Piles Treatment in Gurgaon

When Should You See a Doctor?

Many people try to manage piles at home with remedies like fiber-rich diets and over-the-counter creams. While this can provide temporary relief for mild cases, you should consider seeing a doctor, specifically a proctologist, if your symptoms persist or worsen. A professional diagnosis is crucial because symptoms of piles can sometimes be confused with other, more serious conditions of the rectum and colon.

You should book an appointment with a doctor immediately if you experience:

Persistent pain or discomfort around the anus.
Bright red blood on your toilet paper, in the toilet bowl, or on your stool.
A lump or mass around the anal opening.
Itching or irritation that doesn’t go away.
Feeling like you still need to have a bowel movement even after you have just gone.

If you have severe pain, significant bleeding, or signs of an infection like a fever or pus, you should seek urgent medical care.

Many people try to manage piles at home with remedies like fiber-rich diets and over-the-counter creams. While this can provide temporary relief for mild cases, you should consider seeing a doctor, specifically a proctologist, if your symptoms persist or worsen. A professional diagnosis is crucial because symptoms of piles can sometimes be confused with other, more serious conditions of the rectum and colon.

You should book an appointment with a doctor immediately if you experience:

Persistent pain or discomfort around the anus.
Bright red blood on your toilet paper, in the toilet bowl, or on your stool.
A lump or mass around the anal opening.
Itching or irritation that doesn’t go away.
Feeling like you still need to have a bowel movement even after you have just gone.

If you have severe pain, significant bleeding, or signs of an infection like a fever or pus, you should seek urgent medical care.

Piles develop from increased pressure in the veins of the lower rectum and anus. This pressure can be caused by a variety of factors, many of which are linked to lifestyle and dietary habits. The most common causes include:

Chronic constipation or diarrhea: Straining during bowel movements is one of the leading causes of piles. Both chronic constipation and chronic diarrhea can put significant pressure on the rectal veins.
Low fiber diet: A diet lacking in fiber can lead to hard stools and constipation, forcing you to strain to pass a bowel movement.
Prolonged sitting: Spending long periods of time sitting, especially on the toilet, can increase pressure on the anal veins.
Pregnancy: The increased pressure from the growing uterus and hormonal changes during pregnancy can cause the rectal veins to swell.
Obesity: Carrying excess body weight puts added pressure on the pelvic area and the veins in the rectum.
Heavy lifting: Regularly lifting heavy objects can lead to straining and increased pressure on the body, including the rectal area.

Recognizing the symptoms of piles is the first step toward getting the right treatment. The symptoms can vary depending on whether the hemorrhoids are internal or external.

External Piles Symptoms:
- Lumps or swelling around the anus. These can be painful, especially when sitting.
- Itching and irritation in the anal region.
- Pain, which can be sharp or a dull ache. This pain often worsens with sitting or during bowel movements.
Internal Piles Symptoms:
- Painless bleeding during bowel movements. You may notice bright red blood on your toilet paper or in the toilet bowl.
- A prolapsed hemorrhoid, which is a lump that pushes out of the anus during a bowel movement. This can be painful and may need to be manually pushed back inside.

It’s important to remember that not everyone with piles experiences all of these symptoms. In some cases, internal piles may not cause any noticeable discomfort, and the only sign is painless bleeding.

How is Piles Diagnosed?

A correct diagnosis is essential for effective treatment. A proctologist will begin by discussing your medical history and current symptoms. This is followed by a physical examination to check for external piles.

To diagnose internal piles, the doctor may use one or more of the following methods:

Digital Rectal Examination (DRE): The doctor inserts a gloved finger into the rectum to feel for any abnormalities. This can help identify internal hemorrhoids that are close to the anal opening.
Anoscopy: A small, lighted instrument called an anoscope is used to examine the lining of the anus and lower rectum. This allows the doctor to see the internal hemorrhoids clearly.
Proctoscopy: A proctoscope is a slightly longer, lighted tube that is used to examine the rectum and anal canal.
Colonoscopy: In some cases, if the doctor suspects the bleeding is from a different condition, they may recommend a colonoscopy. This procedure uses a flexible, lighted tube with a camera to examine the entire length of the colon.

