

Severe pain

Prolonged bleeding

Large haemorrhoids

Alteration in bowel movements

Alteration in bowel movements

Why Doctor Care ?

Expert surgeons

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Advanced Surgical Technologies

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Personal Care Assistants

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Financial aid and assistance

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.

Postoperative Care

We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.


Who is at risk of getting hemorrhoids?

Hemorrhoids are very common in both men and women. About half of all people will have hemorrhoids by age 50. Many women get hemorrhoids during pregnancy and childbirth. The pressure of carrying a baby in your belly puts extra stress on the blood vessels in your pelvic area

How to know if it is piles or anal fissures?

Piles are mainly the swollen blood vessels while fissures are kind of cracks and fistulas are an opening of a cavity. Piles are mostly painless and unnoticeable. Fissures cause a lot of pain. In the case of fistulas, pus is discharged out of the anal area.

Can piles put a person at a higher risk of getting colorectal cancer?

No.Hemorrhoids do not lead to cancer. However, the primary indication too many people that they may be suffering from hemorrhoids is blood in the stool, on the toilet paper, or in the toilet bowl after a bowel movement

Can home remedies provide long-term relief from piles?

Eat lots of high fiber foods (especially from plants) and drink plenty of water to keep the digestive process moving correctly and prevent constipation. Regular exercise and avoiding sitting for long periods of time can also help prevent hemorrhoids.

Which doctor should I consult for piles treatment?

In most cases, the condition of piles can be diagnosed and managed by a general physician. But, if the symptoms are severe, you may need to consult with a proctologist, a colorectal surgeon, or a gastroenterologist.

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Treatment Specialities Of Doktors

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Proctology – Laser Treatment for Piles, Fissure, Fistula, Pilonidal Sinus

Laparoscopic Surgery – Laparoscopic Treatment for Gallstone, Hernia

Vascular – Surgical and non-surgical treatments for Varicose veins, Spider Veins, Varicocele, Uterine Fibroids / DVT – Deep Vein Thrombosis, Diabetic Foot Ulcer

Urology – Phimosis, Hydrocele, Kidney stones, Urinary tract infections

Gynaecology & Obstetrics – Aesthetic Laser treatments / General Gynaecology Treatments / Cosmetic Gynecology Treatments / Surgical Gynecology Treatments, and Medical and Surgical Abortion

ENT – Surgical treatments for Sinusitis (FESS), Deviated Nasal Septum (Septoplasty), Perforated Eardrum (Tympanoplasty), Tonsillitis (Tonsillectomy), Adenoids (Adenoidectomy)

Aesthetics – Plastic Surgery for Gynecomastia, Hair Transplantation, Liposuction, Breast Surgery (Breast Augmentation and Breast Reduction)

Orthopedics Surgery – Treatments for ACL Tear, Carpal Tunnel Syndrome, Hip Replacement and Knee Replacement

Ophthalmology – Treatment for Cataract and LASIK

Fertility – IVF, IUI, Treatments for Male and Female Infertility

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