Piles Treatment

Piles, medically known as haemorrhoids, are swollen and enlarged veins in the anus and rectum region. This common anorectal condition often goes untreated due to embarrassment, but when left unmanaged, it can lead to more serious complications. Fortunately, with modern medical and surgical techniques, piles can be treated effectively and safely. In this article, you’ll find detailed information on piles symptoms, causes, stages, treatment options, and the difference between internal and external haemorrhoids.

What Are Piles?

Piles occur when the veins around the anus or lower rectum become inflamed or swollen. They are classified into two main types:

• Internal Haemorrhoids: Located inside the rectum, these are usually painless but can cause bleeding during bowel movements.
• External Haemorrhoids: Found under the skin around the anus, these can cause pain, swelling, itching, and in severe cases, develop clots (thrombosed haemorrhoids).

Common Symptoms of Haemorrhoids

• Bright red blood during bowel movements
• Lumps or swelling around the anus (piles lump)
• Discomfort while sitting
• Itching or burning sensation in the anal area
• Pain and straining during defecation

If you experience any of these symptoms, it is crucial to consult a specialist for proper diagnosis and treatment.

Causes of Piles

Several factors contribute to the development of haemorrhoids:

• Chronic constipation or diarrhoea
• Prolonged sitting
• Pregnancy
• Obesity
• Low-fibre diet
• Straining during bowel movements
• Genetic predisposition

Stages of Haemorrhoids

Piles are commonly classified into four stages:

Stage Description

• 1st Degree Bleeding without prolapse
• 2nd Degree Prolapse during defecation, but retracts spontaneously
• 3rd Degree Prolapse requires manual reinsertion
• 4th Degree Permanently prolapsed and cannot be pushed back

Treatment options vary depending on the stage.

Difference Between Haemorrhoids and Anal Fissure

While haemorrhoids involve swollen veins, an anal fissure is a small tear in the anal lining. Fissures often cause sharp pain during bowel movements, whereas haemorrhoids may bleed without pain. An accurate diagnosis is crucial for proper treatment.

What Is a Thrombosed Haemorrhoid?

A thrombosed haemorrhoid occurs when a blood clot forms within an external pile. It causes intense pain and a hard lump around the anus. In some cases, minor surgical intervention may be needed.

Diagnosis of Haemorrhoids

Diagnosis involves a physical examination and, if necessary, anoscopy to evaluate the extent and type of haemorrhoids. A personalized treatment plan is then created based on clinical findings.

Piles Treatment Options

1. Medications and Creams

In early-stage piles, treatment may include:

• Anti-inflammatory creams
• Suppositories
• Pain relievers

These manage symptoms and support healing.

2. Lifestyle Changes

• Simple yet effective strategies include:
• High-fibre diet
• Drinking plenty of water
• Avoiding straining
• Regular physical activity
• These changes can prevent progression and recurrence.

3. Office-Based Procedures (Non-Surgical)

• Minimally invasive procedures for moderate haemorrhoids include:
• Rubber Band Ligation: Cutting off blood supply to the pile
• Sclerotherapy: Injection to shrink the haemorrhoid
• Infrared Coagulation (IRC): Using heat to seal off veins

4. Surgical Treatment

For advanced haemorrhoids or complications like thrombosis:

• Hemorrhoidectomy: Surgical removal of piles
• Laser Hemorrhoid Surgery: Modern, less painful alternative with faster recovery

At our clinic, the most suitable surgical technique is chosen based on individual evaluation.

Internal vs External Piles Treatment

• Internal Piles: Often treated with rubber band ligation or sclerotherapy. Surgery is reserved for advanced cases.
• External Piles: Painful or thrombosed piles may need minor surgery. Early treatment ensures a quicker recovery.

When Is Rectal Bleeding a Concern?

Anal bleeding may signal other conditions such as:

• Anal fissures
• Polyps
• Rectal cancer

A specialist consultation is essential to determine the cause.

Can Piles Go Away Without Surgery?

Early-stage piles may resolve with proper care and lifestyle changes. However, advanced stages typically require medical or surgical intervention.

Piles Treatment Prices in Turkey

Treatment costs depend on the stage, selected procedure, and individual health condition. Contact us to receive a personalized treatment plan and detailed price quote.

Frequently Asked Questions (FAQ)

How long does piles treatment take?

Treatment duration varies by method. Creams may take a few weeks; surgery may require 2–4 weeks for full recovery.

Is piles treatment painful?

Modern methods significantly reduce pain and discomfort. Most procedures are outpatient.

Can piles be cured permanently?

Yes. With the right treatment and preventive measures, piles can be permanently resolved.

Is laser surgery for piles effective?

Yes, laser hemorrhoid surgery offers fast healing, minimal discomfort, and fewer complications.

Are creams enough to treat piles?

For early stages, yes. But advanced haemorrhoids require professional evaluation.