A correct diagnosis is essential for effective treatment. A proctologist will begin by discussing your medical history and current symptoms. This is followed by a physical examination to check for external piles.

To diagnose internal piles, the doctor may use one or more of the following methods:

Digital Rectal Examination (DRE): The doctor inserts a gloved finger into the rectum to feel for any abnormalities. This can help identify internal hemorrhoids that are close to the anal opening.
Anoscopy: A small, lighted instrument called an anoscope is used to examine the lining of the anus and lower rectum. This allows the doctor to see the internal hemorrhoids clearly.
Proctoscopy: A proctoscope is a slightly longer, lighted tube that is used to examine the rectum and anal canal.
Colonoscopy: In some cases, if the doctor suspects the bleeding is from a different condition, they may recommend a colonoscopy. This procedure uses a flexible, lighted tube with a camera to examine the entire length of the colon.

Medical diagnosis procedure for piles treatment

Advanced Treatment Options for Piles

At Pristyn Care, we specialize in minimally invasive, advanced treatment options that offer a permanent solution for piles with minimal pain and a fast recovery. Instead of traditional open surgeries that require long hospital stays and a painful recovery, we focus on modern, patient-friendly procedures.

Laser Hemorrhoidectomy

This is the most advanced and widely preferred treatment for piles today. During the procedure, a highly focused laser beam is used to shrink the hemorrhoids. The laser precisely targets the blood vessels that supply the hemorrhoid, causing them to coagulate and shrink.

Key benefits of laser piles treatment:

Minimally invasive: The procedure involves no incisions, stitches, or cuts.
Painless: Patients experience little to no pain during and after the procedure.
Quick recovery: You can return to your routine activities within a few days.
Daycare procedure: The surgery is performed on a daycare basis, meaning you can go home the same day.
Lower risk of infection: Since there are no open wounds, the risk of infection is significantly reduced.
No recurrence: Laser surgery has a very low chance of recurrence, providing a long-term solution.

Laser Hemorrhoidectomy

This is the most advanced and widely preferred treatment for piles today. During the procedure, a highly focused laser beam is used to shrink the hemorrhoids. The laser precisely targets the blood vessels that supply the hemorrhoid, causing them to coagulate and shrink.

Key benefits of laser piles treatment:

Minimally invasive: The procedure involves no incisions, stitches, or cuts.
Painless: Patients experience little to no pain during and after the procedure.
Quick recovery: You can return to your routine activities within a few days.
Daycare procedure: The surgery is performed on a daycare basis, meaning you can go home the same day.
Lower risk of infection: Since there are no open wounds, the risk of infection is significantly reduced.
No recurrence: Laser surgery has a very low chance of recurrence, providing a long-term solution.

Recovery Time

Recovery after a modern piles treatment, especially laser surgery, is remarkably quick. Unlike traditional surgery where recovery can take weeks, most patients undergoing laser treatment are able to resume their daily activities within just a few days. The total recovery time, including the complete healing of the treated area, is typically within one to two weeks. The exact timeline can vary slightly depending on the grade of piles treated and your body’s individual healing process, but the pain and discomfort are minimal.

What to Expect: Before, During & After Procedure

Before the Procedure: Your journey begins with a free consultation with a Pristyn Care proctologist. They will perform a physical examination and may recommend some diagnostic tests to confirm your diagnosis and the grade of your piles. You will be advised on what to eat and drink and what medications to stop taking before the procedure. You will also have a clear understanding of the procedure and the expected outcome.

During the Procedure: Laser piles treatment is a quick procedure, typically lasting around 30 to 45 minutes. It’s performed under local or general anesthesia, so you won’t feel any pain. The surgeon uses a specialized laser fiber to target the affected veins, causing them to shrink without affecting the surrounding healthy tissue.

