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Piles Treatment - Laser Surgery Procedure & Operation Benefits

One of the most common anorectal medical conditions, yet least talked about is piles. Piles, or hemorrhoids, are swollen tissues and blood vessels found inside the skin in the rectal region. You can get the best treatment for piles at Pristyn Care, with top-notch medical technologies and equipment. Book a consultation today with Pristyn Care to get rid of piles.

One of the most common anorectal medical conditions, yet least talked about is ... Read More

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  • What Are Piles?

    Piles, also known as hemorrhoids, are swollen veins in the anus and lower rectum. They can occur internally, inside the rectum, or externally, around the external opening of the anus. 

    Piles can affect people of all ages and genders. However, according to global medical reports, people between 50 and 60 years are more likely to suffer from piles. 

    Piles is generally not a serious medical condition and can be treated with lifestyle changes and home remedies, like increasing fiber intake, drinking plenty of water, practicing good hygiene, using over-the-counter creams or ointments, and avoiding straining during bowel movements. However, in more severe cases, surgical procedures may be required.

    • Disease name

    Piles (Hemorrhoids)

    • Surgery name

    Haemorrhoidectomy

    • Duration

    15 to 20 Minutes

    • Treated by

    General Surgeon

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    What Are The Types and Grades Of Piles?

    Piles can be classified into the following based on their location and characteristics: 

    Internal Piles

    Internal piles develop inside the rectum above the dentate line. They are not visible from the outside and are categorized into different grades based on their severity and prolapse. 

    • Grade 1: Grade 1 piles are the mildest form of internal piles. They are small and found in the lining of the rectum. They do not protrude out of the anus and usually do not cause any symptoms. Treatment for Grade 1 piles often begins with conservative measures, like lifestyle modifications, sitz baths, topical creams or ointments, etc. 
    • Grade 2: Grade 2 piles are larger than Grade 1 and may protrude during bowel movements. They protrude from the anus but spontaneously retract back into the rectum after the bowel movement. Treatment options for Grade 2 piles may include non-surgical interventions like rubber band ligation, infrared coagulation, and sclerotherapy.
    • Grade 3: Grade 3 piles also prolapse during bowel movements but do not retract independently. They need to be manually pushed back into the rectum. They may cause significant discomfort, pain, itching, bleeding, and difficulty maintaining proper hygiene. Treatment options for Grade 3 piles may include rubber band ligation, infrared coagulation, and sclerotherapy.
    • Grade 4: Grade 4 piles are the most severe and advanced stage. They remain prolapsed and cannot be manually repositioned. These piles are large, inflamed, and highly sensitive. Grade 4 piles can cause intense pain, bleeding, and hygiene difficulties. In addition, they may also be associated with complications such as thrombosis (blood clots) or strangulation. Surgical intervention may be necessary for Grade 4 piles, and options may include laser surgery and stapled hemorrhoidectomy.

    External Piles

    External piles form around the external opening of the anus and can be seen or felt as lumps or bumps. They are found below the dentate line and may induce pain, itching, and discomfort. External piles can be treated using conservative methods.

    Conservative treatment options for external piles include sitz baths, topical creams or ointments, pain medications, etc. However, surgery like laser surgery and stapled hemorrhoidectomy may be recommended for external piles if conservative treatments fail to provide relief or if the condition becomes severe.

    Surgical intervention is usually considered when external piles become thrombosed, causing severe pain and discomfort.

    Are you going through any of these symptoms?

    How Can Piles Be Diagnosed?

    A proctologist or an anorectal surgeon can diagnose piles through medical history, physical examination, and diagnostic tests if required. Here is an overview of the diagnostic process for piles:

