Piles or hemorrhoids

Piles or Hemorrhoids  


Every year, nearly 10 million people in India suffer from piles. This disease is rapidly spreading because of food habits, insomnia, constipation, and a growing e sedentary lifestyle of urbanites.

Piles,  are swollen veins in the anus or lower rectum. 

People have one or more piles.

There are two types of piles:

  • Internal: Internal piles are located inside the anus. Internal ones are typically single but can sometimes become multiple if they don’t heal properly or you keep getting them over time.
  • External: external ones are found outside. External piles can be single or multiple, depending on how many there are and where they’re located on your body (for example, right above your anus). Most people have some sort of pile problem at least once in their lives—it’s so common that many don’t even realise they have it!


Symptoms of Piles

Symptoms vary based on the type and occurrence of piles. However, some of the common symptoms are:

  • A lump that gets bigger when you sit down or strain during a bowel movement.
  • Bleeding after passing stool or bleeding from the anus (rectal bleeding)
  • Discomfort around the anus area or anal pain
  • Itchy skin around your anus
  • Painful bowel movements
Symptoms of piles


The blood vessels around the lower rectum or anus become severely strained. It is when piles occur. Various harmless habits can result in piles. These can be an unhealthy diet or sitting for a long time. Conditions that further increase the risk of pile formation can be:

  • Straining during bowel movements
  • Constipation
  • Heavy weightlifting
  • Pregnancy
  • Obesity
  • Anal intercourse
  • Sitting in the lavatory for a long time

Hemorrhoids are more likely as you age because the tissues supporting the veins in your rectum and anus can weaken and stretch.

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Stages of Piles Formation

Stage 1 piles

Stage I

Internal hemorrhoids that do not protrude outside the anal canal.

Stage 2 Piles

Stage II

Hemorrhoids that protrude during periods of straining and subsequently retract within the anal canal.

Stage 3 Piles

Stage III

Hemorrhoids or piles that protrude upon exertion such as sneezing, coughing, or defecation and require manual manipulation to be repositioned.

Stage 4 piles

Stage IV

Internal hemorrhoids are located outside the anal canal and remain protruded permanently.

The New Advanced Treatment options for Piles

1. MIPH or Stapler Hemorrhoidopexy

The Prolapse and Hemorrhoids Procedure (PPH or MIPH) is a more advanced variant of hemorrhoidectomy that is also known as a stapled hemorrhoidectomy. PPH is performed by repositioning the prolapsed hemorrhoid and cutting off the blood supply, allowing the hemorrhoid to shrivel and eventually die. These are the steps:

  • Anal dilatation is done
  • The Anoscope is introduced
  • A purse string suture is taken 2 cm above the dentate line
  • The stapler is introduced
  • The purse string is tied around the stapler
  • The suture is pulled simultaneously as the stapler is closed
  • The stapler is fired and removed

It is less painful than the traditional hemorrhoidectomy as the hemorrhoid is moved to a position with fewer nerve endings.

Stapling recovery takes less time.

2. Laser Surgery

Advanced laser therapy effectively cures and relieves the symptoms of hemorrhoids with minimal post-operative pain. Benefits extend to anal spasms of extreme severity, external thrombosis, fissures, and varicose veins.

3. Ligasure Surgery

Ligasure is an advanced vessel-sealing device that seals and cuts the hemorrhoidal tissue and blood vessels. The surgery requires no stiches and and is almost blood less. As a result, the recovery is faster, with better outcomes