Piles or hemorrhoids

Piles or Hemorrhoids  

Discover Everything You Should Know About it.


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 or hemorrhoids are swollen veins in the anus or lower rectum. 

People may 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 pile problem at least once in their lives–it’s so common that many don’t even realize 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


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.

Stages of Piles Formation

Stage I

Hemorrhoids Or Piles That Do Not Externalize

Stage II

Hemorrhoids Or Piles That Externalize On Straining . They Spontaneously Go Inside The Anus.

Stage III

Hemorrhoids Or Piles That Externalize On Straining (Sneezing, Coughing, Defecation) . They Need To Be Pushed Inside Manually

Stage IV

Internal Hemorrhoids Or Piles, Which Are Not Reduced Inside The Anus. They Remain Outside Permanently

The New Advanced Treatment options for Piles

1. MIPH or Stapler Hemorrhoidopexy

The procedure for Prolapse and Hemorrhoids (PPH or MIPH) is the advanced version of hemorrhoidectomy and is also called a stapled hemorrhoidectomy. PPH is done using a stapler-like device to reposition the prolapsed hemorrhoid and cut off the blood supply to allow the hemorrhoid to shrivel and die eventually. These are the steps:

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

This is the most advanced technique in healing hemorrhoids/piles. Compared to other surgical treatments, a laser effectively treats haemorrhoids and improves symptoms related to them. In addition, after the surgery, there is no or minimal post-operative pain. Similar benefits are seen for patients with severe anal spasms, external thrombosis, fissure, sentinel tags, fistula & varicose veins.

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3. Ligasure Surgery

Ligasure is an advanced vessel-sealing device that seals and cuts the hemorrhoidal tissue and blood vessels. There are no stitches required, and it is a bloodless procedure. As a result, the recovery is faster, with better outcomes