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GI and Laparoscopic

Piles/ haemarroids


Best treatment of Piles/ haemarroids in Hyderabad

Piles/hemorrhoids treatment options include topical creams, sitz baths, fiber-rich diet, increased water intake, and over-the-counter pain relievers. Severe cases may require medical procedures such as rubber band ligation or surgery.

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Dr Krishna Chaitanya
Dr. Krishna Chaitanya
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GI and Laparoscopic Surgeon
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---- Overview ----

Piles/ haemarroids

Piles, also known as hemorrhoids, are swollen blood vessels in the rectal area. They can be internal (inside the rectum) or external (under the skin around the anus). Common causes include straining during bowel movements, pregnancy, chronic constipation, and a sedentary lifestyle. Symptoms may include itching, pain, bleeding, and discomfort. Treatment options range from lifestyle modifications like increasing fiber intake and maintaining good hygiene to medications, creams, and medical procedures like rubber band ligation or surgery for severe cases.

what are the causes of Piles/ haemarroids?

The causes of piles/haemorrhoids can vary, but they generally result from increased pressure on the blood vessels in the rectal area. Common causes include:

  • Straining during bowel movements: This can occur due to chronic constipation or excessive straining during bowel movements.
  • Pregnancy: The increased pressure on the pelvic area during pregnancy can lead to the development of piles/haemorrhoids.
  • Sedentary lifestyle: Sitting for extended periods, especially on hard surfaces, can contribute to the development of piles/haemorrhoids.
  • Chronic diarrhea: Frequent episodes of loose stools can put strain on the rectal area and lead to piles/haemorrhoids.
  • Obesity: Excess weight can put pressure on the blood vessels in the rectal area, increasing the risk of developing piles/haemorrhoids.
  • Aging: The tissues supporting the blood vessels in the rectal area may weaken with age, making piles/haemorrhoids more likely.
  • Genetics: Some individuals may be genetically predisposed to developing piles/haemorrhoids.

It's important to note that these factors increase the likelihood of developing piles/haemorrhoids, but they don't guarantee their occurrence.


what are the Symptoms of Piles/ haemarroids?

The symptoms of piles/haemorrhoids can vary depending on the type and severity of the condition. Some common symptoms include:

  • Itching and irritation around the anal area.
  • Pain or discomfort, especially during bowel movements.
  • Bleeding during bowel movements. Blood may be seen on the toilet paper or in the toilet bowl.
  • Swelling or lumps around the anus.
  • A feeling of fullness or incomplete bowel movement.
  • Mucus discharge from the anus.
  • Prolapse of internal haemorrhoids, where they protrude outside the anus and may require manual reinsertion.

It's important to consult a healthcare professional for an accurate diagnosis if you are experiencing any of these symptoms, as they can also be indicative of other medical conditions.


what are the Investigations of Piles/ haemarroids?

The investigations for piles/haemorrhoids typically involve a combination of medical history assessment, physical examination, and possibly additional tests. Some common investigations for piles/haemorrhoids include:

  • Medical history assessment: The doctor will ask about your symptoms, including the frequency, duration, and severity of any bleeding, pain, or discomfort.
  • Physical examination: The doctor will visually inspect the anal area to check for external haemorrhoids, swelling, or lumps. They may also perform a digital rectal examination, where they gently insert a lubricated, gloved finger into the rectum to feel for any internal haemorrhoids or abnormalities.
  • Proctoscopy or anoscopy: These procedures involve using a small, lighted tube called a proctoscope or anoscope to examine the rectum and anal canal. They allow for a closer inspection of internal haemorrhoids and other possible causes of symptoms.
  • Sigmoidoscopy or colonoscopy: These tests may be recommended if there is suspicion of other colorectal conditions or if the symptoms are severe. They involve the insertion of a flexible tube with a camera into the rectum and colon to examine the entire colon for abnormalities.

These investigations help in determining the presence, type, and severity of piles/haemorrhoids, as well as ruling out other potential causes of symptoms. It's important to consult a healthcare professional who can guide you through the appropriate investigations based on your specific situation.


what are the treatment options for Piles/ haemarroids?

The treatment options for piles/haemorrhoids can vary depending on the severity of the condition. Mild cases can often be managed with conservative measures, while more severe cases may require medical procedures. Here are some common treatment options:

  • Lifestyle modifications: Increasing fiber intake through a high-fiber diet or fiber supplements can help soften the stool, making bowel movements easier and reducing strain. Drinking an adequate amount of water and engaging in regular physical activity can also promote regular bowel movements.
  • Topical creams or ointments: Over-the-counter creams or ointments containing ingredients like hydrocortisone or witch hazel can help alleviate itching, inflammation, and discomfort.
  • Sitz baths: Soaking the anal area in warm water for 10-15 minutes several times a day can help relieve pain, itching, and swelling.
  • Medications: Oral pain relievers or stool softeners may be recommended by a healthcare professional to manage pain and ease bowel movements.
  • Rubber band ligation: In this procedure, a rubber band is placed around the base of an internal haemorrhoid, cutting off its blood supply. The haemorrhoid eventually shrinks and falls off within a week.
  • Sclerotherapy: A solution is injected into the haemorrhoid, causing it to shrink and recede.
  • Infrared coagulation: A device is used to apply heat to the haemorrhoid, causing it to shrink and scar.
  • Hemorrhoidectomy: Surgical removal of haemorrhoids may be recommended for severe or recurring cases.

The choice of treatment depends on factors such as the severity of symptoms, the type and size of haemorrhoids, and the individual's overall health. It's important to consult with a healthcare professional who can assess your specific situation and recommend the most appropriate treatment option.

---- FAQs ----

Piles/ haemarroids

Piles/haemorrhoids are generally not considered life-threatening, but they can cause significant discomfort and affect quality of life. While mild cases can often be managed with lifestyle modifications and over-the-counter treatments, severe or recurrent cases may require medical interventions or surgical procedures. It's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

While it may not be possible to completely prevent piles/haemorrhoids, certain lifestyle modifications can help reduce the risk. These include maintaining a high-fiber diet, drinking plenty of water, engaging in regular physical activity, avoiding prolonged sitting or straining during bowel movements, and practicing good anal hygiene. Taking breaks during extended periods of sitting and avoiding excessive lifting can also help prevent the development or worsening of piles/haemorrhoids.

You should consider consulting a healthcare professional if you experience persistent or recurrent symptoms such as bleeding, pain, or discomfort in the anal area. It's particularly important to seek medical attention if the bleeding is severe, if you notice blood in your stools, or if you have a family history of colorectal cancer. A doctor can provide an accurate diagnosis, rule out other potential causes, and recommend appropriate treatment options based on your specific condition.

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