Dr Arpit Bansal

Piles Surgery

Piles Surgery
Piles Surgery

Piles, or hemorrhoids, are swollen blood vessels in the rectum or anus that can cause discomfort, pain, and bleeding. Surgery for piles is typically recommended when other treatments like medication or lifestyle changes fail to provide relief. The most common surgical procedures include hemorrhoidectomy, which removes large or external hemorrhoids, and stapled hemorrhoidopexy, which repositions and staples the hemorrhoid tissue. These surgeries aim to reduce symptoms, prevent recurrence, and improve quality of life. Recovery time varies, but most patients can resume normal activities within a few weeks. Proper post-surgery care is essential to prevent complications and ensure healing.

Types of Piles
Types of Piles

There are two main types of piles:

  • Internal Piles: These are located inside the rectum and often cause no symptoms.
  • External Piles: These develop outside the anus and can be painful and itchy.
Symptoms of Piles
Symptoms of Piles

Depending on how serious the problem is, piles symptoms might change. Typical signs and symptoms include:

  • Bleeding: Bright red blood on toilet paper or in the toilet bowl.
  • Pain: Discomfort, especially during bowel movements.
  • Itching: An irritating sensation around the anus.
  • Bulging: A noticeable bulge or swelling around the anus.
Causes of Piles
Causes of Piles

Several factors can contribute to the development of piles, including:

  • Straining during bowel movements: This can increase pressure on the blood vessels in the anal area.
  • Chronic constipation or diarrhea: Both conditions can irritate the anal tissues.
  • Pregnancy: Hormonal changes and increased pressure on the pelvic area during pregnancy can contribute to piles.
  • Aging: As we age, the tissues in the anal area can weaken, making piles more likely.
  • A diet low in fiber: A lack of fiber can lead to constipation and straining.
Treatment of Piles
Treatment of Piles

The seriousness of the symptoms chooses the course of treatment for piles. While serious cases may need medical intervention, less serious ones usually can be treated at home.

Home Remedies:

  • High-fiber diet: Eating plenty of fiber-rich foods, such as fruits, vegetables, and whole grains, can help soften stools and prevent constipation.
  • Increased fluid intake: Drinking plenty of water can help soften stools and promote regular bowel movements.
  • Over-the-counter medications: Creams, ointments, and suppositories containing hydrocortisone or other medications can help reduce pain, itching, and swelling.

Sitz baths: Soaking the anal area in warm water can help soothe discomfort.

Medical Treatments
Medical Treatments
  • Rubber band ligation: A small rubber band is placed around the base of the pile to restrict blood flow, causing it to shrink and fall off.
  • Sclerotherapy: A chemical solution is injected into the pile to shrink it.
  • Infrared coagulation: A special instrument is used to heat the tissue at the base of the pile, causing it to shrink and fall off.
  • Surgery: In severe cases, surgery may be necessary to remove the piles.

Consulting with the best doctor for piles is crucial for proper diagnosis and the most effective treatment plan.

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Dr. Arpit Bansal

MBBS | MS | FACS | FMAS | FCS | FIBC

I am Arpit Bansal, a doctor, specialized in advanced laparoscopic, cancer, and laser surgery. With a Fellowship from the UK, i am future-ready for robotic surgeries. I have trained under some of the finest surgeons in India.

Frequently Asked Questions

In cases where natural treatments such as dietary adjustments, medication, and lifestyle changes are unsuccessful, then surgery may be an option for piles, also known as haemorrhoids. In severe cases, such as huge haemorrhoids that are painful or bleeding, surgery may be necessary.

1. Internal Hemorrhoids: Small and painless, they remain inside the anus. 2. Extended Hemorrhoids: These haemorrhoids bursting and then naturally reappear. 3. Prolapsed Hemorrhoids: These need to be carefully removed. 4. Thrombosed Hemorrhoids: Painful and swollen, they often need medical attention.

Traditional surgery, minimally invasive surgery (such as stapling and rubber band ligation), and laser surgery are some of the various forms of piles surgery. The seriousness of the piles and the requirements of each patient decide the best kind of surgery.

Yes, you may experience some pain after surgery. However, your doctor will prescribe pain medication to manage your discomfort. The intensity and duration of pain depends on the type of surgery and individual factors.

It depends on the type of surgery and your doctor's advice. Generally, it's best to avoid heavy lifting for several weeks or months after surgery to allow for proper healing. Always consult with your doctor before resuming any physical activity.

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