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What are piles?
Everyone has soft cushions of blood vessels inside the anal canal. They help control the passage of stool. When these cushions become swollen, stretched or start to slip down, they are called piles or haemorrhoids (बवासीर).
Piles can be internal (inside the back passage, usually not painful) or external (under the skin around the anus, can be painful, especially if a clot forms). Doctors grade internal piles by how far they come out:
| Grade | What happens | Usual first approach |
|---|---|---|
| Grade 1 | May bleed, but do not come out | Diet, fluids, medicines |
| Grade 2 | Come out when straining, go back on their own | Diet and medicines; banding or laser if symptoms continue |
| Grade 3 | Come out and need to be pushed back by hand | Banding, laser or surgery, depending on size |
| Grade 4 | Stay outside and cannot be pushed back | Usually surgery; laser in selected cases |
This table is a general guide. Your surgeon will suggest what suits your piles after examining you.
Symptoms of piles
- Bright red blood on toilet paper, in the pan or on the stool, usually without pain
- A soft lump that comes out of the anus while passing stool
- Itching, irritation or a feeling of wetness around the anus
- A feeling that the bowel has not emptied fully
- Pain or a hard, tender lump near the anus: this can happen when a clot forms in an external pile
- Mucus (slimy) discharge that may stain underwear
Sharp, cutting pain while passing stool is more typical of an anal fissure than piles. A swelling that keeps leaking pus may be a fistula. It is common to have more than one problem at the same time, so an examination matters.
Causes and risk factors
Anything that increases pressure in the lower rectum for a long time can lead to piles. Common reasons include:
- Long-term constipation and straining to pass stool
- A low-fibre diet (too little fruit, vegetables, whole grains, dal) and not drinking enough water
- Sitting on the toilet for a long time, for example while using a phone
- Pregnancy and the months after delivery
- Being overweight, and lifting heavy weights regularly
- Long-standing diarrhoea
- Age: the supporting tissues become weaker over time
- Jobs with long hours of sitting or standing, such as driving or shop work
When to see a doctor
See a doctor if you notice bleeding, if a lump keeps coming out, or if home care has not helped within one to two weeks. Get medical help urgently if you have:
- Heavy bleeding, or bleeding that does not stop
- Dark red, maroon or black stools
- Dizziness, weakness or a pale look (signs of blood loss)
- Severe pain, fever, or a swelling that is getting bigger or hot
- A lump that cannot be pushed back and is turning dark
- Bleeding along with weight loss, loss of appetite or a change in bowel habits, especially if you are over 40
Bleeding is not always piles. Please do not treat rectal bleeding at home for weeks without an examination. In an emergency, call 93196 62944. The hospital is open 24×7.
How piles are diagnosed at Samrijo
Diagnosis is usually simple and is done in a private consultation room.
- Talking with you: your symptoms, bowel habits, diet, medicines and family history.
- Examination: a gentle look at the area and a finger examination with a gloved, lubricated finger. It takes a minute or two and is usually not painful.
- Proctoscopy: a short, lubricated tube lets the surgeon see inside the anal canal. This helps grade the piles and check for other problems.
- Blood tests at the hospital laboratory if there has been a lot of bleeding (to check for anaemia) or before a procedure.
- Colonoscopy may be advised if the bleeding pattern, your age or other symptoms suggest a cause higher up in the bowel.
Treatment options
Treatment goes step by step, from the gentlest to the most involved. Your surgeon will explain which options suit the grade and type of your piles, and why.
You can read more about how piles differ from other anal problems in our article Piles vs fissure vs fistula: how to tell the difference.
What to expect with laser treatment
Before
A consultation and examination, blood tests, and a check-up by the anaesthetist. Tell the team about all your medicines, especially blood thinners, diabetes or blood pressure tablets. You will usually be asked not to eat for about six hours before the procedure.
On the day
You are given anaesthesia (the type is decided by the anaesthetist), so you do not feel the procedure. The laser procedure itself is often completed in under an hour.
Right after
You rest in the recovery area for a few hours. Many patients go home the same day or the next morning, as the surgeon advises. Some pain, swelling and a little bleeding with the first few bowel movements are common and are managed with tablets and sitz baths.
Recovery at home
Eat a high-fibre diet, drink plenty of water, take stool softeners as prescribed and avoid straining. Light walking is encouraged. Desk work is often possible within a few days; heavy lifting may need one to two weeks. Recovery time varies from person to person.
Follow-up
A check-up visit, usually within one to two weeks, to make sure you are healing well. Call the hospital any time if you have heavy bleeding, fever or pain that is getting worse.
Why choose Samrijo Hospital for piles treatment
- Surgeon-led care: treatment under Dr. Arun Kumar Patel (MBBS, MS General Surgery).
- All options under one roof: medicines, banding, laser and conventional surgery, so the choice is based on your piles, not on one machine.
- Laser and laparoscopic centre with an in-house operation theatre.
- Lab and radiology in the same building for pre-procedure tests.
