Piles Treatment in Hyderabad

Haemorrhoids often described as "varicose veins of the anus and rectum,” they are enlarged, bulging blood vessels in and around the anus and lower rectum. The rectum is the bottom section of your colon (large intestine). The tissues supporting the vessels stretch. As a result, the vessels expand, the walls thin and bleeding occurs. When the stretching and pressure continue, the weakened vessels protrude. The two types of hemorrhoids, external and internal, refer to their location.

External (outside) hemorrhoids form near the anus and are covered by sensitive skin. They are usually painless unless a blood clot (thrombosis) forms.

Thrombosed external hemorrhoids are blood clots that form in an outer hemorrhoid in the anal skin. If the clots are large, they can cause significant pain. A painful anal mass may appear suddenly and get worse during the first 48 hours. The pain generally lessens over the next few days. You may notice bleeding if the skin on top opens.

Internal (inside) hemorrhoids form within the anus beneath the mucous linings. Painless bleeding and protrusion during bowel movements are the most common symptoms. However, an internal hemorrhoid can cause severe pain if it is completely prolapsed. This means it has slide out of the anal opening and cannot be pushed back inside.


  • Hemorrhoids are one of the most common known ailments.
  • The average person suffers for a long time before seeking treatment for hemorrhoids.
  • Advances in treatment methods means some types of hemorrhoids can be treated with far less painful methods than before.

What are the Piles Symptoms?

Any of the following may be a sign of hemorrhoids:

  • Bleeding during bowel movements
  • Protrusion of skin during bowel movements
  • Itching in the anal area
  • Pain in the anal area
  • Sensitive lump(s)
  • Painless rectal bleeding or prolapse of anal tissue is often associated with symptomatic internal hemorrhoids. Prolapse is hemorrhoidal tissue coming from the inside that can often be felt on the outside of the anus when wiping or having a bowel movement. This tissue often goes back inside spontaneously or can be pushed back internally by the patient. The symptoms tend to progress slowly over a long time and are often intermittent.
  • Internal hemorrhoids are classified by their degree of prolapse, which helps determine management:
  • Grade One: No prolapse
  • Grade Two: Prolapse that goes back in on its own
  • Grade Three: Prolapse that must be pushed back in by the patient
  • Grade Four: Prolapse that cannot be pushed back in by the patient

Causes for Piles

The exact cause of hemorrhoids is unknown. A lot of pressure is put on human rectal veins due to our upright posture, which can potentially cause bulging. Other contributing factors include:
  • Aging
  • Chronic constipation or diarrhea
  • Pregnancy (physiological)
  • Prolonged sitting posture
  • Straining during bowel movements
  • Faulty bowel function due to overuse of laxatives or enemas
  • Spending long periods of time on the toilet (e.g., reading)


Treatment includes:
  • Eating a high-fiber diet and fiber supplements (25-35 grams of fiber/day) to make stools soft, formed and bulky.
  • Avoiding excessive straining to reduce the pressure on hemorrhoids and help prevent protrusion.
  • Drinking more water to help prevent hard stools and aid in healing.


If pain from a thrombosed hemorrhoid is severe, the blood clot needs to be removed with a small incision.


Traditional haemorrhoidectomy is called as Milligan Morgan Open haemorrhoidectomy in which the complete pile mass is excised. This is the most complete surgical method for removing extra tissue that causes bleeding and protrusion. It is done under spinal anesthesia using either sutures or staples. Postoperatively, there is some pain at the operated site and healing of the operated wound takes 6-8 weeks.

New minimally invasive methods available for removal of haemorrhoids at Treat Piles Clinic are:

  • Laser hameorrhoidoplasty (LHP) – Diode laser bare fiber is inserted into the pile mass and energy deployed. The haemorrhoidal mass will shrink in 2-3 weeks to get asymptomatic. No knife is used and no sutures are applied, so post procedure discomfort is less and recovery is fast. Good results are seen in Grade I & II Internal Haemorrhoids

  • Haemorrhoidal Artery Ligation with Recto anal Repair (HAL/RAR) – Specialised FDA approved device is used to detect the diseased blood vessel using sensors attached to the proctoscope and the artery is ligated at its apex along with mucopexy of its prolapsed part which results in regression of the haemorrhoidal tissue to make it asymptomatic. Good results are seen even in Grades III & IV types of internal haemorrhoids.


Hemorrhoids do not increase the risk of colorectal cancer nor cause it. However, Anorectal cancer can presents with bleeding from anus just like bleeding haemorrhoids. So early consultation and examination of the anal region by colorectal surgeon to differentiate haemorrhoids from cancer is the key to get the best results & increased survival rates.

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