After the Procedure: After the surgery, you will be moved to a recovery room. Since it’s a daycare procedure, you can usually be discharged within a few hours. You may feel slight discomfort, which can be managed with prescribed pain medication. The doctor will provide detailed instructions on diet, hygiene, and follow-up care.

Recovery Timeline & Post-Treatment Care

Day 1-2: Most patients feel comfortable enough to walk and perform light activities. Any mild pain or discomfort can be managed with prescribed painkillers. Day 3-5: You can typically return to your normal routine and even resume work, depending on the nature of your job. The swelling and any residual discomfort will begin to subside. Week 1-2: The treated hemorrhoids continue to shrink and heal completely. You should continue to follow the doctor’s dietary advice to avoid constipation and straining.

Post-Treatment Care: Following your doctor’s instructions is critical for a smooth recovery and to prevent recurrence. This includes:

Maintaining a high-fiber diet: This helps keep your stools soft and easy to pass.
Staying hydrated: Drinking plenty of water is essential.
Taking prescribed medications: Adhere to the schedule for painkillers and stool softeners.
Practicing good hygiene: Gently clean the anal area with water after each bowel movement.
Avoiding straining: Do not strain or push during bowel movements.
Avoiding prolonged sitting: Try to take short walks and avoid sitting for extended periods.

How to Prevent Piles from Coming Back

While advanced treatments like laser surgery provide a permanent solution, adopting a healthy lifestyle is key to preventing piles from recurring. Piles are often a symptom of underlying lifestyle issues, and addressing these will help maintain long-term health.

Eat a high-fiber diet: Include fruits, vegetables, whole grains, and legumes in your daily meals. This helps prevent constipation and promotes soft stools.
Stay hydrated: Drink at least 8 to 10 glasses of water daily to keep your digestive system running smoothly.
Exercise regularly: Physical activity, such as walking or yoga, helps improve bowel function and reduce pressure in the rectal area.
Don’t strain: Avoid straining during bowel movements. If you feel the urge to go, don’t delay.
Limit prolonged sitting: If your job requires you to sit for long periods, take regular breaks to stand up and walk around.
Maintain a healthy weight: Losing excess weight can significantly reduce pressure on your rectal veins.

Factors that Affect the Treatment Cost for Piles

The cost of piles treatment can vary based on several factors. At Pristyn Care, we ensure transparency and provide a detailed breakdown of all costs upfront.

Proctologists consultation charges

The consultation fee of the doctor can vary based on their experience and reputation. However, Pristyn Care offers a free initial consultation with our expert proctologists.

Diagnostic tests

Before the treatment, a few diagnostic tests may be needed to confirm the diagnosis and assess the severity of the condition. The cost of these tests will depend on the specific tests required.

Type of infection and medication needed

If there is an underlying infection, the cost may include antibiotics or other medications, which will be prescribed by the doctor.

Severity and recurrence of condition

The grade of piles and whether it’s a new case or a recurrence can affect the complexity of the treatment and, therefore, the cost. Higher-grade piles may require a more extensive procedure.

Cost of Laser Piles Surgery

Surgeon’s fee: This is determined by the surgeon’s expertise and experience.
Anesthesia fees: The cost of the anesthesiologist and the type of anesthesia used.
Hospital and operation theatre charges: Charges for using the hospital facility and the surgical suite.
Cost of laser fiber and equipment: The specialized equipment used for the laser procedure.
Post-operative medications: The cost of medicines prescribed for pain management and recovery.

Follow-up appointments

Initial follow-up: Many of our packages include the cost of the first follow-up appointment.
Subsequent visits: The cost of any additional follow-up appointments may vary.

Cost of Diagnostic Tests Before Piles Treatment

Blood tests: Includes a basic blood count to check for any underlying issues.
Anoscopy: A diagnostic procedure to examine the anal canal.
Proctoscopy: A procedure to view the rectum and anus.
Colonoscopy: Recommended in specific cases to rule out other conditions.