INTRODUCTION

Understanding Piles: Causes and Symptoms

Piles can be caused by various factors, including chronic constipation, prolonged sitting, pregnancy, obesity, and a low-fiber diet. The symptoms may range from mild discomfort to severe pain, itching, and rectal bleeding. Hemorrhoids are generally classified into four grades:

• Grade I: Mild internal hemorrhoids with occasional bleeding.

• Grade II: Larger hemorrhoids that prolapse but retract on their own.

• Grade III: Prolapsed hemorrhoids requiring manual reduction.

• Grade IV: Permanently prolapsed hemorrhoids that cannot be pushed back.

Depending on the severity and grade of piles, treatment options vary from lifestyle modifications to medical or surgical interventions.

Non-Surgical Treatments for Piles

Non-surgical treatments are often recommended for mild to moderate cases of piles. These treatments focus on symptom management and reducing the inflammation without invasive procedures.

1. Dietary and Lifestyle Changes

One of the most effective non-surgical approaches to managing piles is adopting a high-fiber diet that includes fruits, vegetables, and whole grains. Drinking plenty of water, regular exercise, and avoiding prolonged sitting can prevent further aggravation.

2. Medications and Ointments

Over-the-counter creams, ointments, and suppositories containing hydrocortisone or witch hazel can provide temporary relief from itching and pain. Oral pain relievers and stool softeners can also be prescribed to ease discomfort.

3. Minimally Invasive Procedures

For more persistent cases, several non-surgical procedures are available:

• Rubber Band Ligation: A small band is placed around the hemorrhoid to cut off its blood supply, causing it to shrink and fall off.

• Sclerotherapy: A chemical solution is injected into the hemorrhoid to shrink it.

• Infrared Coagulation (IRC): Heat is applied to the hemorrhoid, causing it to shrink over time.

These procedures are generally safe, quick, and require little to no downtime.

Surgical Treatments for Piles

When non-surgical methods fail or the piles are severe (Grade III or IV), surgical intervention may be necessary.

1. Hemorrhoidectomy

This is a surgical procedure in which the hemorrhoidal tissue is completely removed. It is highly effective for large, painful, or prolapsed hemorrhoids. While recovery may take a few weeks, the results are long-lasting.

2. Stapled Hemorrhoidopexy

Also known as PPH (Procedure for Prolapse and Hemorrhoids), this technique involves using a circular stapler to reposition and remove excess hemorrhoidal tissue. It has a quicker recovery time compared to hemorrhoidectomy.

3. Laser Surgery for Piles

Laser surgery is a modern, minimally invasive technique that offers precise treatment with minimal pain and faster recovery. It is considered one of the best options for severe piles and is gaining popularity among patients.

Which Treatment is Right for You?

The choice between surgical and non-surgical treatment depends on various factors, including:

• The severity of the hemorrhoids

• The presence of complications such as thrombosis or strangulation

• Previous treatment failures

• Patient preference and pain tolerance

If you are experiencing persistent symptoms and looking for a trusted Piles Doctor in Bemetra, consulting a specialist will help determine the most suitable treatment plan tailored to your condition.

Conclusion

Both surgical and non-surgical treatments for piles have their advantages and limitations. Mild cases can often be managed with dietary changes and minimally invasive procedures, while severe cases may require surgical intervention for permanent relief. Consulting an experienced proctologist will ensure you receive the best treatment option suited to your specific needs. Whether you are in Chhattisgarh, Bemetra, or any other nearby location, expert medical guidance can make a significant difference in your recovery journey.