Piles Treatment - Laser Surgery Procedure & Operation Benefits

One of the most common anorectal medical conditions, yet least talked about, is piles. Piles, or hemorrhoids, are swollen tissues and blood vessels found inside the skin in the rectal region. If left untreated, they can cause significant discomfort, pain, and even complications. At Bharatkare, we provide the best treatment for piles, including advanced laser surgery for piles, ensuring a pain-free and quick recovery. If you’re searching for a piles specialist or the best doctor for piles near me, look no further. Book a consultation today to get rid of piles permanently.

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Dr Ashish Sachdeva

MBBS, MS - General Surgery, General Surgeon, Bariatric Surgeon, Laparoscopic Surgeon

4.9/5

20 Years Experience

Vadodara, India

Dr. Tanmay Jain

General Surgeon, Laparoscopic Surgeon and Proctologist

4.9/5

12 Years Experience

Jaipur, India

Dr. Vikram Vasuniya

MBBS, MS (General Surgery) General Laparoscopic & Laser Surgeon, Laser Proctologist

4.9/5

14 Years Experience

Bhopal, India

Dr. Sujeet Kumar Bharti

MBBS, MS (General Surgery) General Laparoscopic & Laser Surgeon, Laser Proctologist

4.9/5

22 Years Experience

Patna, India

Dr. Ankur K. Patel

MBBS, MS (General Surgery) General, Laparoscopic, FACRSI, FALS, Endoscopist

4.9/5

16 Years Experience

Ahmedabad, India

What Are Piles?

Piles, also known as hemorrhoids, are swollen veins in the anus and lower rectum. They can occur internally, inside the rectum, or externally, around the external opening of the anus. Piles can affect people of all ages and genders. However, global medical reports suggest that individuals between 50 and 60 years are more likely to suffer from this condition.

Piles are generally not a serious medical condition and can often be treated with lifestyle changes and home remedies for piles, such as increasing fiber intake, drinking plenty of water, practicing good hygiene, using over-the-counter creams or ointments, and avoiding straining during bowel movements. However, in more severe cases, surgical procedures like laser treatment for piles or piles operation may be required.

Disease name

Piles (Hemorrhoids)

Surgery name

Haemorrhoidectomy

Duration

15 to 20 Minutes

Treated by

General Surgeon

What Are The Types and Grades Of Piles?

Piles can be classified based on their location and severity. Understanding the types of piles and their grades is crucial for determining the most effective treatment plan.

1. Internal Piles

Internal piles develop inside the rectum above the dentate line. They are not visible from the outside and are categorized into different grades based on their severity and prolapse.

  • Grade 1: These are the mildest form of internal piles. They are small and found in the lining of the rectum. They do not protrude out of the anus and usually do not cause any symptoms. Treatment for Grade 1 piles often begins with conservative measures like lifestyle modifications, sitz baths, and best ointment for piles.
  • Grade 2: Grade 2 piles are larger than Grade 1 and may protrude during bowel movements. They retract back into the rectum spontaneously after the bowel movement. Treatment options may include non-surgical interventions like rubber band ligation, infrared coagulation, and sclerotherapy.
  • Grade 3: These piles prolapse during bowel movements but do not retract independently. They need to be manually pushed back into the rectum. They may cause significant discomfort, pain, itching, bleeding, and difficulty maintaining proper hygiene. Treatment options may include rubber band ligation, infrared coagulation, and sclerotherapy.
  • Grade 4: These are the most severe and advanced stage of piles. They remain prolapsed and cannot be manually repositioned. Grade 4 piles can cause intense pain, bleeding, and hygiene difficulties. Surgical intervention, such as laser surgery for piles, is often necessary.

2. External Piles

External piles form around the external opening of the anus and can be seen or felt as lumps or bumps. They are found below the dentate line and may induce pain, itching, and discomfort. Conservative treatment options for external piles include sitz baths, best ointment for piles, and pain medications. However, if conservative treatments fail, surgical options like laser operation for piles may be recommended.

How Can Piles Be Diagnosed?