    1. Medical History: Your healthcare provider will start by asking about your symptoms, including any pain, itching, bleeding, or changes in bowel movements. They will also ask about your medical history and any previous occurrences of piles.
    2. Physical Examination: A physical examination of the anal region will be conducted to evaluate for external and internal piles. The healthcare provider may visually inspect the area and gently examine the anus and rectum using gloved fingers to check for abnormalities, swelling, or lumps.
    3. Digital Rectal Examination (DRE): In some cases, a digital rectal examination may be performed. It involves the insertion of a lubricated, gloved finger into the rectum to assess the internal piles and check for any other rectal abnormalities. The procedure is typically fast and involves less pain.
    4. Anoscopy or Proctoscopy: These procedures involve using a small, lighted tube called an anoscope or proctoscope to examine the anal canal and rectum more closely. Anoscopy and proctoscopy directly visualize the anal canal and rectum, allowing for a more detailed examination of piles and other rectal disorders. These procedures can help determine the location, size, and severity of the piles, guiding the healthcare provider in developing an appropriate treatment plan.
    5. Sigmoidoscopy: In this procedure, the healthcare provider uses a sigmoidoscope (lighted tube with a camera) to view the lower part of the colon and rectum. Procedure types include flexible sigmoidoscopy and rigid sigmoidoscopy. Flexible and rigid sigmoidoscopy allows healthcare providers to directly visualize the rectum and lower sigmoid colon, aiding in identifying various conditions, including piles. 
    6. Colonoscopy: Colonoscopy helps examine the colon or the large intestine to check the abnormalities inside it. A colonoscopy evaluates rectal bleeding due to piles or other causes and rules out more serious problems so the doctor can suggest the most appropriate treatment for piles.

    What Are The Different Treatment Options For Piles?

    Piles can be treated using both non-surgical and surgical methods. Here are some common non-surgical and surgical treatments for piles:

    Non-surgical Treatment

    Non-surgical treatments for piles include the following:

    • Rubber band ligation: Rubber band ligation is a commonly used non-surgical treatment for internal piles. To do this procedure, a doctor inserts a viewing scope (anoscope) into the anus. A special instrument called a ligator is used to place a small rubber band at the base of the piles. The rubber band cuts off the blood supply to the piles, causing it to shrink and eventually fall off within a few days. The procedure takes about 30 minutes, and you can go home when it’s done. The recovery time after rubber band ligation is typically short, and most individuals can resume their normal activities within a few days.
    • Sclerotherapy: Among the wide range of treatment options for managing piles, a non-surgical modality is sclerotherapy. During sclerotherapy, a solution (sclerosant) is injected into the affected vein, causing it to shrink and eventually fade away. It is typically used for the treatment of internal piles. Since sclerotherapy is a non-surgical procedure, it generally offers a faster recovery time than surgical interventions.
    • Infrared photocoagulation: Infrared photocoagulation is a medical procedure for treating small and medium-sized piles. This treatment is only for internal piles. During the procedure, the doctor uses a device that produces an intense beam of infrared light. The heat from infrared light causes scar tissue, which cuts off the blood supply to the piles. The piles shrink and eventually fall off, and scar forms on the wall of the anal canal. The scar tissue holds nearby veins in place so they don’t bulge into the anal canal. The recovery time after infrared photocoagulation is typically short. Most individuals can resume their normal activities immediately after the procedure. 
    • Electrocoagulation: This procedure uses an electric current to destroy the piles. In this procedure, a proctoscope is placed in the anus to locate the piles. A probe is then placed at the base of the piles, and an electric current is delivered to the piles using a handpiece connected to the probe. The purpose is to use the electric current to thicken the blood in vessels and cauterize it at the base. The piles then start to shrink. The recovery time after electrocoagulation for piles can vary from person to person, and it depends on factors such as the size and severity of the piles, as well as individual healing capabilities.

    Surgical Treatment – Operation for Piles

    Surgery is the best and most sure-shot method of piles treatment. Piles need surgery in cases where home remedies, medications, and other conservative measures have failed to provide relief or when the piles are severe or persistent. Some common types of piles surgery include:

