Grade 3 Piles (Hemorrhoids) Treatment - Advanced Laser Treatment

What Happens In Grade 3 Piles Treatment?

Diagnosis

• Piles grade 3 treatment starts with a comprehensive diagnosis process, which involves a series of investigations to assess the severity of the condition and look for underlying conditions or complications. It is quite similar to the diagnostic procedure for grade 1 and grade 2 piles. The diagnosis generally includes: 
• Physical examination: Doctors generally begin their grade 3 piles treatment with a physical examination. You’ll be asked questions about your overall health, medical history, the symptoms you’re experiencing, and lifestyle habits. Then, the doctor performed a physical assessment of the anorectal region to see how serious the condition is. A physical examination is usually considered sufficient for assessing grade 3 piles, and treatment is chalked out based on its findings. 

In the case of internal piles (Grade 1 & 2), a digital rectal exam and colonoscopy might also be required. 

Treatment

Grade 3 piles require surgical treatment. However, in less severe cases, the following methods can also be used: 

• Rubber Band Ligation: Generally, rubber band ligation is used in less severe cases of piles- grade 1 and 2. However, it can also be effective in treating less severe cases of grade 3 piles. This is a non-surgical method of piles treatment. In this method, doctors slip a small rubber band over the haemorrhoid to restrict the blood flow to the tissue. The restricted blood supply causes the haemorrhoid to shrink and fall off.
• Stapler Hemorrhoidectomy: This is a surgical technique for grade 3 piles. In this method, doctors insert a hollow, circular tube into the anal canal. Then, a suture or long thread is woven within the anal canal above the haemorrhoid. Then, the ends of the suture are stretched out of the anus through the hollow tube. A special stapling device is placed through the hollow tube to pull the ends of the suture. The expanded haemorrhoidal tissues are also pulled along with sutures, and the haemorrhoidal cushions are pulled back into their original position. Finally, the stapler then fires and cuts off the expanded haemorrhoidal tissue captured within the stapler and simultaneously staples the upper and lower edges of the cut tissue. This procedure is performed under general or spinal anaesthesia.

Surgery

Laser Surgery For Grade 3 Piles: Laser surgery for grade 3 piles is the most modern technique of piles treatment. It’s non-invasive and offers a quick solution for piles without causing much discomfort to the patient. The recovery is quick, and patients can go back to work and lead a normal life within a couple of days of the surgery. In this method, a specialised laser fibre is used to cut the blood supply to the Piles tissue causing it to wither and eventually fall off. The intense laser beam is targeted at the blood vessels of the haemorrhoid, and the vessels are coagulated. 

Laser piles surgery is generally performed on an outpatient basis. Also, the procedure is very safe as there are no open cuts or wounds, and the bleeding is minimal.

Recovery After Grade 3 Piles (Hemorrhoids) Surgery

Complete recovery after grade 3 piles surgery can take a couple of weeks, but patients can resume their routine activities within 2 to 3 days of the surgery. Some precautions can help reduce the risk of complications, such as: 

• Eat a fibre-rich diet to avoid constipation. Also, increase your fluid consumption.
• Do not use harsh toilet paper or wipes to clean your bottom. You can use baby wipes instead.
• Several doctors suggest taking a shower or sitz bath after each bowel movement. 
• Do not indulge in heavy workouts for a couple of days after surgery.
• If your doctor has prescribed medication, make sure you take them on time.