A piles specialist or anorectal surgeon can diagnose piles through a combination of medical history, physical examination, and diagnostic tests. Here’s an overview of the diagnostic process:

  1. Medical History: Your healthcare provider will ask about your symptoms, including pain, itching, bleeding, or changes in bowel movements. They will also inquire about your medical history and any previous occurrences of piles.
  2. Physical Examination: A visual and manual examination of the anal region will be conducted to evaluate for external and internal piles.
  3. Digital Rectal Examination (DRE): This involves the insertion of a lubricated, gloved finger into the rectum to assess internal piles and check for abnormalities.
  4. Anoscopy or Proctoscopy: These procedures use a small, lighted tube to examine the anal canal and rectum more closely. They help determine the location, size, and severity of the piles.
  5. Sigmoidoscopy: A sigmoidoscope is used to view the lower part of the colon and rectum. This procedure helps identify various conditions, including piles.
  6. Colonoscopy: This procedure examines the entire colon to rule out other serious conditions and confirm the diagnosis of piles.

What Are The Different Treatment Options For Piles?

Piles can be treated using both non-surgical and surgical methods. The choice of treatment depends on the severity of the condition, the type of piles, and the patient’s overall health.

Non-Surgical Treatment

Non-surgical treatments are often recommended for mild to moderate piles. These include:

  1. Rubber Band Ligation: A small rubber band is placed at the base of the piles to cut off its blood supply, causing it to shrink and fall off.
  2. Sclerotherapy: A solution is injected into the piles to shrink it. This is typically used for internal piles.
  3. Infrared Photocoagulation: Infrared light is used to coagulate the blood vessels, causing the piles to shrink.
  4. Electrocoagulation: An electric current is used to destroy the piles tissue.

Surgical Treatment

Surgery is recommended for severe or persistent piles that do not respond to non-surgical treatments. Common surgical options include:

  1. Open Surgery (Hemorrhoidectomy): Traditional surgery to remove piles. It involves making an incision in the anal region to remove the piles.
  2. Stapler Surgery (Stapled Hemorrhoidectomy): A stapling device is used to remove piles tissue. This method is less painful and has a quicker recovery time.
  3. Laser Surgery: Laser energy is used to shrink and coagulate the piles tissue. This is a minimally invasive procedure with minimal post-operative pain and a shorter recovery time.

Why is Laser Piles Treatment Considered the Most Effective Option?

Laser surgery for piles is widely regarded as the safest, quickest, and most effective treatment option. Here’s why:

  • Minimally Invasive: Laser surgery requires smaller incisions, resulting in less post-operative pain and faster recovery.
  • Reduced Bleeding: The laser cauterizes blood vessels as it cuts, minimizing bleeding during and after the procedure.
  • Precise Targeting: The laser targets only the piles tissue, leaving surrounding healthy tissue unaffected.
  • Quick Recovery: Most patients can resume normal activities within a few days.
  • Lower Risk of Recurrence: Laser surgery effectively treats the underlying piles tissue, reducing the likelihood of recurrence.

Comparison Between Open Surgery, Laser Surgery, and Stapler Surgery

When it comes to treating piles, especially in severe cases, surgical intervention is often the most effective solution. However, not all surgical methods are the same. Here’s a detailed comparison of the three most common surgical options: open surgery, laser surgery, and stapler surgery.

1. Open Surgery (Hemorrhoidectomy)

Open surgery, also known as traditional hemorrhoidectomy, is a conventional method for removing piles. Here’s what you need to know:

    • Procedure: The surgeon makes an incision in the anal region to locate and remove the piles. The incision is typically made around the anus or in the anal canal, depending on the location and severity of the piles.
    • Pain Level: Open surgery is associated with significant post-operative pain and discomfort.
    • Recovery Time: The recovery period can range from several weeks to a few months, depending on the extent of the surgery and the patient’s healing ability.
  • Advantages:
      • Effective for severe or recurrent piles.
      • Complete removal of piles tissue.
  • Disadvantages:
    • Longer recovery time.
    • Higher risk of complications like infection and bleeding.
    • Post-operative pain can be intense.

2. Stapler Surgery (Stapled Hemorrhoidectomy)

Stapler surgery is a less invasive alternative to open surgery. Here’s how it works:

    • Procedure: A circular stapling device is used to remove the piles tissue and reposition the remaining tissue back into its normal anatomical position. This procedure is particularly effective for prolapsed piles.
    • Pain Level: Stapler surgery is less painful compared to open surgery.
    • Recovery Time: Patients typically experience a quicker recovery, often within 1-2 weeks.
  • Advantages:
      • Less post-operative pain.
      • Shorter hospital stay.
      • Reduced risk of complications.
  • Disadvantages:
    • Not suitable for all types of piles.
    • Slightly higher risk of recurrence compared to laser surgery.