    • Open surgery- Open surgery, or open hemorrhoidectomy, is a traditional surgical procedure to remove piles. In this procedure, the surgeon makes an incision in the anal region to locate the piles. The incision is generally made around the anus or in the anal canal, depending on the location and severity of the piles. The surgeon carefully removes the piles using surgical instruments, and the technique may involve excising the piles or ligating them with sutures to restrict their blood supply. The goal is to completely remove or reduce the size of the piles. The complete recovery time after open surgery for piles can vary from several weeks to a few months. It depends on factors such as the extent of the surgery, individual healing abilities, and adherence to post-operative care instructions.
    • Stapler surgery- Stapler surgery or stapled hemorrhoidectomy is a surgical method for treating piles. It utilizes a stapling device to remove piles tissues. Doctors suggest this treatment procedure for patients whose piles have prolapsed or become abnormally large or who have shown little or no improvement with nonsurgical treatment.Under stapler surgery, the pile’s tissue is lifted into a ring of tissues with sutures, and a stapler removes it, restricting blood flow to the tissue. As a result, patients who undergo stapler surgery typically experience less pain than those who undergo traditional piles surgery. They also experience less bleeding, itching, and swelling around the anus and inside the rectum. Recovery from stapler surgery is quick and is linked to fewer complications.
    • Laser surgery- Laser surgery is the safest and most effective surgical option to treat piles. This procedure uses laser energy to shrink and coagulate the piles tissue. However, the surrounding healthy tissues remain unaffected. Laser surgery is a minimally invasive approach performed on an outpatient basis. It is associated with minimal post-operative pain and a relatively shorter recovery time.

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    What is the difference between open surgery, laser surgery, and stapler surgery?

    Here’s a comparison table highlighting the differences between open surgery, laser surgery, and stapler surgery for piles:

       Basis Open Surgery Laser Surgery Stapler Surgery
    Anesthesia Generally performed under general or regional anesthesia. Typically performed under local anesthesia. Usually performed under general anesthesia.
    Incisions Requires one or more incisions to locate and remove the hemorrhoids. No incisions are made; laser energy is delivered through a probe. Small incisions are made to insert the stapler device
    Hemorrhoid removal Hemorrhoids are surgically excised. Hemorrhoids are vaporized or coagulated using laser energy. Hemorrhoidal tissue is removed and repositioned using the stapler device.
    Recovery time Longer recovery time with significant postoperative pain and discomfort. Faster recovery time with minimal postoperative pain. Faster recovery time with reduced postoperative pain.
    Bleeding May have a higher risk of postoperative bleeding. Generally associated with minimal bleeding. Reduced risk of bleeding compared to open surgery.
    Complications Potential complications such as infection, pain, and wound healing issues. Reduced risk of complications such as infection and wound healing problems. Reduced risk of complications compared to open surgery.
    Cost The cost of open surgery for piles may range from Rs. 35,000 to Rs. 95,000. The cost of laser surgery for piles may range from Rs. 45,000 to Rs. 55,000. The cost of stapler surgery for piles may range from Rs. 60,000 to Rs. 1,15,000.

    Benefits of Piles Laser Surgery

    Some potential benefits that are most commonly associated with laser piles surgery are given below:

    • 30 Mins Procedure – Laser piles surgery does not take more than 30 minutes to complete. Additionally, you will likely be able to go home on the same day.
    • Less Recurrence – Chances of recurrence of your condition after a laser piles surgery are almost zero.
    • Painless – Due to the minimally invasive nature of the laser, pain or discomfort during a laser piles surgery is very minimal.
    • No Blood Loss – Since the blood vessels in the anal region are almost immediately cauterized, blood loss during the procedure is almost negligible.
    • Short Recovery: Recovery after laser piles surgery is comparatively short with most patients being able to recover completely in just 7-10 days after surgery.
    • Minimal Risk of Complications: Chances of any complications, such as infection or bleeding, are almost negligible.

    Side Effects Of Piles Surgery

    Like any surgical procedure, piles surgery can have potential side effects and risks. Here are some possible side effects associated with piles surgery:

    • Pain and Discomfort: It is common to experience pain and discomfort in the surgical area after piles surgery. However, the pain and discomfort can differ in intensity and duration depending on the type of surgery performed. 
    • Bleeding: Some bleeding is expected after piles surgery. However, excessive or persistent bleeding should be reported to your healthcare provider instantly.
    • Infection: There is a risk of infection at the surgical site. Your healthcare provider will provide certain instructions on wound care and prescribe antibiotics if required. 
    • Urinary Problems: In some cases, piles surgery can temporarily impact urination. You may encounter difficulty in passing urine or an increased frequency of urination. These symptoms are usually temporary and resolve on their own. 
    • Fecal Incontinence: In rare cases, piles surgery can result in temporary or permanent fecal incontinence. Fecal incontinence means a loss of control over bowel movements.
    • Anal Stenosis: Anal stenosis refers to the narrowing of the anal canal, which can happen after piles surgery. This can lead to difficulty in passing stools.

