Piles, also known as hemorrhoids, are swollen blood vessels in the rectum and anus. They are quite common, and various treatments are available for different types of piles.Hemorrhoids may cause symptoms such as bleeding, itching, discomfort, or prolapse. Persistent or worsening symptoms should be assessed by a qualified clinician, as rectal bleeding can have causes other than hemorrhoids.
The recommended treatments for piles depend on their location and severity. Smaller hemorrhoids may get better on their own, and symptoms can be managed through diet, lifestyle changes, and medications.Some hemorrhoid symptoms may improve with dietary changes, adequate fluid intake, avoidance of straining, and appropriate medication. Persistent symptoms, significant prolapse, or thrombosed hemorrhoids may require medical assessment and, in selected cases, a procedure or surgery. Treatment depends on the type and severity of the condition.
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Hemorrhoids can be external (on the skin around the anus) or internal (inside the rectum). They are further classified based on the degree of prolapse:
Grade I: Internal hemorrhoids that do not prolapse through the anus; symptoms may vary.
Grade II: Internal hemorrhoids that prolapse during straining or bowel movements and return spontaneously.
Grade III: Protrudes during bowel movements and needs manual pushing back in.
Grade IV: Prolapsed outside the anus and cannot be pushed back in, with a risk of complications such as strangulation.
A colorectal surgeon at Citi Vascular Hospital will determine the appropriate treatment based on the classification of hemorrhoids.
Many patients can initially manage hemorrhoid symptoms with dietary and lifestyle measures and appropriate medication. Office-based procedures or surgery may be considered when symptoms persist, the hemorrhoids are more advanced, or other treatments are unsuitable. The recommended approach depends on clinical assessment.
Medications and Suppositories: Over-the-counter or prescribed pain relief medications, along with topical and rectal suppositories, can help alleviate pain, itching, and swelling.
Rubber Band Ligation: This procedure involves placing a band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off naturally.
Energy Ligation of Hemorrhoidal Arteries: Similar to rubber band ligation but using heat energy to shrink the hemorrhoid.
Conventional Excisional Haemorrhoidectomy: A traditional surgical method involving the removal of piles under general anaesthesia.
Closed-Wound Excisional Hemorrhoidectomy: Similar to conventional, but with a sutured incision for a shorter and less painful recovery.
Stapled Hemorrhoidectomy: Staples the hemorrhoid back into position to cut off its blood supply, with a quicker recovery period but higher recurrence risk.
Ligasure Hemorrhoidectomy: Involves coagulating tissue before removal, reducing complications, blood loss, and post-surgery pain.
Transanal Hemorrhoidal Dearterialization (THD): A minimally invasive procedure using an anoscope and Doppler imaging to ligate hemorrhoid arteries, causing them to shrink.
Patients seeking piles treatment in Kukatpally, Hyderabad, can consult Citi Vascular Hospital to discuss assessment and available treatment options.Describe the hospital’s verified facilities, available services, and relevant clinician qualifications factually. Avoid unsupported claims of specialisation or experience.
Book your Appointment here: | Appoinment: |Call +91-7032508468| Whatsapp:+91-7337583901