3. Laser Surgery (Laser Hemorrhoidoplasty)

Laser surgery is the most advanced and minimally invasive option for treating piles. Here’s why it’s considered the best:

    • Procedure: A focused beam of laser energy is used to shrink and coagulate the piles tissue. The surrounding healthy tissues remain unaffected.
    • Pain Level: Laser surgery is associated with minimal post-operative pain and discomfort.
    • Recovery Time: Most patients can resume normal activities within a few days.
  • Advantages:
      • Minimally invasive with smaller incisions.
      • Reduced bleeding and lower risk of infection.
      • Quick recovery and shorter hospital stay.
      • High success rates with minimal recurrence.
  • Disadvantages:
    • Higher cost compared to traditional methods.
    • Requires specialized equipment and expertise.

How to Prepare for Piles Surgery?

Preparation is key to ensuring a successful piles surgery and smooth recovery. Here’s what you need to do before your procedure:

  1. Fasting: Avoid eating or drinking anything for at least 8 to 12 hours before the surgery. This ensures that your bowel is clean and reduces the risk of anesthesia-related complications.
  2. Medication Adjustments: If you’re taking blood-thinning medications like warfarin, inform your doctor. You may need to stop these medications temporarily to reduce the risk of excessive bleeding during surgery.
  3. Hygiene: Keep the surgical site clean. Take a shower before arriving at the hospital, but avoid using lotions or perfumes.
  4. Bowel Preparation: Empty your colon before the surgery. Your doctor may recommend using laxatives or an enema to ensure there’s no fecal matter in the colon during the procedure.
  5. Avoid Smoking and Alcohol: Refrain from smoking or consuming alcohol for at least 3-4 days before the surgery. These substances can interfere with the healing process.
  6. Comfortable Clothing: Wear loose, comfortable clothes that are easy to remove and don’t rub against your skin.
  7. Arrange for Transportation: After the surgery, you may experience dizziness or blurred vision due to anesthesia. Arrange for someone to drive you home or accompany you in a cab.

What Happens During Laser Piles Treatment?

Laser surgery for piles is a quick and efficient procedure. Here’s a step-by-step overview of what happens during the treatment:

  • Diagnosis:
      • For external piles, the doctor can diagnose them with a physical inspection.
      • For internal piles, a digital rectal examination (DRE) is performed. The doctor may also use a proctoscope, anoscope, or sigmoidoscope to examine the lower rectum.
  • Laser Surgical Treatment:
      • The patient is given local or general anesthesia to ensure comfort during the procedure.
      • A focused beam of laser energy is directed at the piles tissue to shrink and coagulate it.
      • The surrounding healthy tissues remain unaffected, minimizing damage and promoting faster healing.
      • The entire procedure typically takes around 30 minutes, depending on the number and size of the piles.
  • Post-Procedure Care:
    • After the surgery, the patient is monitored for a short period before being discharged.
    • Most patients can go home the same day and resume light activities within a few days.

What is the Recovery Process After Piles Laser Surgery?

Recovery after laser surgery for piles is relatively quick and straightforward. Here’s what you can expect:

  • Immediate Post-Operative Care:
      • Keep the surgical site clean to avoid infection.
      • Take sitz baths regularly to soothe the area and promote healing.
      • Avoid lifting heavy weights or engaging in strenuous activities for at least 2-3 weeks.
  • Diet and Hydration:
      • Eat a high-fiber diet to prevent constipation and straining during bowel movements.
      • Drink plenty of water (at least 8-10 glasses daily) to stay hydrated.
      • Avoid spicy, oily, and processed foods that can irritate the digestive system.
  • Medications:
      • Take prescribed pain relievers and antibiotics (if recommended) to manage discomfort and prevent infection.
      • Use stool softeners or laxatives if needed, but only after consulting your doctor.
  • Follow-Up Appointments:
    • Attend all follow-up appointments with your piles specialist to monitor your recovery progress.
    • Report any unusual symptoms, such as excessive bleeding or severe pain, immediately.

How to Treat Piles Without Surgery?

For mild to moderate piles, non-surgical treatments can be effective. Here are some of the best ways to treat piles without surgery:

1. Home Remedies

  • High-Fiber Diet: Consume fiber-rich foods like fruits, vegetables, and whole grains to soften stools and reduce straining.
  • Sitz Baths: Soak the anal area in warm water for 10-20 minutes, 2-3 times daily, to reduce swelling and discomfort.
  • Topical Treatments: Use over-the-counter creams or ointments like Preparation H or Anusol to relieve itching and inflammation.

