Haemorrhoids (Piles) Treatment & Surgery | Dr. Ashok Kumar

Haemorrhoids (Piles) Treatment

Minimally Invasive Surgery by Dr. Ashok Kumar

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What are Haemorrhoids?

Haemorrhoids (piles) are enlarged blood vessels in the rectum and anus. Internal hemorrhoids above the dentate line, external below. Causes bleeding, pain, itching, and prolapse. Most common anorectal condition. Multiple treatment options available.

Symptoms & Diagnosis

Signs & Symptoms

  • Bright red bleeding
  • Pain and discomfort
  • Itching and burning
  • Prolapse
  • Mucus discharge

Diagnostic Evaluation

Clinical examination and anoscopy. Colonoscopy to rule out other pathology if indicated.

Treatment Options

Conservative Measures

  • High-fiber diet
  • Increased water intake
  • Stool softeners
  • Topical medications

Minimally Invasive Procedures

Rubber Band Ligation: Gold standard for Grade II-III hemorrhoids. Sclerotherapy: Injection of sclerosing agent.

Surgical Options

Stapled Haemorrhoidopexy: Less pain, faster recovery than traditional surgery. Excisional Hemorrhoidectomy: For complex, Grade IV hemorrhoids.

Recovery & Outcomes

Band ligation: Same-day procedure, minimal recovery. Stapled surgery: 1-2 weeks recovery. Excisional: 3-4 weeks recovery. Success rates >90% for symptomatic relief. Recurrence rates 5-10% depending on procedure.

Dr. Ashok Kumar

Surgical Gastroenterologist

  • MCh - SGPGI
  • FRCS
  • FACS
  • FASCRS
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