    How to Prepare for Piles Surgery?

    Prior to your piles treatment, your proctologist will likely instruct you to take some precautions and follow some guidelines. These typically include:

    • Avoid eating or drinking anything at least 8 to 12 hours before your piles surgery. This is to ensure that the bowel is kept clean and there are no anesthesia-related complications either.
    • If you are taking any medications that cause your blood to be thinner, such as warfarin, it is imperative that you stop taking them before your piles surgery. Such medications could put you at an increased risk of excessive bleeding during surgery.
    • Keep the surgical site clean. It is also advised to take a shower before arriving at the hospital. However, avoid putting in any lotions or perfumes.
    • Avoid shaving the surgical site yourself.
    • If you wear any jewelry or ornaments, leave them at home. You do not need them in a hospital and they may even contain bacteria which could compromise the operating room’s sterile environment.
    • Make sure to empty your colon before arriving at the hospital. It is advised to use laxatives or enema. This process will help ensure that there is no fecal matter in the colon during the surgery.
    • Refrain from smoking or consuming alcohol for 3-4 days prior to your piles surgery.
    • Wear comfortable clothes that are easy to take off and do not rub against your skin too much.
    • Make sure you have someone to drive you home or accompany you in a cab after your piles treatment. After the procedure, you may experience some anesthesia-related after effects such as nausea, dizziness, and blurred vision. Driving yourself or traveling alone under such conditions could be dangerous.

    Which Is The Most Effective Treatment Option For Piles?

    Laser surgery is a much safer, quicker, and more effective surgical option for removing piles compared to any other treatments.

    Laser surgery, also known as laser hemorrhoidectomy or laser hemorrhoidoplasty, is a minimally invasive surgical procedure used to treat piles. One of the best advantages of this surgery is that it results in minimum bleeding, making it a good option for curing piles. Other advantages of laser piles surgery include the following:

    1. Less painful and safe procedure- When we talk about any surgical procedure, the first thought that crosses our minds is the pain it inflicts on the body. Laser surgery is one of the least painful surgical methods to treat piles. 
    2. Quick procedure- Removal of piles using laser surgery is quicker than other surgical techniques of removing piles. Laser surgery takes around 30 minutes, depending on the location and number of piles to be removed. Also, the person will be allowed to go home soon after the surgery and will not require a hospital stay.
    3. Reduced risk of infection- The use of laser energy can help sterilize the treated area, lowering the risk of infection.
    4. Quick healing- Minimal blood loss and lower chances of infection during the surgery lead to quick healing of the treated area. 
    5. High success rates- Laser surgery has shown high success rates in treating piles. It can effectively remove or shrink piles tissues, providing long-term relief from symptoms like pain, itching, bleeding, and discomfort.
    6. Minimal postoperative discomfort- Laser surgery is linked with minimal postoperative pain and discomfort compared to open surgery. This can result in a more relaxed recovery period for patients.
    7. Lower risk of incontinence- Laser surgery targets the piles tissue precisely, reducing the risk of damage to the surrounding anal sphincter muscles. This can help reduce the risk of postoperative incontinence, a potential complication of other surgical procedures.
    8. Lower risk of recurrence- Laser surgery effectively treats the underlying piles tissue, reducing the likelihood of recurrence in comparison to non-surgical or conservative treatment methods.

    Which Doctor is Best for Piles Surgery?

    A proctologist or a general surgeon is considered to be the best doctor for piles surgery. A proctologist is a medical professional with a specialization in the diagnosis and treatment of colorectal disease and conditions. These include conditions relating to your colon, rectum, and anus.

    What Happens During Laser Piles Treatment?

    Diagnosis

    In the case of external piles, the doctor can diagnose them with a physical inspection. However, in case of internal hemorrhoids, the proctologist will perform a digital examination to insert a gloved, lubricated finger into the rectum to check for abnormal growth. Additionally, to correctly diagnose internal piles, the surgeon may choose a proctoscope, an anoscope, or a sigmoidoscope to examine the lower rectum.

