Piles Doctor in Jaipur

What Are The Types of Piles?

There are two main types of piles (hemorrhoids), based on their location:

• Internal Piles: These develop inside the rectum and are usually painless. They may bleed during bowel movements.
• External Piles: These form outside the anal opening. They can be more uncomfortable and may cause pain or itching.

Piles can also be classified based on their severity:

Grade 1: Small inflammations inside the lining of the anus.

Grade 2: Larger piles that may protrude out of the anus during bowel movements, but retract back inside on their own.

Grade 3: Piles that protrude out of the anus and require manual pushing back inside.

Grade 4: Piles that are always outside the anus and cannot be pushed back in. These are often painful and may require surgery.

How Can Piles Be Diagnosed?

Diagnosing piles (hemorrhoids) typically involves several steps performed by a proctologist or anorectal surgeon. Here’s an overview of the diagnostic process:

• Medical History: Your healthcare provider will begin by discussing your symptoms, such as pain, itching, bleeding, or changes in bowel habits. They will also review your medical history, including any past occurrences of piles.
• Physical Examination: A thorough examination of the anal region will be conducted to assess for external and internal piles. This involves visual inspection and gentle palpation of the anus and rectum to check for abnormalities, swelling, or lumps.
• Digital Rectal Examination (DRE): In some cases, a DRE may be performed. This quick and relatively painless procedure involves inserting a lubricated, gloved finger into the rectum to feel for internal piles and other rectal conditions.
• Anoscopy or Proctoscopy: These procedures use a small, illuminated tube (anoscope or proctoscope) to inspect the anal canal and lower rectum more closely. They provide a detailed view to determine the location, size, and severity of piles, aiding in treatment planning.
• Sigmoidoscopy: This procedure involves using a sigmoidoscope to examine the lower part of the colon and rectum. It helps in evaluating rectal bleeding and ruling out other conditions that may mimic piles.
• Colonoscopy: If necessary, a colonoscopy may be recommended to examine the entire colon. This comprehensive procedure helps in diagnosing rectal bleeding from piles or other serious gastrointestinal conditions, ensuring appropriate treatment recommendations.

These diagnostic tools allow healthcare providers to accurately diagnose piles and tailor treatment plans accordingly.

What Are The Different Treatment Options For Piles?

Here are the different treatment options for piles, rewritten for clarity:

Non-surgical Treatment

Non-surgical treatments for piles include:

• Rubber Band Ligation: This procedure involves placing a small rubber band around the base of internal piles to cut off their blood supply. The piles shrink and fall off within a few days, typically with minimal discomfort and a quick recovery.
• Sclerotherapy: A solution is injected into the piles to shrink them. This method is effective for internal piles and offers a faster recovery compared to surgical options.
• Infrared Photocoagulation: Infrared light is used to create scar tissue, cutting off the blood supply to small and medium-sized internal piles. It’s a quick procedure with minimal recovery time.
• Electrocoagulation: An electric current is applied to internal piles through a probe, causing them to shrink. Recovery time varies based on the size and severity of the piles.

Surgical Treatment – Operations for Piles

When non-surgical methods fail or piles are severe, surgical options may be necessary. Common surgical procedures include

• Open Hemorrhoidectomy: This traditional surgery involves surgically removing piles through an incision around the anus or anal canal. Recovery can take several weeks to months
• Stapled Hemorrhoidectomy (Stapler Surgery): A stapling device is used to remove excess tissue and reposition the remaining tissue to its normal position. It’s less painful than traditional surgery and has a quicker recovery.
• Laser Surgery: Laser energy is used to shrink and remove piles tissue, with minimal damage to surrounding healthy tissue. It’s a minimally invasive outpatient procedure associated with less post-operative pain and faster recovery.

These treatments are tailored based on the type, size, and severity of piles, ensuring effective management and relief for patients.