All you need to know about piles

Hemorrhoids or piles are inflamed blood vessels in the anus and rectum walls. Piles are the most common causes of rectal bleeding.

What are piles?

The word hemorrhoid comes from the Greek word “haimorrhoides,” which means veins liable for discharging blood. It’s most frequent in people between the ages of 45 and 65.

Piles are bloated and inflammatory tissue collections in the anal region. They come in various sizes and can be inside or outside.

Internal piles are the most frequent variety, and they are usually positioned between 2 and 4 centimetres (cm) above the anus entrance. External piles form on the anus’s outer edge.


Piles don’t display any noticeable signs right away. If there are any signs or symptoms, they might include:

  • Rectal pain
  • Bleeding during bowel movement
  • Lump around anus
  • Constipation
  • Sore and redness in the anus area, sometimes associated with Mucus discharge


Several factors contribute to the formation of piles. These factors raise the pressure in the blood arteries that support the anus and rectum, causing them to enlarge.

  • Prolonged diarrhea
  • Prolonged Constipation
  • Lifting heavy objects
  • Obesity
  • Sedentary lifestyle
  • Spinal cord injuryPregnancy
  • Straining while passing a stool


External haemorrhoids may be visible to your doctor. Internal haemorrhoids can be diagnosed by examining your anal canal and rectum.

Digital examination – A gloved, lubricated finger is inserted into your rectum by the doctor. They are on the lookout for anything unusual, such as growths.

Visual examination – Because internal haemorrhoids are typically too soft to feel during a rectal exam, your doctor may use an anoscope, proctoscope, or sigmoidoscope to check the bottom region of your colon and rectum.

Your doctor may recommend a colonoscopy to check your whole colon, if:

  • You have another digestive system ailment based on your indications and symptoms.
  • You have colorectal cancer risk factors.
  • You are middle-aged and have a family history.

Treatment Options

Most of the time, piles go away on their own and don’t require treatment. However, some lifestyle changes including fiber rich diet and weight loss can dramatically lessen the discomfort and irritation associated with piles in many people.

In some circumstances, surgical treatment may be required by the best laparoscopic surgeon in ECIL, Hyderabad, and the following are some of the options:

Banding is the process of wrapping an elastic band around the pile’s foundation. The objective of using an elastic band is to cut off the blood supply to the hemorrhoid, and it will eventually come off within a few days.

Sclerotherapy is a therapeutic procedure in which medication is injected into the hemorrhoid to cause it to shrink and finally dissolve. It is most commonly utilised in Grade II and III haemorrhoids.

Hemorrhoidectomy refers to the surgical removal of haemorrhoids. This method is quite good in resolving piles altogether. This method has the drawback of causing postoperative discomfort.

Hemorrhoid stapling provides greater results than surgical procedures, including the lack of discomfort. Outside, no wound is created. Because a full circle of hemorrhoidal tissue is eliminated, the odds of secondary haemorrhoids recurring are lowered. Hemorrhoid keyhole surgery is another name for this operation.

Laser Hemorrhoidoplasty, commonly referred as Piles Laser Treatment  is considered a minimally invasive technique. The technique allows the patient to attain the greatest potential results with the least amount of discomfort and the quickest recovery time feasible. The haemorrhoids will be pierced with the laser probe. The laser beam cauterises and closes off the blood vessels with a high amount of heat, causing the hemorrhoid to simply shrink while lowering the danger of significant bleeding during and after the surgery. Because laser hemorrhoidoplasty is such a precise treatment, it has no adverse effects on the surrounding tissues or anal sphincters.

Wrapping up

Although piles can be unpleasant and debilitating, they seldom offer a long-term health risk and can typically be self-managed up to grade III or IV. If a complication, like a fistula, occurs, the situation might quickly deteriorate.

Most surgical treatments for severe piles are outpatient procedures with quick recovery times.

If you are looking for the best doctor for piles treatment in ECIL, Hyderabad, look no further than Dr Gopi Tupkar. Make an appointment with him now at

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