    Laser Surgical Treatment

    Laser-assisted surgery for piles is one of the most efficient treatment methods. During the procedure, a focused narrow beam of light is used on the hemorrhoid to ablate or shrink it without affecting the surrounding tissues. It is an advanced, minimally invasive procedure that aids the patient’s faster recovery.

    What is the Recovery Process of Piles Laser Operation?

    You must also keep in mind the following:

    • First, ensure that you keep the surgery site clean to avoid infection.
    • Take sitz bath regularly.
    • Avoid lifting heavy weights as that adds additional strain to the surgical site.
    • Eat meals that are nutritious and high in fiber content. Avoid oily and spicy foods.
    • To ensure you are hydrated, drink at least 8-10 glasses of water every day.
    • Do not strain yourself during your bowel movement.
    • If your bowel movements are hard, consider taking stool softeners to alleviate the strain (only after consulting the doctor).
    • Be diligent about taking medications and applying ointments/creams prescribed by your doctor.

    How To Treat Piles Without Surgery?

    Some of the best ways to treat piles without surgery include:

    Home Remedies

    There are multiple home remedies to help you reduce the pain and swelling associated with piles. The results may not be permanent or quick, but they can help reduce the pain and other symptoms in the early stages of piles. Here are some of the most effective home remedies:

    • Consume high-fiber food: Eating a fiber-rich diet can help soften stools and reduce constipation, which can contribute to piles. Doctors advise patients to consume high-fiber foods for piles like fruits, veggies, and whole grains because it helps reduce straining and alleviates the symptoms of existing piles. Fiber supplements like psyllium husk or methylcellulose may also be beneficial in shrinking hemorrhoids fast.
    • Apply topical treatments: Applying over-the-counter piles creams, ointments, or suppositories, including ingredients such as witch hazel or hydrocortisone, can help ease itching, pain, and inflammation. Some of the best piles creams for itching and inflammation include Anusol, Preparation H, etc.
    • Sitz baths: Sitting in a warm water bath can help soothe the anal region and subside swelling associated with piles. To do a sitz bath, fill a basin with a few inches of warm water and sit in it for 10 to 20 minutes. Doctors recommend piles patients to soak their bottoms in plain lukewarm water at least 2-3 times daily to reduce swelling and promote healing.
    • Hydration: Drinking adequate water throughout the day can help prevent constipation and maintain regular bowel movements. Aim for at least 8 to 10 glasses of water per day.
    • Stool Softeners: If you experience constipation, over-the-counter stool softeners may be useful. These medications help soften the stools, making them easier to pass. However, it’s essential to consult with a healthcare provider before using stool softeners, as they may not suit everyone.
    • Proper Hygiene: Maintaining good hygiene in the anal region is essential to prevent further irritation. After bowel movements, use soft, unscented toilet paper or wipes to clean the anal area gently. Also, avoid harsh soaps or excessive wiping, which can aggravate the condition.
    • Exercise: Exercise can help manage and prevent piles, but it’s essential to note that exercise alone may not cure piles permanently. However, regular exercise can help relieve symptoms, improve overall bowel function, and reduce the risk of developing new or worsening existing piles. Some exercises that may be helpful include cardiovascular exercises, kegel exercises, and certain yoga poses and stretching exercises. 

    Medications

    Several medications are available to make symptoms of piles more manageable. Some of the best medicines for piles include:

    1. Oral Pain Relievers: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be used to relieve pain associated with piles. However, it’s essential to follow the recommended dosage and consult with a healthcare expert if you have any underlying medical conditions or are taking other medications.
    2. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs, such as ibuprofen or naproxen, may be prescribed to relieve pain and to subside inflammation. However, these medications should be used under the guidance of a healthcare expert and with caution, as they can have side effects.
    3. Medications to Enhance Blood Circulation: Certain medications, such as venotonic or vasoprotective agents, may be prescribed to enhance blood circulation and strengthen the blood vessels in the rectal area. This can help reduce symptoms and prevent the worsening of piles.
    4. Vasoconstrictors: Medications that contain vasoconstrictors, such as phenylephrine, can help shrink the blood vessels and reduce swelling in the piles. They are available as topical preparations or in suppository form.
    5. Fibrinolytic Agents: In some cases, fibrinolytic agents may dissolve blood clots that have formed within external piles. These medications are typically administered through injection by a healthcare professional.
    6. Amoxicillin-clavulanate: Infected piles need medical attention. Amoxicillin-clavulanate is one of the best antibiotic medicines for piles and is often used to treat infections caused by certain kinds of bacteria.

