Get to know how effective are the top medicines for piles such as Daflon, Pilex, and Lignocaine Gel. Gain clarity on how surgery is the most reliable long-term solution for advanced or recurring hemorrhoids.
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What you must know about different grades of piles
Piles, also known as hemorrhoids, are swollen veins in the rectum or anus that cause discomfort, bleeding, and pain. Depending on severity, piles are classified into Grade 1 to Grade 4:
- Grade 1: Mild swelling, no prolapse
- Grade 2: Prolapse during bowel movement, retracts on its own
- Grade 3: Prolapse requires manual pushing
- Grade 4: Permanently prolapsed, often very painful
Are medicines effective for all grades of piles?
Medical management: creams, tablets, gels can offer temporary relief, but is often limited to Grade 1 or early Grade 2 piles. For more advanced stages (Grade 3 or 4), medications fail to resolve the root cause and recurrence is common.
Fact Check: According to clinical reviews, only 10-15% of patients experience long-term relief from piles symptoms using medications alone.
Top medicines for piles treatment in India
Some of the most widely doctor prescribed medicines for piles in India are as follows:
| Medicine Name | Category | Use Case | Limitations |
|---|---|---|---|
| Daflon | Oral flavonoid tablet | Improves vein tone, reduces bleeding | Only symptomatic relief in early grades |
| Anovate Cream | Topical steroid + anesthetic | Reduces swelling and pain | Not curative, prolonged use may thin skin |
| Preparation H | OTC ointment | Soothes burning & itching | Temporary comfort |
| Pilex (Himalaya) | Herbal formulation | Mild anti-inflammatory | No effect on prolapsed piles |
| Lignocaine Gel | Local anesthetic | Pain relief | Does not reduce swelling or bleeding |
| Hydrocortisone Suppositories | Steroidal | Used for internal hemorrhoids | Risk of steroid dependence |
| Witch Hazel Wipes | Natural astringent | Soothing & cooling | Not effective for Grade 2+ |
| Smuth Cream | Local anesthetic + anti-inflammatory | Pain and swelling | Short-term use |
| Cremaffin | Stool softener | Prevents straining | Doesn’t treat piles directly |
| Troxerutin + Flavonoids | Vasoprotective | Improves microcirculation | Minimal impact on advanced piles |
Why medicines fall short: cost vs outcome
Oral medicines or topical ointment for hemorrhoids can be helpful for initial mild symptomatic conditions. In the long run, it this mode of piles treatment may be costlier and less effective
While these medicines are helpful for initial symptoms, long-term usage often turns out to be costlier and less effective than surgery.
Estimated Cost Comparison:
| Treatment Method | Estimated Annual Cost |
|---|---|
| Medicines (continuous use) | ₹18,000 – ₹25,000/year |
| Surgery (One-time laser procedure) | ₹30,000 – ₹45,000 (covered under insurance) |
Note: Most patients who rely on over-the-counter medicines for a year or even longer end up spending almost the same or more than the cost of surgery and still being stuck with recurring symptoms of hemorrhoids.
When should you stop relying on piles medicines?
Consider switching to surgical treatment for piles if:
- If you are facing symptoms for more than 2 months without any improvement
- Frequent episodes of bleeding or prolapse
- Piles medicines are offering only partial or short-term relief
- You have Grade 2 or even more severe grade of piles
- Pain during sitting or bowel movement affects daily life
Why piles surgery at Pristyn Care is a better option
At Pristyn Care, you get modern, minimally invasive surgeries for piles, such as laser hemorrhoidoplasty (LHP), which:
- Takes only 30–40 minutes
- Causes only minimal pain and stitch-free
- Has minimal downtime (resume work in 1–2 days)
- Is often covered under health insurance
Success Rate: Laser treatment for piles has more than 95% success rate, and extremely low chances of recurrence than medicine-based approaches.
Choose permanent solution for piles over medicines that give short-term relief
Though many medicines for piles and home remedies give temporary comfort, these aren’t a long-term solution, especially for Grades 2, 3, or 4 of hemorrhoids
You can choose to stop suffering from painful piles symptoms and ditch medicines for advanced laser treatment.
Disclaimer:
This article is for informational purposes only and should not be considered a substitute for medical advice. Always consult a qualified doctor before starting or stopping any treatment.
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