Piles Surgery

Important Disclaimer: “Piles” is the common term for hemorrhoids—swollen veins in the anus/rectum causing bleeding, pain, itching, or prolapse. Surgery is rarely needed (only ~5-10% of cases). Most resolve with diet (high fiber, 30-35g/day), hydration, stool softeners, topical creams, or office procedures (rubber band ligation, sclerotherapy, infrared coagulation). Surgery is for Grade III-IV (prolapsing, not reducing manually) or failures of non-surgical treatments. This is general info—consult a colorectal surgeon/proctologist for personalized advice. Sources: ASCRS guidelines, recent meta-analyses (2023-2025).

Hemorrhoids graded I-IV (Goligher classification):

I: Bleed, no prolapse
II: Prolapse on straining, reduce spontaneously
III: Prolapse, need manual reduction
IV: Permanently prolapsed (or thrombosed/strangulated—emergency)

What to Expect (Typical for Hemorrhoidectomy/THD/Laser)

Prep: Bowel prep (enema), stop blood thinners, antibiotics rare.
Anesthesia: Local + sedation (laser/THD) or spinal/general.
Duration: 20-60 min.
Hospital: Same-day discharge (90%+ cases).
Post-Op Pain: Worst with excision (peaks day 3-7, bowel movements hurt); minimal with laser/THD.
- Manage with: Sitz baths (warm water 3-4x/day), stool softeners (Movicol/docusate), fiber, pain meds (paracetamol + ibuprofen ± weak opioids).
Recovery Timeline:
- Days 1-3: Rest, soft diet, mild bleeding normal.
- Week 1: Light activity; no lifting >5-10kg.
- Week 2-4: Return to work (sooner with minimally invasive).
- Full healing: 4-8 weeks; avoid constipation forever!
Complications (~5-20%): Bleeding, infection, urinary retention, anal stenosis, incontinence (very rare <1%), recurrence.

About Us

Aaradhya Nursing Home provides reliable and compassionate medical care for diabetes, hypertension, thyroid, and general health issues. Led by Dr. Ankita Singh (MBBS, MD), we are committed to delivering accurate diagnosis and patient-focused treatment.