    What To Eat And Avoid In Piles?

    The following are considered good food for piles:

    1. Flavonoid-Rich Foods: Foods rich in flavonoids, such as citrus fruits (oranges, lemons), berries, cherries, and dark chocolate, may help strengthen blood vessels and decrease inflammation, providing relief from piles symptoms.
    2. Healthy Fats: Include sources of healthy fats in your diet, such as avocados, seeds, and olive oil. These healthy fats can help lubricate the stool and ease bowel movements.
    3. Probiotic Foods: Consuming probiotic-rich foods like yogurt, kefir, and sauerkraut may encourage a healthy gut microbiome and improve digestive health.
    4. Adequate Fluid Intake: Make sure you are adequately hydrated by drinking enough water and other healthy fluids throughout the day. This can help prevent constipation and make the stool easier to pass.
    5. Vegetables: Consume a variety of vegetables, including leafy greens such as spinach and kale, broccoli, brussels sprouts, carrots, and cauliflower. These vegetables are high in fiber and can stimulate healthy digestion.
    6. Whole grains: Include whole grains like whole wheat, oats, brown rice, and quinoa in your diet. Whole grains are high in fiber and can add bulk to your stool, assisting in regular bowel movements.
    7. Legumes: Incorporate legumes like lentils, chickpeas, black beans, and kidney beans into your diet. Fiber is crucial for maintaining regular bowel movements and preventing constipation. Adding legumes to your diet can improve your fiber intake, which helps soften the stool and reduces strain during bowel movements, thereby relieving the discomfort associated with piles.
    8. Nuts and seeds: Nuts and seeds that can help prevent piles and aid in healthy bowel movement include almonds, walnuts, and chia seeds. Walnuts and almonds, in particular, are exceptionally high in fiber and have strong anti-inflammatory properties, which could minimize tissue swelling in the affected area. 

    Here are some foods to avoid or limit in your diet:

    1. Meat: Meat, mainly red and processed meat, is low in fiber, difficult to digest, and contains high sodium. They exacerbate constipation which leads to piles. 
    2. Spicy Foods: Spicy foods can upset the digestive system and worsen piles symptoms such as itching, burning, and inflammation. Therefore, it’s best to avoid or lower the consumption of spicy dishes, hot peppers, and spicy sauces.
    3. Alcohol: Alcohol can lead to dehydration and contribute to constipation. It is advisable to limit or avoid alcohol consumption when it comes to managing piles.
    4. Processed Foods: Processed foods, such as fast food, packaged snacks, and processed meats, are often low in fiber and high in unhealthy fats and additives. These foods can contribute to constipation and should be limited in your diet.
    5. Lower-fiber foods: Low-fiber foods such as white rice, white bread, plain pasta, or noodles result in more straining during defecation as they make stools smaller and hard. Straining increases abdominal pressure, blocks venous return, weakens rectal veins, and makes your piles go from bad to worse. Therefore, it’s best to avoid low-fiber foods in your diet.
    6. Sugary Foods: Foods high in refined sugars, such as candies, cakes, pastries, and sugary beverages, can lead to constipation and should be limited or avoided. Surplus sugar intake can disrupt the balance of gut bacteria and impact digestion.

    What To Do After Piles Surgery?

    After surgery, the anal region will be very sensitive. During the first few weeks, it is advisable to relax as much as possible.