2. Medications

  • Pain Relievers: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain.
  • Stool Softeners: These can make bowel movements easier and reduce straining.
  • Antibiotics: In cases of infected piles, antibiotics like amoxicillin-clavulanate may be prescribed.

3. Lifestyle Changes

  • Exercise: Regular physical activity can improve bowel function and reduce the risk of piles.
  • Hydration: Drink plenty of water to prevent constipation.
  • Proper Hygiene: Keep the anal area clean and dry to prevent irritation.

Side Effects of Piles Surgery

Like any surgical procedure, piles surgery can have potential side effects and risks. While most patients recover without complications, it’s essential to be aware of the possible side effects:

  1. Pain and Discomfort:
    • It’s common to experience pain and discomfort in the surgical area after piles surgery. The intensity and duration of pain depend on the type of surgery performed.
    • Pain can usually be managed with prescribed pain relievers and sitz baths.
  2. Bleeding:
    • Some bleeding is expected after piles surgery, especially during bowel movements. However, excessive or persistent bleeding should be reported to your piles specialist immediately.
  3. Infection:
    • There is a risk of infection at the surgical site. To minimize this risk, follow your doctor’s instructions on wound care and take prescribed antibiotics if necessary.
  4. Urinary Problems:
    • Some patients may experience difficulty passing urine or an increased frequency of urination after surgery. These symptoms are usually temporary and resolve on their own.
  5. Fecal Incontinence:
    • In rare cases, piles surgery can lead to temporary or permanent fecal incontinence (loss of control over bowel movements). This is more common with traditional open surgery than with laser surgery for piles.
  6. Anal Stenosis:
    • Anal stenosis refers to the narrowing of the anal canal, which can occur after piles surgery. This can lead to difficulty passing stools and may require additional treatment.
  7. Recurrence:
    • Even after successful surgery, there is a small risk of piles recurring. Maintaining a healthy lifestyle and following your doctor’s advice can help reduce this risk.

Advantages and Disadvantages of Laser Piles Surgery

Laser surgery is widely regarded as one of the most effective treatments for piles. However, like any medical procedure, it has its pros and cons. Here’s a detailed look at the advantages and disadvantages of laser surgery for piles:

Advantages

  1. Minimally Invasive:
    • Laser surgery requires smaller incisions compared to traditional surgery, resulting in less post-operative pain and faster recovery.
  2. Reduced Bleeding:
    • The laser cauterizes blood vessels as it cuts, minimizing bleeding during and after the procedure.
  3. Precise Targeting:
    • Laser surgery allows for precise targeting of piles tissue, leaving surrounding healthy tissue unaffected.
  4. Quick Recovery:
    • Most patients can resume normal activities within a few days, making it an ideal option for those with busy schedules.
  5. Lower Risk of Complications:
    • The precision of laser surgery reduces the risk of complications such as infection and tissue damage.
  6. High Success Rates:
    • Laser surgery has shown high success rates in treating piles, with minimal recurrence.
  7. Minimal Post-Operative Discomfort:
    • Patients typically experience less pain and discomfort compared to traditional surgical methods.

Disadvantages

  1. Cost:
    • Laser surgery can be more expensive than traditional surgical methods due to the specialized equipment and expertise required.
  2. Limited Availability:
    • Not all healthcare facilities offer laser surgery for piles, which may limit access for some patients.
  3. Risk of Recurrence:
    • While laser surgery is highly effective, there is still a small risk of piles recurring over time.
  4. Side Effects:
    • Some patients may experience temporary side effects such as pain, swelling, or discomfort after the procedure.

What to Eat and Avoid in Piles?

