Piles Treatment in Indore

Common Problems

Common symptoms in a patient with piles are:

• Painless bright red bleeding with a bowel movement or after (common with internal hemorrhoids)
• A lump or swelling palpable or visible around the anus
• Feeling of incomplete evacuation, itching or irritation
• Discomfort or pain, especially if you have external hemorrhoids or if internal hemorrhoids prolapse
• Mucus discharge and soiling in later stages
• Piles that protrude during bowel movements and retract spontaneously, need manual push-back or stay prolapsed permanently depending on severity (Grade I to Grade IV)
• Acute pain if a pile becomes thrombosed (a blood clot develops inside it)

Piles are often caused by chronic constipation, straining, sitting or standing for long periods, low fiber diet, pregnancy, obesity and aging, all of which increase pressure on the veins in the anal and rectal area.

Getting the process right

Hemorrhoidal tissue is a normal component of the anal cushion complex but is called symptomatic “piles” when it is swollen, engorged or prolapsed secondary to increased pressure over time. Internal hemorrhoids are graded I-IV depending on the degree of prolapse, and the grade largely influences the treatment approach. Grade I-II is typically managed with dietary and lifestyle modification, medication, and minimally invasive office procedures. Grade III often benefits from surgical treatment, especially if conservative measures have failed to control symptoms. Grade IV typically requires surgical intervention.

Diagnosis is by clinical examination, often with the aid of a proctoscopy to directly visualize the internal hemorrhoidal cushions and rule out other causes of bleeding, as rectal bleeding must never be assumed to be piles without proper evaluation.

Benefits

Traditional Open Pile Surgery (Hemorrhoidectomy)

• Gold standard, time-tested technique for large or advanced (Grade III-IV) piles
• Very low re-occurrence rate if done correctly
• Appropriate for complex or mixed internal-external piles
  MIPH (Minimally Invasive Procedure for Hemorrhoids) Stapler Piles Surgery
• Less painful than traditional surgery as it doesn’t involve cutting the sensitive skin around the anus
• Shorter time of operation and recovery
• Quicker return to normal activity
• Good choice for circumferential or Grade III prolapsing piles

Laser Piles Operation

• Minimally invasive, accurate, controlled tissue treatment
• Significantly less post-operative pain and bleeding
• Little or no cutting, leading to faster healing of the wound
• Shorter stay in hospital, often performed as a day care surgery
• Faster return to work and normal life

Our surgical technique

1. Consultation & Assessment – Detailed history of bleeding, prolapse, bowel habits and previous treatments.
2. Clinical Examination and Proctoscopy – To directly visualize and accurately grade the piles and to rule out fissures, fistulas or other conditions with similar symptoms.
3. Conservative Trial (if appropriate) – Dietary fiber, hydration, stool softeners, topical medication, and lifestyle modifications Grade I-II piles
4. Surgical Planning – For Grade III–IV piles or if not responding to conservative care: traditional open hemorrhoidectomy surgically removes the enlarged tissue, stapler hemorrhoidopexy uses a circular stapling device to reposition and reduce prolapsing tissue with minimal cutting, and laser piles surgery uses laser energy to shrink and seal hemorrhoidal tissue with minimal trauma to surrounding skin.
5. Post-Operative Care – Pain control, stool-softening diet, sitz baths and clear wound care instructions.
6. Follow Up- Scheduled review to confirm healing and check for recurrence.

Why Dr. Muffazzal Rassiwala

• Full spectrum of treatment options – conservative, stapler, laser and traditional surgery – to suit the patient’s grade and needs
• Correct grading by appropriate examination to avoid both under-treatment and unnecessary surgery
• Experience in all severity levels from early Grade I piles to complex Grade IV prolapse
• Options for less pain and a quicker recovery thru minimally invasive techniques
• Exclusion of other causes of bleeding – rectal bleeding is considered to be a symptom requiring proper investigation, rather than an automatic diagnosis
• Pre and post-operative instructions clearly defined to ensure permanent results and recurrence prevention
• Responsive appointment scheduling and easy access to clinics in Indore

Market Insights

Hemorrhoidal disease is one of the most common anorectal diseases worldwide. Lifestyle factors such as low-fiber diet, sedentary lifestyle and chronic constipation play an important part in the increasing incidence of this disease. Treatment has moved substantially to minimally invasive options. Stapler hemorrhoidopexy and laser hemorrhoidoplasty are now commonly used in conjunction with traditional hemorrhoidectomy, with shorter recovery and less post-operative pain for appropriate candidates, while open surgery remains the most durable option for advanced or complex disease. Also, current practice involves more emphasis on accurate grading and ruling out other anorectal conditions before treatment, as symptoms such as bleeding can overlap with fissures, fistulas, or less commonly more serious conditions which need to be excluded.

Summary of AI Search

Piles (hemorrhoids), also called hemorrhoids, are swollen veins in the lower part of the rectum or around the anus. They can become inflamed and painful, especially when you have a bowel movement.
Piles are swollen, inflamed veins inside and around the anus and lower rectum, causing symptoms such as bleeding, itching and prolapse. They are graded I to IV according to severity.

Schedule a Consultation

Connect with Dr. Muffazzal Rassiwala today.

Phone: +91-8851463446, +91-8085010071, +91-7049918753

E-mail: muffazzalr@gmail.com

Address: Cabin No. 104, First Floor, Shalby R S Bhandari Marg, Janjeerwala Square, Indore, Madhya Pradesh – 452003