    Also, it’s crucial to follow post-operative care instructions from your healthcare provider. Here are some general tips that may help during the recovery period:

    1. Keep your anal region dry and clean- Each time you pass a bowel movement, take a shower or sitz bath. A sitz bath is a warm water bath where you sit to reduce discomfort in your anal area. Soaking this area in warm water soothes your anal sphincter, which helps increase blood flow through the anal tissues. This enables healing and reduces the pain, itching, and irritation. You can also clean the area with wet tissues but avoid excessive wiping. 
    2. Limit your physical activities- Ease your physical activities for a few days until you feel completely fine after your surgery. Avoid lifting or pulling weights or strenuous physical activities for at least two to three weeks. Also, don’t go sedentary; keep moving and walking; however, don’t exert too much pressure on the body.
    3. Take prescribed medications- Take all medications as prescribed by your doctor, including pain relievers, antibiotics (if prescribed), and stool softeners or laxatives to prevent constipation.
    4. Apply cold compresses- Applying a cold compress to the anal region for a few minutes at a time can help subside swelling and alleviate pain after surgery. Wrap the ice pack in a cloth or wrap a bag of frozen vegetables in a towel and apply it to the anal area. 
    5. Follow correct sitting techniques- When sitting, utilize a cushion or a donut-shaped pillow to reduce pressure on the surgical area.
    6. Keep checking what you eat- It is important to cut down on junk, spicy and oily foods for a few days after piles surgery. Consuming any of these may alter your bowel movements, make you constipated, which can exacerbate your condition, or cause diarrhea, which is unhealthy for your pile’s recovery process.

    What Are The Possible Complications Of Piles?

    Some possible complications of piles include:

    • Anemia: Severe bleeding from piles can lead to anemia, a medical condition in which the body does not have enough red blood cells to function properly. Symptoms of anemia include fatigue, weakness, and shortness of breath.
    • Thrombosed piles: In some cases, a blood clot can form in piles, causing it to become painful and swollen. This is known as thrombosed piles. Thrombosed piles may need to be treated with surgery to remove the clot.
    • Strangulated piles: If prolapsed piles become trapped outside the anus, they can cut off the blood supply, resulting in strangulation. Strangulated piles may require surgical intervention.
    • Anal fissures: Piles can sometimes cause small tears in the skin around the anus, known as anal fissures. Anal fissures can be painful and may need treatment with medication or surgery.
    • Stricture or narrowing of the anus: Chronic or severe piles can cause scarring and narrowing of the anal canal, causing an anal stricture. Anal stricture can result in difficulty passing stool and pain during bowel movements. It may require surgery to correct the narrowing.
    • Chronic pain: Prolonged or severe piles can lead to chronic pain, significantly affecting a person’s quality of life. This persistent pain may impede daily activities, sitting, and bowel movements.
    • Recurrence: Even after successful treatment, piles can sometimes recur. Factors like underlying conditions and lifestyle practices can contribute to the recurrence of piles.

    FAQs Around Piles Treatment

    What are piles in females?

    Piles in women are inflamed blood vessels and tissues found underneath the rectum or under the skin around the anus. Piles in women can be treated initially with various home remedies and medications; however, surgical interventions like laser surgery are required later. 

    How can I prevent piles during pregnancy?

    Remember that constipation can lead to hemorrhoids during pregnancy. To relieve or prevent constipation: Include sufficient amounts of fiber in the diet by consuming lots of fruits and vegetables. Ask your healthcare provider to suggest a safe fiber supplement during pregnancy.

    Are piles common in males?

    Piles are common medical conditions that are common in both men and women. However, some medical studies have found that men are more prone to developing piles.

    How do stapler piles surgery, open piles surgery, and laser piles surgery differ in treating hemorrhoids?

    Stapler piles surgery uses a stapling device, open piles surgery requires incisions, and laser piles surgery uses a laser. Stapler piles surgery is less painful with a shorter recovery time, while open piles surgery is more effective for larger hemorrhoids. Laser piles surgery is less invasive but may not be as effective for larger hemorrhoids. The choice of procedure depends on the patient’s condition and preferences.

    How many days of rest are required after laser piles surgery?

    After undergoing laser piles surgery, patients can resume routine work with just two or three days of rest, provided they do not have an underlying medical condition that does not alter the post-surgical outcomes.

    Is it normal to bleed after laser piles surgery?

    Yes, it is normal to bleed after laser surgery for piles. Over the next few days, the bleeding should subside. However, you might experience some bleeding or spotting for 6 to 8 weeks. If your bleeding is heavy or lasts longer than a few days, consult your healthcare provider immediately. 