Diet plays a crucial role in managing and preventing piles. Here’s a detailed guide on what to eat and avoid in piles:

Foods to Eat for Piles

  1. High-Fiber Foods:
    • Fiber helps soften stools and prevents constipation, reducing the strain during bowel movements. Include foods like:
      • Fruits: Apples, pears, bananas, and berries.
      • Vegetables: Spinach, broccoli, carrots, and Brussels sprouts.
      • Whole Grains: Oats, brown rice, quinoa, and whole wheat bread.
      • Legumes: Lentils, chickpeas, black beans, and kidney beans.
  2. Flavonoid-Rich Foods:
    • Flavonoids help strengthen blood vessels and reduce inflammation. Include foods like:
      • Citrus fruits (oranges, lemons).
      • Berries (strawberries, blueberries).
      • Dark chocolate (in moderation).
  3. Healthy Fats:
    • Healthy fats lubricate the stool and ease bowel movements. Include foods like:
      • Avocados.
      • Olive oil.
      • Nuts and seeds (almonds, walnuts, chia seeds).
  4. Probiotic Foods:
    • Probiotics promote a healthy gut microbiome and improve digestion. Include foods like:
      • Yogurt.
      • Kefir.
      • Sauerkraut.
  5. Hydration:
    • Drink plenty of water (at least 8-10 glasses daily) to prevent constipation and keep stools soft.

Foods to Avoid in Piles

  1. Spicy Foods:
    • Spicy foods can irritate the digestive system and worsen piles symptoms like itching and burning. Avoid dishes with hot peppers and spicy sauces.
  2. Processed Foods:
    • Processed foods are often low in fiber and high in unhealthy fats, which can contribute to constipation. Avoid:
      • Fast food.
      • Packaged snacks.
      • Processed meats (sausages, bacon).
  3. Red and Processed Meat:
    • These are difficult to digest and can exacerbate constipation. Limit your intake of beef, pork, and processed meats.
  4. Alcohol:
    • Alcohol can lead to dehydration and worsen constipation. Avoid or limit alcohol consumption.
  5. Sugary Foods:
    • Foods high in refined sugars can disrupt gut health and lead to constipation. Avoid:
      • Candies.
      • Cakes and pastries.
      • Sugary beverages.
  6. Low-Fiber Foods:
    • Low-fiber foods can make stools hard and difficult to pass. Avoid:
      • White rice.
      • White bread.
      • Plain pasta or noodles.

Diet Chart for Piles Patients

Here’s a sample diet chart for piles patients to help manage symptoms and promote healing:

Morning (7:00 AM)

  • Warm water with lemon.
  • A bowl of oatmeal with chia seeds and berries.

Mid-Morning Snack (10:00 AM)

  • A handful of almonds or walnuts.
  • A piece of fruit (apple or pear).

Lunch (1:00 PM)

  • Brown rice with steamed vegetables (broccoli, carrots, spinach).
  • A bowl of lentil soup.

Evening Snack (4:00 PM)

  • A cup of yogurt with flaxseeds.
  • Herbal tea.

Dinner (7:00 PM)

  • Grilled chicken or fish (in moderation).
  • Quinoa salad with avocado and cherry tomatoes.

Before Bed (9:00 PM)

  • A glass of warm milk with a teaspoon of turmeric.

What to Do After Piles Surgery?

Post-operative care is crucial for a smooth recovery after piles surgery. Here’s a detailed guide on what to do after your procedure:

  1. Keep the Surgical Site Clean:
    • Clean the anal area gently with warm water after each bowel movement. Avoid using harsh soaps or excessive wiping, as this can irritate the area.
    • Take sitz baths regularly (2-3 times daily) to soothe the area and promote healing.
  2. Manage Pain and Discomfort:
    • Take prescribed pain relievers and anti-inflammatory medications as directed by your piles specialist.
    • Apply cold compresses to the anal area for a few minutes at a time to reduce swelling and discomfort.
  3. Follow a High-Fiber Diet:
    • Continue eating fiber-rich foods like fruits, vegetables, whole grains, and legumes to prevent constipation and straining.
    • Drink plenty of water (at least 8-10 glasses daily) to keep stools soft.
  4. Avoid Strenuous Activities:
    • Refrain from lifting heavy weights or engaging in strenuous physical activities for at least 2-3 weeks.
    • Light walking is encouraged to improve circulation and promote healing.
  5. Take Prescribed Medications:
    • Use stool softeners or laxatives if recommended by your doctor to prevent constipation.
    • Apply topical creams or ointments as directed to reduce itching and inflammation.
  6. Monitor for Complications:
    • Watch for signs of infection, such as increased pain, redness, swelling, or discharge from the surgical site.
    • Report any excessive bleeding, severe pain, or unusual symptoms to your doctor immediately.
  7. Attend Follow-Up Appointments:
    • Visit your piles specialist for regular check-ups to monitor your recovery progress.
    • Follow all post-operative care instructions provided by your doctor.

