Piles

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Hemorrhoids (Piles)

Hemorrhoids, commonly known as piles, are swollen and enlarged blood vessels in the rectal and anal region caused by increased pressure. Under the care of Dr. Sachin Ambekar, Director of Minimal Access Surgery and Medical Director at MASSH, patients receive modern, minimally invasive treatment focused on comfort, safety, and long-term relief.

Advanced & Minimally Invasive Piles Treatment
Precision-based proctology care ensuring faster recovery, reduced pain, and durable results.

Types of Hemorrhoids

Internal Hemorrhoids

  • Located inside the rectum
  • Usually painless bleeding during bowel movement
  • May prolapse outside the anus in advanced stages

External Hemorrhoids

  • Lumps around the anal opening
  • Itching, irritation, or tenderness
  • Discomfort while sitting

Thrombosed Hemorrhoids

  • Blood clot formation in external pile
  • Hard, painful swelling
  • May require urgent medical treatment

Signs & Symptoms

  • Bright red bleeding during bowel movements
  • Burning, itching, or irritation
  • Pain while sitting or passing stools
  • Swelling or lump near the anus
  • Feeling of incomplete bowel evacuation

Causes & Risk Factors

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Prolonged toilet sitting
  • Pregnancy and childbirth
  • Obesity
  • Low-fiber diet
  • Sedentary lifestyle

Diagnosis

  • Clinical evaluation and symptom assessment
  • Digital Rectal Examination (DRE)
  • Proctoscopy / Anoscopy
  • Colonoscopy (if required)

Treatment & Management

Conservative Management

  • High-fiber diet
  • Adequate hydration
  • Medicated creams
  • Warm sitz baths

Non-Surgical Treatments

  • Rubber Band Ligation
  • Injection Therapy (Sclerotherapy)
  • Infrared Coagulation

Surgical Treatments

  • Stapled Hemorrhoidopexy
  • Hemorrhoidectomy

Why You Should Not Delay Treatment

  • Symptoms may worsen over time
  • Risk of anemia due to chronic bleeding
  • Possibility of painful clot formation
  • Daily activities and productivity affected
  • Early treatment avoids major surgery

Expert Hemorrhoid Care by Dr. Sachin Ambekar

  • Modern, minimally invasive procedures
  • Personalized and coordinated treatment plan
  • Advanced surgical precision
  • Faster healing & reduced discomfort

Frequently Asked Questions

Can hemorrhoids be cured completely?
Yes. With proper treatment and lifestyle modifications, hemorrhoids can be effectively managed.
Is all rectal bleeding due to piles?
No. Other conditions must be ruled out through proper medical evaluation.
Do hemorrhoids always require surgery?
No. Many cases respond well to non-surgical treatments.
Will hemorrhoids recur?
They may recur if healthy lifestyle habits are not maintained.