    What are the precautions required after undergoing piles laser surgery?

    Some of the precautions to take after your laser surgery include:

    • Avoid strenuous activities like heavy lifting, jogging, running, football, and cycling, etc., for 1-2 weeks after your laser surgery.
    • Avoid straining for a longer time during bowel movements.
    • Avoid the use of dry toilet tissue. Instead, use wet cotton to clean the anal area.
    • Stop eating foods that cause constipation, such as cheese, white bread, dairy products, processed food, etc.
    • Avoid sitting for an extended period.

    What are the side effects of laser piles surgery?

    Laser surgery is much preferred by patients and doctors because it has several benefits. But, like all surgical procedures, it carries certain side effects like a burning sensation, which resolves slowly, and in rare cases, it may cause skin tag thrombosis.

    Is laser surgery the best treatment option for piles?

    Yes, laser surgery is one of the best treatment options for piles. The laser treatment for piles is a non-invasive medical procedure, and hence suited for people scared of surgery. Moreover, as there is no incision involved in the process, there is minimal blood loss. Furthermore, laser beams are very accurate, therefore there is no damage to the nearby tissues. 

    Is piles operation safe?

    Yes, piles operation is safe and effective most of the time. But the patient still needs to eat a high-fiber diet, avoid constipation, and take care of the anal region to help prevent the recurrence of piles. 

    Is surgery good for piles?

    Surgery is the most effective way to treat piles. Furthermore, if someone has grade 3 or grade 4 hemorrhoids, doctors often recommend surgery. Amongst various surgical options, laser surgery is the most advanced and safest type of surgery to treat piles. 

    Is piles dangerous?

    Piles are generally not considered dangerous or life-threatening but can cause significant discomfort and disrupt daily activities. There are instances where complications can arise, making it essential to seek medical attention.

    If you experience severe or persistent symptoms or excessive bleeding, it is advisable to consult with a healthcare professional, such as a proctologist. They can provide an accurate diagnosis, assess the severity of your piles, and recommend appropriate treatment options, which may include surgery in some instances.

    What do piles look like?

    Piles usually look like small, round, discolored lumps of tissues. You might feel them on your anus or hanging down from your anal canal.

    Can piles be cured in 3 days?

    Yes. The most effective way to cure piles in 3 days is surgery. Treatment for piles depends on the severity.

    Piles can be treated using various home-based treatments and medications, mainly when the symptoms are mild. However, it is always better to undergo surgery to treat piles in 3 days.

    Laser treatment for piles is one of the best surgical procedures to treat piles in 3 days. 

    Is it normal to have piles during pregnancy?

    Yes. Piles during pregnancy is common, especially in the third trimester and up to one month after you have had your baby. According to medical reports, about 30% to 40% of females who are pregnant get piles.

    How much hemorrhoid bleeding is too much?

    If you have piles, it is normal to notice a few drops of blood during your bowel movements. However, if you notice more blood than this or the blood is dark, you should see your healthcare provider as you may have another medical problem that requires treatment. A person should seek medical help immediately if they experience severe pain and constant bleeding from the piles. 

    Can hemorrhoids last for many years?

    There is no set timeline for how long hemorrhoids last. In some cases, piles symptoms can go away after a few days with home remedies and medications.

    However, if symptoms do not improve after a week of home care, you should speak with your doctor. Your doctor may ask you to undergo surgery to treat the condition effectively. 

    Can stress cause piles?

    Stress doesn’t directly cause or worsen piles. However, stress can upset your stomach, inducing cramps, diarrhea, or constipation. Severe diarrhea or constipation can lead to piles. 

    Which juice is good for piles?

    Juice with high fiber content can relieve symptoms of piles. However, it is vital to note that these juices should be consumed as part of a well-balanced diet that includes plenty of water and fiber-rich foods.

    Some of the juices that may benefit individuals with piles include prune juice, aloe vera juice, citrus juices, carrot juice, etc.

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    Content Reviewed By
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    Dr. Falguni Rakesh Verma
    27 Years Experience Overall
    Last Updated : February 24, 2024

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