What Are the Possible Complications of Piles?

While piles are generally not life-threatening, they can lead to complications if left untreated or if surgery is not managed properly. Here are some possible complications of piles:

  1. Anemia:
    • Chronic bleeding from piles can lead to anemia, a condition characterized by a lack of healthy red blood cells. Symptoms include fatigue, weakness, and shortness of breath.
  2. Thrombosed Piles:
    • A blood clot can form in external piles, causing severe pain and swelling. This condition, known as thrombosed piles, may require surgical intervention to remove the clot.
  3. Strangulated Piles:
    • If prolapsed piles become trapped outside the anus, they can cut off the blood supply, leading to strangulation. This is a medical emergency and requires immediate treatment.
  4. Anal Fissures:
    • Piles can cause small tears in the skin around the anus, known as anal fissures. These can be painful and may require treatment with medications or surgery.
  5. Anal Stenosis:
    • Chronic or severe piles can cause scarring and narrowing of the anal canal, leading to difficulty passing stools. This condition, known as anal stenosis, may require surgical correction.
  6. Chronic Pain:
    • Prolonged or severe piles can lead to chronic pain, significantly affecting a person’s quality of life. This persistent pain may interfere with daily activities, sitting, and bowel movements.
  7. Recurrence:
    • Even after successful treatment, piles can sometimes recur. Factors like underlying conditions, poor diet, and lifestyle habits can contribute to recurrence.

Key Takeaways on Piles Treatment

  • Piles are swollen veins in the rectum or anus that can cause discomfort, pain, and bleeding.
  • Treatment options range from home remedies for piles and medications to advanced surgical procedures like laser surgery for piles.
  • A high-fiber diet, proper hydration, and regular exercise can help prevent and manage piles.
  • Severe or persistent piles may require surgical intervention, such as laser treatment for piles or stapler surgery.
  • Post-operative care, including sitz baths, pain management, and follow-up appointments, is crucial for a smooth recovery.
  • Consult a piles specialist for an accurate diagnosis and personalized treatment plan.

Conclusion

Piles, though common, can significantly impact your quality of life if left untreated. At Bharatkare, we offer comprehensive and advanced treatment options, including laser surgery for piles, to ensure a pain-free and quick recovery. Whether you’re looking for the best medicine for piles, effective home remedies for piles, or surgical solutions, our team of experienced piles specialists is here to help.

If you’re experiencing symptoms like pain, itching, bleeding, or discomfort, don’t wait. Book a consultation with Bharatkare today and take the first step toward a permanent solution for piles. Remember, early diagnosis and treatment can prevent complications and improve your overall well-being.

FAQ

You Can Find All Answers Here

Yes, piles can be cured permanently with the right treatment. Mild cases can often be managed with lifestyle changes and home remedies, while severe cases may require surgical intervention like laser surgery for piles.

The best medicine for piles depends on the severity of the condition. Over-the-counter creams, ointments, and pain relievers can help manage symptoms. In some cases, prescription medications like antibiotics or venotonic agents may be required.

Recovery time varies depending on the type of surgery. For laser surgery for piles, most patients can resume normal activities within a few days. Traditional open surgery may require several weeks for full recovery.

Avoid spicy, oily, and processed foods, as well as alcohol and low-fiber foods. These can worsen constipation and irritate the digestive system.

Yes, piles in pregnancy are common due to increased pressure on the pelvic veins. Most cases can be managed with lifestyle changes and topical treatments.

You should consult a piles specialist or proctologist for the diagnosis and treatment of piles. They can recommend the best treatment plan based on your condition.

Piles are swollen veins in the rectum or anus, while a fistula is an abnormal connection between the anal canal and the skin near the anus. Both conditions can cause discomfort but require different treatments. A piles specialist can help differentiate between the two.

To prevent recurrence, maintain a high-fiber diet, stay hydrated, exercise regularly, and avoid straining during bowel movements. Regular follow-ups with your piles doctor can also help monitor your condition.

Light exercises like walking are encouraged after surgery to improve circulation and promote healing. However, avoid strenuous activities or heavy lifting for at least 2-3 weeks.

If you experience severe pain, persistent bleeding, prolapsed piles that cannot be pushed back, or if non-surgical treatments fail to provide relief, you may need surgery. Consult a piles specialist for an accurate diagnosis.

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