- 24×7 hospital, so help is available at any hour after your procedure.
- Private, respectful consultations, explained in Hindi or English.
Cost of laser piles treatment
There is no single price for piles treatment. The cost depends on:
- The grade and number of piles, and whether other problems (such as a fissure) are treated at the same time
- The option chosen: banding, laser or surgery
- The type of anaesthesia and the length of hospital stay
- Tests needed before the procedure, and medicines afterwards
- Room category, and your health insurance or TPA cover
Call 93196 62944 for an estimate. The team can give you a clear estimate after your consultation.
बुराड़ी में बवासीर का लेज़र इलाज
बवासीर (पाइल्स) में गुदा के अंदर या आसपास की नसें सूज जाती हैं। इसके आम लक्षण हैं: मल त्याग के समय लाल खून आना, मस्से का बाहर आना, खुजली या जलन। लंबे समय तक कब्ज़, ज़ोर लगाना, कम फ़ाइबर वाला खाना, कम पानी पीना और टॉयलेट में देर तक बैठना इसके मुख्य कारण हैं।
शुरुआती बवासीर अक्सर सही खान-पान, दवाइयों और सिट्ज़ बाथ से ठीक हो जाती है। ज़रूरत पड़ने पर Samrijo Hospital, बुराड़ी में बैंडिंग, लेज़र और सर्जरी, तीनों विकल्प उपलब्ध हैं। लेज़र इलाज में बेहोशी (एनेस्थीसिया) के बाद एक पतले फ़ाइबर से मस्से को अंदर से सिकोड़ा जाता है। इसमें आमतौर पर बड़ा चीरा नहीं लगता, और कई मरीज़ उसी दिन या अगले दिन घर चले जाते हैं। हर मरीज़ की रिकवरी अलग होती है, और कौन-सा इलाज आपके लिए सही है, यह डॉक्टर जाँच के बाद ही बताएँगे।
ध्यान दें: मल में खून आना हमेशा बवासीर नहीं होता। खून ज़्यादा आए, चक्कर आएँ या वज़न घटे, तो तुरंत डॉक्टर को दिखाएँ। अपॉइंटमेंट के लिए कॉल करें: 93196 62944 (24×7)।
Frequently asked questions
Is laser piles treatment painless?
No treatment can honestly promise zero pain. Laser treatment is done under anaesthesia, so you should not feel pain during the procedure. Afterwards, many patients have less pain than after conventional surgery, and it is usually managed with tablets and warm sitz baths. How much discomfort you feel depends on the size of the piles and on your own body.
How long does recovery take after laser piles treatment?
Many patients go home the same day or the next day. People with desk jobs often return to work within a few days, while heavy physical work may need one to two weeks. Your surgeon will give you a timeline based on your piles and your work.
Can piles come back after laser treatment?
Yes, piles can come back after any treatment, including laser and conventional surgery. The risk is higher if constipation and straining continue. Eating enough fibre, drinking enough water, not sitting on the toilet for long and following up with your surgeon all help lower the chance of recurrence.
Can piles go away without surgery?
Often, yes. Small (early-grade) piles frequently settle with a high-fibre diet, enough water, stool softeners, warm sitz baths and medicines. Procedures are usually advised when piles keep bleeding, keep coming out, or do not improve with these measures.
Is bleeding from the back passage always due to piles?
No. Piles are a common cause, but bleeding can also come from a fissure, polyps, inflammation or, less commonly, cancer of the bowel. That is why bleeding should always be checked by a doctor, especially if you are over 40, have lost weight, feel weak, or notice a change in your bowel habits.
How much does laser piles treatment cost in Delhi?
The cost depends on the grade of the piles, the technique chosen, the type of anaesthesia, the length of stay, tests needed and your room category. Please call 93196 62944 for an estimate after a consultation.
क्या बवासीर का इलाज बिना ऑपरेशन के हो सकता है?
हाँ, शुरुआती बवासीर अक्सर सही खान-पान, ज़्यादा पानी, फ़ाइबर, दवाइयों और गुनगुने पानी में बैठने (सिट्ज़ बाथ) से ठीक हो जाती है। अगर खून आना या मस्से बाहर आना बंद न हो, तो डॉक्टर बैंडिंग, लेज़र या सर्जरी की सलाह दे सकते हैं।
लेज़र ऑपरेशन के बाद कितने दिन आराम करना पड़ता है?
ज़्यादातर मरीज़ उसी दिन या अगले दिन घर चले जाते हैं। ऑफ़िस का काम करने वाले लोग अक्सर कुछ दिनों में काम पर लौट आते हैं, जबकि भारी काम के लिए एक-दो हफ़्ते लग सकते हैं। सही समय आपके सर्जन आपकी स्थिति देखकर बताएँगे।
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This page is for general health information only. It is not a diagnosis or a substitute for a consultation. Every patient is different, so please consult a qualified doctor about your own condition and treatment. Medical disclaimer.