What are piles?
Piles (hemorrhoids) are swollen blood vessels inside or around the anus. They are very common, especially with long-term constipation, straining, pregnancy and long hours of sitting. The usual signs are bright red blood on the stool or toilet paper, a lump at the anus, itching and discomfort.
Do all piles need a procedure?
No. Small, early piles often improve with more fibre and water, not straining, and medicines prescribed by a doctor. A procedure is usually considered when piles keep bleeding, come out during motions (prolapse), or do not settle with these measures.
What happens in laser treatment?
Under anaesthesia, the surgeon uses a thin laser fibre to deliver energy into the pile, which shrinks it and reduces its blood supply. There is usually no large wound. The procedure commonly takes under an hour, and many patients go home the same or the next day.
Recovery
Mild pain, a feeling of fullness and slight spotting for a few days are common. Most people return to light activity within a few days. Warm sitz baths, a high-fibre diet, enough water and stool softeners (if prescribed) help healing. Your surgeon will give you written instructions and a follow-up date.
When to see a doctor straight away
Heavy bleeding, bleeding with dizziness, severe pain with fever, or a change in bowel habit lasting more than a few weeks. Bleeding is not always from piles, so it should be examined rather than self-treated.
This guide is general information. It cannot replace an examination. If you have symptoms, please see a doctor. Medical disclaimer.
Treatment for this at Disha Hospital: Laser Proctology department.